Exhibit 10.20

AMENDMENT no. 6
TO FOURTH amended and restated CREDIT AGREEMENT
This AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT (this “Amendment”) is dated as of July 2, 2020, and is entered into by and among GENESIS HEALTHCARE, INC., a Delaware corporation (“Genesis Healthcare”), GENESIS HEALTHCARE LLC, a Delaware limited liability company (“Genesis Holdings”), FC-GEN OPERATIONS INVESTMENT, LLC, a Delaware limited liability company (“LLC Parent”), Genesis Healthcare’s direct and indirect subsidiaries listed on Annex I-A hereto (together with Genesis Healthcare, Genesis Holdings and LLC Parent, collectively, “Borrowers”), MIDCAP FUNDING IV TRUST, a Delaware statutory trust, as administrative agent (successor-by-assignment to Healthcare Financial Solutions, LLC, in such capacity, the “Administrative Agent”), and the Lenders party hereto and is made with reference to that certain Fourth Amended and Restated Credit Agreement, dated as of March 6, 2018 (as amended or modified prior to the date hereof, and as further amended, amended and restated, supplemented or otherwise modified prior to the date hereof, the “Credit Agreement”), by and among Genesis Healthcare, certain Subsidiaries of Genesis Healthcare from time to time party thereto, the lenders from time to time party thereto and the Administrative Agent, made by Genesis Healthcare, the other entities party thereto as Borrowers (as such term is defined therein), the parties thereto as Guarantors (as such term is defined therein) and each other Person (as such term is defined therein) becoming party thereto pursuant to Section 7.10 therein in favor of Administrative Agent for the Secured Parties.  Unless otherwise stated, capitalized terms used herein without definition shall have the same meanings herein as set forth in the Credit Agreement.
RECITALS
WHEREAS, Borrowers have requested, and Administrative Agent and the Lenders have agreed, to amend the Credit Agreement as set forth in this Amendment.
NOW, THEREFORE, in consideration of the premises and the agreements, provisions and covenants herein contained, the parties hereto agree as follows:
SECTION I.AMENDMENTS TO CREDIT AGREEMENT Subject to the terms and conditions of this Amendment, including, without limitation, the conditions to effectiveness set forth in Section II below, the Credit Agreement is amended as follows.
1.1Investments.  Section 8.4(t) of the Credit Agreement is hereby deleted in its entirety and restated to read as follows:
“(t)so long as no Default or Event of Default shall have occurred and be continuing at the time thereof or would result therefrom, Investments in joint ventures in an aggregate amount not to exceed $100,000,000 at any time outstanding, provided (i) such Investments were in existence as of, and including, the Investment Threshold Date, as set forth on Schedule 8.4(t), (ii) such Investments are made in connection with those certain joint venture transactions with (A) New Generation Health, LLC and known as Bold Quail Holdings LLC, or (B) Cascade Capital Group, LLC or certain of its affiliates and known 

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as CCGEN Holdings LLC or (iii) any other Investment not specifically identified in clauses (i) or (ii) which does not exceed $15,000,000 individually.”
1.2Schedule 8.4(t).  Schedule 8.4(t) attached hereto is hereby attached as Schedule 8.4(t) to the Credit Agreement.
SECTION II.CONDITIONS TO EFFECTIVENESS
This Amendment shall become effective as of the date hereof only upon Administrative Agent’s receipt of this fully executed Amendment which shall be originals, facsimiles or “pdf” or similar electronic format (followed promptly by originals) unless otherwise specified, properly executed by a Responsible Officer of the signing Loan Party and each Lender whose consent is required hereunder.  
SECTION III.Costs, Fees and Expenses.  
Borrowers shall be responsible for the payment of all reasonable costs, fees and expenses of Agent’s counsel incurred in connection with the preparation of this Amendment and any related documents.  If Administrative Agent uses in-house counsel for any of these purposes, Borrowers shall be responsible for reasonable charges for such work commensurate with the fees that would otherwise be charged by outside legal counsel selected by Administrative Agent for the work performed; provided that, in accordance with Section 11.3 of the Credit Agreement, the rate charged for such work performed by in-house counsel shall not exceed $450.00 per hour, and Borrowers shall not be liable for in-house legal fees for the same matters on which outside legal counsel has been engaged.  All such costs, fees and expenses shall be paid with proceeds of Revolving Loans.
SECTION IV.Confirmation of Representations and Warranties; Liens; No Default.
Each Loan Party that is party hereto hereby confirms that (i) all of the representations and warranties set forth in the Loan Documents to which it is a party continue to be true and correct in all material respects as of the date hereof as if made on the date hereof and as if fully set forth herein, except to the extent (A) such representations and warranties by their terms expressly relate only to a prior date (in which case such representations and warranties shall be true and correct in all material respects as of such prior date) or (B) any such representation or warranty is no longer true, correct or complete due to the occurrence of one or more events that are permitted to occur (or are not otherwise prohibited) under the Loan Documents, (ii) there are no continuing Defaults or Events of Default that have not been waived or cured, (iii) subject to the terms and conditions of the Loan Documents, Administrative Agent has and shall continue to have valid, enforceable and perfected Liens on the Collateral with the priority set forth in the Intercreditor Agreement, for the benefit of the Secured Parties, pursuant to the Loan Documents or otherwise granted to or held by Administrative Agent, for the benefit of the Secured Parties, subject only to Permitted Liens, and (iv) the agreements and obligations of Borrowers and each other Loan Party contained in the Loan Documents and in this Amendment constitute the legal, valid and binding obligations of Borrowers and each other Loan Party, enforceable against Borrowers and each other Loan Party in accordance with their respective terms, except to the extent limited by general principles of 

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equity and by bankruptcy, insolvency, fraudulent conveyance, or other similar laws affecting creditors’ rights generally.
SECTION V.REAFFIRMATION OF LOAN DOCUMENTS
5.1By executing and delivering this Amendment, each Loan Party hereby (i) reaffirms, ratifies and confirms its Obligations under the Loan Documents, each as may be amended hereby, (ii) agrees that this Amendment shall be a “Loan Document” under the Credit Agreement and (iii) hereby expressly agrees that the Credit Agreement and each other Loan Document shall remain in full force and effect as modified by this Amendment. Each Lender executing this Amendment hereby declines the issuance of one or more Notes evidencing its Commitment.
5.2Without limiting the generality of the foregoing, each Loan Party hereby confirms its pledges, grants of security interests and other obligations, as applicable, under and subject to the terms of each of the Loan Documents to which it is party, and agrees that, notwithstanding the effectiveness of this Amendment or any of the transactions contemplated thereby, such pledges, grants of security interests and other obligations, and the terms of each of the Loan Documents to which it is a party, as supplemented, amended, amended and restated or otherwise modified in connection with this Amendment and the transactions contemplated hereby, are not impaired or affected in any manner whatsoever and shall continue to be in full force and effect and shall continue to secure all the Obligations.
SECTION VI.RELEASE OF ADMINISTRATIVE AGENT AND LENDERS
As of the date of this Amendment, each Loan Party (a) agrees that, to its knowledge, Administrative Agent and each Lender has fully complied with its obligations under each Loan Document required to be performed prior to the date hereof, (b) agrees that no Loan Party has any defenses to the validity, enforceability or binding effect of any Loan Document and (c) fully and irrevocably releases any claims of any nature whatsoever that it may now have against Administrative Agent, and each Lender and relating in any way to this Amendment, the Loan Documents or the transactions contemplated hereby or thereby.
SECTION VII.MISCELLANEOUS
7.1Effect on Other Loan Documents.  Except as expressly set forth in this Amendment, the Credit Agreement and all other Loan Documents shall remain unchanged and in full force and effect. This Amendment shall be limited precisely and expressly as drafted and shall not be construed as consent to the amendment, restatement, modification, supplementation or waiver of any other terms or provisions of the Credit Agreement or any other Loan Document.
7.2Headings.  Section headings herein and in the other Loan Documents are included for convenience of reference only and shall not affect the interpretation of this Amendment or any other Loan Document.
7.3Loan Document.  This Amendment shall constitute a “Loan Document” under the terms of the Credit Agreement.

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7.4Costs and Expenses.  The payment of all fees, costs and expenses incurred by Administrative Agent in connection with the preparation and negotiation of this Amendment shall be governed by Section 11.3 of the Credit Agreement.
7.5Successors/Assigns.  This Amendment shall bind, and the rights hereunder shall inure to, the respective successors and assigns of the parties hereto, subject to the provisions of the Loan Documents.
7.6Applicable Law; Miscellaneous.  THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF LAW THAT WOULD RESULT IN THE APPLICATION OF ANY LAW OTHER THAN THE LAW OF THE STATE OF NEW YORK.  The provisions of Sections 11.13, 11.14 and 11.15 of the Credit Agreement are incorporated by reference herein and made a part hereof.
7.7Counterparts.  This Amendment may be executed in any number of counterparts and by different parties in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Signature pages may be detached from multiple separate counterparts and attached to a single counterpart. Delivery of an executed signature page of this Amendment by facsimile transmission or Electronic Transmission shall be as effective as delivery of a manually executed counterpart hereof. Any party delivering an executed counterpart of this Amendment by facsimile transmission or Electronic Transmission shall also deliver an original executed counterpart of this Amendment but the failure to deliver an original executed counterpart shall not affect the validity, enforceability or binding effect of this Amendment.
7.8Further Assurances.  Each of the Loan Parties shall execute and deliver such additional documents and take such additional actions as may be reasonably requested by Administrative Agent to effectuate the purposes of this Amendment.
[Remainder of this page intentionally left blank.]
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	BORROWERS:
	GENESIS HEALTHCARE, INC., a Delaware corporation


By:/s/ Stephen S. Young
Steven S. Young
Treasurer

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	FC-GEN OPERATIONS INVESTMENT, LLC, a Delaware limited liability company


By:/s/ Stephen S. Young
Steven S. Young
Treasurer

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	GENESIS HEALTHCARE LLC, a Delaware limited liability company


By:/s/ Stephen S. Young
Steven S. Young
Treasurer

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	EACH OF THE ENTITIES LISTED ON ANNEX I-A ATTACHED HERETO:

By: FC-GEN Operations Investments, LLC, its authorized agent


By:/s/ Stephen S. Young
Steven S. Young
Treasurer




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	ADMINISTRATIVE AGENT:
	MIDCAP FUNDING IV TRUST, a Delaware statutory trust

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:  General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	MIDCAP FINANCIAL TRUST, a Delaware statutory trust

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory

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	MIDCAP FUNDING IV TRUST, a Delaware statutory trust

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory

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	MIDCAP FUNDING XVI TRUST, a Delaware statutory trust

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	MIDCAP FUNDING XXX TRUST, a Delaware statutory trust

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory



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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	MCO FINANCING LP

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Maurice Amsellem​ ​
Maurice Amsellem
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	APOLLO INVESTMENT CORPORATION

By:Apollo Investment Management, L.P.
Its:Advisor

By:ACC Management GP, LLC
Its:General Partner


By:/s/ Joseph D. Glatt​ ​
Joseph D. Glatt
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	TRANQUILIDADE DIVERSIFIED INCOME ICAV, an Umbrella Irish Collective Asset-Management Vehicle with Segregated Liability between its Sub-Funds, acting in respect of its Sub-Fund, Tranquilidade Loan Origination Fund

By:Apollo Management International LLP,
Its:Portfolio Manager

By:AMI (Holdings), LLC
Its:Member


By:/s/ Joseph D. Glatt​ ​
Joseph D. Glatt
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	AMISSIMA DIVERSIFIED INCOME ICAV, an Umbrella Irish Collective Asset-Management Vehicle with Segregated Liability between its Sub-Funds, acting in respect of its Sub-Fund, Amissima Loan Origination Fund

By:Apollo Management International LLP
Its:Portfolio Manager

By:AMI (Holdings), LLC
Its:Member


By:/s/ Joseph D. Glatt​ ​
Joseph D. Glatt
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	APOLLO CREDIT FUNDS ICAV, an Umbrella Irish Collective Asset Management Vehicle with Segregated Liability between its Sub-Funds, acting in respect of its Sub-Fund, Apollo Helius Loan Fund

By:ACF Europe Management, LLC
Its:Portfolio Manager

By:Apollo Capital Management, L.P.
Its:Sole Member

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Joseph D. Glatt​ ​
Joseph D. Glatt
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	BCSSS INVESTMENTS 2 S.À R.L.

By:Apollo Capital Management, L.P.
Its:Investment Manager

By:Apollo Capital Management GP, LLC
Its:General Partner


By:/s/ Joseph D. Glatt​ ​
Joseph D. Glatt
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY

By:Apollo Insurance Solutions Group LP
Its:Investment Adviser
By: AISG GP Ltd.
Its: General Partner


By: /s/ Matt O’Mara​ ​​ ​
Name: Matt O’Mara
Title: Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	MIDLAND NATIONAL LIFE INSURANCE COMPANY

By:Apollo Insurance Solutions Group LP
Its:Investment Adviser
By: AISG GP Ltd.
Its: General Partner


By: /s/ Matt O’Mara​ ​​ ​
Name: Matt O’Mara
Title: Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	WOODMONT 2017-2 TRUST

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By:MidCap Financial Services Capital Management, LLC
Its:Collateral Manager


By:/s/ John O’Dea
John O’Dea
Authorized Signatory




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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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	LENDERS:
	33RD STREET FUNDING LLC


By:/s/ Gregg A. Bresner
Gregg A. Bresner
Chief Investment Officer 

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	34TH STREET FUNDING LLC


By:/s/ Gregg A. Bresner
Gregg A. Bresner
Chief Investment Officer

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	CION SOF Funding, LLC


By:/s/ Gregg A. Bresner
Gregg Bresner
Authorized Individual



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	SIGNATURE PAGE TO AMENDMENT NO. 6 TO FOURTH AMENDED AND RESTATED CREDIT AGREEMENT



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annex i-A
borrowers
	Name


	Jurisdiction



	1 Emerson Drive North Operations LLC


	CT



	1 Emerson Drive South Operations LLC
	CT

	1 Magnolia Drive Operations LLC


	MD



	10 Woodland Drive Operations LLC


	DE



	100 Chambers Street Operations LLC


	RI



	100 Edella Road Operations LLC


	PA



	100 St. Claire Drive Operations LLC


	DE



	1000 Association Drive Operations LLC


	WV



	1000 Lincoln Drive Operations LLC


	WV



	1000 Orwigsburg Manor Drive Operations LLC


	PA



	1000 Schuylkill Manor Road Operations LLC


	PA



	101 13th Street Operations LLC


	WV



	101 Mills Place Operations LLC
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	OH



	1020 South Main Street Operations LLC


	PA



	1080 Silver Lake Boulevard Operations LLC


	DE



	1104 Welsh Road Operations LLC


	PA



	1113 North Easton Road Operations LLC


	PA



	1145 Poquonnock Road Operations LLC


	CT



	115 East Melrose Avenue Operations LLC


	MD



	115 Sunset Road Operations LLC


	NJ



	1165 Easton Avenue Operations LLC


	NJ



	120 Murray Street Operations LLC


	MA



	1201 Rural Avenue Operations LLC


	PA



	1240 Pinebrook Road, LLC


	DE



	1245 Church Road Operations LLC


	PA



	1248 Hospital Drive Operations LLC


	VT



	125 Holly Road Operations LLC


	PA



	128 East State Street Associates, LLC


	PA



	1350 E. Lookout Drive Operations LLC


	TX



	1351 Old Freehold Road Operations LLC


	NJ



	140 Prescott Street Operations LLC


	MA



	1420 South Black Horse Pike Operations LLC


	NJ



	144 Magnolia Drive Operations LLC


	NJ



	1501 SE 24th Road, LLC


	DE



	1515 Lamberts Mill Road Operations LLC


	NJ



	1526 Lombard Street SNF Operations LLC


	PA



	1539 Country Club Road Operations LLC


	WV



	1543 Country Club Road Manor Operations LLC


	WV



	15810 South 42nd Street Operations LLC


	AZ



	16 Fusting Avenue Operations LLC


	MD






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	Annex I-A - 1
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	Name


	Jurisdiction



	161 Bakers Ridge Road Operations LLC


	WV



	1631 Ritter Drive Operations LLC


	WV



	1650 Galisteo Street Operations LLC


	NM



	1660 Hospital Drive Operations LLC


	NM



	1680 Spring Creek Road Operations LLC


	PA



	1700 Pine Street Operations LLC


	PA



	1700 Wynwood Drive Operations LLC


	NJ



	1718 Spring Creek Road Operations LLC


	PA



	1775 Huntington Lane, LLC


	DE



	1801 Turnpike Street Operations LLC


	MA



	1801 Wentworth Road Operations LLC


	MD



	184 Bethlehem Pike Operations LLC


	PA



	191 Hackett Hill Road Operations LLC


	NH



	1980 Sunset Point Road, LLC


	DE



	2 Deer Park Drive Operations LLC


	NJ



	20 Summit Street Operations LLC


	NJ



	200 Marter Avenue Operations LLC


	NJ



	200 Reynolds Avenue Operations LLC


	NJ



	200 South Ritchie Avenue Operations LLC


	WV



	201 New Road Operations LLC


	NJ



	201 Wood Street Operations LLC


	WV



	2015 East West Highway Operations LLC


	MD



	205 Armstrong Avenue Operations LLC


	MD



	2101 Fairland Road Operations LLC


	MD



	215 West Brown Road Operations LLC


	AZ



	22 South Street Operations LLC


	CT



	22 Tuck Road Operations LLC


	DE



	2240 White Horse Mercerville Road Operations LLC


	NJ



	227 Evergreen Road Operations LLC


	PA



	227 Pleasant Street Operations LLC


	NH



	23 Fair Street Operations LLC


	CT



	2305 Rancocas Road Operations LLC


	NJ



	239 Pleasant Street Operations LLC


	NH



	24 Truckhouse Road Operations LLC


	MD



	2507 Chestnut Street Operations LLC


	PA



	255 West Brown Road Operations LLC


	AZ



	2600 Highlands Boulevard, North, LLC


	DE



	2601 Evesham Road Operations LLC


	NJ



	261 TERHUNE DRIVE OPERATIONS LLC


	NJ



	262 Toll Gate Road Operations LLC


	PA



	279 Cabot Street Operations LLC


	MA



	290 Hanover Street Operations LLC


	DE



	290 Red School Lane Operations LLC


	NJ






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	Annex I-A - 2
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	Name


	Jurisdiction



	2900 Twelfth Street North, LLC


	DE



	298 Main Street Operations LLC 


	NH



	3 Park Drive Operations LLC


	MA



	30 Princeton Boulevard Operations LLC


	MA



	30 West Avenue Operations LLC


	PA



	300 Courtright Street Operations LLC


	PA



	300 Pearl Street Operations LLC


	VT



	3000 Balfour Circle Operations LLC


	PA



	3001 Evesham Road Operations LLC


	NJ



	315 Upper Riverdale Road LLC


	GA



	32 Hospital Hill Road Operations LLC


	MA



	3227 Bel Pre Road Operations LLC


	MD



	329 Exempla Circle Operations LLC


	CO



	333 Grand Avenue Operations LLC


	NJ



	336 South West End Avenue Operations LLC


	PA



	3485 Davisville Road Operations LLC


	PA



	35 Marc Drive Operations LLC


	CT



	35 Milkshake Lane Operations LLC


	MD



	350 Haws Lane Operations LLC


	PA



	3514 Fowler Avenue Operations LLC


	NM



	3720 Church Rock Street Operations LLC


	NM



	3809 Bayshore Road Operations LLC


	NJ



	3865 Tampa Road, LLC


	DE



	390 Red School Lane Operations LLC


	NJ



	4 Hazel Avenue Operations LLC


	CT



	40 Parkhurst Road Operations LLC


	MA



	400 Groton Road Operations LLC


	MA



	400 Vision Drive Operations LLC


	NC



	4140 Old Washington Highway Operations LLC


	MD



	419 Harding Street Operations LLC


	NM



	422 23rd Street Operations LLC


	WV



	44 Keystone Drive Operations LLC


	MA



	440 North River Street Operations LLC


	PA



	450 East Philadelphia Avenue Operations LLC


	PA



	455 Brayton Avenue Operations LLC


	MA



	4602 Northgate Court, LLC


	DE



	462 Main Street Operations LLC


	MA



	464 Main Street Operations LLC


	MA



	475 Jack Martin Boulevard Operations LLC


	NJ



	4901 North Main Street Operations LLC


	MA



	4927 Voorhees Road, LLC


	DE



	500 East Philadelphia Avenue Operations LLC


	PA



	5101 North Park Drive Operations LLC


	NJ






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	Annex I-A - 3
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	Name


	Jurisdiction



	515 Brightfield Road Operations LLC


	MD



	525 Glenburn Avenue Operations LLC


	MD



	530 Macoby Street Operations LLC


	PA



	536 Ridge Road Operations LLC


	NJ



	54 Sharp Street Operations LLC


	NJ



	5485 Perkiomen Avenue Operations LLC


	PA



	549 Baltimore Pike Operations LLC


	PA



	55 Cooper Street Operations LLC


	MA



	55 Kondracki Lane Operations LLC


	CT



	5501 Perkiomen Avenue Operations LLC


	PA



	56 Hamilton Avenue Operations LLC


	NJ



	56 West Frederick Street Operations LLC


	MD



	59 Harrington Court Operations LLC


	CT



	590 North Poplar Fork Road Operations LLC


	WV



	600 Paoli Pointe Drive Operations LLC


	PA



	6000 Bellona Avenue Operations LLC


	MD



	61 Cooper Street Operations LLC


	MA



	610 Dutchman’s Lane Operations LLC


	MD



	610 Townbank Road Operations LLC


	NJ



	613 Hammonds Lane Operations LLC


	MD



	625 State Highway 34 Operations LLC


	NJ



	63 Country Village Road Operations LLC


	NH



	642 Metacom Avenue Operations LLC


	DE



	65 Cooper Street Operations LLC


	MA



	650 Edison Avenue Operations LLC


	PA



	70 Gill Avenue Operations LLC


	DE



	700 Toll House Avenue Operations LLC


	MD



	715 East King Street Operations LLC


	DE



	72 Salmon Brook Drive Operations LLC


	CT



	7232 German Hill Road Operations LLC


	MD



	735 Putnam Pike Operations LLC


	DE



	7395 W. Eastman Place Operations LLC


	CO



	740 Oak Hill Road Operations LLC


	RI



	75 Hickle Street Operations LLC


	PA



	7520 Surratts Road Operations LLC


	MD



	7525 Carroll Avenue Operations LLC


	MD



	77 Madison Avenue Operations LLC


	NJ



	7700 York Road Operations LLC


	MD



	777 Lafayette Road Operations LLC


	DE



	78 Opal Street LLC


	GA



	8 Rose Street Operations LLC


	WV



	800 West Miner Street Operations LLC


	PA



	8015 Lawndale Street Operations LLC


	PA






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	Annex I-A - 4
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	Name


	Jurisdiction



	803 Hacienda Lane Operations LLC


	NM



	810 South Broom Street Operations LLC


	DE



	825 SUMMIT STREET OPERATIONS LLC


	WV



	84 Cold Hill Road Operations LLC


	NJ



	840 Lee Road Operations LLC


	WV



	841 Merrimack Street Operations LLC


	MA



	843 Wilbur Avenue Operations LLC


	NJ



	845 Paddock Avenue Operations LLC


	CT



	850 Paper Mill Road Operations LLC


	PA



	8710 Emge Road Operations LLC


	MD



	8720 Emge Road Operations LLC


	MD



	89 Morton Street Operations LLC


	MA



	899 Cecil Avenue Operations LLC


	MD



	905 Penllyn Pike Operations LLC


	PA



	91 Country Village Road Operations LLC


	NH



	9101 Second Avenue Operations LLC


	MD



	920 South Main Street Operations LLC
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	OH



	93 Main Street SNF Operations LLC


	NH



	932 Broadway Operations LLC


	DE



	9701 Medical Center Drive Operations LLC


	MD



	9738 Westover Hills Boulevard Operations LLC


	TX



	98 Hospitality Drive Operations LLC


	VT



	9940 West Union Hills Drive Operations LLC


	AZ



	Alexandria Care Center, LLC


	DE



	Alta Care Center, LLC


	DE



	Belen Meadows Healthcare and Rehabilitation Center, LLC


	DE



	Belmont Nursing Center, LLC


	MA



	Brier Oak on Sunset, LLC


	DE



	CareerStaff Unlimited, LLC


	DE



	Clairmont Longview Property, LLC


	DE



	Clairmont Longview, LLC


	DE



	Clovis Healthcare and Rehabilitation Center, LLC


	DE



	Colonial Tyler Care Center, LLC


	DE



	Courtyard JV LLC


	MA



	Crestview Nursing, LLC


	DE



	Diane Drive Operations LLC


	WV



	Dracut JV LLC


	MA



	Elmcrest Care Center, LLC


	DE



	FC-GEN Hospice Holdings, LLC


	DE



	Five Ninety Six Sheldon Road Operations LLC


	DE



	Flatonia Oak Manor, LLC


	DE



	Florida Holdings I, LLC


	DE



	Florida Holdings II, LLC


	DE






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	Annex I-A - 5
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	Name


	Jurisdiction



	Florida Holdings III, LLC


	DE



	Fort Worth Center of Rehabilitation, LLC


	DE



	Forty Six Nichols Street Operations LLC


	DE



	Forty Six Nichols Street Property, LLC


	VT



	Fountain Care Center, LLC


	DE



	Franklin Woods JV LLC


	MD



	GEN BQ JV Holdings, LLC


	DE



	GEN BQ OMG Master Tenant LLC


	DE



	GEN-Next Holdco I, LLC


	DE



	GEN Operations I, LLC


	DE



	GEN Operations II, LLC


	DE



	GEN SF JV Holdings LLC


	DE



	Genesis Administrative Services LLC


	DE



	Genesis Bayview JV Holdings, LLC


	MD



	Genesis CO Holdings LLC


	CO



	Genesis CT Holdings LLC


	CT



	Genesis DE Holdings LLC


	DE



	Genesis Dynasty Operations LLC


	DE



	Genesis Eldercare Network Services, LLC


	PA



	Genesis ElderCare Physician Services, LLC


	PA



	Genesis Eldercare Rehabilitation Services, LLC


	PA



	Genesis Health Ventures of New Garden, LLC


	PA



	Genesis Holdings LLC


	DE



	Genesis IP LLC


	DE



	Genesis LGO Operations LLC


	DE



	Genesis MA Holdings LLC


	MA



	Genesis MD Holdings LLC


	MD



	Genesis NH Holdings LLC


	NH



	Genesis NJ Holdings LLC


	NJ



	Genesis OMG Operations LLC


	DE



	Genesis Operations II LLC


	DE



	Genesis Operations III LLC


	DE



	Genesis Operations IV LLC


	DE



	Genesis Operations LLC


	DE



	Genesis Operations V LLC


	DE



	Genesis Operations VI LLC


	DE



	Genesis PA Holdings LLC


	PA



	Genesis Partnership LLC


	DE



	Genesis ProStep, LLC


	DE



	Genesis RI Holdings LLC


	RI



	Genesis SNI Operations LLC


	DE



	Genesis Staffing Services LLC


	PA



	Genesis TX Holdings LLC


	DE






	​
	Annex I-A - 6
	​



​




​

	Name


	Jurisdiction



	Genesis VA Holdings LLC


	VA



	Genesis VT Holdings LLC


	VT



	Genesis WV Holdings LLC


	WV



	GHC Burlington Woods Dialysis JV LLC


	NJ



	GHC Dialysis JV LLC


	DE



	GHC Holdings II LLC


	DE



	GHC Holdings LLC


	DE



	GHC JV Holdings LLC


	DE



	GHC Matawan Dialysis JV LLC


	NJ



	GHC Payroll LLC


	DE



	GHC Randallstown Dialysis JV LLC


	MD



	GHC SelectCare LLC


	PA



	GHC TX Operations LLC


	TX



	GHC Windsor Dialysis JV LLC


	CT



	Granite Ledges JV LLC


	NH



	Grant Manor LLC


	DE



	Great Falls Health Care Company, L.L.C.


	MT



	GRS JV LLC


	DE



	Guadalupe Seguin Property, LLC


	DE



	Guadalupe Valley Nursing Center, LLC


	DE



	Hallettsville Rehabilitation and Nursing Center, LLC


	DE



	Hallmark Investment Group, LLC


	DE



	Hallmark Rehabilitation GP, LLC


	DE



	Harborside Connecticut Limited Partnership


	MA



	Harborside Danbury Limited Partnership


	MA



	Harborside Health I LLC


	DE



	Harborside Healthcare Advisors Limited Partnership


	MA



	Harborside Healthcare Limited Partnership


	MA



	Harborside Healthcare, LLC


	DE



	Harborside Massachusetts Limited Partnership


	MA



	Harborside New Hampshire Limited Partnership


	MA



	Harborside North Toledo Limited Partnership


	MA



	Harborside of Cleveland Limited Partnership


	MA



	Harborside of Dayton Limited Partnership


	MA



	Harborside of Ohio Limited Partnership


	MA



	Harborside Point Place, LLC


	DE



	Harborside Rhode Island Limited Partnership


	MA



	Harborside Swanton, LLC


	DE



	Harborside Sylvania, LLC


	DE



	Harborside Toledo Business LLC


	MA



	Harborside Toledo Limited Partnership


	MA



	Harborside Troy, LLC


	DE



	HBR Bardwell LLC


	DE






	​
	Annex I-A - 7
	​



​




​

	Name


	Jurisdiction



	HBR Barkely Drive, LLC


	DE



	Hbr Danbury, LLC


	DE



	HBR Elizabethtown, LLC


	DE



	HBR Kentucky, LLC


	DE



	HBR Madisonville, LLC


	DE



	HBR Paducah, LLC


	DE



	Hbr Stamford, LLC


	DE



	Hbr Trumbull, LLC


	DE



	HBR Woodburn, LLC


	DE



	HC 63 Operations LLC


	WV



	HHCI Limited Partnership


	MA



	Hospitality Lubbock Property, LLC


	DE



	Hospitality Nursing and Rehabilitation Center, LLC


	DE



	Huntington Place Limited Partnership


	FL



	Kansas City Transitional Care Center, LLC


	DE



	Kennett Center, L.P.


	PA



	KHI LLC


	DE



	Klondike Manor LLC


	DE



	Leisure Years Nursing, LLC


	DE



	Lincoln Highway JV LLC


	PA



	Lincoln Highway Operations LLC


	PA



	Live Oak Nursing Center, LLC


	DE



	Magnolia JV LLC


	MD



	Marietta Healthcare, LLC


	DE



	Maryland Harborside, LLC


	MA



	Massachusetts Holdings I, LLC


	DE



	Monument La Grange Property, LLC


	DE



	Monument Rehabilitation and Nursing Center, LLC


	DE



	Oakland Manor Nursing Center, LLC


	DE



	Odd Lot LLC


	DE



	Ohio Holdings I, LLC


	DE



	Owenton Manor Nursing, LLC


	DE



	PDDTSE LLC


	DE



	Peak Medical Assisted Living, LLC


	DE



	Peak Medical Colorado No. 2, LLC


	DE



	Peak Medical Colorado No. 3, LLC


	DE



	Peak Medical Idaho Operations, LLC


	DE



	Peak Medical Las Cruces No. 2, LLC


	DE



	Peak Medical Las Cruces, LLC


	DE



	Peak Medical Montana Operations, LLC


	DE



	Peak Medical New Mexico No. 3, LLC


	DE



	Peak Medical of Boise, LLC


	DE



	Peak Medical of Colorado, LLC


	DE






	​
	Annex I-A - 8
	​



​




​

	Name


	Jurisdiction



	Peak Medical of Idaho, LLC


	DE



	Peak Medical of Utah, LLC


	DE



	Peak Medical Roswell, LLC


	DE



	Peak Medical, LLC


	DE



	Pine Tree Villa LLC


	DE



	PM Oxygen Services, LLC


	DE



	Post-Acute Innovations, LLC


	DE



	Post-Acute Support Services, LLC


	DE



	Property Resource Holdings, LLC


	DE



	Regency Health Services, LLC


	DE



	Regency Nursing, LLC


	DE



	Respiratory Health Services LLC


	MD



	Riverside Retirement Limited Partnership


	MA



	Romney Health Care Center Limited Partnership


	WV



	Route 92 Operations LLC


	WV



	Royalwood Care Center, LLC


	DE



	Saddle Shop Road Operations LLC


	WV



	Salisbury JV LLC


	MD



	Sharon Care Center, LLC


	DE



	SHG Partnership, LLC


	DE



	SHG Resources, LLC


	DE



	Skies Healthcare and Rehabilitation Center, LLC


	DE



	Skiles Avenue and Sterling Drive Urban Renewal Operations LLC


	NJ



	Skilled Healthcare, LLC


	DE



	Southwood Austin Property, LLC


	DE



	Southwood Care Center, LLC


	DE



	SR-73 AND LAKESIDE AVENUE OPERATIONS LLC


	NJ



	St. Anthony Healthcare and Rehabilitation Center, LLC


	DE



	St. Catherine Healthcare and Rehabilitation Center, LLC


	DE



	St. Elizabeth Healthcare and Rehabilitation Center, LLC


	DE



	St. John Healthcare and Rehabilitation Center, LLC


	DE



	St. Theresa Healthcare and Rehabilitation Center, LLC


	DE



	State Street Associates, L.P.


	PA



	State Street Kennett Square, LLC


	DE



	Stillwell Road Operations LLC


	WV



	Summit Care Parent, LLC


	DE



	Summit Care, LLC


	DE



	Sun Healthcare Group, Inc.


	DE



	SunBridge Beckley Health Care LLC


	WV



	SunBridge Care Enterprises, LLC


	DE



	SunBridge Carmichael Rehabilitation Center, LLC


	CA



	SunBridge Circleville Health Care LLC


	OH



	SunBridge Clipper Home of Portsmouth, LLC


	NH






	​
	Annex I-A - 9
	​



​




​

	Name


	Jurisdiction



	SunBridge Clipper Home of Rochester, LLC


	NH



	SunBridge Dunbar Health Care LLC


	WV



	SunBridge Gardendale Health Care Center, LLC


	GA



	SunBridge Harbor View Rehabilitation Center, LLC


	CA



	SunBridge Healthcare, LLC


	NM



	SunBridge Marion Health Care LLC


	OH



	SunBridge Nursing Home, LLC


	WA



	SunBridge Paradise Rehabilitation Center, LLC


	CA



	SunBridge Putnam Health Care LLC


	WV



	SunBridge Regency - North Carolina, LLC


	NC



	SunBridge Regency - Tennessee, LLC


	TN



	SunBridge Retirement Care Associates, LLC


	CO



	SunBridge Salem Health Care LLC


	WV



	SunBridge Summers Landing, LLC


	GA



	SunDance Rehabilitation Agency, LLC


	DE



	SunDance Rehabilitation Holdco, Inc.


	DE



	SunDance Rehabilitation, LLC


	CT



	SunMark of New Mexico, LLC


	NM



	The Clairmont Tyler, LLC


	DE



	The Rehabilitation Center of Albuquerque, LLC


	DE



	The Rehabilitation Center of Omaha, LLC


	DE



	Three Mile Curve Operations LLC


	WV



	Town and Country Boerne Property, LLC


	DE



	Town and Country Manor, LLC


	DE



	Vintage Park At San Martin, LLC


	DE



	Wakefield Healthcare, LLC


	DE



	Westfield Healthcare, LLC


	DE



	Woodspoint LLC


	DE





​

	​
	Annex I-A - 10
	​



​




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