Document:

Exhibit

CONFIDENTIAL TREATMENT REQUESTED
THE PORTIONS OF THIS AGREEMENT MARKED WITH ASTERISKS WITHIN BRACKETS (“[***]”) HAVE BEEN OMITTED PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT UNDER 17 C.F.R. SECTIONS 200.80(B)(4), 200.83 AND 230.406.  A COMPLETE COPY OF THIS AGREEMENT HAS BEEN FILED SEPARATELY WITH THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION.

GUARANTEE
GUARANTEE, dated as of February 16, 2018 (this “Guarantee”), by Armistice Capital Master Fund, Ltd. (the “Guarantor”), in favor of Avadel US Holdings, Inc. (the “Guaranteed Party”).
WHEREAS, Deerfield CSF, LLC, Peter Steelman and James Flynn (each, a “Deerfield Party” and collectively, the “Deerfield Parties”), the Guaranteed Party, and certain of its affiliated parties are parties to that certain Membership Interest Purchase Agreement, dated February 5, 2016 (the “MIPA”);
WHEREAS, the Guaranteed Party and certain of its affiliated parties have entered into an Asset Purchase Agreement with Cerecor, Inc. (“Debtor”), dated February 12, 2018 (the “APA”);
WHEREAS, under the APA, the Guaranteed Party has agreed to assign certain of its rights and obligations under the MIPA to Debtor and Debtor has agreed to assume such rights and obligations (the “Assignment”);
WHEREAS, notwithstanding the Assignment, the Guaranteed Party remains obligated to the Deerfield Parties under such assigned rights and obligations; 
WHEREAS, in connection with the Assignment, the Guaranteed Party has requested that the Guarantor provide this Guarantee to the Guaranteed Party; and
WHEREAS, the Guarantor will benefit from the transactions contemplated by the APA and is willing to provide such Guarantee covering all of the obligations set forth in this Guarantee.
NOW THEREFORE, for valuable consideration, the receipt and sufficiency of which are hereby conclusively acknowledged by the Guarantor, the Guarantor hereby agrees in favor of the Guaranteed Party as follows:
1.Guarantee. The Guarantor hereby unconditionally and irrevocably guarantees, for the direct third party benefit of the Guaranteed Party, the prompt payment and performance by Debtor to the Deerfield Parties of any amounts set forth in Section 1.2(a), Section 1.6(a), Section 1.6(b), and Section 1.6(g) of the MIPA (whether direct or indirect, joint or several, absolute or contingent, 

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matured or unmatured). The Guarantor hereby irrevocably and unconditionally covenants and agrees that it is liable for the Obligations as a primary obligor, subject to the terms of this Guarantee (collectively, the “Primary Obligations”).  The Guarantor further agrees in connection with the foregoing guarantee that, if the Guaranteed Party becomes obligated to pay to the Deerfield Party (1) all or any part of the Obligations or (2) the difference between (x) the aggregate Deferred Payments pursuant to Section 1.6(a) of the MIPA in any full calendar year between (and including) 2018 and 2025 and (y) $[***] (or the prorated portion of such amount for 2026), then the Guarantor shall pay to the Guaranteed Party the amount of such difference (the “Deferred Obligation”).  The Deferred Payment Obligation and the Primary Obligations hereinafter collectively referred to as, the “Obligations”.
2.    Payment by Guarantor.  If all or any part of the Obligations shall not be punctually paid when due, whether at demand, maturity, acceleration or otherwise, the Guarantor shall, without presentment protest, notice of protest, notice of non-payment, notice of intention to accelerate the maturity, notice of acceleration of the maturity, or any other notice whatsoever, but subject to the other terms of this Guarantee, pay in lawful money of the United States of America, the amount then due on the Obligations to the Guaranteed Party at the Guaranteed Party’s address set forth herein.  Such demand(s) may be made at any time coincident with or after the time any of the Obligations become due.  Such demand shall be deemed made, given and received in accordance with the notice provisions hereof.
3.    No Duty To Pursue Others.  It shall not be necessary for the Guaranteed Party (and the Guarantor hereby waives any rights that the Guarantor may have to require the Guaranteed Party), in order to enforce the obligations of the Guarantor hereunder, first to (i) institute suit or exhaust its remedies against Debtor or any other party that may be liable on the Obligations, (ii) enforce the Guaranteed Party’s rights against any collateral which shall have been given to secure the Obligations, (iii) enforce the Guaranteed Party’s rights against any other guarantors of the Obligations, (iv) join Debtor or any other party liable on the Obligations in any action seeking to enforce this Guarantee, (v) exhaust any remedies available to the Guaranteed Party against any collateral which shall ever have been given to secure the Obligations, or (vi) resort to any other means of obtaining payment of the Obligations.  Without limiting the generality of the foregoing, and notwithstanding anything to the contrary contained herein, the Guaranteed Party shall be entitled to claim against Guarantor as primary obligor under the Obligations if and when the Guaranteed Party becomes liable for them, without first having to make any claims against the Debtor. 
4.    Release of Obligations. This Guarantee will remain in full force and effect until the Obligations are irrevocably and unconditionally performed and paid in full or Debtor ceases to have any obligations in respect thereof in accordance with the terms of the APA.
5.    Representations and Warranties. Guarantor represents and warrants that: (a) Guarantor is a duly organized and validly existing Cayman Islands exempt company in good standing under the laws of the jurisdiction of its organization; (b) this Guarantee has been duly executed and delivered by the Guarantor and constitutes a legal, valid and binding obligation of the Guarantor, enforceable against the Guarantor in accordance with its terms; (c) the execution, delivery and performance of this Guarantee have been duly authorized by all necessary action and will not violate 

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(i) the organizational documents of Guarantor, (ii) any order, judgment or decree to which Guarantor or any of its assets may be subject, (iii) any contract to which Guarantor is a party, or (iv) any law applicable to Guarantor; and (d) Guarantor is currently solvent and will not be rendered insolvent by providing this Guarantee.
6.    Nature of Guarantee. This Guarantee is an irrevocable, absolute, continuing guarantee of payment and performance and not a guarantee of collection.  This Guarantee may not be revoked by the Guarantor and shall continue to be effective with respect to any Obligations arising or created after any attempted revocation by the Guarantor.  The fact that at any time or from time to time the Obligations may be increased or reduced shall not release or discharge the obligation of Guarantor to the Guaranteed Party and shall not be discharged by the assignment or negotiation of all or part of the Obligations.  In the event that any payment of the Debtor to the Deerfield Parties in respect of any Obligations is rescinded or must otherwise be returned to the Debtor or surrendered to any person for any reason whatsoever, then the Obligations or part thereof intended to be satisfied shall be reinstated or returned by the Deerfield Parties to the Guaranteed Party, and this Guarantee shall continue to be effective as if such payment had not been made or value received notwithstanding any revocation thereof; provided, however, that the Guaranteed Cap shall be reduced by the amount of such rescinded or returned payment.
7.    Obligations Not Reduced by Offset.  The Guarantor agrees to be bound by the Assignment as though Guarantor were a party to the APA with respect to the provisions thereof relating to the Assignment.  The Obligations and the liabilities and obligations of Guarantor to the Guaranteed Party hereunder shall not be reduced, discharged, or released because or by reason of any existing or future offset, claim or defense of Debtor, or any other party, against the Guaranteed Party or against payment of the Obligations, whether such offset, claim or defense arises in connection with the Obligations (or the transactions creating the Obligations) or otherwise; provided, however, that if the Guaranteed Party proceeds against the Guarantor under the Obligations, the Guarantor shall be afforded all rights and defenses against such claim as would be available to the Debtor in connection with such claim.  
8.    Liability Absolute. Without limiting the generality of the foregoing, the liability of the Guarantor will not be released, discharged, diminished, limited or otherwise affected by: (i) any change in the name, existence, structure, powers, business, constitution, objects, capital, constating documents, by-laws, control or ownership of the Debtor, the Guarantor or any other person, or (ii) any insolvency, bankruptcy, reorganization or other similar proceeding affecting the Debtor, it being the intention of the Debtor and the Guarantor that the Guarantor’s obligations hereunder shall not be discharged except by (a) the Guarantor’s or Debtor’s performance of such obligations, and then only to the extent of such performance, or (b) any other termination of such obligations, and then only to the extent of such termination.  
9.    Waivers.  Guarantor agrees to the relevant provisions of the APA, and hereby waives notice of (i) acceptance of this Guarantee, (ii) any amendment of the APA, (iii) the execution and delivery by Debtor and the Guaranteed Party of any other agreement arising under or in connection with the APA, (iv) the occurrence of any breach by Debtor or an event of default; (v) the Guaranteed Party’s transfer or disposition of the Obligations, or any part thereof, (vi) protest, proof of non-payment or 

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default by Debtor, or (vii) any other action at any time taken or omitted by a Guaranteed Party, and, generally, all demands and notices of every kind in connection with this Guarantee or the APA, any documents or agreements evidencing, securing or relating to any of the Obligations and the obligations hereby guaranteed.
10.    Limitation of Liability. Notwithstanding anything to the contrary in this Guarantee, the Guarantor shall not be liable for special, consequential, incidental, punitive, exemplary, equitable or indirect damages (whether or not arising from a party’s negligence), lost profits or other business interruption damages, by statute, in tort or contract, under any indemnity provision or otherwise.
11.    Governing Law; Attornment. This Guarantee shall be governed by and construed in accordance with the domestic laws of the State of New York without giving effect to any choice or conflict of law provision or rule (whether of the State of New York or any other jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of New York.  Any action, suit or other proceeding, at law or in equity, arising out of or relating to this Agreement or any agreements or transactions contemplated hereby shall only be brought in any federal court located in New York County, New York State.  THE PARTIES AGREE THAT JURISDICTION AND VENUE IN ANY ACTION BROUGHT BY ANY PARTY PURSUANT TO THIS AGREEMENT SHALL PROPERLY AND EXCLUSIVELY LIE IN SUCH COURTS.  BY EXECUTION AND DELIVERY OF THIS AGREEMENT, EACH PARTY IRREVOCABLY AND EXCLUSIVELY SUBMITS TO THE JURISDICTION OF SUCH COURTS FOR ITSELF AND IN RESPECT OF ITS PROPERTY WITH RESPECT TO SUCH ACTION.  THE PARTIES IRREVOCABLY AGREE THAT VENUE WOULD BE PROPER IN SUCH COURT, AND HEREBY WAIVE ANY OBJECTION THAT SUCH COURT IS AN IMPROPER OR INCONVENIENT FORUM FOR THE RESOLUTION OF SUCH ACTION.  THE PARTIES FURTHER AGREE THAT THE MAILING BY CERTIFIED OR REGISTERED MAIL, RETURN RECEIPT REQUESTED, OF ANY PROCESS REQUIRED BY ANY SUCH COURT SHALL CONSTITUTE VALID AND LAWFUL SERVICE OF PROCESS AGAINST THEM, WITHOUT NECESSITY FOR SERVICE BY ANY OTHER MEANS PROVIDED BY STATUTE OR RULE OF COURT.  EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT TO ANY PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT OR ANY TRANSACTION CONTEMPLATED HEREBY. EACH PARTY CERTIFIES AND ACKNOWLEDGES THAT (I) NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER, (II) IT UNDERSTANDS AND HAS CONSIDERED THE IMPLICATIONS OF SUCH WAIVER, (III) IT MAKES SUCH WAIVER VOLUNTARILY, AND (IV) IT HAS BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN PARAGRAPH. 
12.    Successors and Assigns. The provisions of this Guarantee will be binding upon and inure to the benefit of the Guaranteed Party and will be binding upon the Guarantor and its successors. 

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This Guarantee may not be assigned by the Guarantor or the Guaranteed Party without the prior written consent of the other.
13.    Severability. Wherever possible, any provision in this Guarantee which is held invalid or unenforceable by a court of competent jurisdiction from which no further appeal has or is taken shall, as to such jurisdiction, be ineffective only to the extent of such prohibition or unenforceability without invalidating the remaining provisions of this Guarantee, and any such invalidity or unenforceability in any one jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.
14.    Notice. All notices, requests, claims, demands and other communications hereunder shall be given (and shall be deemed to have been duly given upon receipt) by hand delivery, by prepaid overnight courier (providing written proof of delivery), by transmission-mail (with confirmation of transmission other than by means of an automatically- generated reply) or by certified or registered mail (return receipt requested and first class postage prepaid), addressed as follows (or at such other address for a party as shall be specified by like notice):
If to the Guaranteed Party:
Avadel US Holdings, Inc. 
16640 Chesterfield Grove Rd. 
Suite 200 
Chesterfield, MO  63005
Attn:  Chief Financial Officer 
with a copy (which shall not constitute notice) to:
General Counsel
and with a copy (which shall not constitute notice) to:
Orrick, Herrington & Sutcliffe LLP
51 W. 52nd St.
New York, NY 10019
Attn: R. King Milling, Jr.; Tal Hacohen
e-mail: 
 

If to the Guarantor:
Armistice Capital Master Fund, Ltd. 
510 Madison Avenue; 22nd Floor 
New York, NY 10022
Attn: Steve Boyd
E-mail:

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provided that any notice received at the addressee’s location on any business day after 5:00 p.m. (addressee’s local time) shall be deemed to have been received at 9:00 a.m. (addressee’s local time) on the next business day.
15.    Entire Agreement. This Guarantee embodies the entire agreement and understanding between Guarantor and the Guaranteed Party and supersedes all prior agreements and understandings relating to the subject matter of this Guarantee. No term or provision of this Guarantee shall be amended, modified, altered, waived or supplemented except in a writing signed by Guarantor and the Guaranteed Party. This Guarantee supersedes and replaces all other guarantees issued by the Guarantor in favour of the Guaranteed Party, and all other obligations and liabilities guaranteed by the Guarantor under the previous guarantees shall be considered Obligations hereunder as of the effective date of this Guarantee. 
[The remainder of this page has been intentionally left blank.]

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THIS GUARANTEE executed effective the date first written above.
	
				
	 
	 
	

Armistice Capital Master Fund, Ltd.
 

By: /s/ Steven Boyd
Name: Steven Boyd
Title:   Chief Investment Officer
Acknowledged and accepted:
Avadel US Holdings, Inc.
By: /s/ Michael F. Kanan
Name: Michael F. Kana
Title:   Treasurer

[Project Spartan – Guarantee (Armistice Capital)]
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[CONFIDENTIAL TREATMENT REQUESTED BY AVADEL PHARMACEUTICALS PLC]Ex1020

		

			Exhibit 10.20

		

		
			AMENDMENT NO. 8 TO CREDIT AGREEMENT 
		

		
			 
		

		
			 
		

		
			This Amendment No. 8 to Credit Agreement (this “Agreement”), dated as of December 21, 2017, is entered into by and among GENESIS HEALTHCARE, INC., a Delaware corporation (“Genesis Healthcare”), Genesis Healthcare’s direct and indirect subsidiaries listed on Annex I hereto (together with Genesis Healthcare, collectively, “Borrowers”), each of the Lenders (as defined below) party hereto and HEALTHCARE FINANCIAL SOLUTIONS, LLC, a Delaware limited liability company, as Administrative Agent for the Lenders and L/C Issuers (as defined therein) (in such capacity, and together with its successors and permitted assigns, “Administrative Agent”).
		

		
			 
		

		
			WHEREAS, Borrowers, Administrative Agent, L/C Issuers and the financial institutions from time to time party thereto as lenders (the “Lenders”) are parties to that certain Third Amended and Restated Credit Agreement, dated as of February 2, 2015, as amended by that certain Amendment No. 1 to Credit Agreement, dated as of April 28, 2016, that certain Amendment No. 2 to Credit Agreement, dated as of May 19, 2016, that certain Amendment No. 3 to Credit Agreement, dated as of July 29, 2016, that certain Amendment No. 4 to Credit Agreement, dated as of August 22, 2016, that certain Amendment No. 5 to Credit Agreement, dated as of October 21, 2016, that certain Amendment No. 6 to Credit Agreement, dated as of December 22, 2016 and that certain Amendment No. 7 to Credit Agreement, dated as of May 5, 2017 (as it may have been further amended, restated, supplemented or otherwise modified through the date hereof, the “Existing Credit Agreement” and as amended hereby and as it may be further amended, restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), pursuant to which Administrative Agent, L/C Issuers and Lenders have agreed, among other things, to provide to Borrowers certain loans and other financial accommodations in accordance with the terms and conditions set forth therein;
		

		
			 
		

		
			WHEREAS, Borrowers have requested that Administrative Agent and Lenders agree to amend the Existing Credit Agreement to (i) reflect certain revisions to the definition of “Eligible Accounts” and other provisions and (ii) replace Schedule I and Exhibit I to reflect certain changes in Revolving Credit Commitments and the Borrowing Base Certificate, respectively, necessary to implement the combination of the current Revolving Credit Commitments for Tranche A-1 and A-2, which will facilitate the preparation of Borrowing Base Certificates and related calculations to allow for implementation of a dynamic borrowing base; and
		

		
			 
		

		
			WHEREAS, Administrative Agent and the Lenders, are willing to agree to Borrowers’ request for such amendments, subject to and in accordance with the terms and conditions set forth in this Agreement. 
		

		
			 
		

		
			NOW, THEREFORE, Borrowers, Administrative Agent and the Lenders hereby agree as follows:
		

		
			 
		

			
	
			
				 1.
			Recitals; Definitions.    The foregoing recitals, including all terms defined therein, are incorporated herein and made a part hereof.  All capitalized terms used herein (including, without limitation, in the foregoing recitals) and not defined herein shall have the meanings given to such terms in the Credit Agreement and the rules of interpretation set forth in Section 1.4 thereof are incorporated herein mutatis mutandis.

			
	
			
				 2.
			Amendments to the Existing Credit Agreement.  Subject to the terms and conditions of this Agreement, including, without limitation, the conditions to effectiveness set forth in Section 3 below:

			
	
			
				 (a)
			Section 1.1 of the Existing Credit Agreement is hereby amended by inserting the following sentence immediately following the first sentence of the definition of “Eligible Account”:

		
			

		 

		

			 

		

 

		

		
			“The net amount of Eligible Accounts at any time shall be (a) the face amount of such Eligible Accounts as originally billed minus (b) all cash collections and other proceeds of such Account received from or on behalf of the Account Debtor thereunder as of such date and any and all returns, rebates, discounts (which may, at Administrative Agent’s option, be calculated on shortest terms), credits, allowances and excise taxes of any nature at any time issued, owing, claimed by Account Debtors, granted, outstanding or payable in connection with such Accounts at such time.”
		

			
	
			
				 (b)
			Section 1.1 of the Existing Credit Agreement is hereby amended by replacing the words “10%” in clause (x) of the definition of “Eligible Account” with the words “50%”.

			
	
			
				 (c)
			Section 1.1 of the Existing Credit Agreement is hereby amended by replacing the words “single Account Debtor” in clause (xi) of the definition of “Eligible Account” with the words “Account Debtor and its Affiliates”.

			
	
			
				 (d)
			Section 1.1 of the Existing Credit Agreement is hereby amended by inserting the following clause at the end of clause (xvi) of the definition of “Eligible Account”: 

		
			“provided, however, (A) to the extent that no more than 21 days have elapsed since the first calendar day in the month immediately following the month in which the Medical Services giving rise to such Account were performed and (B) such Account would otherwise constitute an Eligible Account but for the requirements of this clause (xvi), such Account shall not be deemed ineligible;”
		

			
	
			
				 (e)
			Section 1.1 of the Existing Credit Agreement is hereby amended by replacing the words “Tranche B” in each of the definitions of “Applicable Margin – Tranche A-2 Base Rate Loan” and “Applicable Margin – Tranche A-2 LIBOR Loan” with the words “Tranche A-2”.

			
	
			
				 (f)
			Section 1.1 of the Existing Credit Agreement is hereby amended by inserting the clause “or Skilled Holdings or any Skilled Subsidiary” in the definition of “Eligible Account – Tranche A-1” immediately after the clause “Genesis Holdings or any Genesis Subsidiary” therein.

			
	
			
				 (g)
			Section 1.1 of the Existing Credit Agreement is hereby amended by replacing the definition of “Eligible Account – Tranche A-2” in its entirety with the following: 

		
			“ “Eligible Account – Tranche A-2” means an Eligible Account of any Borrower (other than Genesis Holdings or any Genesis Subsidiary or Skilled Holdings or any Skilled Subsidiary), but only to the extent (i) Revolving Commitment – Tranche A-2 shall be greater than $0 and (ii) such Eligible Account has been expressly approved in writing by Administrative Agent.”
		

			
	
			
				 (h)
			Section 2.1(a) of the Existing Credit Agreement is hereby amended by replacing (i) the amount “$440,000,000” in clause (i) thereof with the amount “$485,000,000”, (ii) the amount “$75,000,000” in clause (ii) thereof with the amount “$0”, and (iii) the amount “$25,000,000” in clause (iii) thereof with the amount “$0”.  

			
	
			
				 (i)
			Section 2.21 of the Existing Credit Agreement is hereby amended by (i) inserting in clause (A) thereof the words “or a Skilled Subsidiary” immediately following the words “involving a Genesis Subsidiary” and (ii) replacing the words “involving a Skilled Subsidiary” in clause (B) thereof with the words “involving any Borrower other than a Genesis Subsidiary or a Skilled Subsidiary”.

		
			

		 

		

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				 (j)
			Section 6.1(e) of the Existing Credit Agreement is hereby amended by replacing the clause “within 30 days after the end of each fiscal month” appearing in the first line thereof with the clause “within 21 days after the last day of each fiscal month.

			
	
			
				 (k)
			Sections 6.1(a), 6.1(b), 6.1(c) and 6.1(e) of the Existing Credit Agreement are each hereby amended by replacing the word “calendar” appearing therein with the word “fiscal”.

			
	
			
				 (l)
			Section 7.12(a)(i) of the Existing Credit Agreement is hereby amended by inserting the clause “Unless otherwise directed or consented to by Administrative Agent,” immediately before the first occurrence of the clause “Borrowers shall” therein. 

			
	
			
				 (m)
			Section 7.12(a)(i)(D) of the Existing Credit Agreement is hereby amended by (i) replacing the clause “and in which proceeds of Term Loan Collateral may be deposited from time to time” with the clause “and in which only the proceeds of Term Loan Collateral may be deposited and/or held”, (ii) replacing the amount “$30,000,000” with “$20,000,000”, and (iii) adding the following sentence as the penultimate sentence thereof (immediately preceding the sentence that begins with the words “Administrative Agent reserves”):

		
			“Loan Parties shall ensure that (x) no Term Loan Priority Collateral will be deposited or held in any account other than an Unrestricted Account and (y) no ABL Priority Collateral will be deposited or held in an Unrestricted Account; provided that if funds are deposited in contravention of clauses (x) or (y), such funds shall be forwarded as soon as practicable, but in any event within 2 Business Days to an account that ensures such Collateral shall not be comingled.”
		

			
	
			
				 (n)
			The Existing Credit Agreement is hereby amended by replacing in its entirety (i) Schedule I of the Existing Credit Agreement with Schedule I attached hereto and (ii) Exhibit I of the Existing Credit Agreement with Exhibit I attached hereto.

			
	
			
				 3.
			Conditions.  The effectiveness of this Agreement is subject to the following conditions, each in form and substance satisfactory to Administrative Agent:

			
	
			
				 (a)
			Administrative Agent shall have received a fully executed copy of this Agreement and such Agreement shall be in full force and effect;

		
			 
		

			
	
			
				 (a)
			Loan Parties shall have delivered to Administrative Agent the Forbearance Agreement, dated as of the date hereof (the “Forbearance Agreement”), by and among the Administrative Agent, the Lenders, LLC Parent and the Borrowers and such Forbearance Agreement shall be in full force and effect;

		
			 
		

			
	
			
				 (a)
			Loan Parties shall have paid all fees, costs and expenses associated with this Agreement; 

			
	
			
				 (a)
			other than the Specified Defaults (as defined in the Forbearance Agreement), no Default or Event of Default shall have occurred and be continuing as of the date hereof under this Agreement, the Credit Agreement or any other Loan Document; and

		
			 
		

			
	
			
				 (a)
			Loan Parties shall have delivered such further documents, information, certificates, records and filings as Administrative Agent may reasonably request. 

		
			 
		

			
	
			
				 4.
			Condition Subsequent.  As soon as reasonably practicable (but in any event not later than 14 days after the date hereof (or such later date as may be agreed by Administrative Agent in its sole 

		 

		

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	discretion)), the Loan Parties shall propose changes to the cash management system of the Loan Parties (and the implementation schedule therefor), and, with the consent of the Administrative Agent, which consent shall be given in its sole discretion, implement such changes as are necessary or advisable to allow the implementation of a borrowing base structure that supports calculation of borrowing availability as often as daily. 

			
	
			
				 5.
			Reaffirmation of Loan Documents.  By executing and delivering this Agreement, each Loan Party hereby (i) reaffirms, ratifies and confirms its Obligations under the Credit Agreement, the Notes and the other Loan Documents, as applicable, (ii) agrees that this Agreement shall be a “Loan Document” under the Credit Agreement and (iii) hereby expressly agrees that the Credit Agreement, the Notes and each other Loan Document shall remain in full force and effect.

			
	
			
				 6.
			Reaffirmation of Grant of Security Interest in Collateral.  Each Loan Party hereby expressly reaffirms, ratifies and confirms its obligations under the Security Agreement, including its mortgage, grant, pledge and hypothecation to Administrative Agent for the benefit of the Secured Parties, of the Lien on and security interest in, all of its right, title and interest in, all of the Collateral. 

			
	
			
				 7.
			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) other than the Specified Defaults (as defined in the Forbearance Agreement), 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 Liens expressly permitted pursuant to Section 8.2 of the Credit Agreement, and (iv) the agreements and obligations of Borrowers and each other Loan Party contained in the Loan Documents and in this Agreement 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 equity and by bankruptcy, insolvency, fraudulent conveyance, or other similar laws affecting creditors’ rights generally.  

			
	
			
				 8.
			No Other Amendments.  Except as expressly set forth in this Agreement, the Credit Agreement and all other Loan Documents shall remain unchanged and in full force and effect.  This Agreement 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.

			
	
			
				 9.
			Release.  As of the date of this Agreement, each Loan Party (i) agrees that, to its knowledge, Administrative Agent, each L/C Issuer and each Lender has fully complied with its obligations under each Loan Document required to be performed prior to the date hereof, (ii) agrees that no Loan Party has any defenses to the validity, enforceability or binding effect of any Loan Document and (iii) fully and irrevocably releases any claims of any nature whatsoever that it may now have against Administrative Agent, each L/C Issuer and each Lender and relating in any way to this Agreement, the Loan Documents or the transactions contemplated thereby.

		
			

		 

		

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				 10.
			Costs and Expenses.  The payment of all fees, costs and expenses incurred by Administrative Agent in connection with the preparation and negotiation of this Agreement shall be governed by Section 11.3 of the Credit Agreement and the Forbearance Agreement.

			
	
			
				 11.
			Governing Law.  This Agreement shall be governed by and construed in accordance with the laws of the State of New York.

			
	
			
				 12.
			Successors/Assigns.  This Agreement 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.

			
	
			
				 13.
			Headings.  Section headings in this Agreement are included for convenience of reference only and shall not constitute a part of this Agreement for any other purpose.

			
	
			
				 14.
			Counterparts.  This Agreement 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 Agreement 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 Agreement by facsimile transmission or Electronic Transmission shall also deliver an original executed counterpart of this Agreement but the failure to deliver an original executed counterpart shall not affect the validity, enforceability or binding effect of this Agreement.

		
			[SIGNATURE PAGES FOLLOW]
		

		
			 
		

		
			 
		

		
			

		 

		

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			IN WITNESS WHEREOF, each of the undersigned has executed this Agreement or has caused the same to be executed by its duly authorized representatives as of the date first above written.
		

		
			 
		

		
			 
		

		
			BORROWERS:GENESIS HEALTHCARE, INC. 
		

		
			a Delaware corporation
		

		
			 
		

		
			By:  /s/ Michael S. Sherman
		

		
			Name:  Michael S. Sherman
		

		
			Title:    SVP
		

		
			 
		

		
			 
		

		
			FC-GEN OPERATIONS INVESTMENT, LLC 
		

		
			a Delaware limited liability company
		

		
			 
		

		
			By:  /s/ Michael S. Sherman
		

		
			Name:  Michael S. Sherman
		

		
			Title:    SVP
		

		
			
		

		
			 
		

		
			EACH OF THE ENTITIES LISTED ON ANNEX I ATTACHED HERETO:
		

		
			 
		

		
			By: FC-GEN OPERATIONS INVESTMENT, LLC, its authorized agent 
		

		
			 
		

		
			By:  /s/ Michael S. Sherman
		

		
			Name:  Michael S. Sherman
		

		
			Title:    SVP
		

		
			
		

		
			
		

		
			
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Pages]
		

		
			 
		

		
			 
		

		
			

		 

		

			S-1

		

		

			 

		

 

ADMINISTRATIVE AGENT:
		

		
			HEALTHCARE FINANCIAL SOLUTIONS, LLC,  a Delaware limited liability company
		

		
			 
		

		
			 
		

		
			By: /s/ Thomas A. Buckelew
Name:  Thomas A. Buckelew
		

		
			Title:    Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			 
		

		
			LENDER:
		

		
			 
		

		
			HEALTHCARE FINANCIAL SOLUTIONS, LLC,  in its capacity as a Revolving Credit Lender
		

		
			 
		

		
			 
		

		
			By: /s/ Thomas A. Buckelew
Name:  Thomas A. Buckelew
		

		
			Title:    Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			S-2

		

		

			 

		

 

LENDER:
		

		
			BARCLAYS BANK PLC, in its capacity as a Revolving Credit Lender
		

		
			 
		

		
			 
		

		
			By: /s/ Nicholas Guzzardo
Name:   Nicholas Guzzardo
		

		
			Title:     AVP
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			S-3

		

		

			 

		

 

LENDER:
		

		
			WELLS FARGO CAPITAL FINANCE, LLC, in its capacity as a Revolving Credit Lender
		

		
			 
		

		
			 
		

		
			By: /s/ Dhaval Tejani
		

		
			Name:   Dhaval Tejani
		

		
			Title:     Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			S-4

		

		

			 

		

 

 
		

		
			LENDER:
		

		
			 
		

		
			MIDCAP FUNDING IV TRUST, in its capacity as a Revolving Credit Lender
		

		
			 
		

		
			By: Apollo Capital Management, L.P., its investment manager
		

		
			 
		

		
			By: Apollo Capital Management, GP, LLC, its general partner
		

		
			 
		

		
			 
		

		
			By: /s/ Maurice Amsellem
Name:  Maurice Amsellem
		

		
			Title:    Authorized Signatory
		

		
			 
		

		
			 
		

		
			 
		

		
			 
		

		
			 
		

		
			 
		

		
			 [End of Signature Pages]
		

		
			

		 

		

			S-5

		

		

			 

		

 

		

		
			ANNEX I
		

		
			 
		

		
			BORROWERS
		

		
			 
		

		
			1 EMERSON DRIVE NORTH OPERATIONS LLC
		

		
			1 EMERSON DRIVE SOUTH OPERATIONS LLC
		

		
			1 MAGNOLIA DRIVE OPERATIONS LLC
		

		
			1 SUTPHIN DRIVE OPERATIONS LLC
		

		
			10 WOODLAND DRIVE OPERATIONS LLC
		

		
			100 CHAMBERS STREET OPERATIONS LLC
		

		
			100 EDELLA ROAD OPERATIONS LLC
		

		
			100 ST. CLAIRE DRIVE OPERATIONS LLC
		

		
			1000 ASSOCIATION DRIVE OPERATIONS LLC
		

		
			1000 LINCOLN DRIVE OPERATIONS LLC
		

		
			1000 ORWIGSBURG MANOR DRIVE OPERATIONS LLC
		

		
			1000 SCHUYLKILL MANOR ROAD OPERATIONS LLC
		

		
			101 13TH STREET OPERATIONS LLC
		

		
			1020 SOUTH MAIN STREET OPERATIONS LLC
		

		
			106 TYREE STREET OPERATIONS LLC
		

		
			1080 SILVER LAKE BOULEVARD OPERATIONS LLC
		

		
			1100 NORMAN ESKRIDGE HIGHWAY OPERATIONS LLC
		

		
			1104 WELSH ROAD OPERATIONS LLC
		

		
			1113 NORTH EASTON ROAD OPERATIONS LLC
		

		
			1145 POQUONNOCK ROAD OPERATIONS LLC 
		

		
			115 EAST MELROSE AVENUE OPERATIONS LLC
		

		
			115 SUNSET ROAD OPERATIONS LLC
		

		
			1165 EASTON AVENUE OPERATIONS LLC
		

		
			1165 EASTON AVENUE PROPERTY, LLC
		

		
			120 MURRAY STREET OPERATIONS LLC
		

		
			120 MURRAY STREET PROPERTY LLC
		

		
			1200 S. BROADWAY PROPERTY, LLC
		

		
			1201 RURAL AVENUE OPERATIONS LLC
		

		
			1203 WALKER ROAD OPERATIONS LLC
		

		
			1223 ORCHARD LANE PROPERTY, LLC
		

		
			12-15 SADDLE RIVER ROAD OPERATIONS LLC
		

		
			12325 NEW HAMPSHIRE AVENUE DIALYSIS SERVICES LLC
		

		
			12325 NEW HAMPSHIRE AVENUE OPERATIONS LLC
		

		
			1240 PINEBROOK ROAD, LLC
		

		
			1245 CHURCH ROAD OPERATIONS LLC
		

		
			1248 HOSPITAL DRIVE OPERATIONS LLC
		

		
			1248 HOSPITAL DRIVE PROPERTY LLC
		

		
			125 HOLLY ROAD OPERATIONS LLC 
		

		
			1251 RURAL AVENUE OPERATIONS LLC
		

		
			128 EAST STATE STREET ASSOCIATES, LLC
		

		
			1350 E. LOOKOUT DRIVE OPERATIONS LLC
		

		
			1351 OLD FREEHOLD ROAD OPERATIONS LLC
		

		
			1361 ROUTE 72 WEST OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			140 PRESCOTT STREET OPERATIONS LLC
		

		
			1419 ROUTE 9 NORTH OPERATIONS LLC
		

		
			1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC
		

		
			1420 SOUTH BLACK HORSE PIKE PROPERTY, LLC
		

		
			144 MAGNOLIA DRIVE OPERATIONS LLC
		

		
			150 EDELLA ROAD OPERATIONS LLC
		

		
			1501 SE 24TH ROAD, LLC
		

		
			1515 LAMBERTS MILL ROAD OPERATIONS LLC
		

		
			1526 LOMBARD STREET SNF OPERATIONS LLC
		

		
			1539 COUNTRY CLUB ROAD OPERATIONS LLC
		

		
			1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
		

		
			16 FUSTING AVENUE OPERATIONS LLC
		

		
			161 BAKERS RIDGE ROAD OPERATIONS LLC
		

		
			1631 RITTER DRIVE OPERATIONS LLC
		

		
			1680 SPRING CREEK ROAD OPERATIONS LLC
		

		
			1700 PINE STREET OPERATIONS LLC
		

		
			1700 WYNWOOD DRIVE OPERATIONS LLC
		

		
			1718 SPRING CREEK ROAD OPERATIONS LLC
		

		
			1775 HUNTINGTON LANE, LLC
		

		
			1785 SOUTH HAYES STREET OPERATIONS LLC
		

		
			1801 TURNPIKE STREET OPERATIONS LLC
		

		
			1801 WENTWORTH ROAD OPERATIONS LLC
		

		
			184 BETHLEHEM PIKE OPERATIONS LLC
		

		
			191 HACKETT HILL ROAD OPERATIONS LLC
		

		
			1980 SUNSET POINT ROAD, LLC
		

		
			2 DEER PARK DRIVE OPERATIONS LLC 
		

		
			20 SUMMIT STREET OPERATIONS LLC 
		

		
			200 MARTER AVENUE OPERATIONS LLC
		

		
			200 REYNOLDS AVENUE OPERATIONS LLC
		

		
			200 SOUTH RITCHIE AVENUE OPERATIONS LLC
		

		
			201 NEW ROAD OPERATIONS LLC
		

		
			201 WOOD STREET OPERATIONS LLC
		

		
			2015 EAST WEST HIGHWAY OPERATIONS LLC
		

		
			2015 EAST WEST HIGHWAY PROPERTY, LLC
		

		
			205 ARMSTRONG AVENUE OPERATIONS LLC
		

		
			2101 FAIRLAND ROAD OPERATIONS LLC
		

		
			2112 HIGHWAY 36 PROPERTY, LLC
		

		
			22 SOUTH STREET OPERATIONS LLC
		

		
			22 TUCK ROAD OPERATIONS LLC
		

		
			2240 WHITE HORSE MERCERVILLE ROAD OPERATIONS LLC
		

		
			225 EVERGREEN ROAD OPERATIONS LLC
		

		
			227 EVERGREEN ROAD OPERATIONS LLC
		

		
			227 PLEASANT STREET OPERATIONS LLC
		

		
			23 FAIR STREET OPERATIONS LLC
		

		
			23 FAIR STREET PROPERTY, LLC
		

		
			2305 RANCOCAS ROAD OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			239 PLEASANT STREET OPERATIONS LLC
		

		
			24 TRUCKHOUSE ROAD OPERATIONS LLC
		

		
			240 BARKER ROAD OPERATIONS LLC
		

		
			25 EAST LINDSLEY ROAD OPERATIONS LLC
		

		
			2507 CHESTNUT STREET OPERATIONS LLC
		

		
			2600 HIGHLANDS BOULEVARD, NORTH, LLC
		

		
			2601 EVESHAM ROAD OPERATIONS LLC 
		

		
			261 TERHUNE DRIVE OPERATIONS LLC
		

		
			261 TERHUNE DRIVE PROPERTY, LLC
		

		
			262 TOLL GATE ROAD OPERATIONS LLC
		

		
			2720 CHARLES TOWN ROAD OPERATIONS LLC
		

		
			279 CABOT STREET OPERATIONS LLC
		

		
			279 CABOT STREET PROPERTY LLC
		

		
			290 HANOVER STREET OPERATIONS LLC
		

		
			290 RED SCHOOL LANE OPERATIONS LLC
		

		
			2900 TWELFTH STREET NORTH, LLC
		

		
			292 APPLEGARTH ROAD OPERATIONS LLC 
		

		
			3 INDUSTRIAL WAY EAST OPERATIONS LLC 
		

		
			3 PARK DRIVE OPERATIONS LLC
		

		
			30 PRINCETON BOULEVARD OPERATIONS LLC
		

		
			30 WEBSTER STREET OPERATIONS LLC
		

		
			30 WEST AVENUE OPERATIONS LLC
		

		
			300 COURTRIGHT STREET OPERATIONS LLC
		

		
			300 PEARL STREET OPERATIONS LLC
		

		
			300 PEARL STREET PROPERTY LLC
		

		
			3000 BALFOUR CIRCLE OPERATIONS LLC
		

		
			3001 EVESHAM ROAD OPERATIONS LLC
		

		
			302 CEDAR RIDGE ROAD OPERATIONS LLC
		

		
			315 UPPER RIVERDALE ROAD LLC
		

		
			32 HOSPITAL HILL ROAD OPERATIONS LLC
		

		
			3227 BEL PRE ROAD OPERATIONS LLC
		

		
			329 EXEMPLA CIRCLE OPERATIONS LLC
		

		
			330 FRANKLIN TURNPIKE OPERATIONS LLC
		

		
			331 HOLT LANE OPERATIONS LLC
		

		
			333 GRAND AVENUE OPERATIONS LLC
		

		
			333 GREEN END AVENUE OPERATIONS LLC
		

		
			336 SOUTH WEST END AVENUE OPERATIONS LLC
		

		
			340 E. SOUTH STREET PROPERTY, LLC
		

		
			3485 DAVISVILLE ROAD OPERATIONS LLC
		

		
			35 MARC DRIVE OPERATIONS LLC
		

		
			35 MILKSHAKE LANE OPERATIONS LLC
		

		
			350 HAWS LANE OPERATIONS LLC
		

		
			3590 WASHINGTON PIKE OPERATIONS LLC
		

		
			3590 WASHINGTON PIKE PROPERTY LLC
		

		
			3809 BAYSHORE ROAD OPERATIONS LLC
		

		
			3865 TAMPA ROAD, LLC
		

		
			

		 

		

			 

		

 

		

		
			390 RED SCHOOL LANE OPERATIONS LLC
		

		
			4 HAZEL AVENUE OPERATIONS LLC
		

		
			40 PARKHURST ROAD OPERATIONS LLC
		

		
			400 29TH STREET NORTHEAST OPERATIONS LLC
		

		
			400 29TH STREET NORTHEAST PROPERTY LLC
		

		
			400 GROTON ROAD OPERATIONS LLC
		

		
			4140 OLD WASHINGTON HIGHWAY OPERATIONS LLC
		

		
			422 23RD STREET OPERATIONS LLC
		

		
			438 23RD STREET OPERATIONS LLC
		

		
			44 KEYSTONE DRIVE OPERATIONS LLC
		

		
			440 NORTH RIVER STREET OPERATIONS LLC
		

		
			450 EAST PHILADELPHIA AVENUE OPERATIONS LLC
		

		
			455 BRAYTON AVENUE OPERATIONS LLC 
		

		
			4602 NORTHGATE COURT, LLC
		

		
			462 MAIN STREET OPERATIONS LLC
		

		
			464 MAIN STREET OPERATIONS LLC
		

		
			475 JACK MARTIN BOULEVARD OPERATIONS LLC
		

		
			4755 SOUTH 48TH STREET OPERATIONS LLC
		

		
			4755 SOUTH 48TH STREET PROPERTY LLC
		

		
			4901 NORTH MAIN STREET OPERATIONS LLC
		

		
			4927 VOORHEES ROAD, LLC
		

		
			5 ROLLING MEADOWS DRIVE OPERATIONS LLC
		

		
			50 MULBERRY TREE STREET OPERATIONS LLC
		

		
			500 EAST PHILADELPHIA AVENUE OPERATIONS LLC
		

		
			500 SOUTH DUPONT BOULEVARD OPERATIONS LLC
		

		
			5101 NORTH PARK DRIVE OPERATIONS LLC 
		

		
			515 BRIGHTFIELD ROAD OPERATIONS LLC
		

		
			525 GLENBURN AVENUE OPERATIONS LLC
		

		
			530 MACOBY STREET OPERATIONS LLC
		

		
			536 RIDGE ROAD OPERATIONS LLC
		

		
			54 SHARP STREET OPERATIONS LLC 
		

		
			5485 PERKIOMEN AVENUE OPERATIONS LLC
		

		
			549 BALTIMORE PIKE OPERATIONS LLC
		

		
			55 COOPER STREET OPERATIONS LLC
		

		
			55 KONDRACKI LANE OPERATIONS LLC
		

		
			55 KONDRACKI LANE PROPERTY, LLC
		

		
			5501 PERKIOMEN AVENUE OPERATIONS LLC
		

		
			56 HAMILTON AVENUE OPERATIONS LLC
		

		
			56 WEST FREDERICK STREET OPERATIONS LLC
		

		
			59 HARRINGTON COURT OPERATIONS LLC
		

		
			590 NORTH POPLAR FORK ROAD OPERATIONS LLC
		

		
			600 PAOLI POINTE DRIVE OPERATIONS LLC
		

		
			6000 BELLONA AVENUE OPERATIONS LLC
		

		
			6040 HARFORD ROAD OPERATIONS LLC
		

		
			61 COOPER STREET OPERATIONS LLC
		

		
			610 DUTCHMAN'S LANE OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			610 TOWNBANK ROAD OPERATIONS LLC
		

		
			613 HAMMONDS LANE OPERATIONS LLC 
		

		
			625 STATE HIGHWAY 34 OPERATIONS LLC
		

		
			63 COUNTRY VILLAGE ROAD OPERATIONS LLC
		

		
			642 METACOM AVENUE OPERATIONS LLC
		

		
			65 COOPER STREET OPERATIONS LLC
		

		
			650 EDISON AVENUE OPERATIONS LLC
		

		
			656 DILLON WAY OPERATIONS LLC
		

		
			699 SOUTH PARK ROAD OPERATIONS LLC
		

		
			70 GILL AVENUE OPERATIONS LLC
		

		
			700 MARVEL ROAD OPERATIONS LLC
		

		
			700 TOLL HOUSE AVENUE OPERATIONS LLC
		

		
			700 TOWN BANK ROAD OPERATIONS LLC 
		

		
			715 EAST KING STREET OPERATIONS LLC
		

		
			72 SALMON BROOK DRIVE OPERATIONS LLC
		

		
			723 SUMMERS STREET OPERATIONS LLC
		

		
			7232 GERMAN HILL ROAD OPERATIONS LLC
		

		
			735 PUTNAM PIKE OPERATIONS LLC
		

		
			7395 W. EASTMAN PLACE OPERATIONS LLC
		

		
			740 OAK HILL ROAD OPERATIONS LLC
		

		
			740 OAK HILL ROAD PROPERTY LLC
		

		
			75 HICKLE STREET OPERATIONS LLC
		

		
			7520 SURRATTS ROAD OPERATIONS LLC
		

		
			7525 CARROLL AVENUE OPERATIONS LLC
		

		
			77 MADISON AVENUE OPERATIONS LLC
		

		
			7700 YORK ROAD OPERATIONS LLC
		

		
			777 LAFAYETTE ROAD OPERATIONS LLC
		

		
			78 OPAL STREET LLC
		

		
			8 ROSE STREET OPERATIONS LLC
		

		
			80 MADDEX DRIVE OPERATIONS LLC
		

		
			800 WEST MINER STREET OPERATIONS LLC
		

		
			8015 LAWNDALE STREET OPERATIONS LLC
		

		
			810 SOUTH BROOM STREET OPERATIONS LLC
		

		
			8100 WASHINGTON LANE OPERATIONS LLC
		

		
			825 SUMMIT STREET OPERATIONS LLC
		

		
			84 COLD HILL ROAD OPERATIONS LLC
		

		
			840 LEE ROAD OPERATIONS LLC
		

		
			841 MERRIMACK STREET OPERATIONS LLC
		

		
			843 WILBUR AVENUE OPERATIONS LLC 
		

		
			845 PADDOCK AVENUE OPERATIONS LLC
		

		
			850 PAPER MILL ROAD OPERATIONS LLC
		

		
			867 YORK ROAD OPERATIONS LLC
		

		
			8710 EMGE ROAD OPERATIONS LLC
		

		
			8720 EMGE ROAD OPERATIONS LLC
		

		
			89 MORTON STREET OPERATIONS LLC  
		

		
			899 CECIL AVENUE OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			905 PENLLYN PIKE OPERATIONS LLC
		

		
			91 COUNTRY VILLAGE ROAD OPERATIONS LLC
		

		
			9101 SECOND AVENUE OPERATIONS LLC
		

		
			93 MAIN STREET SNF OPERATIONS LLC 
		

		
			932 BROADWAY OPERATIONS LLC
		

		
			9701 MEDICAL CENTER DRIVE OPERATIONS LLC
		

		
			9738 WESTOVER HILLS BOULEVARD OPERATIONS LLC
		

		
			98 HOSPITALITY DRIVE OPERATIONS LLC
		

		
			98 HOSPITALITY DRIVE PROPERTY LLC
		

		
			ALEXANDRIA CARE CENTER, LLC
		

		
			ALTA CARE CENTER, LLC
		

		
			ANAHEIM TERRACE CARE CENTER, LLC
		

		
			BAY CREST CARE CENTER, LLC
		

		
			BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			BELMONT NURSING CENTER, LLC 
		

		
			BLUE RIVER KANSAS CITY PROPERTY, LLC
		

		
			BRADFORD SQUARE NURSING, LLC
		

		
			BRIER OAK ON SUNSET, LLC
		

		
			CAMERON MISSOURI PROPERTY, LLC
		

		
			CAREERSTAFF UNLIMITED, LLC
		

		
			CARMEL HILLS INDEPENDENCE PROPERTY, LLC
		

		
			CITY VIEW VILLA, LLC
		

		
			CLAIRMONT LONGVIEW PROPERTY, LLC
		

		
			CLAIRMONT LONGVIEW, LLC
		

		
			CLOVIS HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			COLONIAL TYLER CARE CENTER, LLC
		

		
			CORNERSTONE HOSPICE ARIZONA, LLC
		

		
			COURTYARD JV LLC
		

		
			CREEKSIDE HOSPICE II, LLC 
		

		
			CRESTVIEW NURSING, LLC
		

		
			DIANE DRIVE OPERATIONS LLC
		

		
			EAST RUSHOLME PROPERTY, LLC
		

		
			ELMCREST CARE CENTER, LLC
		

		
			FALMOUTH HEALTHCARE, LLC
		

		
			FC-GEN HOSPICE HOLDINGS, LLC
		

		
			FC-GEN OPERATIONS INVESTMENT, LLC
		

		
			FIVE NINETY SIX SHELDON ROAD OPERATIONS LLC
		

		
			FLATONIA OAK MANOR, LLC 
		

		
			FLORIDA HOLDINGS I, LLC
		

		
			FLORIDA HOLDINGS II, LLC
		

		
			FLORIDA HOLDINGS III, LLC
		

		
			FORT WORTH CENTER OF REHABILITATION, LLC
		

		
			FORTY EIGHT NICHOLS STREET OPERATIONS LLC
		

		
			FORTY SIX NICHOLS STREET OPERATIONS LLC
		

		
			FORTY SIX NICHOLS STREET PROPERTY LLC
		

		
			FOUNTAIN CARE CENTER, LLC
		

		
			

		 

		

			 

		

 

		

		
			FOUNTAIN HOLDCO, LLC
		

		
			FOUNTAIN VIEW SUBACUTE AND NURSING CENTER, LLC
		

		
			FRANKLIN WOODS JV LLC
		

		
			GEN OPERATIONS I, LLC
		

		
			GEN OPERATIONS II, LLC
		

		
			GENESIS ADMINISTRATIVE SERVICES LLC
		

		
			GENESIS BAYVIEW JV HOLDINGS, LLC
		

		
			GENESIS CO HOLDINGS LLC
		

		
			GENESIS CT HOLDINGS LLC
		

		
			GENESIS DE HOLDINGS LLC
		

		
			GENESIS DYNASTY OPERATIONS LLC
		

		
			GENESIS ELDERCARE NETWORK SERVICES, LLC
		

		
			GENESIS ELDERCARE PHYSICIAN SERVICES, LLC 
		

		
			GENESIS ELDERCARE REHABILITATION SERVICES, LLC
		

		
			GENESIS HEALTH VENTURES OF NEW GARDEN, LLC 
		

		
			GENESIS HEALTHCARE LLC 
		

		
			GENESIS HOLDINGS LLC
		

		
			GENESIS HOSPITALITY SERVICES LLC 
		

		
			GENESIS IP LLC
		

		
			GENESIS LGO OPERATIONS LLC
		

		
			GENESIS MA HOLDINGS LLC
		

		
			GENESIS MD HOLDINGS LLC
		

		
			GENESIS NH HOLDINGS LLC
		

		
			GENESIS NJ HOLDINGS LLC
		

		
			GENESIS OMG OPERATIONS LLC
		

		
			GENESIS OPERATIONS II LLC
		

		
			GENESIS OPERATIONS III LLC
		

		
			GENESIS OPERATIONS IV LLC
		

		
			GENESIS OPERATIONS LLC
		

		
			GENESIS OPERATIONS V LLC
		

		
			GENESIS OPERATIONS VI LLC
		

		
			GENESIS PA HOLDINGS LLC
		

		
			GENESIS PARTNERSHIP, LLC
		

		
			GENESIS PROSTEP, LLC
		

		
			GENESIS RI HOLDINGS LLC
		

		
			GENESIS STAFFING SERVICES LLC
		

		
			GENESIS TX HOLDINGS LLC
		

		
			GENESIS VA HOLDINGS LLC
		

		
			GENESIS VT HOLDINGS LLC
		

		
			GENESIS WV HOLDINGS LLC
		

		
			GHC BURLINGTON WOODS DIALYSIS JV LLC
		

		
			GHC DIALYSIS JV LLC
		

		
			GHC HOLDINGS II LLC
		

		
			GHC HOLDINGS LLC 
		

		
			GHC JV HOLDINGS LLC 
		

		
			GHC MATAWAN DIALYSIS JV LLC
		

		
			

		 

		

			 

		

 

		

		
			GHC PAYROLL LLC
		

		
			GHC PROPERTY MANAGEMENT LLC
		

		
			GHC RANDALLSTOWN DIALYSIS JV LLC
		

		
			GHC SELECTCARE LLC
		

		
			GHC TX OPERATIONS LLC
		

		
			GHC WINDSOR DIALYSIS JV LLC
		

		
			GRANITE LEDGES JV LLC
		

		
			GRANT MANOR LLC
		

		
			GREAT FALLS HEALTH CARE COMPANY, L.L.C.
		

		
			GRS JV LLC
		

		
			GUADALUPE SEGUIN PROPERTY, LLC
		

		
			GUADALUPE VALLEY NURSING CENTER, LLC
		

		
			HALLETTSVILLE REHABILITATION AND NURSING CENTER, LLC
		

		
			HALLMARK INVESTMENT GROUP, LLC 
		

		
			HALLMARK REHABILITATION GP, LLC
		

		
			HANCOCK PARK REHABILITATION CENTER, LLC
		

		
			HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP
		

		
			HARBORSIDE DANBURY LIMITED PARTNERSHIP
		

		
			HARBORSIDE HEALTH I LLC
		

		
			HARBORSIDE HEALTHCARE ADVISORS LIMITED PARTNERSHIP
		

		
			HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP
		

		
			HARBORSIDE HEALTHCARE, LLC
		

		
			HARBORSIDE MASSACHUSETTS LIMITED PARTNERSHIP
		

		
			HARBORSIDE NEW HAMPSHIRE LIMITED PARTNERSHIP
		

		
			HARBORSIDE NORTH TOLEDO LIMITED PARTNERSHIP
		

		
			HARBORSIDE OF CLEVELAND LIMITED PARTNERSHIP
		

		
			HARBORSIDE OF DAYTON LIMITED PARTNERSHIP
		

		
			HARBORSIDE OF OHIO LIMITED PARTNERSHIP
		

		
			HARBORSIDE POINT PLACE, LLC
		

		
			HARBORSIDE REHABILITATION LIMITED PARTNERSHIP
		

		
			HARBORSIDE RHODE ISLAND LIMITED PARTNERSHIP
		

		
			HARBORSIDE SWANTON, LLC
		

		
			HARBORSIDE SYLVANIA, LLC
		

		
			HARBORSIDE TOLEDO BUSINESS LLC 
		

		
			HARBORSIDE TOLEDO LIMITED PARTNERSHIP
		

		
			HARBORSIDE TROY, LLC
		

		
			HBR BARDWELL LLC
		

		
			HBR BARKELY DRIVE, LLC
		

		
			HBR BOWLING GREEN LLC
		

		
			HBR BROWNSVILLE, LLC
		

		
			HBR CAMPBELL LANE, LLC
		

		
			HBR DANBURY, LLC
		

		
			HBR ELIZABETHTOWN, LLC
		

		
			HBR KENTUCKY, LLC
		

		
			HBR LEWISPORT, LLC
		

		
			HBR MADISONVILLE, LLC
		

		
			

		 

		

			 

		

 

		

		
			HBR OWENSBORO, LLC
		

		
			HBR PADUCAH, LLC
		

		
			HBR STAMFORD, LLC
		

		
			HBR TRUMBULL, LLC
		

		
			HBR WOODBURN, LLC
		

		
			HC 63 OPERATIONS LLC
		

		
			HHCI LIMITED PARTNERSHIP
		

		
			HIGHLAND HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			HOLMESDALE HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			HOLMESDALE PROPERTY, LLC
		

		
			HOME HEALTH CARE OF THE WEST, LLC
		

		
			HOSPITALITY LUBBOCK PROPERTY, LLC
		

		
			HOSPITALITY NURSING AND REHABILITATION CENTER, LLC 
		

		
			HUNTINGTON PLACE LIMITED PARTNERSHIP
		

		
			INDEPENDENCE MISSOURI PROPERTY, LLC
		

		
			KANSAS CITY TRANSITIONAL CARE CENTER, LLC
		

		
			KENNETT CENTER, L.P.
		

		
			KHI LLC 
		

		
			KLONDIKE MANOR LLC
		

		
			LEISURE YEARS NURSING, LLC
		

		
			LIBERTY TERRACE HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			LIBERTY TERRACE MISSOURI PROPERTY, LLC
		

		
			LINCOLN HIGHWAY JV LLC
		

		
			LINCOLN HIGHWAY OPERATIONS LLC
		

		
			LIVE OAK NURSING CENTER, LLC
		

		
			MAGNOLIA JV LLC
		

		
			MARIETTA HEALTHCARE, LLC
		

		
			MARYLAND HARBORSIDE LLC
		

		
			MASHPEE HEALTHCARE, LLC
		

		
			MASSACHUSETTS HOLDINGS I, LLC
		

		
			MASTHEAD, LLC
		

		
			MONTEBELLO CARE CENTER, LLC 
		

		
			MONUMENT LA GRANGE PROPERTY, LLC
		

		
			MONUMENT REHABILITATION AND NURSING CENTER, LLC
		

		
			MS EXTON, LLC
		

		
			MS EXTON HOLDINGS, LLC 
		

		
			OAKLAND MANOR NURSING CENTER, LLC
		

		
			ODD LOT LLC
		

		
			OHIO HOLDINGS I, LLC
		

		
			ONE PRICE DRIVE OPERATIONS LLC
		

		
			OWENTON MANOR NURSING, LLC
		

		
			PDDTSE LLC 
		

		
			PEAK MEDICAL ASSISTED LIVING, LLC
		

		
			PEAK MEDICAL COLORADO NO. 2, LLC 
		

		
			PEAK MEDICAL COLORADO NO. 3, LLC 
		

		
			PEAK MEDICAL IDAHO OPERATIONS, LLC 
		

		
			

		 

		

			 

		

 

		

		
			PEAK MEDICAL LAS CRUCES NO. 2, LLC 
		

		
			PEAK MEDICAL LAS CRUCES, LLC 
		

		
			PEAK MEDICAL MONTANA OPERATIONS, LLC
		

		
			PEAK MEDICAL NEW MEXICO NO. 3, LLC 
		

		
			PEAK MEDICAL OF BOISE, LLC
		

		
			PEAK MEDICAL OF COLORADO, LLC
		

		
			PEAK MEDICAL OF IDAHO, LLC
		

		
			PEAK MEDICAL OF UTAH, LLC
		

		
			PEAK MEDICAL ROSWELL, LLC
		

		
			PEAK MEDICAL, LLC
		

		
			PINE TREE VILLA LLC
		

		
			PM OXYGEN SERVICES, LLC
		

		
			PREFERRED DESIGN, LLC
		

		
			PROCARE ONE NURSES, LLC
		

		
			PROPERTY RESOURCE HOLDINGS, LLC
		

		
			RAYMORE MISSOURI PROPERTY, LLC
		

		
			REGENCY HEALTH SERVICES, LLC 
		

		
			REGENCY NURSING, LLC
		

		
			RESPIRATORY HEALTH SERVICES LLC
		

		
			RIO HONDO SUBACUTE AND NURSING CENTER, LLC
		

		
			RIVERSIDE RETIREMENT LIMITED PARTNERSHIP
		

		
			RIVERVIEW DES MOINES PROPERTY, LLC
		

		
			ROMNEY HEALTH CARE CENTER LIMITED PARTNERSHIP
		

		
			ROSSVILLE KANSAS PROPERTY, LLC
		

		
			ROUTE 92 OPERATIONS LLC
		

		
			ROYALWOOD CARE CENTER, LLC
		

		
			SADDLE SHOP ROAD OPERATIONS LLC
		

		
			SALISBURY JV LLC
		

		
			SANDPIPER WICHITA PROPERTY, LLC
		

		
			SHARON CARE CENTER, LLC
		

		
			SHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			SHAWNEE PROPERTY, LLC
		

		
			SHG PARTNERSHIP, LLC
		

		
			SHG RESOURCES, LLC
		

		
			SIGNATURE HOSPICE & HOME HEALTH, LLC
		

		
			SKIES HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			SKILES AVENUE AND STERLING DRIVE URBAN RENEWAL OPERATIONS LLC
		

		
			SKILLED HEALTHCARE, LLC 
		

		
			SOUTHWEST PAYROLL SERVICES, LLC
		

		
			SOUTHWOOD AUSTIN PROPERTY, LLC
		

		
			SOUTHWOOD CARE CENTER, LLC
		

		
			SR-73 AND LAKESIDE AVENUE OPERATIONS LLC
		

		
			ST. ANTHONY HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			ST. CATHERINE HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			ST. ELIZABETH HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			ST. JOHN HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			

		 

		

			 

		

 

		

		
			ST. THERESA HEALTHCARE AND REHABILITATION CENTER, LLC
		

		
			STATE STREET ASSOCIATES, L.P.
		

		
			STATE STREET KENNETT SQUARE, LLC 
		

		
			STILLWELL ROAD OPERATIONS LLC
		

		
			SUMMIT CARE PARENT, LLC
		

		
			SUMMIT CARE PHARMACY, LLC 
		

		
			SUMMIT CARE, LLC 
		

		
			SUN HEALTHCARE GROUP, INC. 
		

		
			SUN VALLEY HOME CARE II, LLC 
		

		
			SUN VALLEY HOSPICE II, LLC 
		

		
			SUNBRIDGE BECKLEY HEALTH CARE LLC 
		

		
			SUNBRIDGE BRASWELL ENTERPRISES, LLC 
		

		
			SUNBRIDGE BRITTANY REHABILITATION CENTER, LLC 
		

		
			SUNBRIDGE CARE ENTERPRISES WEST, LLC 
		

		
			SUNBRIDGE CARE ENTERPRISES, LLC 
		

		
			SUNBRIDGE CARMICHAEL REHABILITATION CENTER, LLC
		

		
			SUNBRIDGE CHARLTON HEALTHCARE, LLC 
		

		
			SUNBRIDGE CIRCLEVILLE HEALTH CARE LLC 
		

		
			SUNBRIDGE CLIPPER HOME OF PORTSMOUTH, LLC
		

		
			SUNBRIDGE CLIPPER HOME OF ROCHESTER, LLC
		

		
			SUNBRIDGE DUNBAR HEALTH CARE LLC 
		

		
			SUNBRIDGE GARDENDALE HEALTH CARE CENTER, LLC
		

		
			SUNBRIDGE GLENVILLE HEALTH CARE, LLC 
		

		
			SUNBRIDGE GOODWIN NURSING HOME, LLC 
		

		
			SUNBRIDGE HALLMARK HEALTH SERVICES, LLC 
		

		
			SUNBRIDGE HARBOR VIEW REHABILITATION CENTER, LLC
		

		
			SUNBRIDGE HEALTHCARE, LLC 
		

		
			SUNBRIDGE JEFF DAVIS HEALTHCARE, LLC 
		

		
			SUNBRIDGE MARION HEALTH CARE LLC 
		

		
			SUNBRIDGE MEADOWBROOK REHABILITATION CENTER, LLC
		

		
			SUNBRIDGE MOUNTAIN CARE MANAGEMENT, LLC
		

		
			SUNBRIDGE NURSING HOME, LLC 
		

		
			SUNBRIDGE OF HARRIMAN, LLC 
		

		
			SUNBRIDGE PARADISE REHABILITATION CENTER, LLC
		

		
			SUNBRIDGE PUTNAM HEALTH CARE LLC 
		

		
			SUNBRIDGE REGENCY-NORTH CAROLINA, LLC 
		

		
			SUNBRIDGE REGENCY-TENNESSEE, LLC 
		

		
			SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC
		

		
			SUNBRIDGE SALEM HEALTH CARE LLC 
		

		
			SUNBRIDGE SHANDIN HILLS REHABILITATION CENTER LLC
		

		
			SUNBRIDGE STOCKTON REHABILITATION CENTER, LLC
		

		
			SUNBRIDGE SUMMERS LANDING, LLC 
		

		
			SUNBRIDGE WEST TENNESSEE, LLC 
		

		
			SUNDANCE REHABILITATION AGENCY, LLC 
		

		
			SUNDANCE REHABILITATION HOLDCO, INC.
		

		
			SUNDANCE REHABILITATION, LLC 
		

		
			

		 

		

			 

		

 

		

		
			SUNMARK OF NEW MEXICO, LLC 
		

		
			THE CLAIRMONT TYLER, LLC
		

		
			THE EARLWOOD, LLC
		

		
			THE HEIGHTS OF SUMMERLIN, LLC
		

		
			THE REHABILITATION CENTER OF ALBUQUERQUE, LLC
		

		
			THE REHABILITATION CENTER OF OMAHA, LLC
		

		
			THIRTY FIVE BEL-AIRE DRIVE SNF OPERATIONS LLC
		

		
			THREE MILE CURVE OPERATIONS LLC
		

		
			TOWN AND COUNTRY BOERNE PROPERTY, LLC
		

		
			TOWN AND COUNTRY MANOR, LLC
		

		
			VINTAGE PARK AT ATCHISON, LLC
		

		
			VINTAGE PARK AT BALDWIN CITY, LLC
		

		
			VINTAGE PARK AT EUREKA, LLC
		

		
			VINTAGE PARK AT FREDONIA, LLC
		

		
			VINTAGE PARK AT GARDNER, LLC
		

		
			VINTAGE PARK AT HIAWATHA, LLC
		

		
			VINTAGE PARK AT HOLTON, LLC
		

		
			VINTAGE PARK AT LENEXA, LLC
		

		
			VINTAGE PARK AT LOUISBURG, LLC
		

		
			VINTAGE PARK AT NEODESHA, LLC
		

		
			VINTAGE PARK AT OSAGE CITY, LLC
		

		
			VINTAGE PARK AT OSAWATOMIE, LLC
		

		
			VINTAGE PARK AT OTTAWA, LLC
		

		
			VINTAGE PARK AT PAOLA, LLC
		

		
			VINTAGE PARK AT SAN MARTIN, LLC 
		

		
			VINTAGE PARK AT STANLEY, LLC 
		

		
			VINTAGE PARK AT TONGANOXIE, LLC
		

		
			VINTAGE PARK AT WAMEGO, LLC
		

		
			VINTAGE PARK AT WATERFRONT, LLC
		

		
			WAKEFIELD HEALTHCARE, LLC
		

		
			WESTFIELD HEALTHCARE, LLC
		

		
			WOODLAND CARE CENTER, LLC
		

		
			WOODSPOINT LLC

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00281-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00281-of-00352.parquet"}]]