Document:

Ex107

		

			Exhibit 10.7

		

		
			AMENDMENT NO. 4 TO CREDIT AGREEMENT 
		

		
			 
		

		
			 
		

		
			This Amendment No. 4 to Credit Agreement (this “Agreement”), dated as of August 22, 2016 (the “Effective Date”), is entered into by and among GENESIS HEALTHCARE, INC., a Delaware corporation (“Genesis Healthcare”), and Genesis Healthcare’s direct and indirect subsidiaries listed on Annex I hereto (together with Genesis Healthcare, collectively, “Borrowers”), the financial institutions who are or hereafter become parties to the Credit Agreement (as defined below) as lenders (the “Lenders”) and L/C issuers (“L/C Issuers”) and HEALTHCARE FINANCIAL SOLUTIONS, LLC, a Delaware limited liability company, as Administrative Agent for the Lenders and L/C Issuers (in such capacity, and together with its successors and permitted assigns, “Administrative Agent”).
		

		
			 
		

		
			WHEREAS, Borrowers, the Lenders, L/C Issuers and Administrative Agent 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 and that certain Amendment No. 3 to Credit Agreement, dated as of July 29, 2016 (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 each Lender agree to amend certain provisions of the Existing Credit Agreement to, in accordance with Section 2.21 of the Credit Agreement, reflect a reduction in the Revolving Credit Commitments in connection with a corresponding increase in the commitments under the HUD Sub-Facility Credit Agreement, which is being amended on or about the date hereof; and
		

		
			 
		

		
			WHEREAS, Administrative Agent and each Lender is 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, each Lender and each L/C Issuer each hereby agrees 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.
			Amendment to the Existing Credit Agreement.  Subject to the terms and conditions of this Amendment, including, without limitation, the conditions to effectiveness set forth in Section 3 below, the Existing Credit Agreement is hereby amended by replacing Schedule I of the Existing Credit Agreement in its entirety with Schedule 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 has received a fully executed copy of this Amendment;

		
			 
		

		
			

		 

		

			 

		

 

		

			
	
			
				 (b)
			Loan Parties shall have paid all fees, costs and expenses associated with the Amendment; and 

		
			 
		

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

		
			 
		

			
	
			
				 4.
			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.

			
	
			
				 5.
			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. 

			
	
			
				 6.
			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 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.  

			
	
			
				 7.
			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.

			
	
			
				 8.
			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.

		
			

		 

		

			2

		

 

		

			
	
			
				 9.
			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.

			
	
			
				 10.
			Governing Law.  This Agreement shall be governed by and construed in accordance with the laws of the State of New York.

			
	
			
				 11.
			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.

			
	
			
				 12.
			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.

			
	
			
				 13.
			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]
		

		
			 
		

		
			 
		

		
			

		 

		

			3

		

 

		

		
			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 Berg
		

		
			Name:Michael Berg
		

		
			Title:Assistant Secretary
		

		
			 
		

		
			 
		

		
			FC-GEN OPERATIONS INVESTMENT, LLC
		

		
			a Delaware limited liability company
		

		
			 
		

		
			By:  /s/ Michael Berg
		

		
			Name:Michael Berg
		

		
			Title:Assistant Secretary
		

		
			 
		

		
			EACH OF THE ENTITIES LISTED ON ANNEX I ATTACHED HERETO:
		

		
			 
		

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

		
			 
		

		
			By: /s/ Michael Berg
		

		
			Name:  Michael Berg
		

		
			Title:    Assistant Secretary
		

		
			
		

		
			
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Pages]
		

		
			 
		

		
			 
		

		
			

		 

		

			 

		

 

ADMINISTRATIVE AGENT:
		

		
			HEALTHCARE FINANCIAL SOLUTIONS, LLC,  a Delaware limited liability company
		

		
			 
		

		
			 
		

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

		
			Title: Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			L/C ISSUER:
		

		
			 
		

		
			HEALTHCARE FINANCIAL SOLUTIONS, LLC,  a Delaware limited liability company
		

		
			 
		

		
			 
		

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

		
			Title: Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			 
		

		
			

		 

		

			 

		

 

LENDER:
		

		
			 
		

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

		
			 
		

		
			 
		

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

		
			Title: Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

LENDER:
		

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

		
			 
		

		
			 
		

		
			By: /s/ Vanessa A. Kurbatskiy
Name: Vanessa A. Kurbatskiy
		

		
			Title: Vice President
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

LENDER:
		

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

		
			 
		

		
			 
		

		
			By: /s/ Henry Slauson
Name: Henry Slauson
		

		
			Title: Vice President
		

		
			
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

LENDER:
		

		
			CAPITAL ONE, N.A., in its capacity as a Revolving Credit Lender
		

		
			 
		

		
			 
		

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

		
			Title: Duly Authorized Signatory
		

		
			
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			 
		

		
			

		 

		

			 

		

 

		

		
			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]
		

		
			

		 

		

			 

		

 

		

		
			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
		

		
			11 DAIRY LANE 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
		

		
			1201 RURAL AVENUE OPERATIONS LLC
		

		
			1203 WALKER ROAD OPERATIONS 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
		

		
			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
		

		
			1400 WOODLAND AVENUE OPERATIONS LLC
		

		
			1400 WOODLAND AVENUE PROPERTY 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
		

		
			175 BLUEBERRY LANE 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 MAITLAND STREET 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
		

		
			211-213 ANA DRIVE OPERATIONS 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 OLD ETNA ROAD OPERATIONS LLC
		

		
			24 TRUCKHOUSE ROAD OPERATIONS LLC
		

		
			240 BARKER ROAD OPERATIONS LLC
		

		
			25 EAST LINDSLEY ROAD OPERATIONS LLC
		

		
			25 RIDGEWOOD 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
		

		
			3000 BALFOUR CIRCLE OPERATIONS LLC
		

		
			3000 HILLTOP ROAD OPERATIONS LLC
		

		
			3000 HILLTOP ROAD PROPERTY, 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
		

		
			3330 WILKENS AVENUE OPERATIONS LLC
		

		
			3330 WILKENS AVENUE PROPERTY LLC
		

		
			336 SOUTH WEST END AVENUE OPERATIONS 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
		

		
			40 WHITEHALL ROAD OPERATIONS LLC
		

		
			40 WHITEHALL ROAD PROPERTY 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
		

		
			550 GLENWOOD OPERATIONS LLC
		

		
			550 GLENWOOD 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
		

		
			660 COMMONWEALTH AVENUE OPERATIONS LLC
		

		
			677 COURT STREET OPERATIONS LLC
		

		
			699 SOUTH PARK ROAD OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			7 BALDWIN STREET OPERATIONS LLC
		

		
			70 GILL AVENUE OPERATIONS LLC
		

		
			700 MARVEL ROAD OPERATIONS LLC
		

		
			700 TOLL HOUSE AVENUE OPERATIONS LLC
		

		
			700 TOWN BANK ROAD OPERATIONS LLC
		

		
			710 JULIAN ROAD OPERATIONS LLC
		

		
			710 JULIAN ROAD PROPERTY 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 MEDCALF LANE NORTH OPERATIONS LLC
		

		
			800 MEDCALF LANE NORTH PROPERTY LLC
		

		
			800 WEST MINER STREET OPERATIONS LLC
		

		
			8000 ILIFF DRIVE OPERATIONS LLC
		

		
			8000 ILIFF DRIVE PROPERTY 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
		

		
			9109 LIBERTY ROAD OPERATIONS LLC
		

		
			9109 LIBERTY ROAD PROPERTY LLC
		

		
			93 MAIN STREET SNF OPERATIONS LLC
		

		
			932 BROADWAY OPERATIONS LLC
		

		
			

		 

		

			 

		

 

		

		
			9701 MEDICAL CENTER DRIVE OPERATIONS LLC
		

		
			9738 WESTOVER HILLS BOULEVARD OPERATIONS 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
		

		
			BRADFORD SQUARE NURSING, LLC
		

		
			BRIER OAK ON SUNSET, LLC
		

		
			CAREERSTAFF UNLIMITED, 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
		

		
			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 DIAMOND 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 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
		

		
			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
		

		
			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
		

		
			NINE HAYWOOD AVENUE OPERATIONS 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
		

		
			REGENCY HEALTH SERVICES, LLC
		

		
			REGENCY NURSING, LLC
		

		
			RESPIRATORY HEALTH SERVICES LLC
		

		
			RIO HONDO SUBACUTE AND NURSING CENTER, LLC
		

		
			RIVERSIDE RETIREMENT LIMITED PARTNERSHIP
		

		
			ROMNEY HEALTH CARE CENTER LIMITED PARTNERSHIP
		

		
			ROUTE 92 OPERATIONS LLC
		

		
			ROYALWOOD CARE CENTER, LLC
		

		
			SADDLE SHOP ROAD OPERATIONS LLC
		

		
			SALISBURY JV 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
		

		
			WESTWOOD MEDICAL PARK OPERATIONS LLC
		

		
			WOODLAND CARE CENTER, LLC
		

		
			WOODSPOINT LLCEx108

		

			Exhibit 10.8

		

		
			AMENDMENT NO. 5 TO CREDIT AGREEMENT 
		

		
			 
		

		
			 
		

		
			This Amendment No. 5 to Credit Agreement (this “Agreement”), dated as of October 21, 2016 (the “Effective Date”), is entered into by and among GENESIS HEALTHCARE, INC., a Delaware corporation (“Genesis Healthcare”), and 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 below) (in such capacity, and together with its successors and permitted assigns, “Administrative Agent”).
		

		
			 
		

		
			WHEREAS, Borrowers, Administrative Agent, L/C Issuers (as defined therein) 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 (“Amendment No. 3”), dated as of July 29, 2016, and that certain Amendment No. 4 to Credit Agreement, dated as of August 22, 2016 (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) restructure the mandatory prepayments of principal in respect of the Revolving Loans – FILO Tranche and (ii) update Schedule I of the Existing Credit Agreement to reflect certain assignments of the Revolving Loans – FILO Tranche made by Healthcare Financial Solutions, LLC to each of Wells Fargo Capital Finance, LLC and Capital Finance, LLC on September 9, 2016; and
		

		
			 
		

		
			WHEREAS, Administrative Agent and each Revolving Credit Lender – FILO Tranche, which Lenders also constitute at least Required 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 Revolving Credit Lenders – FILO Tranche each hereby agrees 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 adding the following defined terms, in appropriate alphabetical order:

		
			“Declined Prepayment” has the meaning specified in Section 2.8(c)(iii).  
		

		
			

		 

		

			 

		

 

		

		
			“Prepayment Date” has the meaning specified in Section 2.8(c)(i).
		

		
			“Prepayment Election Date” has the meaning specified in Section 2.8(c)(ii).
		

		
			“Prepayment Election Notice” has the meaning specified in Section 2.8(c)(ii).  
		

			
	
			
				 (b)
			Section 2.8(c) of the Existing Credit Agreement is hereby amended by deleting such Section in its entirety and replacing it with the following:

		
			“(c) Revolving Loans – FILO Tranche.  
		

		
			(i)  On each date set forth below (each, a “Prepayment Date”), Borrower shall pay to Administrative Agent in respect of the Revolving Loans – FILO Tranche an amount not less than the principal payment opposite such date, together with the other Obligations then due and payable directly related thereto (including the Obligations set forth in Section 2.16(a)). 
		

		
			 
		

			
					
						Prepayment Date

					
					
						Prepayment Election Date

					
					
						Principal Payment

				
	
					
						December 1, 2016

					
					
						November 23, 2016

					
					
						$6,250,000

				
	
					
						April 3, 2017

					
					
						March 27, 2017

					
					
						$6,250,000

				
	
					
						June 1, 2017

					
					
						May 25, 2017

					
					
						$6,250,000

				
	
					
						September 1, 2017

					
					
						August 25, 2017

					
					
						$6,250,000

				

		
			 
		

		
			(ii)No later than 1:00 p.m. on the date set forth above (each, a “Prepayment Election Date”), each Revolving Credit Lender – FILO Tranche shall submit to Administrative Agent a notice in the form of Exhibit O (a “Prepayment Election Notice”), pursuant to which such Revolving Credit Lender – FILO Tranche shall notify Administrative Agent of such Lender’s election to either accept or reject the applicable mandatory prepayment of Revolving Loans – FILO Tranche to be made on such Prepayment Date (which election shall be made in each such Lender’s sole and absolute discretion).  If a Revolving Credit Lender – FILO Tranche fails to deliver a Prepayment Election Notice to the Administrative Agent prior to the Prepayment Election Date, it will be deemed to be an election to accept such mandatory prepayment of Revolving Loans – FILO Tranche.
		

		
			(iii)If one or more Revolving Credit Lenders – FILO Tranche elect to accept such mandatory prepayment of Revolving Loans – FILO Tranche, Borrower shall pay to Administrative Agent the entire amount required to be paid on such Prepayment Date in accordance with Section 2.8(c)(i).  If all Revolving Credit Lenders – FILO Tranche elect to reject (i.e., no Revolving Credit Lender – FILO Tranche accepts) such mandatory prepayment of Revolving Loans – FILO Tranche (the aggregate amount of such rejected mandatory prepayment, the “Declined Prepayment”), such Declined Prepayment (A) shall not be due and payable on the otherwise applicable Prepayment Date and (B) shall instead be due and payable, together with each other Declined Prepayment (if any) and the other Obligations then due and payable directly related thereto, on the Revolving Credit Termination Date.
		

		
			

		 

		

			2

		

 

		

		
			(iv)Following each Prepayment Election Date, but on or prior to the respective Prepayment Date, Administrative Agent shall notify Borrower Representative and each Revolving Credit Lender – FILO Tranche whether the Revolving Credit Lenders – FILO Tranche have collectively elected to accept or reject the mandatory prepayment of Revolving Loans – FILO Tranche due on the applicable Prepayment Date.” 
		

			
	
			
				 (c)
			Sections 2.12(b) and 2.12(d) of the Existing Credit Agreement are hereby amended, in each case, by adding the words “(other than Declined Prepayment, if any)” immediately after the words “Section 2.8(c)” in clause (ii) thereof.

			
	
			
				 (d)
			The Existing Credit Agreement is hereby amended by attaching a new Exhibit O thereto, in the form attached as Exhibit A hereto.  

			
	
			
				 (e)
			The Existing Credit Agreement is hereby amended by replacing Schedule I of the Existing Credit Agreement in its entirety with Schedule 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;

		
			 
		

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

			
	
			
				 (a)
			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.
			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.

			
	
			
				 5.
			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. 

			
	
			
				 6.
			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 

		 

		

			3

		

 

	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.  

			
	
			
				 7.
			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.

			
	
			
				 8.
			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.

			
	
			
				 9.
			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.

			
	
			
				 10.
			Governing Law.  This Agreement shall be governed by and construed in accordance with the laws of the State of New York.

			
	
			
				 11.
			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.

			
	
			
				 12.
			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.

			
	
			
				 13.
			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.

		
			 
		

		
			

		 

		

			4

		

 

		

		
			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 Berg
		

		
			Name:Michael Berg
		

		
			Title:Assistant Secretary
		

		
			 
		

		
			 
		

		
			FC-GEN OPERATIONS INVESTMENT, LLC 
		

		
			a Delaware limited liability company
		

		
			 
		

		
			By: /s/ Michael Berg
		

		
			Name:Michael Berg
		

		
			Title:Assistant Secretary
		

		
			
		

		
			 
		

		
			EACH OF THE ENTITIES LISTED ON ANNEX I ATTACHED HERETO:
		

		
			 
		

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

		
			 
		

		
			By: /s/ Michael Berg
		

		
			Name:Michael Berg
		

		
			Title:Assistant Secretary
		

		
			
		

		
			
		

		
			
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Pages]
		

		
			 
		

		
			 
		

		
			

		 

		

			 

		

 

ADMINISTRATIVE AGENT:
		

		
			HEALTHCARE FINANCIAL SOLUTIONS, LLC,  a Delaware limited liability company
		

		
			 
		

		
			 
		

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

		
			Title: Duly Authorized Signatory
		

		
			 
		

		
			 
		

		
			 
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			 
		

		
			

		 

		

			 

		

 

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]
		

		
			

		 

		

			 

		

 

LENDER:
		

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

		
			 
		

		
			 
		

		
			By: /s/ Marguerite Sutton 
		

		
			Name: Marguerite Sutton
		

		
			Title: Vice President
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

LENDER:
		

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

		
			 
		

		
			 
		

		
			By: /s/ Henry Slauson 
		

		
			Name: Henry Slauson
		

		
			Title: Duly Authorized Representative
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

LENDER:
		

		
			CAPITAL ONE, N.A., 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]
		

		
			 
		

		
			

		 

		

			 

		

 

		

		
			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
		

		
			 
		

		
			 
		

		
			[Signatures Continue on Following Page]
		

		
			

		 

		

			 

		

 

		

		
			LENDER:
		

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

		
			 
		

		
			 
		

		
			By: /s/ Jeffrey D. Stein
Name: Jeffrey D. Stein
		

		
			Title: Executive Managing Director
		

		
			 
		

		
			 
		

		
			[End of Signature Pages]

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