Document:

Exhibit

[ __________ ] AMENDMENT TO LEASE  
([ _____________ ])
THIS [ ________ ]AMENDMENT TO LEASE (the “Agreement”) is made and entered into as of April 1, 2017 (the “Effective Date”) by and among [ ________, a ________ ] (“Landlord”); [ ________, a ________ ] (“Tenant”); and GENESIS HEALTHCARE, INC. (f/k/a SKILLED HEALTHCARE GROUP, INC.), a Delaware corporation (“Guarantor”), with reference to the following Recitals:

R E C I T A L S:
A.Landlord and Tenant are parties to that certain [ Lease dated as of ______ ] (as amended, the “Lease”), with respect to that certain skilled nursing facility identified therein.  All initially capitalized terms used herein shall have the same meanings given to such terms in the Lease, unless otherwise defined herein.
B.Pursuant to that certain [Guaranty of Lease dated as of ______ ] (as amended, supplemented or otherwise modified from time to time, the “Guaranty”), Guarantor agreed to guaranty the obligations of Tenant under this Lease.
C.Tenant has requested that Landlord consent to the modification of certain terms of the Lease and Tenant and Landlord now desire to amend the Lease in accordance with the terms set forth herein.   
A G R E E M E N T
NOW, THEREFORE, taking into account the foregoing Recitals, and in consideration of the mutual covenants and agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1.    Amendment to Lease. The definition of “Base Rent” set forth in Section 2.1 of the Lease is hereby amended and restated in its entirety as follows:
“Base Rent:
(A)    During the period commencing on April 1, 2017 and ending on [ __________, 2017 ], Base Rent means an annual amount equal to [ __________ Dollars ($________) ]; provided, however, that commencing with the [ _______ (___) ]) Lease Year and continuing each Lease Year thereafter during the Initial Term, the Base Rent shall increase to an annual amount equal to the sum of (i) the Base Rent for the immediately preceding Lease Year, and (ii) the Base Rent for the immediately preceding Lease Year multiplied by the Rent Escalator.  For the purposes of determining the Base Rent payable for the [ _______ (___) ] Lease Year, the Base Rent for the 

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immediately preceding Lease Year shall be deemed and construed to be [ $___________ ].
(B)     The Base Rent for the first year of each Renewal Term shall be an annual amount equal to the sum of (i) the Base Rent for the immediately preceding Lease Year, and (ii) the Base Rent for the immediately preceding Lease Year multiplied by the Rent Escalator. Commencing with the second (2nd) Lease Year of any Renewal Term and continuing each Lease Year thereafter during such Renewal Term, the Base Rent shall increase to an annual amount equal to the sum of (i) the Base Rent for the immediately preceding Lease Year, and (ii) the Base Rent for the immediately preceding Lease Year multiplied by the Rent Escalator.”
2.    Affirmation of Obligations. 
(a)    Notwithstanding the modifications to the Lease contained herein, Tenant and Landlord each hereby acknowledges and reaffirms its obligations under the Lease (as modified hereby) and all other documents executed by such party in connection therewith.
(b)    Notwithstanding the modifications to the Lease contained herein, Guarantor hereby acknowledges and reaffirms its obligations under the Guaranty and all documents executed by Guarantor in connection therewith, and further agrees that any reference made in the Guaranty to the Lease or any terms or conditions contained therein, shall mean such Lease or such terms or conditions as modified by this Agreement. 
3.    Further Instruments.  Each party will, whenever and as often as it shall be reasonably requested so to do by another party, cause to be executed, acknowledged or delivered, any and all such further instruments and documents as may be necessary or proper, in the reasonable opinion of the requesting party, in order to carry out the intent and purpose of this Agreement.
4.    Incorporation of Recitals.  The Recitals to this Agreement are incorporated hereby by reference.
5.    Counterparts.  This Agreement may be executed and delivered (including by facsimile or Portable Document Format (pdf) transmission) in counterparts, all of which executed counterparts shall together constitute a single document.  Signature pages may be detached from the counterparts and attached to a single copy of this document to physically form one document.  Any such facsimile documents and signatures shall have the same force and effect as manually-signed originals and shall be binding on the parties hereto.
6.    Attorneys’ Fees.  Tenant hereby agrees to reimburse Landlord, within fifteen (15) days of written demand therefor, for all documented reasonable attorneys’ fees and costs incurred by Landlord in connection with the preparation and negotiation of this Agreement.  In the event of any dispute or litigation concerning the enforcement, validity or interpretation of this Agreement, or any part thereof, the losing party shall pay all costs, charges, fees and expenses (including reasonable attorneys’ fees) paid or incurred by the prevailing party, regardless of whether 

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any action or proceeding is initiated relative to such dispute and regardless of whether any such litigation is prosecuted to judgment.
7.    Effect of Amendment.  Except as specifically amended pursuant to the terms of this Agreement, the terms and conditions of the Lease shall remain unmodified and in full force and effect.  In the event of any inconsistencies between the terms of this Agreement and any terms of the Lease, the terms of this Agreement shall govern and prevail.
8.    Entire Agreement.  This Agreement contains the entire agreement between the parties relating to the subject matters contained herein.  Any oral representations or statements concerning the subject matters herein shall be of no force or effect.
[SIGNATURES ON NEXT PAGE]

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IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written. 
 
TENANT:
[ __________________, ] 
a [ ___________________ ]

By:                        
Name:                        
Title:                        

GUARANTOR:

GENESIS HEALTHCARE, INC.,  
a Delaware corporation

By:                        
Name:                        
Title:                        

LANDLORD:

[ __________________, ] 
a [ ___________________ ]

By:                        
Name:                        
Title:                        

73640.SIG    S-1Exhibit

SECOND AMENDED AND RESTATED
MEMORANDUM OF UNDERSTANDING
(BUY-OUT FACILITIES) 

THIS SECOND AMENDED AND RESTATED MEMORANDUM OF UNDERSTANDING (BUY-OUT FACILITIES) (this “MOU”) is entered into as of February 22, 2017 by and between SABRA HEALTH CARE REIT, INC., a Maryland corporation (“Sabra”), and GENESIS HEALTHCARE INC., a Delaware corporation (“Genesis”).

A.Subsidiaries of Sabra, as landlord (collectively, “Landlord”) and subsidiaries of Genesis, as tenant, (collectively, “Tenant”) are parties to certain Master Leases (as amended from time to time, the “Master Leases”) with respect to inter alia, those certain healthcare facilities identified on Schedule 1 attached hereto (the “Buy-Out Facilities”).

B.Sabra and Genesis are entering into this MOU in order to memorialize their understanding of the material terms and conditions under which Tenant would buy out and terminate its lease obligations with respect to the Buy-Out Facilities.  As each of Buy-Out Facilities are removed from its applicable Master Leases from time to time, Landlord and Tenant will enter into amendments to the Master Leases and other definitive documents (collectively, the “Transaction Documents”) in order to effectuate the termination of the Buy-Out Facilities under the terms set forth herein.  

Subject to the foregoing, and the other provisions of this MOU, Sabra and Genesis hereby agree that it is their understanding that: 

1.Buy Out Payment; Base Rent Adjustment.  In order to terminate its lease obligations with respect to the Buy-Out Facilities under the terms set forth herein and in the applicable Transaction Documents, Genesis shall make, or shall cause Tenant to make, the following payments (the “Buy Out Payments”) to Sabra:  (a) on or before April 1, 2016, the sum of Five Million Dollars ($5,000,000), and (b) on or before July 1, 2016, the sum of Five Million Dollars ($5,000,000).  Upon Sabra’s receipt of each of the first and second Buy Out Payments, the annual Base Rent payable under the applicable Master Leases for the Buy-Out Facilities has been reduced by One Hundred Twenty-Five Thousand Dollars ($125,000) (the “Interim Base Rent Reductions”). Each of the Interim Base Rent Reductions was initially allocated to the following four (4) Master Leases in these amounts:  Ohio Master Lease ($2,998); Other Centers Master Lease ($65,462); GE 5 Master Lease ($53,969); and Kentucky Master Lease ($2,571). Upon the satisfaction of the Additional Rent Credit Contingencies (as defined below), the annual Base Rent payable under the applicable Master Leases for the Buy-Out Facilities shall be reduced by an additional Six Hundred Five Thousand Dollars ($605,000) (collectively with the Interim Base Rent Reductions, the “Total Base Rent Reduction”).  Notwithstanding the foregoing, upon the satisfaction of the Additional Rent Credit Contingencies, the Total Base Rent Reduction shall be applied on a prorated basis and retroactively under the Master Leases based upon the date upon which such Buy Out Payments were actually received by Sabra (i.e., 50% as of the date the first Buy Out Payment was received by Sabra and the remaining 50% as of the date the second Buy Out Payment was received by 

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Sabra). The final allocation of such Total Base Rent Reduction among the Master Leases shall be allocated to the following three (3) Master Leases in these amounts: GE 5 Master Lease ($261,210); Other Centers Master Lease ($338,399); and Connecticut Master Lease ($5,391).  As used herein, “Additional Rent Credit Contingencies” shall mean (i) the consummation of the sale of all of the Buy-Out Facilities, (ii) the consummation of the sale of all of the Sale Facilities (as defined in that certain Amended and Restated Memorandum of Understanding (Sale Facilities) dated as of July 29, 2016, as subsequently amended (the “Sale Facility MOU”)), and (iii) the consummation of the sale of all of the Subject Facilities (as defined in that certain Amended and Restated Agreement Regarding Disposition of Assets and Lease Amendments dated of even date herewith (the “Disposition Agreement”)) other than Eagle Crest (Carmichael).

2.Intended Sale of Buy-Out Facilities.  Sabra will continue to use its commercially reasonable efforts to sell each of the Buy-Out Facilities.  Subject to the applicable Base Rent reductions provided for herein, Tenant shall continue to operate each of the Buy-Out Facilities until the earlier of (a) August 31, 2017 (the “Outside Date”), or (b) the date upon which such Buy-Out Facility is sold and conveyed to a new operator (a “New Operator”).  Landlord shall use reasonable efforts not to permit the marketing process to unreasonably interfere with Tenant’s operation of the Buy-Out Facilities prior to the closing of the sale.  Landlord shall provide Tenant with (i) prompt written notice of its entry into an agreement regarding any of the Buy-Out Facilities, and (ii) a status update of its marketing efforts on a quarterly basis or as reasonably requested by Tenant, through the date which is sixty (60) days prior to the Outside Date.  Genesis agrees to cause Tenant to use its commercially reasonable efforts to facilitate the sale of the Buy-Out Facilities, including, without limitation, by (A) entering into, and faithfully complying with, one or more operations transfer agreements (each, an “OTA”) in form and substance reasonably acceptable to Tenant with any New Operator, which shall, inter alia, (i) provide for the proration of operational revenues and expenses, (ii)  include such representations, warranties and indemnities as may be negotiated by Tenant and New Operator, (iii) provide for the conveyance to the New Operator of Tenant’s Personal Property (as defined in the Master Leases); provided, however, Tenant may remove certain patient and employee records, and other information proprietary to Tenant, including information technology equipment that contains proprietary software; (iv) grant the New Operator reasonable access to the premises and Tenant’s books and records relating to the operations thereof; and (v) upon the reasonable request of the New Operator, the obligations of Tenant under such operations transfer agreement shall be guaranteed by an entity reasonably acceptable to the New Operator; and (B) reasonably cooperating with the New Operator in connection with its efforts to obtain the licenses, permits and other authorizations needed to operate the Buy-Out Facilities for their current use from and after the acquisition thereof, including, without limitation, by filing, submitting or otherwise distributing such applications and notices as the New Operator may reasonably request.  Upon the closing of any such sale transaction, the Master Lease shall terminate as to the applicable Buy-Out Facility; provided, however, that the obligations of Tenant which by their terms survive the termination of such Master Lease shall survive the termination of the Master Lease as to such Buy-Out Facility, as applicable, pursuant to this section.  

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If Sabra is not able to sell all of Buy-Out Facilities on or before the Outside Date, then Tenant may elect to voluntarily close the remaining unsold Buy-Out Facilities, which closure may commence immediately after the Outside Date (each such facility for which Tenant has elected to voluntarily close, a “Closed Facility”).  Notwithstanding the foregoing, (i) in no event shall any notice of closing be provided to any occupant or regulatory agency prior to the Outside Date and (ii) Tenant may not deliver an election to close the Forest View facility until October 31, 2017 if, as of the Outside Date, (a) there is a bona fide offer by a third party to purchase the Forest View facility, (b) the offer is reasonably acceptable to Tenant and Sabra, (c) Sabra is diligently pursuing a sale to such third party and (d) the closing of such sale could reasonably be expected to occur within 60 days.  After making any such election, Tenant shall at its own expense proceed to close each Closed Facility with reasonable diligence and in accordance with all applicable legal requirements.  In connection with the closure of any facility, Tenant may remove Tenant’s Personal Property, patient and employee records, and other information proprietary to Tenant. Notwithstanding anything to the contrary set forth herein or in the Master Lease, in no event shall Tenant be entitled to re-open and occupy any Buy-Out Facility following the date of its closure.  

3.Notification by Tenant; Ownership Rights.  Upon the completion of the closure of any of the Buy-Out Facilities, Tenant shall promptly provide Landlord with written notification thereof.  The parties hereto acknowledge that Landlord shall at all times retain title to the Buy-Out Facilities and Landlord’s Personal Property (as defined in the Master Leases) relating thereto, including, without limitation, all tangible personal property owned by Landlord (including any replacements thereof) and any applicable certificate of need or bed rights applicable thereto.  Except as may be consented to by Landlord, or except as may otherwise be required pursuant to the closure process, Tenant shall not de-license any of the Buy-Out Facilities or terminate, transfer or assign any certificate of need or bed rights applicable thereto without the prior written consent of Landlord. 

4.Miscellaneous. 

(a)This MOU (together with the Sale Facility MOU and Disposition Agreement) constitutes the entire agreement and understanding between the parties hereto as to the matters set forth herein and amends and restates, supersedes and revokes all prior agreements and understandings, oral and written, between the parties hereto or otherwise with respect to the subject matter hereof, including, without limitation, any prior memorandum relating to the proposed disposition of any of the Buy-Out Facilities and the Sale Facilities. No change, amendment, termination or attempted waiver of any of the provisions hereof shall be binding upon any party unless set forth in an instrument in writing signed by the party to be bound.
(b)Genesis hereby agrees to reimburse Sabra, within fifteen (15) days of written demand therefor, for all documented reasonable attorneys’ fees and costs incurred by Sabra in connection with the preparation and negotiation of this MOU and the consummation of the transactions contemplated hereunder.  In the event of any dispute or litigation concerning the enforcement, validity or interpretation of this MOU, 

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or any part thereof, the losing party shall pay all costs, charges, fees and expenses (including reasonable attorneys’ fees) paid or incurred by the prevailing party, regardless of whether any action or proceeding is initiated relative to such dispute and regardless of whether any such litigation is prosecuted to judgment.
(c)Except as may be required by law or judicial process (including the requirements of any regulatory body or stock exchange), each party shall keep this MOU and its terms confidential and shall not disclose the same to any third party (except attorneys, accountants, or consultants hired by the parties hereto) without the express written consent of the other party.  Notwithstanding the foregoing, the parties hereto shall be entitled to discuss the proposed transactions contemplated hereunder during their earnings calls, in discussions with analysts and investors and in connection with investor presentations. 
(d)This MOU shall inure solely to the benefit of the parties hereto and their respective successors and assigns.  No third party shall have the right to derive or claim any benefit hereunder and shall have no right to enforce or rely upon any provision of this MOU.
(e)This MOU may be executed in any number of counterparts, which may be executed in either original or electronically transmitted form (e.g., faxed or emailed portable document format (PDF) form), and the parties hereby adopt as original any signatures received via electronically transmitted form.
(f)This MOU will be governed by and construed in accordance with the substantive laws of the State of California, but exclusive of its conflicts of law provisions. 
 

[Signature pages to follow.]

69411.7    4

IN WITNESS WHEREOF, this MOU has been executed and delivered as of the date first above written.
GENESIS:
GENESIS HEALTHCARE, INC.,  
a Delaware corporation

By:    /S/    MICHAEL BERG        
Name:    Michael Berg
Title:    Assistant Secretary

S-1
69411.SIG

SABRA:
SABRA HEALTH CARE REIT, INC.,  
a Maryland corporation

By:    /S/    HAROLD W. ANDREWS, JR.        
Name:    Harold W. Andrews, Jr.
Title:    Chief Financial Officer  

S-2
69411.SIG

SCHEDULE 1

SCHEDULE OF BUY-OUT FACILITIES

“Renaissance Terrace” – Renaissance Terrance Care & Rehab, 257 Patton Lane, Harriman, Tennessee

“Forest View” – Forest View Care and Rehabilitation Center, 323 Forest Avenue, Dayton, Ohio

“Sable” – Sable Care and Rehabilitation Center, 656 Dillon Way, Aurora, Colorado

“Paducah Center” – Paducah Center, 501 North 3rd Street, Paducah, Kentucky****

“Pawtuxet Village” – Pawtuxet Village Care and Rehabilitation Center, 270 Post Road, Warwick, Rhode Island****

**** Paducah Center and Pawtuxet Village were previously sold by Sabra in connection with a Memorandum of Understanding between the parties hereto dated as of May 4, 2015.  As set forth under the terms of that certain Amended and Restated Memorandum of Understanding dated as of February 19, 2016, the parties hereto acknowledged and agreed that no Base Rent reduction shall be made in connection with the sale of the Paducah Center notwithstanding the terms set forth in that certain Eighth Amendment to Master Lease (Kentucky Master Lease) dated as of August 12, 2015 by and among Kentucky Holdings I, LLC, as landlord and the Tenant parties thereto.

Schedule 1-1
69411.7

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