BUDGET

Genesis HealthCare – Ansted Center Ansted, West Virginia December 31, 2015 BALANCE SHEET ASSETS Current Assets Cash in Bank 34,891 Accounts Receivable 602,277 Inventories 17,480 Prepaids & Other Current Assets (5,021) Related Party Accounts 797,796 Total Current Assets 1,447,424 Property and Equipment Net 12,939,018 Identifiable Intangible Assets – Favorable Lease 0 Other Assets 64 Total Assets 14,386,506 LIABILITIES AND EQUITY Current Liabilities Accounts Payable 184,439 Accrued Expenses & Payroll Withholdings 118,101 Current maturities of long-term obligations 0 Total Current Liabilities 302,540 Long Term Liabilities Escheatable Funds 335 L/T Debt Capital Lease Obligation 0 Deferred G/L Straight-Lining Leases 0 LT Debt Financing Obligation 15,603,196 Total Long Term Liabilities 15,603,531 Equity (1,519,565) Total Liabilities and Equity 14,386,506 Genesis HealthCare – Ansted Center Ansted, WV December 31, 2015 INCOME STATEMENT Revenue Nursing Home Revenue 6,350,666 Other Operating 3,123 Total Operating Revenue 6,353,789 Expenses Nursing Services 1,744,825 General and Administrative 1,343,096 Other Operating 1,683,545 Lease 0 Interest 1,645,058 Depreciation and Amortization 519,502 Non-Recurring 0 Total Expenses 6,936,025 Net Loss (582,236) Genesis HealthCare – Ansted Center Ansted, WV December 31, 2015 Net Loss (582,236) Adjustment to reconcile net loss Cash Flows from Operating Activities Depreciation & Amortization 519,502 Increase in trade receivables (53,216) Increase in inventory (1,762) Increase in prepaid & other current assets (7,381) Decrease in accounts payable & accrued expenses (40,733) Increase in related party accounts (67,742) Net cash used by operating activities (233,568) Cash Flows from Investing Activities Increase in Property, Plant, & Equip (47,640) Decrease in deferred financing costs 0 Net cash used in investing activities (47,640) Cash Flows from Financing Activities Increase in L/T Debt Capital Lease Obligation 0 Contributed capital 0 Increase in LT Debt – Financing Obligation 306,994 Increase in Deferred G/L Straight-Lining Leases 0 Net cash provided by financing activities 306,994 Increase in cash balance 25,786 Cash, beginning of the year 9,105 Cash, end of the year 34,891 OWNERSHIP: Genesis WV Holdings LLC The statements are provided pursuant to the Health Care Facility Disclosure Laws. I certify that the above audited statements are true and correct to the best of my knowledge. This financial data is available for public inspection at the office of the West Virginia Health Care Cost Review Authority, 100 Dee Drive, Charleston, WV during regular hours, 9:00 a.m. to 5:00 p.m. on any business day. 4-4-MON-1-FT; LG 19 5