BUDGET

Genesis HealthCare – Ansted Center Ansted, West Virginia December 31, 2014 BALANCE SHEET ASSETS Current Assets Cash in Bank 9,105 Accounts Receivable 549,062 Inventories 15,717 Prepaids & Other Current Assets (12,338) Related Party Accounts 733,177 Total Current Assets 1,294,723 Property and Equipment Net 13,410,879 Identifiable Intangible Assets – Favorable Lease 0 Other Assets 0 Total Assets 14,705,602 LIABILITIES AND EQUITY Current Liabilities Accounts Payable 173,147 Accrued Expenses & Payroll Withholdings 170,461 Current maturities of long-term obligations 0 Total Current Liabilities 343,607 Long Term Liabilities Escheatable Funds 0 L/T Debt Capital Lease Obligation 0 Deferred G/L Straight-Lining Leases 0 LT Debt Financing Obligation 15,296,202 Total Long Term Liabilities 15,296,202 Equity (934,207) Total Liabilities and Equity 14,705,602 Genesis HealthCare – Ansted Center Ansted, WV December 31, 2014 INCOME STATEMENT Revenue Nursing Home Revenue 6,218,481 Other Operating 391 Total Operating Revenue 6,218,872 Expenses Nursing Services 1,691,439 General and Administrative 1,301,183 Other Operating 1,601,446 Lease 0 Interest 1,582,968 Depreciation and Amortization 531,681 Non-Recurring 0 Total Expenses 6,708,716 Net Loss (489,844) Genesis HealthCare – Ansted Center Ansted, WV December 31, 2014 Net Loss (489,844) Adjustment to reconcile net loss Cash Flows from Operating Activities Depreciation & Amortization 531,681 Decrease in trade receivables 13,833 Decrease in inventory 535 Increase in prepaid & other current assets (7,155) Decrease in accounts payable & accrued expenses (2,719) Increase in related party accounts (292,321) Net cash used by operating activities (245,991) Cash Flows from Investing Activities Increase in Property, Plant, & Equip (54,056) Decrease in deferred financing costs 0 Net cash used in investing activities (54,056) Cash Flows from Financing Activities Increase in L/T Debt Capital Lease Obligation 0 Contributed capital 0 Increase in LT Debt – Financing Obligation 278,084 Increase in Deferred G/L Straight-Lining Leases 0 Net cash provided by financing activities 278,084 Decrease in cash balance (21,962) Cash, beginning of the year 31,067 Cash, end of the year 9,105 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. 4-20-MON-1-FT; LG 197