Hampshire

Financial Statements Genesis HealthCare

Genesis HealthCare – Hampshire Center
Romney, WV
December 31, 2015

BALANCE SHEET

ASSETS
Current Assets
Cash in Bank    29,993
Accounts Receivable    567,949
Inventories    22,503
Prepaids & Other Current Assets    (34,012)
Related Party Accounts    6,965,747
Total Current Assets    7,552,180

Property and Equipment Net    85,320

Identifiable Intangible Assets – Favorable Lease    0

Other Assets    (347)
Total Assets    7,637,153

LIABILITIES AND EQUITY

Current Liabilities
Accounts Payable    122,691
Accrued Expenses
& Payroll Withholdings    225,218
Current maturities of
long-term obligations    0
Total Current Liabilities    347,909

Long Term Liabilities
Escheatable Funds    1,308
L/T Debt Capital Lease Obligation    0
Deferred G/L Straight-Lining Leases    0
LT Debt Financing Obligation    0

Total Long Term Liabilities     1,308

Equity    7,287,937

Total Liabilities and Equity    7,637,153

INCOME STATEMENT
Revenue
Nursing Home Revenue    7,105,340
Other Operating    (24)

Total Operating Revenue    7,105,316

Expenses
Nursing Services    1,798,591
General and Administrative     1,448,648
Other Operating    1,540,949
Lease    420,000
Interest    (354,070)
Depreciation and Amortization    9,478
Non-Recurring    0

Total Expenses    4,863,596

Net Income    2,241,720

Net Income    2,241,720
Adjustment to reconcile net income

Cash Flows from Operating Activities
Depreciation & Amortization    9,478
Decrease in trade receivables    48,207
Decrease in inventory    1,214
Decrease in prepaid & other current assets    (5,915)
Increase in accounts payable &
accrued expenses    (18,674)
Increase in related party accounts    ######

Net cash used by operating activities    24,793

Cash Flows from Investing Activities
Increase in Property, Plant, & Equip    (23,696)
Decrease in deferred financing costs    0

Net cash used in investing activities    (23,696)

Cash Flows from Financing Activities
Increase in L/T Debt Capital Lease Obligation    0
Contributed capital    0
Increase in LT Debt – Financing Obligation    0
Increase in Deferred G/L Straight-Lining Leases    0
Net cash provided by financing activities    0

Increase in cash balance    1,097

Cash, beginning of the year    28,896

Cash, end of the year    29,993

OWNERSHIP:     Genesis Operations VI LLC (49.8{4ceb532c6f579389df471c6c1e832caf2346b74dc60fcbf6aabd4d29df3baf9c}LP) (50{4ceb532c6f579389df471c6c1e832caf2346b74dc60fcbf6aabd4d29df3baf9c}GP)
HC 63 Operations LLC (.02{4ceb532c6f579389df471c6c1e832caf2346b74dc60fcbf6aabd4d29df3baf9c}LP)
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.
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