As of April 1, 2019 the Company agrees to continue to employ Executive. Executive agrees to serve in the position of Chief Executive Officer of Genesis Healthcare, Inc. (“GEN”), as a director of GEN, and as an executive officer and/or director of and any direct or indirect subsidiaries of GEN (the “ Company Group ”) without additional compensation.  Executive agrees to perform such services and have such duties and responsibilities, not inconsistent with his position as Chief Executive Officer of GEN customarily associated with and incidental to such positions and as may from time to time be reasonably assigned to him by the Board of Directors of GEN (the “Board”).   For purposes of this Agreement, a transfer of the Executive’s employment among members of the Company Group shall not be deemed to be a termination of the Executive’s employment, and the entity to which Executive’s employment is transferred shall thereafter be deemed to be the Company for purposes of this Agreement.