Exhibit 99.1

________________________________________________________________________________
________________________________________________________________________________

                     REVOLVING CREDIT AND GUARANTY AGREEMENT
________________________________________________________________________________
________________________________________________________________________________



                                      Among

                          GENESIS HEALTH VENTURES, INC.
   a Debtor and a Debtor-in-Possession under Chapter 11 of the Bankruptcy Code

                                   as Borrower
                                   -----------

                                       and

       THE SUBSIDIARIES OF THE BORROWER NAMED HEREIN, each a Debtor and a
          Debtor-in-Possession under Chapter 11 of the Bankruptcy Code

                                  as Guarantors
                                  -------------

                                       and

                             THE BANKS PARTY HERETO

                                   as Lenders,
                                   -----------

                                       and

             MELLON BANK, N.A. as Administrative Agent and Arranger,

                FIRST UNION NATIONAL BANK, as Syndication Agent,

          GOLDMAN SACHS CREDIT PARTNERS, L.P., as Documentation Agent,

                                       and

                      THE CHASE MANHATTAN BANK, as Co-Agent
________________________________________________________________________________
________________________________________________________________________________

                            Dated as of June 22, 2000
________________________________________________________________________________
________________________________________________________________________________





                     REVOLVING CREDIT AND GUARANTY AGREEMENT
                                TABLE OF CONTENTS



                                                                                                           Page No.
                                                                                                        
INTRODUCTORY STATEMENT............................................................................................1

SECTION 1.        DEFINITIONS.....................................................................................3
                  SECTION 1.01      Defined Terms.................................................................3
                  SECTION 1.02      Terms Generally..............................................................23

SECTION 2.        AMOUNT AND TERMS OF CREDIT.....................................................................23
                  SECTION 2.01      Commitment of the Banks......................................................23
                  SECTION 2.02      Borrowing Base...............................................................23
                  SECTION 2.03      Letters of Credit............................................................24
                  SECTION 2.04      Issuance.....................................................................26
                  SECTION 2.05      Nature of Letter of Credit Obligations Absolute..............................26
                  SECTION 2.06      Making of Loans..............................................................26
                  SECTION 2.07      Repayment of Loans; Evidence of Debt.........................................27
                  SECTION 2.08      Interest on Loans............................................................28
                  SECTION 2.09      Default Interest.............................................................28
                  SECTION 2.10      Optional Termination or Reduction of Commitment..............................29
                  SECTION 2.11      Alternate Rate of Interest.  ................................................29
                  SECTION 2.12      Refinancing of Loans.  ......................................................29
                  SECTION 2.13      Mandatory Prepayment; Commitment Termination;
                                            Cash Collateral......................................................30
                  SECTION 2.14      Optional Prepayment of Loans; Reimbursement
                                            of Banks.............................................................31
                  SECTION 2.15      Reserve Requirements; Change in Circumstances. ..............................33
                  SECTION 2.16      Change in Legality.  ........................................................34
                  SECTION 2.17      Pro Rata Treatment, etc......................................................35
                  SECTION 2.18      Taxes........................................................................35
                  SECTION 2.19      Certain Fees.................................................................37
                  SECTION 2.20      Commitment Fee...............................................................37
                  SECTION 2.21      Letter of Credit Fees........................................................38
                  SECTION 2.22      Nature of Fees...............................................................38
                  SECTION 2.23      Priority and Liens...........................................................38
                  SECTION 2.24      Right of Set-Off.............................................................40
                  SECTION 2.25      Security Interest in Letter of Credit Account................................40
                  SECTION 2.26      Payment of Obligations.......................................................40
                  SECTION 2.27      No Discharge; Survival of Claims.............................................41
                  SECTION 2.28      Use of Cash Collateral.......................................................41

                                       ii




                                                                                                           
SECTION 3.        REPRESENTATIONS AND WARRANTIES.................................................................41
                  SECTION 3.01      Organization and Authority...................................................41
                  SECTION 3.02      Due Execution................................................................41
                  SECTION 3.03      Statements Made..............................................................42
                  SECTION 3.04      Financial Statements.........................................................42
                  SECTION 3.05      Ownership....................................................................43
                  SECTION 3.06      Liens .......................................................................43
                  SECTION 3.07      Compliance with Law..........................................................43
                  SECTION 3.08      Insurance....................................................................43
                  SECTION 3.09      The Orders...................................................................44
                  SECTION 3.10      Use of Proceeds..............................................................44
                  SECTION 3.11      Litigation...................................................................44
                  SECTION 3.12      Health Care Permits..........................................................44

SECTION 4.        CONDITIONS OF LENDING..........................................................................45
                  SECTION 4.01......Conditions Precedent to Initial Loans and
                                            Initial Letters of Credit............................................45
                  SECTION 4.02......Conditions Precedent to Each Loan and Each
                                            Letter of Credit.....................................................49

SECTION 5.        AFFIRMATIVE COVENANTS..........................................................................50
                  SECTION 5.01      Financial Statements, Reports, etc...........................................50
                  SECTION 5.02      Corporate Existence..........................................................53
                  SECTION 5.03      Insurance....................................................................53
                  SECTION 5.04      Obligations and Taxes........................................................53
                  SECTION 5.05      Notice of Event of Default, Investigations,
                                            Violations, etc......................................................54
                  SECTION 5.06      Borrowing Base Certificate...................................................54
                  SECTION 5.07      Maintenance of Concentration Accounts........................................54
                  SECTION 5.08      Books and Records, Inspection and Collateral
                                            Review Rights........................................................55
                  SECTION 5.09      Conduct of Business and Maintenance of
                                            Existence, etc.......................................................55
                  SECTION 5.10      Health Care Permits and Approvals............................................56
                  SECTION 5.11      Financial Advisor............................................................56
                  SECTION 5.12      Annual Operating Budget; Financial Forecast..................................56

SECTION 6.        NEGATIVE COVENANTS.............................................................................56
                  SECTION 6.01      Liens........................................................................57
                  SECTION 6.02      Merger, etc..................................................................57
                  SECTION 6.03      Indebtedness.................................................................57
                  SECTION 6.04      Capital Expenditures.........................................................57
                  SECTION 6.05      EBITDA.......................................................................58
                  SECTION 6.06      Guarantees and Other Liabilities.............................................59
                  SECTION 6.07      Chapter 11 Claims............................................................59
                  SECTION 6.08      Dividends; Capital Stock.....................................................59
                  SECTION 6.09      Transactions with Affiliates.................................................59
                  SECTION 6.10      Investments, Loans and Advances..............................................59
                  SECTION 6.11      Disposition of Assets........................................................60
                  SECTION 6.12      Nature of Business...........................................................60
                  SECTION 6.13      Health Care Permits and Approvals............................................60
                  SECTION 6.14      Census.......................................................................60
                  SECTION 6.15      Assumption of Provider Agreements............................................60
                  SECTION 6.16      Modification of the Multicare Management Agreement...........................60

                                      iii




                                                                                                           
SECTION 7.        EVENTS OF DEFAULT..............................................................................61
                  SECTION 7.01      Events of Default............................................................61

SECTION 8.        THE AGENT......................................................................................65
                  SECTION 8.01      Administration by Agent......................................................65
                  SECTION 8.02      Advances and Payments........................................................65
                  SECTION 8.03      Sharing of Setoffs...........................................................65
                  SECTION 8.04      Agreement of Required Banks..................................................66
                  SECTION 8.05      Liability of Agent...........................................................66
                  SECTION 8.06      Reimbursement and Indemnification............................................67
                  SECTION 8.07      Rights of Agent..............................................................67
                  SECTION 8.08      Independent Banks............................................................67
                  SECTION 8.09      Notice of Transfer...........................................................67
                  SECTION 8.10      Successor Agent..............................................................68

SECTION 9.        GUARANTY.......................................................................................68
                  SECTION 9.01      Guaranty.....................................................................68
                  SECTION 9.02      No Impairment of Guaranty....................................................69
                  SECTION 9.03      Subrogation..................................................................69

SECTION 10.       MISCELLANEOUS..................................................................................69
                  SECTION 10.01     Notices......................................................................69
                  SECTION 10.02     Survival of Agreement, Representations and
                                            Warranties, etc......................................................70
                  SECTION 10.03     Successors and Assigns.......................................................70
                  SECTION 10.04     Confidentiality..............................................................73
                  SECTION 10.05     Expenses.....................................................................73
                  SECTION 10.06     Indemnity....................................................................73
                  SECTION 10.07     CHOICE OF LAW................................................................74
                  SECTION 10.08     No Waiver....................................................................74
                  SECTION 10.09     Extension of Maturity........................................................74
                  SECTION 10.10     Amendments, etc..............................................................74
                  SECTION 10.11     Severability.................................................................75
                  SECTION 10.12     Headings.....................................................................76
                  SECTION 10.13     Execution in Counterparts....................................................76
                  SECTION 10.14     Prior Agreements.............................................................76
                  SECTION 10.15     Further Assurances...........................................................76
                  SECTION 10.16     WAIVER OF JURY TRIAL.........................................................76

ANNEX A           -        Commitment Amounts
EXHIBIT A-1       -        Form of Interim Order
EXHIBIT A-2       -        Form of Final Order
EXHIBIT B         -        Form of Security and Pledge Agreement
EXHIBIT C         -        Form of Opinion of Counsel
EXHIBIT D         -        Form of Assignment and Acceptance
EXHIBIT E         -        Form of Borrowing Base Certificate

SCHEDULE 3.05     -        Subsidiaries
SCHEDULE 3.07     -        Compliance with Law
SCHEDULE 3.06     -        Liens
SCHEDULE 3.11     -        Litigation
SCHEDULE 3.12     -        Health Care Permits
SCHEDULE 6.11     -        Disposition of Assets

                                       iv


                     REVOLVING CREDIT AND GUARANTY AGREEMENT
                            Dated as of June 22, 2000

                  REVOLVING CREDIT AND GUARANTY AGREEMENT, dated as of June 22,
2000, among GENESIS HEALTH VENTURES, INC., a Pennsylvania corporation (the
"Borrower"), a debtor and debtor-in-possession in a case pending under Chapter
11 of the Bankruptcy Code, and each of the direct or indirect subsidiaries of
the Borrower signatory hereto (each a "Guarantor" and collectively, the
"Guarantors"), each of which Guarantors referred to in this paragraph is a
debtor and debtor-in-possession in a case pending under Chapter 11 of the
Bankruptcy Code (the cases of the Borrower and the Guarantors, each a "Case" and
collectively, the "Cases"), MELLON BANK, N.A., a national banking association
("Mellon") as Arranger, FIRST UNION NATIONAL BANK, as Syndication Agent, GOLDMAN
SACHS CREDIT PARTNERS L.P., as Documentation Agent, THE CHASE MANHATTAN BANK, as
Co-Agent, each of the other financial institutions from time to time party
hereto (each of the foregoing financial institutions, together with Mellon, the
"Banks") and MELLON BANK, N.A., a national banking association, as
administrative agent (in such capacity, the "Agent") for the Banks.

                             INTRODUCTORY STATEMENT

                  On June 22, 2000, the Borrower and the Guarantors filed
voluntary petitions with the Bankruptcy Court initiating the Cases and have
continued in the possession of their assets and in the management of their
business pursuant to Sections 1107 and 1108 of the Bankruptcy Code.

                  The Borrower has applied to the Banks for a revolving credit
and letter of credit facility in an aggregate principal amount not to exceed
$250,000,000, all of the Borrower's obligations under which are to be guaranteed
by the Guarantors.

                  The proceeds of the Loans will be used (i) for working capital
and other general corporate purposes of the Borrower and the Guarantors
consistent with the Budget hereinafter referred to (including periodic updates
thereof) and (ii) to repay the obligations of the Borrower and the Guarantors
under the Tranche II Revolver under the Existing Credit Agreement.

                  To provide guarantees and security for the repayment of the
Loans, the reimbursement of any draft drawn under a Letter of Credit and the
payment of the other obligations of the Borrower and the Guarantors hereunder
and under the other Loan Documents (including, without limitation, the
Obligations of the Borrower under Section 6.03(viii)), the Borrower and the
Guarantors will provide to the Agent and the Banks the following (each as more
fully described herein):

                  (1) a guaranty from each of the Guarantors of the due and
punctual payment and performance of the obligations of the Borrower hereunder;




                  (2) an allowed administrative expense claim in each of the
Cases pursuant to Section 364(c)(1) of the Bankruptcy Code having priority over
all administrative expenses of the kind specified in Sections 503(b) and 507(b)
of the Bankruptcy Code;

                  (3) perfected first priority Liens, pursuant to Section
364(c)(2) of the Bankruptcy Code, upon all unencumbered property of the Borrower
and the Guarantors (including, without limitation, all Accounts arising on and
after the Filing Date (except as otherwise provided in the Orders, it being
understood that any such Accounts on which the Agent and the Banks do not have
such perfected first priority Liens shall be excluded from the Borrowing Base)
but excluding assets subject to Permitted Adequate Protection Liens and other
Permitted Liens and also excluding bankruptcy causes of action (it being
understood that, notwithstanding such exclusion, the proceeds of such causes of
action shall be available for the repayment of the Obligations)) and on all cash
and cash equivalents in the Letter of Credit Account, provided that following
the Termination Date, amounts in the Letter of Credit Account shall not be
subject to the Carve-Out hereinafter referred to;

                  (4) perfected Liens, pursuant to Section 364(c)(3) of the
Bankruptcy Code, upon all property of the Borrower and the Guarantors (other
than the property referred to in paragraph (e) below that is subject to the
existing Liens that presently secure the Borrower's and Guarantors' pre-petition
Indebtedness under the Existing Agreements and other than pharmaceutical
supplies and merchandise supplied by Cardinal and the proceeds thereof) that is
subject to valid and perfected Liens in existence on the Filing Date (including
without limitation Accounts in existence as of the Filing Date that are subject
to valid and perfected Liens in favor of the Real Estate Financiers) or to valid
liens in existence on the Filing Date that are perfected subsequent to the
Filing Date as permitted by Section 546(b) or 362(b)(18) of the Bankruptcy Code
or to Permitted Liens, junior to such valid and perfected Liens; and

                  (5) perfected priming Liens, pursuant to Section 364(d)(1) of
the Bankruptcy Code, upon all property of the Borrower and the Guarantors that
is subject to (A) the existing Liens that presently secure the Borrower's and
Guarantors' pre-petition Indebtedness under or in connection with (x) the
Existing Credit Agreement and all instruments and agreements referred to therein
(including, without limitation, under Existing Interest Rate Hedging Agreements)
and (y) the Synthetic Lease Facility (but subject to any Liens to which the
Liens being primed hereby are subject on the Filing Date) and (B) any Liens
granted after the Filing Date to provide adequate protection in respect of the
Existing Agreements, which first priority priming Liens in favor of the Agent
and the Banks shall be senior in all respects to all of such existing Liens
under or in connection with the Existing Agreements, and to any Liens granted
after the Filing Date to provide adequate protection in respect thereof.

                  All of the claims and the Liens granted hereunder in the Cases
to the Agent and the Banks shall be subject to the Carve-Out to the extent
provided in Section 2.23.

                  Accordingly, the parties hereto hereby agree as follows:

                                       2



(2) DEFINITIONS

         (1) Defined Terms.

                  As used in this Agreement, the following terms shall have the
meanings specified below:

                  "Account" means with respect to any Account Debtor, any right
to payment for goods sold or leased or for services rendered, whether or not
earned by performance.

                  "Account Debtor" shall mean, with respect to any Account, the
obligor with respect to such Account.

                  "Additional Credit" shall have the meaning given such term in
Section 4.02(d) hereof.

                  "Adjusted LIBOR Rate" shall mean, with respect to any
Eurodollar Borrowing for any Interest Period, an Interest Rate per annum
determined by the Agent by dividing (the resulting quotient to be rounded upward
to the nearest 1/100 of 1%) (A) the rate of interest (which shall be the same
for each day in such Interest Period) determined in good faith by the Agent
(which determination shall be conclusive) to be the average of the rates per
annum for deposits in Dollars offered to major money center banks in the London
interbank market at approximately 11:00 a.m., London time, two Business Days
prior to the first day of the applicable Interest Period for delivery on the
first day of such Interest Period in similar amounts and maturities as the
proposed Eurodollar Borrowing by (B) a number equal to 1.0 minus the Statutory
Reserve.

                  "Affiliate" shall mean, as to any Person, any other Person
which, directly or indirectly, is in control of, is controlled by, or is under
common control with, such Person. For purposes of this definition, a Person (a
"Controlled Person") shall be deemed to be "controlled by" another Person (a
"Controlling Person") if the Controlling Person possesses, directly or
indirectly, power to direct or cause the direction of the management and
policies of the Controlled Person whether by contract or otherwise.

                  "Agent" shall have the meaning set forth in the Introduction.

                  "Agreement" shall mean this Revolving Credit and Guaranty
Agreement, as the same may from time to time be further amended, modified or
supplemented.

                  "Assignment and Acceptance" shall mean an assignment and
acceptance entered into by a Bank and an Eligible Assignee, and accepted by the
Agent, substantially in the form of Exhibit D.

                  "Bankruptcy Code" shall mean The Bankruptcy Reform Act of
1978, as heretofore and hereafter amended, and codified as 11 U.S.C. Section 101
et seq.

                  "Bankruptcy Court" shall mean the United States Bankruptcy
Court for the District of Delaware or any other court having jurisdiction over
the Cases from time to time.

                                       3


                  "Banks" shall have the meaning set forth in the Introduction.

                  "Board" shall mean the Board of Governors of the Federal
Reserve System of the United States.

                  "Borrower" shall have the meaning set forth in the
Introduction.

                  "Borrowing" shall mean the incurrence of Loans of a single
Type made from all the Banks on a single date and having, in the case of
Eurodollar Loans, a single Interest Period (with any Prime Rate Loan made
pursuant to Section 2.16 being considered a part of the related Borrowing of
Eurodollar Loans).

                  "Borrowing Base" means, an amount equal to the sum, without
duplication of (i) 90% of Eldercare Centers Eligible Accounts Receivable, (ii)
90% of Neighborcare Eligible Accounts Receivable minus Contractual Allowance,
(iii) 90% of Rehabilitation Services Eligible Accounts Receivable, (iv) 90% of
Other Divisions Eligible Accounts Receivable and (v) the Real Property
Component; provided that in no event shall the contribution to the Borrowing
Base for any Division be less than zero. The Borrowing Base shall be computed as
of the end of each fiscal month; provided that the Borrowing Base in effect at
any time shall be determined by reference to the most recent Borrowing Base
Certificate delivered to the Agent, absent any error in such Borrowing Base
Certificate. Borrowing Base component definitions may be fixed and revised from
time to time solely by the Agent in the exercise of its reasonable judgment,
with any changes in such definitions to be effective 10 days after delivery of
notice thereof to the Borrower.

                  "Borrowing Base Certificate" shall have the meaning set forth
in Section 5.06.

                  "Budget" shall have the meaning set forth in Section 4.01(i).

                  "Business Day" shall mean any day except a Saturday, Sunday or
other day on which banks in the States of Pennsylvania or New York are required
or permitted to close (and, for a Letter of Credit, other than a day on which
the Fronting Bank issuing such Letter of Credit is closed); provided, however,
that when used in connection with a Eurodollar Loan, the term "Business Day"
shall also exclude any day on which banks are not open for dealings in Dollar
deposits on the London Interbank Market.

                  "Capital Expenditures" shall mean, for any period, the
aggregate of all expenditures (whether (1) paid in cash and not theretofore
accrued subsequent to the date of this Agreement or (2) not previously paid in
cash but accrued as liabilities during such period and including that portion of
Capitalized Leases which is capitalized on the consolidated balance sheet of the
Borrower and the Guarantors), net of cash amounts received by the Borrower and
the Guarantors from other Persons during such period in reimbursement of Capital
Expenditures made by the Borrower and the Guarantors, excluding interest
capitalized during construction, by the Borrower and the Guarantors during such
period that, in conformity with GAAP, are required to be included in or
reflected by the property, plant, equipment or similar fixed asset accounts
reflected in the consolidated balance sheet of the Borrower and the Guarantors


                                       4


(including equipment which is purchased simultaneously with the trade-in of
existing equipment owned by the Borrower or any of the Guarantors to the extent
of the gross amount of such purchase price less the book value of the equipment
being traded in at such time), but excluding expenditures made in connection
with the replacement or restoration of assets, to the extent reimbursed or
financed from insurance proceeds paid on account of the loss of or the damage to
the assets being replaced or restored, or from awards of compensation arising
from the taking by condemnation or eminent domain of such assets being replaced.

                  "Capital Stock" shall mean any and all shares, interests,
participations or other equivalents (however designated) of capital stock of a
corporation, any and all equivalent ownership interests in a Person (other than
a corporation) and any and all warrants, rights or options to purchase any of
the foregoing.

                  "Capitalized Lease" shall mean, as applied to any Person, any
lease of property by such Person as lessee which would be capitalized on a
balance sheet of such Person prepared in accordance with GAAP.

                  "Cardinal" shall mean Cardinal Health, Inc., an Ohio
corporation, and its subsidiaries.

                  "Carve-Out" shall have the meaning set forth in Section 2.23.

                  "Cases" shall mean the Chapter 11 Cases of the Borrower and
each of the Guarantors pending in the Bankruptcy Court.

                  "Change of Control" shall mean (i) the acquisition of
ownership, directly or indirectly, beneficially or of record, by any Person or
group (within the meaning of the Securities Exchange Act of 1934 and the rules
of the Securities and Exchange Commission thereunder as in effect on the date
hereof), of shares representing more than 30% of the aggregate ordinary voting
power represented by the issued and outstanding capital stock of the Borrower;
or (ii) the occupation of a majority of the seats (other than vacant seats) on
the Board of Directors of the Borrower, after the Filing Date, by Persons who
were neither (A) nominated by the Board of Directors of the Borrower nor (B)
appointed by directors so nominated.

                  "Closing Date" shall mean the date on which this Agreement has
been executed and the conditions precedent to the making of the initial Loans
set forth in Section 4.01 have been satisfied or waived, which date shall occur
promptly upon entry of the Interim Order, but not later than 15 days following
the Filing Date.

                  "Code" shall mean the Internal Revenue Code of 1986, as
amended from time to time, and the regulations promulgated and rulings issued
thereunder.

                  "Collateral" shall mean the Collateral under the Security and
Pledge Agreement.

                                       5


                  "Collateral Agency Agreement" shall mean that certain Fourth
Amended and Restated Collateral Agency Agreement dated as of August 20, 1999 by
and among the Borrower, the Pre-Petition Agent, the Synthetic Lease Facility
Agent and the Collateral Agent.

                  "Collateral Agent" shall mean Mellon, as collateral agent for
the secured parties under the Collateral Agency Agreement (together with any
successor thereto).

                  "Commitment" shall mean, with respect to each Bank, the
commitment of each Bank hereunder in the amount set forth opposite its name on
Annex A hereto or as may subsequently be set forth in the Register from time to
time, as the same may be reduced from time to time pursuant to this Agreement.

                  "Commitment Fee" shall have the meaning set forth in Section
2.20.

                  "Commitment Letter" shall mean that certain Commitment Letter
dated June 21, 2000 between Mellon and the Borrower.

                  "Commitment Percentage" shall mean at any time, with respect
to each Bank, the percentage obtained by dividing its Commitment at such time by
the Total Commitment at such time.

                  "Consummation Date" shall mean the date of the substantial
consummation (as defined in Section 1101 of the Bankruptcy Code and which for
purposes of this Agreement shall be no later than the effective date) of a
Reorganization Plan of the Borrower or any of the Guarantors (other than a De
Minimis Guarantor) that is confirmed pursuant to an order of the Bankruptcy
Court.

                  "Contractual Allowance" shall mean, at the time of any
determination thereof, the amount that is recorded on the Borrower's
consolidated balance sheet in accordance with GAAP (on a basis consistent with
the historical practices of the Borrower as of the date hereof) as representing
the difference between the gross amount of the Accounts of the Borrower and the
Guarantors and the amounts actually billed to customers based on contractual
pricing arrangements in effect with such customers (it being understood that the
Contractual Allowance shall not include a reserve for bad debts or other
reserves relating to collectability).

                  "Contractual Obligation" shall mean, as to any Person, any
provision of any security issued by such Person or of any agreement, instrument
or other undertaking to which such Person is a party or by which it or any of
its Property is bound.

                  "Division" shall mean, as of any date, a functional entity of
the Borrower such as Neighborcare and medical supply operations
("Neighborcare"), "Eldercare Centers", "Rehabilitation Services" and all "Other
Divisions" in the aggregate.

                  "De Minimis Guarantor" shall mean, at the time of any
determination thereof, one or more Guarantors having assets with a book value in
the aggregate of less than $6,000,000.

                  "Dollars" and "$" shall mean lawful money of the United States
of America.

                                       6


                  "EBITDA" shall mean, for any period, all as determined in
accordance with GAAP, the consolidated net income (or net loss) of the Borrower
and the Guarantors for such period, plus (a) the sum of (i) depreciation
expense, (ii) amortization expense, (iii) other non-cash expenses, (iv)
provision for LIFO adjustment for inventory valuation, (v) net total Federal,
state and local income tax expense, (vi) gross interest expense for such period
less gross interest income for such period, (vii) extraordinary losses, (viii)
any non-recurring charge or restructuring charge, (ix) the cumulative effect of
any change in accounting principles and (x) "Chapter 11 expenses" (or
"administrative costs reflecting Chapter 11 expenses") as shown on the
Borrower's consolidated statement of income for such period less (b)
extraordinary gains plus or minus (c) the amount of cash received or expended,
as the case may be, in such period in respect of any amount which, under clauses
(iii) and (viii) above, was taken into account in determining EBITDA for such or
any prior period.

                  "ElderTrust" shall mean ElderTrust, a Maryland real estate
investment trust.

                  "Eligible Accounts Receivable" means, at the time of any
determination thereof, each Account that satisfies the following criteria at the
time of creation and continues to meet the same at the time of such
determination: such Account (i) arose from a completed, outright and lawful sale
of goods or from the completed performance of patient-related services by the
Borrower, any Guarantor or any Division in the ordinary course of business of
the Borrower, any Guarantor or Division and in a manner consistent with current
and historical business practices and (ii) is not ineligible for inclusion in
the calculation of the Eligible Accounts Receivable pursuant to any of clauses
(a) through (p) below or otherwise reasonably deemed by the Agent in good faith
to be ineligible for inclusion in the calculation of Eligible Account Receivable
as described below.

                  Without limiting the foregoing, to qualify as an Eligible
Account Receivable, an Account shall indicate as sole payee and as sole
remittance party the Borrower, any Guarantor or any Division. In determining the
amount to be so included, the face amount of an Account or Accounts shall be
reduced by, without duplication, to the extent not reflected in such face
amount, (a) the amount of all accrued and actual returns, contractual
adjustments, discounts, claims, credits or credits pending, charges, price
adjustments, freight or other allowances (including any amount that the Borrower
or a Division, as applicable, may be obligated to rebate to a customer pursuant
to the terms of any agreement or understanding (written or oral)), (b) the
aggregate amount of all limits and deductions provided for in this definition
and elsewhere in this Agreement, (c) the aggregate amount of all cash received
in respect of such Account but not yet applied by the Borrower or the applicable
Division to reduce the amount of such Account; and (d) the aggregate amount,
without duplication, of reconciling items which reduce otherwise Eligible
Accounts Receivable to the amounts shown on the Borrower's consolidated
financial statements. Unless otherwise approved from time to time in writing by
the Agent, no Account shall be an Eligible Accounts Receivable if, without
duplication:

                  (1) such Account represents charges for which a bill, claim,
or other similar form used for billing purposes has not been generated as of the
date of any determination thereof (unless such bill, claim or other similar form
for such Account has been generated prior to the delivery of the Borrowing Base
Certificate as to Eligible Accounts Receivable on such date); or

                                       7


                  (2) such Account arises out of a cost report settlement or
other similar transaction; or

                  (3) such Account arises out of a sale made by the Borrower or
a Division to an Affiliate of the Borrower or a Division or an Affiliate of any
subsidiary of the Borrower or Division; or

                  (4) such Account (i) is unpaid more than 120 days with respect
to an invoice date aging; (ii) has been written off the accounting records of
the Borrower or a Division or has been otherwise designated on such accounting
records as uncollectible; or

                  (5) the Account Debtor with respect to such Account (i) is a
creditor of the Borrower, Guarantor or the respective Division, (ii) has or has
asserted a right of set off against the Borrower, Guarantor or its respective
Division and (iii) has disputed its liability (whether by chargeback or
otherwise) or made any claim with respect to the Account which has not been
resolved, in each case, without duplication, only to the extent of the amount
owed to each Account Debtor by the Borrower, Guarantor or respective Division,
provided that the total amount deducted from Eligible Accounts Receivable with
respect to such Account Debtor shall not exceed the aggregate amount of all
Accounts owed by such Account Debtor to the Borrower, Guarantor or respective
Division; or

                  (6) the Account Debtor is insolvent or the subject of any
bankruptcy case or insolvency proceeding of any kind; or

                  (7) the Account is not payable in Dollars or the Account
Debtor is either not incorporated under the laws of the United States of
America, any state thereof or the District of Columbia or is located outside or
has its principal place of business or substantially all of its assets outside
the United States; or

                  (8) the sale to the Account Debtor is on a bill-and-hold,
guaranteed sale, extended terms or consignment or other similar basis; or

                  (9) such Account does not comply in all material respects with
the requirements of any applicable laws and regulations, whether federal, state
or local (including Health Care Laws such as the rules and regulations of
Governmental Authorities, JCAHO and other organizations exercising similar
quasi-governmental or accreditation authority over hospitals or other
facilities, the federal Consumer Credit Protection Act, the federal Truth in
Lending Act and Regulation Z of the Board); or,

                  (10) such Account represents an amount due directly from a
patient or the estate of a patient or amounts classified as attorney for
collection on the Borrower's books and records and not from a third party
reimbursement agency,

                                       8


                  (11) such Account represents an amount for which the
third-party reimbursement agency is not obligated to pay because it has not yet
been determined whether the patient meets all eligibility requirements.

                  (12) such Account (i) is not solely and lawfully owned by the
Borrower, Guarantor or a Division or the Borrower, Guarantor or Division does
not have absolute title to such Account, (ii) is not subject to a valid and
perfected first priority Lien in favor of the Agent for the benefit of the
Banks, or (iii) does not otherwise conform in all material respects to the
representations and warranties contained in the Loan Documents relating to
Accounts.

                  (13) Such Account is a Medicare or other federal governmental
authority account, other than amounts owed from the Veterans Administration.

                  (14) as to all or any part of such Account, a check,
promissory note, draft, trade acceptance or other instrument for the payment of
money has been received, presented for payment and returned uncollected for any
reason.

                  (15) such account is an Account of single Account Debtor other
than a Medicaid Account Debtor which, in the aggregate, exceed 15% of the total
amount of all gross Accounts for the applicable Division to the extent of such
excess; or

                  (16) Such Account is not carried on an accounts receivable
sub-ledger and aged in the normal course of business, including, without
limitation certain Medicare Part B accounts (referred to in the Borrowing Base
Certificate as "Unaged Accounts");

                  Notwithstanding the foregoing, "Eligible Accounts Receivable"
shall not include any individual Account that: was generated through the
provision of goods or services at any Health Care Facility that (x) has lost its
accreditation from JCAHO or (y) has lost its ability to provide reimbursed
services for federally or state funded programs.

                  "Eligible Assignee" shall mean (i) a Bank; (ii) an Affiliate
of a Bank; (iii) a commercial bank organized under the laws of the United
States, or any State thereof, and having a combined capital and surplus of at
least $1,000,000,000.00; (iv) a savings and loan association or savings bank
organized under the laws of the United States, or any State thereof, and having
a combined capital and surplus of at least $1,000,000,000.00; (v) a commercial
bank organized under the laws of any other country that is a member of the
Organization for Economic Cooperation and Development or has concluded special
lending arrangements with the International Monetary Fund associated with its
General Arrangements to Borrow or under the laws of a political subdivision of
any such country, and having a combined capital and surplus of at least
$1,000,000,000.00, so long as such bank is acting through a branch or agency
located in the United States; (vi) a finance company, insurance company or other
financial institution or fund (whether a corporation, partnership, trust or
other entity) that is engaged in making, purchasing or otherwise investing in
commercial loans in the ordinary course of its business and that has combined
capital and surplus or total assets of at least $500,000,000.00; (vii) any other
financial institution satisfactory to the Borrower and the Agent; and (viii)
with respect to any Bank that is a fund, any other fund with assets in excess of
$100,000,000.00 that invests in bank loans and is managed by the same investment
advisor as such Bank; provided, however, that neither the Borrower nor any
Affiliate of the Borrower shall qualify as an Eligible Assignee under this
definition.

                                       9


                  "Eligible Eldercare Center" shall mean a geriatric care or
assisted living facility that (x) is owned by the Borrower or a Guarantor
subject to no Liens securing Indebtedness other than the Liens securing the
obligations of the Borrower and the Guarantors under or in connection with this
Agreement and the Existing Agreements, (y) has had a positive EBITDA (calculated
for such facility on a stand alone basis) for the six fiscal months ended on the
last day of the most recent month for which financial statements have been
delivered pursuant to Section 5.01(c) and (z) has not received from the state in
which such facility is licensed a citation on Form HCFA 2567 showing a
deficiency classification of J, K or L or any termination notice that is
effective within 30 days of receipt.

                  "Environmental Lien" shall mean a Lien in favor of any
Governmental Authority for (i) any liability under Federal or state
environmental laws or regulations, or (ii) damages arising from or costs
incurred by such Governmental Authority in response to a release or threatened
release of a hazardous or toxic waste, substance or constituent into the
environment.

                  "ERISA" shall mean the Employee Retirement Income Security Act
of 1974, as amended from time to time, and the regulations promulgated and
rulings issued thereunder.

                  "ERISA Affiliate" shall mean any trade or business (whether or
not incorporated) which is a member of a group of which the Borrower is a member
and which is under common control within the meaning of Section 414(b) or (c) of
the Code, and for the purpose of Section 302 of ERISA and/or Section 412, 4971,
4977 and/or each "applicable section" under Section 414(t)(2) of the Code,
within the meaning of Section 414(b), (c), (m) or (o) of the Code.

                  "Eurocurrency Liabilities" shall have the meaning assigned
thereto in Regulation D issued by the Board as in effect from time to time.

                  "Eurodollar Borrowing" shall mean a Borrowing comprised of
Eurodollar Loans.

                  "Eurodollar Loan" shall mean any Loan bearing interest at a
rate determined by reference to the Adjusted LIBOR Rate in accordance with the
provisions of Section 2.

                  "Event of Default" shall have the meaning given such term in
Section 7.

                  "Existing Agreements" shall mean the Existing Credit
Agreement, the Synthetic Lease Facility and the Existing Interest Rate Hedging
Agreements and all of the other agreements granting security interests and Liens
in property and assets of the Borrower and the Guarantors to the Existing
Lenders.

                  "Existing Co-Agents" shall mean Citicorp USA, Inc., First
Union National Bank and Bank of America, N.A. (as successor to NationsBank, N.A.
and Bank of America N.T. & S.A.), in their role as co-agents under the Existing
Credit Agreement.

                                       10


                  "Existing Credit Agreement" shall mean that certain Fourth
Amended and Restated Credit Agreement dated as of August 20, 1999 as heretofore
amended, restated, supplemented or otherwise modified by and among Genesis
Health Ventures, Inc. and certain of its subsidiaries, as borrowers, the
financial institutions from time to time party thereto as lenders (together with
any successors or assigns), Mellon Bank, N.A., as issuer of letters of credit,
Mellon Bank, N.A., as administrative agent, Citicorp USA, Inc., as syndication
agent, First Union National Bank, as documentation agent and Bank of America,
N.A. (as successor to NationsBank, N.A. and Bank of America N.T. & S.A.), as
syndication agent.

                  "Existing Interest Rate Hedging Agreement" shall mean a "Swap
Agreement" as such term is defined in the Collateral Agency Agreement.

                  "Existing Lenders" shall mean, collectively, those certain
lenders to the Borrower and the Guarantors (to the extent party thereto) under
any of the Existing Agreements and the Swap Party under the Existing Interest
Rate Hedging Agreements, together with any successors or assigns thereof.

                  "Existing Shared Collateral" shall mean collectively the
"Joint Stock Collateral" and the "Additional Security" as such terms are defined
in the Collateral Agency Agreement.

                  "Federal Funds Rate" for any day shall mean the rate per annum
determined by the Agent (which determination shall be conclusive) to be the rate
per annum announced by the Federal Reserve Bank of New York on such day as being
the weighted average of the rates on overnight Federal funds transactions
arranged by federal funds brokers on the previous trading day, or, if such
Federal Reserve Bank does not announce such rate on any day, the rate for the
last day on which such rate was announced.

                  "Fees" shall collectively mean the Commitment Fees, Letter of
Credit Fees and other fees referred to in Sections 2.19, 2.20 and 2.21.

                  "Filing Date" shall mean June 22, 2000.

                  "Final Order" shall have the meaning given such term in
Section 4.02(d).

                  "Financial Officer" shall mean the Chief Financial Officer or
Treasurer of the Borrower, Controller or, in the case of a Guarantor, any Vice
President in charge of financial matters).

                  "Fronting Bank" shall mean Mellon or such other Bank (which
other Bank shall be reasonably satisfactory to the Borrower) as may agree with
Mellon to act in such capacity.

                  "GAAP" shall mean generally accepted accounting principles
applied in accordance with Section 1.02.

                  "Genesis" shall mean Genesis Health Ventures, Inc., a
Pennsylvania corporation, and its direct and indirect subsidiaries (excluding
Multicare).

                                       11


                  "Governmental Authority" shall mean any Federal, state,
municipal or other governmental department, commission, board, bureau, agency or
instrumentality or any court, in each case whether of the United States or
foreign.

                  "Guarantor" shall have the meaning set forth in the
Introduction.

                  "Health Care Facility" shall mean any ownership or leasehold
interest in a facility which provides any level of geriatric care, home care,
medical care (including, without limitation, sub-acute care), assisted living or
rehabilitative services, whether licensed as a skilled nursing facility,
intermediate care facility, personal care facility, out-patient clinic or
hospital (including, without limitation, any long-term acute care hospital) or
any products or services reasonably related thereto.

                  "Health Care Law" shall mean any and all applicable current
and future laws, rules, regulations, codes, ordinances, orders, decrees,
judgments, injunctions or binding agreements issued, promulgated or entered into
by the Food and Drug Administration, the Health Care Financing Administration,
the Department of Health and Human Services ("HHS"), the Office of Inspector
General of HHS, the Drug Enforcement Administration or any other Governmental
Authority, including any state and/or local professional licensing laws,
certificate of need laws and state reimbursement laws, in each case relating in
any way to the conduct of the business of the Borrower or any Subsidiary and the
provision of health care services generally.

                  "Health Care Permit" shall mean every accreditation,
authorization, certificate of need, license or permit that is required by any
applicable Governmental Authority to own, lease, operate or manage a Health Care
Facility of the Borrower or any of its Subsidiaries (excluding Multicare).

                  "Indebtedness" shall mean, at any time and with respect to any
Person, and without duplication (i) all indebtedness of such Person for borrowed
money, (ii) all indebtedness of such Person for the deferred purchase price of
property or services (other than property, including inventory, and services
purchased, and expense accruals and deferred compensation items arising, in the
ordinary course of business), (iii) all obligations of such Person evidenced by
notes, bonds, debentures or other similar instruments (other than performance,
surety and appeal bonds arising in the ordinary course of business), (iv) all
indebtedness of such Person created or arising under any conditional sale or
other title retention agreement with respect to property acquired by such Person
(even though the rights and remedies of the seller or lender under such
agreement in the event of default are limited to repossession or sale of such
property), (v) all obligations of such Person under leases which have been or
should be, in accordance with GAAP, recorded as capital leases, to the extent
required to be so recorded, (vi) all reimbursement, payment or similar
obligations of such Person, contingent or otherwise, under acceptance, letter of
credit or similar facilities and all obligations of such Person in respect of
(x) currency swap agreements, currency future or option contracts and other
similar agreements designed to hedge against fluctuations in foreign interest
rates and (y) interest rate swap, cap or collar agreements and interest rate
future or option contracts; (vii) all Indebtedness referred to in clauses (i)
through (vi) above guaranteed directly or indirectly by such Person, or in
effect guaranteed directly or indirectly by such Person through an agreement (A)
to pay or purchase such Indebtedness or to advance or supply funds for the
payment or purchase of such Indebtedness, (B) to purchase, sell or lease (as
lessee or lessor) property, or to purchase or sell services, primarily for the


                                       12


purpose of enabling the debtor to make payment of such Indebtedness or to assure
the holder of such Indebtedness against loss in respect of such Indebtedness,
(C) to supply funds to or in any other manner invest in the debtor (including
any agreement to pay for property or services irrespective of whether such
property is received or such services are rendered) or (D) otherwise to assure a
creditor against loss in respect of such Indebtedness, and (viii) all
Indebtedness referred to in clauses (i) through (vii) above secured by (or for
which the holder of such Indebtedness has an existing right, contingent or
otherwise, to be secured by) any Lien upon or in property (including, without
limitation, accounts and contract rights) owned by such Person, even though such
Person has not assumed or become liable for the payment of such Indebtedness.

                  "Insufficiency" shall mean, with respect to any Plan, the
amount, if any, of its unfunded benefit liabilities within the meaning of
Section 4001(a)(18) of ERISA.

                  "Interest Payment Date" shall mean (i) as to any Eurodollar
Loan, the last day of each consecutive 30 day period running from the
commencement of the applicable Interest Period and (ii) as to all Prime Rate
Loans, the last calendar day of each month and the date on which any Prime Rate
Loans are refinanced with Eurodollar Loans pursuant to Section 2.12.

                  "Interest Period" shall mean, as to any Borrowing of
Eurodollar Loans, (a) initially, the period commencing on the date of such
Borrowing (including as a result of a refinancing of Prime Rate Loans) and
ending one, two or three months thereafter as the Borrower may elect pursuant to
Section 2.06(b), each period commencing on the day after the last day of the
preceding Interest Period and ending one or three months thereafter, as the
Borrower may elect pursuant to Section 2.06(b) or 2.12, provided, however, if
any such Interest Period would otherwise end on a day which is not a Business
Day, such Interest Period shall be extended to the next succeeding Business Day
unless the result of such extension would be to carry such Interest Period into
another calendar month in which event such Interest Period shall end on the
immediately preceding Business Day and provided, further, if any such Interest
Period begins on a day for which there is no numerically corresponding day in
the calendar month at the end of such Interest Period (as may be the case with
an Interest Period commencing at the end of a calendar month) the Interest
Period shall end on the last Business Day of the relevant calendar month.

                  "Interim Order" shall have the meaning given such term in
Section 4.02(d).

                  "Investments" shall have the meaning given such term in
Section 6.10.

                  "JCAHO" shall mean the Joint Commission on Accreditation of
Healthcare Organizations, or any similar successor organization thereto.

                  "Letter of Credit" shall mean any irrevocable letter of credit
issued pursuant to Section 2.03, which letter of credit shall be (i) a standby
letter of credit, (ii) issued for purposes that are consistent with the ordinary
course of business of the Borrower or any Guarantor, or for such other purposes
as are reasonably acceptable to the Agent (including, without limitation, the
replacement at the request of the Borrower of any expiring standby letter of
credit issued under the Existing Credit Agreement), (iii) denominated in Dollars
and (iv) otherwise in such form as may be reasonably approved from time to time
by the Agent and the applicable Fronting Bank.

                                       13


                  "Letter of Credit Account" shall mean the account established
by the Borrower under the sole and exclusive control of the Agent maintained at
the office of the Agent at One Mellon Bank Center, Pittsburgh, Pennsylvania,
15258 designated as the "Genesis Health Ventures, Inc. Letter of Credit Account"
that shall be used solely for the purposes set forth in Sections 2.03(b) and
2.13.

                  "Letter of Credit Fees" shall mean the fees payable in respect
of Letters of Credit pursuant to Section 2.21.

                  "Letter of Credit Outstandings" shall mean, at any time, the
sum of (i) the aggregate undrawn stated amount of all Letters of Credit then
outstanding plus (ii) all amounts theretofore drawn under Letters of Credit and
not then reimbursed.

                  "Lien" shall mean any mortgage, pledge, security interest,
encumbrance, lien or charge of any kind whatsoever (including any conditional
sale or other title retention agreement or any lease in the nature thereof).

                  "Loan" shall have the meaning given such term in Section 2.01.

                  "Loan Documents" shall mean this Agreement, the Letters of
Credit, the Security and Pledge Agreement and any other instrument or agreement
executed and delivered in connection herewith.

                  "Material Adverse Effect" shall mean a material adverse effect
on (a) the business, assets, property, condition (financial or otherwise) or
prospects of the Borrower and the Guarantors taken as a whole or (b) the
validity or enforceability of this Agreement or any of the other Loan Documents
or the rights or remedies of the Agent or the Banks hereunder or thereunder;
provided, that a Material Adverse Effect shall not be deemed to have occurred
solely on account of the commencement of the Cases or on account of facts and
circumstances disclosed in writing to the Banks prior to the Filing Date.

                  "Maturity Date" shall mean December 21, 2001.

                  "Mellon" means Mellon Bank, N.A., a national banking
association, and any successor or assign thereof.

                  "Medicaid Account Debtor" shall mean any Account Debtor which
is (i) any state or the District of Columbia acting pursuant to a health plan
adopted pursuant to Title XIX of the Social Security Act or (ii) any agent,
carrier, administrator or intermediary for any of the foregoing.

                                       14


                  "Multicare" shall mean Genesis ElderCare Corp. and The
Multicare Companies, Inc. or their respective subsidiaries.

                  "Multicare Management Agreement" shall mean that certain
Management Agreement dated as of October 9, 1997 by and between Genesis
ElderCare Network Services, Inc. and Multicare.

                  "Multiemployer Plan" shall mean a "multiemployer plan" as
defined in Section 4001(a)(3) of ERISA, which is maintained or contributed to by
(or to which there is an obligation to contribute of) the Borrower or an ERISA
Affiliate, and each such plan for the five year period immediately following the
latest date on which the Borrower or an ERISA Affiliate maintained, contributed
to or had an obligation to contribute to such plan to which the Borrower or any
ERISA Affiliate is making or accruing an obligation to make contributions, or
has within any of the preceding five plan years made or accrued an obligation to
make contributions.

                  "Multiple Employer Plan" shall mean a Single Employer Plan,
which (i) is maintained for employees of the Borrower or an ERISA Affiliate and
at least one Person other than the Borrower and its ERISA Affiliates or (ii) was
so maintained and in respect of which the Borrower or an ERISA Affiliate could
have liability under Section 4064 or 4069 of ERISA in the event such Plan has
been or were to be terminated.

                  "Net Proceeds" shall mean, in respect of any sale of assets,
the proceeds of such sale after the payment of or reservation for (i) expenses
that are directly related to (or the need for which arises as a result of) the
transaction of sale, including, but not limited to, related severance costs,
taxes payable, brokerage commissions, professional expenses, escrow fees, title
insurance fees, and other similar costs that are directly related to the sale,
(ii) until such time as the disposition thereof has been determined, escrows or
reserves for purchase price adjustments and similar items (with any excess to
which the seller is entitled becoming part of "Net Proceeds") and (iii) the
amount secured by valid and perfected Liens, if any, that are senior to the
Liens on such assets held by the Agent on behalf of the Banks.

                  "Obligations" shall mean (a) the due and punctual payment of
principal of and interest on the Loans and the reimbursement of all amounts
drawn under Letters of Credit, and (b) the due and punctual payment of the Fees
and all other present and future, fixed or contingent, monetary obligations of
the Borrower and the Guarantors to the Banks and the Agent under the Loan
Documents.

                  "Original Required Banks" shall mean the Banks party to this
Agreement on the date hereof having Commitments representing in excess of 50% of
the Total Commitments.

                  "Orders" shall mean the Interim Order and the Final Order.

                  "Other Taxes" shall have the meaning given such term in
Section 2.18.

                  "PBGC" shall mean the Pension Benefit Guaranty Corporation, or
any successor agency or entity performing substantially the same functions.

                                       15


                  "Permitted Adequate Protection Lien" shall mean (i) a Lien in
favor of any of the Real Estate Financiers in the post-petition Accounts or
other rights to payment relating to a particular Health Care Facility, as
approved by the Bankruptcy Court after notice to the Agent, for the purpose of
providing such holder of Indebtedness with "adequate protection" (as that term
is used in Bankruptcy Code sections 361 through 364) to the extent the ultimate
enforceability of which is dependent upon a determination that (x) such holder
as of the Filing Date held valid, enforceable and non-avoidable Liens in the
prepetition, Accounts, inventory or other rights to payment relating to such
Health Care Facility or inventory, and (y) such holder's interests in such
prepetition Accounts, inventory or other rights to payment are impaired or
diminished as a result of the use, sale or lease of such Accounts, inventory or
other rights to payment by the Borrower or Guarantors during the Cases; or (ii)
other Liens (including a Lien in favor of Cardinal) for adequate protection
approved by Required Lenders and by the Bankruptcy Court.

                  "Permitted Investments" shall mean:

                  (a) direct obligations of, or obligations the principal of and
interest on which are unconditionally guaranteed by, the United States of
America (or by any agency thereof to the extent such obligations are backed by
the full faith and credit of the United States of America), in each case
maturing within twelve months from the date of acquisition thereof;

                  (b) without limiting the provisions of paragraph (d) below,
investments in commercial paper maturing within six months from the date of
acquisition thereof and having, at such date of acquisition, a rating of at
least "A-2" or the equivalent thereof from Standard & Poor's or of at least
"P-2" or the equivalent thereof from Moody's Investors Service, Inc.;

                  (c) investments in certificates of deposit, banker's
acceptances and time deposits (including Eurodollar time deposits) maturing
within six months from the date of acquisition thereof issued or guaranteed by
or placed with (i) any domestic office of the Agent or the bank with whom the
Borrower and the Guarantors maintain their cash management system, provided,
that if such bank is not a Bank hereunder, such bank shall have entered into an
agreement with the Agent pursuant to which such bank shall have waived all
rights of setoff and confirmed that such bank does not have, nor shall it claim,
a security interest therein, except to the extent of chargebacks for returned
items and for fees charged for maintaining such cash management system, or (ii)
any domestic office of any other commercial bank of recognized standing
organized under the laws of the United States of America or any State thereof
that has a combined capital and surplus and undivided profits of not less than
$250,000,000 and is the principal banking Subsidiary of a bank holding company
having a long-term unsecured debt rating of at least "A" or the equivalent
thereof from Standard & Poor's or at least "A-2" or the equivalent thereof from
Moody's Investors Service, Inc.;

                  (d) investments in commercial paper maturing within six months
from the date of acquisition thereof and issued by (i) the holding company of
the Agent or (ii) the holding company of any other commercial bank of recognized
standing organized under the laws of the United States of America or any State
thereof, that has (A) a combined capital and surplus in excess of $250,000,000
and (B) commercial paper rated at least "A-2" or the equivalent thereof from
Standard & Poor's or of at least "P-2" or the equivalent thereof from Moody's
Investors Service, Inc.;

                                       16


                  (e) investments in repurchase obligations with a term of not
more than seven days for underlying securities of the types described in clause
(a) above entered into with any office of a bank or trust company meeting the
qualifications specified in clause (c) above;

                  (f) investments in money market funds substantially all the
assets of which are comprised of securities of the types described in clauses
(a) through (e) above;

                  (g) to the extent owned on the Filing Date, investments in the
capital stock of any direct or indirect Subsidiary of the Borrower;

                  (h) investments in joint ventures held by Subsidiaries on the
Filing Date and additional investments in such joint ventures made after the
Filing Date by such Subsidiaries in an aggregate outstanding amount not in
excess of $5,000,000 subject to receipt by the Agent of a schedule reasonably
satisfactory to the Agent reflecting such investments; and

                  (i) advances and loans by the Borrower and certain Guarantors
to managed properties outstanding on the Filing Date.

                  "Permitted Liens" shall mean (i) Liens imposed by law (other
than Environmental Liens) for unpaid pre-petition taxes and taxes, assessments
or charges of any Governmental Authority for claims not yet due or which are
being contested in good faith by appropriate proceedings or payment of which
have been stayed and with respect to which adequate reserves or other
appropriate provisions are being maintained in accordance with GAAP; (ii) Liens
of landlords and Liens of carriers, warehousemen, mechanics, materialmen and
other Liens (other than Environmental Liens and) in existence on the Filing Date
or thereafter imposed by law and created in the ordinary course of business;
(iii) Liens (other than any Lien imposed under ERISA) incurred or deposits made
in the ordinary course of business (including, without limitation, surety bonds
and appeal bonds) in connection with workers' compensation, unemployment
insurance and other types of social security benefits or to secure the
performance of tenders, bids, leases, contracts (other than for the repayment of
Indebtedness), statutory obligations and other similar obligations or arising as
a result of progress payments under government contracts; (iv) easements
(including, without limitation, reciprocal easement agreements and utility
agreements), rights-of-way, covenants, consents, reservations, encroachments,
variations and zoning and other restrictions, charges or encumbrances (whether
or not recorded) and interest of ground lessors, which do not interfere
materially with the ordinary conduct of the business of the Borrower or any
Guarantor, as the case may be, and which do not materially detract from the
value of the property to which they attach or materially impair the use thereof
to the Borrower or any Guarantor, as the case may be; (v) purchase money Liens
(including Capitalized Leases) upon or in any property acquired or held in the
ordinary course of business to secure the purchase price of such property or to
secure Indebtedness permitted by Sections 6.03(iii),6.03(iv) and 6.03(v) solely
for the purpose of financing the acquisition of such property; (vi) Liens
consisting of rights of patients in respect of patient trust accounts held
pursuant to the Omnibus Budget and Reconciliation Act of 1987, 28 U.S.C.,
ss.483.10(C) and the regulations of the Health Care Financing Administration;
(vii) Liens on unearned premium refunds and policy proceeds incurred in the


                                       17


ordinary course of business in connection with the purchase of casualty, health,
and other types of insurance; (viii) Permitted Adequate Protection Liens; (ix)
other Liens securing other obligations of the Borrower and the Guarantors in an
amount not to exceed $500,000 in the aggregate and (x) extensions, renewals or
replacements of any Lien referred to in paragraphs (i) through (ix) above,
provided that the principal amount of the obligation secured thereby is not
increased and that any such extension, renewal or replacement is limited to the
property originally encumbered thereby.

                  "Person" shall mean any natural person, corporation, division
of a corporation, partnership, trust, joint venture, association, company,
estate, unincorporated organization or government or any agency or political
subdivision thereof.

                  "Plan" shall mean a Single Employer Plan or a Multiemployer
Plan.

                  "Prepayment Date" shall mean the first Business Day that is at
least forty-five (45) days after the entry of the Interim Order by the
Bankruptcy Court or such later date as is satisfactory to the Agent and the
Original Required Banks if the Final Order has not been entered by the
Bankruptcy Court prior to the expiration of such forty-five (45) day period.

                  "Pre-Petition Agent" shall mean Mellon Bank, N.A., as
administrative agent under the Existing Credit Agreement (together with any
successor thereto).

                  "Pre-Petition Payment" shall mean a payment (by way of
adequate protection or otherwise) of principal or interest or otherwise on
account of any pre-petition Indebtedness or trade payables or other pre-petition
claims against the Borrower or any Guarantor.

                  "Prime Rate" shall mean the greater of (A) the interest rate
per annum announced from time to time by the Agent as its prime rate or (B) the
Federal Funds Rate plus .50%. The Prime Rate may be greater or less than other
interest rates charged by the Agent to other borrowers.

                  "Prime Rate Loan" shall mean any Loan bearing interest at a
rate determined by reference to the Prime Rate in accordance with the provisions
of Section 2.

                  "Property" shall mean any right or interest in or to property
of any kind whatsoever, whether real, personal or mixed and whether tangible or
intangible, including, without limitation, Capital Stock.

                  "Real Estate Financiers" shall mean collectively, German
American Capital Corporation (as successor in interest to ElderTrust) and other
real estate lenders who as of the Filing Date hold valid, enforceable and
non-avoidable Liens in the prepetition inventory, Accounts or other rights to
payment relating to a Health Care Facility, which liens are disclosed in
Schedule 3.06.


                                       18


                  "Real Property Component" shall mean, as of the date of any
determination thereof, an amount that is equal to the lowest of (x) the product
of $25,000 multiplied by the number of beds contained in Eligible Eldercare
Centers, (y) $175,000,000 and (z) the sum of (i) the Total Commitment less (ii)
the product of Eligible Accounts Receivable multiplied by the applicable advance
rates set forth in the definition of the term "Borrowing Base" for different
categories of Eligible Accounts Receivable.

                  "Register" shall have the meaning set forth in Section
10.03(d).

                  "Reorganization Plan" shall mean a plan of reorganization in
any of the Cases (other than the Case of a De Minimis Guarantor).

                  "Required Banks" shall mean, at any time, Banks holding Loans
representing in excess of 50% of the aggregate principal amount of such Loans
outstanding or, if no such Loans are outstanding, Banks having Commitments
representing in excess of 50% of the Total Commitment.

                  "Requirement of Law" shall mean, as to any Person, the
Certificate or Articles of Incorporation and By-Laws or other organizational or
governing documents of such Person, and any law, treaty, rule or regulation or
determination of an arbitrator or a court or other Governmental Authority, in
each case applicable to or binding upon such Person or any of its Property or to
which such Person or any of its Property is subject.

                  "Responsible Officer" shall mean, with respect to the Borrower
or any Guarantor, the chief executive officer, president, chief financial
officer, treasurer, controller or vice president in charge of financial matters
thereof, but in any event, with respect to financial matters, the treasurer or
vice president in charge of financial matters thereof.

                  "Security and Pledge Agreement" shall have the meaning set
forth in Section 4.01(c).

                  "Single Employer Plan" shall mean a single employer plan, as
defined in Section 4001(a)(15) of ERISA, which is maintained or contributed to
by (or to which there is an obligation to contribute of) the Borrower or an
ERISA Affiliate, and each such plan for the five year period immediately
following the latest date on which the Borrower or an ERISA Affiliate
maintained, contributed to or had an obligation to contribute to such plan.

                  "Social Security Act" shall mean the Social Security Act as
codified at 42 U.S.C.ss.1395 et. seq.

                  "Statutory Reserve" shall mean for any day, the percentage
(expressed as a decimal, rounded upward to the nearest 1/100 of 1%), as
determined in good faith by the Agent (which determination shall be conclusive),
which is in effect on such day as prescribed by the Board of Governors of the
Federal Reserve System representing the maximum reserve requirement (including
supplemental, marginal and emergency reserve requirements) with respect to
Eurocurrency funding (currently referred to as "Eurocurrency Liabilities") of a
member bank in such Federal Reserve System. The Adjusted LIBOR Rate shall be
adjusted automatically as of the effective date of each change in the Statutory
Reserve.


                                       19


                  "Subsidiary" shall mean, with respect to any Person (herein
referred to as the "parent"), any corporation, association or other business
entity (whether now existing or hereafter organized) of which at least a
majority of the securities or other ownership interests having ordinary voting
power for the election of directors is, at the time as of which any
determination is being made, owned or controlled by the parent or one or more
subsidiaries of the parent or by the parent and one or more subsidiaries of the
parent (excluding Multicare unless expressly set forth to the contrary).

                  "Super-majority Banks" shall have the meaning given such term
in Section 10.10(b).

                  "Superpriority Claim" shall mean a claim against the Borrower
and any Guarantor in any of the Cases which is an administrative expense claim
having priority over any or all administrative expenses of the kind specified in
Sections 503(b) or 507(b) of the Bankruptcy Code.

                  "Swap Party" shall have the meaning as set forth in the
Collateral Agency Agreement.

                  "Synthetic Lease Agreement" shall mean that certain Amended
and Restated Lease and Agreement dated as of October 7, 1996 between Mellon
Financial Services Corporation #4, as Lessor, and Genesis ElderCare Properties,
Inc., as Lessee, and any subleases thereunder, as the same may be amended,
modified or supplemented from time to time.

                  "Synthetic Lease Collateral" shall mean the "Collateral" as is
defined in the Synthetic Lease Participation Agreement.

                  "Synthetic Lease Facility" shall mean the $80,000,000
Synthetic Lease Facility as evidenced by the Synthetic Lease Participation
Agreement, the Synthetic Lease Agreement, the Synthetic Lease Loan Agreement and
any other "Operative Document" (as such term is defined in the Synthetic Lease
Participation Agreement).

                  "Synthetic Lease Facility Agent" shall mean Mellon Bank, N.A.,
as agent under the Synthetic Lease Facility (together with any successor
thereof).

                  "Synthetic Lease Facility Lenders" shall mean the lenders
party to the Synthetic Lease Facility (together with their successors and
assigns).

                  "Synthetic Lease Loan Agreement" shall mean that certain
Amended and Restated Loan Agreement dated as of October 7, 1996, among Mellon
Financial Services Corporation #4, as borrower, Mellon Bank, N.A., as agent, and
the Lenders from time to time party thereto, as the same may be amended,
modified or supplemented from time to time.


                                       20


                  "Synthetic Lease Participation Agreement" shall mean that
certain Amended and Restated Participation Agreement dated as of October 7,
1996, as amended by that certain Amendment to Amended and Restated Participation
Agreement dated as of January 31, 1997, that certain Second Amendment to Amended
and Restated Participation Agreement dated as of March 7, 1997, and that certain
Third Amendment to Amended and Restated Participation Agreement and Amendment to
Other Operative Documents dated as of October 9, 1997, as amended as of the date
hereof (as the same may be further amended, modified or supplemented from time
to time) and other Operative Documents (as defined in the Synthetic Lease
Participation Agreement).

                  "Taxes" shall have the meaning given such term in Section
2.18.

                  "Termination Date" shall mean the earliest to occur of (i) the
Prepayment Date, (ii) the Maturity Date, (iii) the Consummation Date and (iv)
the acceleration of the Loans and the termination of the Total Commitment in
accordance with the terms hereof.

                  "Termination Event" shall mean (i) a "reportable event", as
such term is described in Section 4043 of ERISA and the regulations issued
thereunder (other than a "reportable event"other than those events as to which
the 30-day notice period is waived under subsection .22, .23, .25, .27 or .28 of
PBGC Regulation Section 4043 or an event described in Section 4068 of ERISA, or
(ii) the withdrawal of the Borrower or any ERISA Affiliate from a Multiple
Employer Plan during a plan year in which it was a "substantial employer", as
such term is defined in Section 4001(c) of ERISA, or the incurrence of liability
by the Borrower or any ERISA Affiliate under Section 4064 of ERISA upon the
termination of a Multiple Employer Plan, or (iii) providing notice of intent to
terminate a Plan pursuant to Section 4041(c) of ERISA or the treatment of a Plan
amendment as a termination under Section 4041 of ERISA, or (iv) the institution
of proceedings to terminate a Plan by the PBGC under Section 4042 of ERISA, or
(v) any other event or condition which would reasonably be expected to
constitute grounds under Section 4042 of ERISA for the termination of, or the
appointment of a trustee to administer, any Plan, or the imposition of any
liability under Title IV of ERISA (other than for the payment of premiums to the
PBGC (but excluding the commencement of the Cases, or the failure to have made
any contribution accrued as of the Filing Date but not paid, or any other facts
and circumstances disclosed in writing to the Banks at least 10 days prior to
the Filing Date)).

                  "Total Commitment" shall mean, at any time, the sum of the
Commitments at such time.

                  "Tranche II Revolver" shall mean the Tranche II Revolver
Commitment (as defined in the Existing Credit Agreement), the Tranche II
Revolver Loans (as defined in the Existing Credit Agreement) and any and all
related obligations owing by the Borrower and the Guarantors under the Existing
Credit Agreement.

                  "Transferee" shall have the meaning given such term in Section
2.18.

                  "Type", when used in respect of any Loan or Borrowing, shall
refer to the rate of interest by reference to which interest on such Loan or on
the Loans comprising such Borrowing is determined. For purposes hereof, "Rate"
shall mean the Adjusted LIBOR Rate and the Prime Rate.


                                       21


                  "Unused Total Commitment" shall mean, at any time, (i) the
Total Commitment less (ii) the sum of (x) the aggregate outstanding principal
amount of all Loans and (y) the aggregate Letter of Credit Outstandings.

                  "Withdrawal Liability" shall have the meaning given such term
under Part I of Subtitle E of Title IV of ERISA.

         (2) Terms Generally. The definitions in Section 1.01 shall apply
equally to both the singular and plural forms of the terms defined. Whenever the
context may require, any pronoun shall include the corresponding masculine,
feminine and neuter forms. All references herein to Sections, Exhibits and
Schedules shall be deemed references to Sections of, and Exhibits and Schedules
to, this Agreement unless the context shall otherwise require. Except as
otherwise expressly provided herein, all terms of an accounting or financial
nature shall be construed in accordance with GAAP, as in effect from time to
time; provided, however, that for purposes of determining compliance with any
covenant set forth in Section 6, such terms shall be construed in accordance
with GAAP as in effect on the date of this Agreement applied on a basis
consistent with the application used in the Borrower's audited financial
statements referred to in Section 3.04.

(3) AMOUNT AND TERMS OF CREDIT.

         (1) Commitment of the Banks.

                  (1) Each Bank severally and not jointly with the other Banks
agrees, upon the terms and subject to the conditions herein set forth
(including, without limitation, the provisions of Section 2.28), to make
revolving credit loans (each a "Loan" and collectively, the "Loans") to the
Borrower at any time and from time to time during the period commencing on the
date hereof and ending on the Termination Date (or the earlier date of
termination of the Total Commitment) in an aggregate principal amount not to
exceed, when added to such Bank's Commitment Percentage of the then aggregate
Letter of Credit Outstandings, the Commitment of such Bank, which Loans may be
repaid and reborrowed in accordance with the provisions of this Agreement. At no
time shall the sum of the then outstanding aggregate principal amount of the
Loans plus the then aggregate Letter of Credit Outstandings exceed the lesser of
(i) the Total Commitment of $250,000,000, as the same may be reduced from time
to time pursuant to Section 2.10, and (ii) the Borrowing Base.

                  (2) Each Borrowing shall be made by the Banks pro rata in
accordance with their respective Commitments; provided, however, that the
failure of any Bank to make any Loan shall not in itself relieve the other Banks
of their obligations to lend.

         (2) Borrowing Base.
Notwithstanding any other provision of this Agreement to the contrary, the
aggregate principal amount of all outstanding Loans plus the then aggregate
Letter of Credit Outstandings shall not at any time exceed the Borrowing Base
and no Loan shall be made or Letter of Credit issued in violation of the
foregoing.


                                       22


         (3) Letters of Credit.

                  (1) Upon the terms and subject to the conditions herein set
forth, the Borrower may request a Fronting Bank, at any time and from time to
time after the date hereof and prior to the Termination Date, to issue, and,
subject to the terms and conditions contained herein, such Fronting Bank shall
issue, for the account of the Borrower or a Guarantor one or more Letters of
Credit, provided that no Letter of Credit shall be issued if after giving effect
to such issuance (i) the aggregate Letter of Credit Outstandings shall exceed
$25,000,000 or (ii) the aggregate Letter of Credit Outstandings, when added to
the aggregate outstanding principal amount of the Loans, would exceed the Total
Commitment and, provided further that no Letter of Credit shall be issued if the
Fronting Bank shall have received notice from the Agent or the Required Banks
that the conditions to such issuance have not been met.

                  (2) No Letter of Credit shall expire later than the date that
is the earlier of 12 months after the issuance of such Letter of Credit and 180
days after the Maturity Date, provided that if any Letter of Credit shall be
outstanding on the Termination Date, the Borrower shall, at or prior to the
Termination Date, except as the Agent and the applicable Fronting Bank may
otherwise agree in writing, (i) cause all Letters of Credit which expire after
the Termination Date to be returned to the Fronting Bank undrawn and marked
"canceled" or (ii) if the Borrower is unable to do so in whole or in part,
either (x) provide a "back-to-back" letter of credit to one or more Fronting
Banks in a form satisfactory to such Fronting Bank and the Agent (in their sole
discretion), issued by a bank satisfactory to such Fronting Bank and the Agent
(in their sole discretion), in an amount equal to 105% of the then undrawn
stated amount of all outstanding Letters of Credit issued by such Fronting Banks
and/or (y) deposit cash in the Letter of Credit Account in an amount equal to
105% of the then undrawn stated amount of all outstanding Letters of Credit as
collateral security for the Borrower's reimbursement obligations in connection
therewith, such cash to be remitted to the Borrower upon the expiration,
cancellation or other termination or satisfaction of such reimbursement
obligations.

                  (3) The Borrower shall pay to each Fronting Bank, in addition
to such other fees and charges as are specifically provided for in Section 2.21
hereof, such fees and charges in connection with the issuance and processing of
the Letters of Credit issued by such Fronting Bank as are customarily imposed by
such Fronting Bank from time to time in connection with letter of credit
transactions.

                                       23


                  (4) Drafts drawn under each Letter of Credit shall be
reimbursed by the Borrower in Dollars not later than the first Business Day
following the date such draw is honored and shall bear interest from the date
such draw is honored until the first Business Day following the date such draw
is honored at a rate per annum equal to the Prime Rate plus 2.0% and thereafter
until reimbursed in full at a rate per annum equal to the Prime Rate plus 4.0%
(computed on the basis of the actual number of days elapsed over a year of 360
days). The Borrower shall effect such reimbursement (x) if such draw occurs
prior to the Termination Date (or the earlier date of termination of the Total
Commitment), in cash or through a Borrowing initiated by the Agent without the
satisfaction of the conditions precedent set forth in Section 4.02 or (y) if
such draw occurs on or after the Termination Date (or the earlier date of
termination of the Total Commitment), in cash. Each Bank agrees to make the
Loans described in clause (x) of the preceding sentence notwithstanding a
failure to satisfy the applicable lending conditions thereto or the provisions
of Section 2.02 or 2.28. If such draw occurs on or after the Termination Date,
the Borrower shall reimburse the Fronting Bank first from any cash deposit or
cash proceeds of a back-to-back letter of credit in accordance with Section
2.03(b), and then from the Borrower's other assets.

                  (5) Immediately upon the issuance of any Letter of Credit by
any Fronting Bank, such Fronting Bank shall be deemed to have sold to each Bank
other than such Fronting Bank and each such other Bank shall be deemed
unconditionally and irrevocably to have purchased from such Fronting Bank,
without recourse or warranty, an undivided interest and participation, to the
extent of such Bank's Commitment Percentage, in such Letter of Credit, each
drawing thereunder and the obligations of the Borrower and the Guarantors under
this Agreement with respect thereto. Upon any change in the Commitments pursuant
to Section 10.03, it is hereby agreed that with respect to all Letter of Credit
Outstandings, there shall be an automatic adjustment to the participations
hereby created to reflect the new Commitment Percentages of the assigning and
assignee Banks. Any action taken or omitted by a Fronting Bank under or in
connection with a Letter of Credit, if taken or omitted in the absence of gross
negligence or willful misconduct, shall not create for such Fronting Bank any
resulting liability to any other Bank.

                  (6) In the event that a Fronting Bank makes any payment under
any Letter of Credit and the Borrower shall not have reimbursed such amount in
full to such Fronting Bank pursuant to this Section, the Fronting Bank shall
promptly notify the Agent, which shall promptly notify each Bank of such
failure, and each Bank shall promptly and unconditionally pay to the Agent for
the account of the Fronting Bank the amount of such Bank's Commitment Percentage
of such unreimbursed payment in Dollars and in same day funds. If the Fronting
Bank so notifies the Agent, and the Agent so notifies the Banks prior to 11:00
a.m. (New York City time) on any Business Day, such Banks shall make available
to the Fronting Bank such Bank's Commitment Percentage of the amount of such
payment on such Business Day in same day funds. If and to the extent such Bank
shall not have so made its Commitment Percentage of the amount of such payment
available to the Fronting Bank, such Bank agrees to pay to such Fronting Bank,
forthwith on demand such amount, together with interest thereon, for each day
from such date until the date such amount is paid to the Agent for the account
of such Fronting Bank at the Federal Funds Rate. The failure of any Bank to make
available to the Fronting Bank its Commitment Percentage of any payment under
any Letter of Credit shall not relieve any other Bank of its obligation
hereunder to make available to the Fronting Bank its Commitment Percentage of
any payment under any Letter of Credit on the date required, as specified above,
but no Bank shall be responsible for the failure of any other Bank to make
available to such Fronting Bank such other Bank's Commitment Percentage of any
such payment. Whenever a Fronting Bank receives a payment of a reimbursement
obligation as to which it has received any payments from the Banks pursuant to
this paragraph, such Fronting Bank shall pay to each Bank which has paid its
Commitment Percentage thereof, in Dollars and in same day funds, an amount equal
to such Bank's Commitment Percentage thereof.


                                       24


         (4) Issuance. Whenever the Borrower desires a Fronting Bank to issue a
Letter of Credit, it shall give to such Fronting Bank and the Agent at least two
Business Days' prior written (including telegraphic, telex, facsimile or cable
communication) notice (or such shorter period as may be agreed upon by the
Agent, the Borrower and the Fronting Bank) specifying the date on which the
proposed Letter of Credit is to be issued (which shall be a Business Day), the
stated amount of the Letter of Credit so requested, the expiration date of such
Letter of Credit and the name and address of the beneficiary thereof.

         (5) Nature of Letter of Credit Obligations Absolute. The obligations of
the Borrower to reimburse the Banks for drawings made under any Letter of Credit
shall be unconditional and irrevocable and shall be paid strictly in accordance
with the terms of this Agreement under all circumstances, including, without
limitation (it being understood that any such payment by the Borrower shall be
without prejudice to, and shall not constitute a waiver of, any rights the
Borrower might have or might acquire as a result of the payment by the Fronting
Bank of any draft or the reimbursement by the Borrower thereof): (i) any lack of
validity or enforceability of any Letter of Credit; (ii) the existence of any
claim, setoff, defense or other right which the Borrower or any Guarantor may
have at any time against a beneficiary of any Letter of Credit or against any of
the Banks, whether in connection with this Agreement, the transactions
contemplated herein or any unrelated transaction; (iii) any draft, demand,
certificate or other document presented under any Letter of Credit proving to be
forged, fraudulent, invalid or insufficient in any respect or any statement
therein being untrue or inaccurate in any respect; (iv) payment by a Fronting
Bank of any Letter of Credit against presentation of a demand, draft or
certificate or other document which does not comply with the terms of such
Letter of Credit; (v) any other circumstance or happening whatsoever, which is
similar to any of the foregoing; or (vi) the fact that any Event of Default
shall have occurred and be continuing.

         (6) Making of Loans.

                  (1) Except as contemplated by Section 2.11, Loans shall be
either Prime Rate Loans or Eurodollar Loans, as the Borrower may request,
subject to and in accordance with this Section, provided, that all Loans made
pursuant to the same Borrowing shall, unless otherwise specifically provided
herein, be Loans of the same Type. Each Bank may fulfill its Commitment with
respect to any Eurodollar Loan or Prime Rate Loan by causing any lending office
of such Bank to make such Loan; provided that any such use of a lending office
shall not affect the obligation of the Borrower to repay such Loan in accordance
with the terms of this Agreement. Each Bank shall, subject to its overall policy
considerations, use reasonable efforts (but shall not be obligated) to select a
lending office which will not result in the payment of increased costs by the
Borrower pursuant to Section 2.15. Subject to the other provisions of this
Section and the provisions of Section 2.12, Borrowings of Loans of more than one
Type may be incurred at the same time, provided that no more than five (5])
Borrowings of Eurodollar Loans may be outstanding at any time.


                                       25


                  (2) The Borrower shall give the Agent prior notice no later
than 11:00 a.m., New York City time, of each Borrowing hereunder of at least
three (3) Business Days for Eurodollar Loans and one (1) Business Day for Prime
Rate Loans (except as provided in the last sentence of this Section 2.06(b)).
Each such notice shall be irrevocable and shall specify the amount of the
proposed Borrowing (which shall not be less than $5,000,000 in the case of
Eurodollar Loans and $1,000,000 in the case of Prime Rate Loans) and the date
thereof (which shall be a Business Day) and shall contain disbursement
instructions. Such notice, to be effective, must be received by the Agent not
later than 11:00 a.m., New York City time, on the third Business Day in the case
of Eurodollar Loans and on the first Business Day in case of Prime Rate Loans
preceding the date on which such Borrowing is to be made except as provided in
the last sentence of this Section 2.06(b). Such notice shall specify whether the
Borrowing then being requested is to be a Borrowing of Prime Rate Loans or
Eurodollar Loans. If no election is made as to the Type of the Loan, such notice
shall be deemed a request for Borrowing of Prime Rate Loans. The Agent shall
promptly notify each Bank of its proportionate share of such Borrowing and the
date of such Borrowing. On the borrowing date specified in such notice, each
Bank shall make its share of the Borrowing available at the office of the Agent
at AIM 199-5220, Mellon Independence Center, 701 Market Street, Philadelphia,
Pennsylvania 19106, no later than 11:00 a.m., New York City time, in immediately
available funds. Upon receipt of the funds made available by the Banks to fund
any Borrowing hereunder, the Agent shall disburse such funds in the manner
specified in the notice of borrowing delivered by the Borrower and shall use
reasonable efforts to make the funds so received from the Banks available to the
Borrower no later than 2:00 p.m. New York City time (other than as provided in
the following sentence). With respect to Loans of $5,000,000 or less, the Banks
shall make such Borrowings available to the Borrower by 4:00 p.m., New York City
time, on the same Business Day that the Borrower gives notice to the Agent of
such Borrowing by 11:00 a.m., New York City time, provided that the Agent has
notified the Banks thereof by 2:00 p.m., New York City time, on such day.

         (7) Repayment of Loans; Evidence of Debt.

                  (1) The Borrower hereby unconditionally promises to pay to the
Agent for the account of each Bank the then unpaid principal amount of each Loan
on the Termination Date.

                  (2) Each Bank shall maintain in accordance with its usual
practice an account or accounts evidencing the indebtedness of the Borrower to
such Bank resulting from each Loan made by such Bank, including the amounts of
principal and interest payable and paid to such Bank from time to time
hereunder.

                                       26


                  (3) The Agent shall maintain accounts in which it shall record
(i) the amount of each Loan made hereunder, the Type thereof and the Interest
Period applicable thereto, (ii) the amount of any principal or interest due and
payable or to become due and payable from the Borrower to each Bank hereunder
and (iii) the amount of any sum received by the Agent hereunder for the account
of the Banks and each Bank's share thereof.

                  (4) The entries made in the accounts maintained pursuant to
paragraph (b) or (c) of this Section shall be prima facie evidence of the
existence and amounts of the obligations recorded therein; provided that the
failure of any Bank or the Agent to maintain such accounts or any error therein
shall not in any manner affect the obligation of the Borrower to repay the Loans
in accordance with the terms of this Agreement.

                  (5) Any Bank may request that Loans made by it be evidenced by
a promissory note. In such event, the Borrower shall execute and deliver to such
Bank a promissory note payable to the order of such Bank (or, if requested by
such Bank, to such Bank and its registered assigns) in a form furnished by the
Agent and reasonably acceptable to the Borrower. Thereafter, the Loans evidenced
by such promissory note and interest thereon shall at all times (including after
assignment pursuant to Section 10.03) be represented by one or more promissory
notes in such form payable to the order of the payee named therein (or, if such
promissory note is a registered note, to such payee and its registered assigns).

         (8) Interest on Loans.

                  (1) Subject to the provisions of Section 2.09, each Loan shall
bear interest (computed on the basis of the actual number of days elapsed over a
year of 360 days) at a rate per annum equal to the Prime Rate plus 2.25%.

                  (2) Subject to the provisions of Section 2.09, each Eurodollar
Loan shall bear interest (computed on the basis of the actual number of days
elapsed over a year of 360 days) at a rate per annum equal, during each Interest
Period applicable thereto, to the Adjusted LIBOR Rate for such Interest Period
in effect for such Borrowing plus 3.75%.

                  (3) Accrued interest on all Loans shall be payable in arrears
on each Interest Payment Date, at maturity (whether by acceleration or
otherwise), after such maturity on demand and (with respect to Eurodollar Loans)
upon any repayment or prepayment thereof (on the amount prepaid).

         (9) Default Interest. If the Borrower or any Guarantor, as the case may
be, shall default in the payment of the principal of or interest on any Loan or
in the payment of any other amount becoming due hereunder (including, without
limitation, the reimbursement pursuant to Section 2.03(d) of any draft drawn
under a Letter of Credit), whether at stated maturity, by acceleration or
otherwise, the Borrower or such Guarantor, as the case may be, shall on demand
from time to time pay interest, to the extent permitted by law, on such
defaulted amount up to (but not including) the date of actual payment (after as
well as before judgment) at a rate per annum (computed on the basis of the
actual number of days elapsed over a year of 360 days) equal to (x) in the case
of Borrowings consisting of Eurodollar Loans, the Adjusted LIBOR Rate in effect
for such Borrowing plus 5.75% and (y) in the case of all other amounts, the
Prime Rate plus 4.25%.


                                       27


         (10) Optional Termination or Reduction of Commitment. Upon at least two
Business Days' prior written notice to the Agent, the Borrower may at any time
in whole permanently terminate, or from time to time in part permanently reduce,
the Unused Total Commitment. Each such reduction of the Unused Total Commitment
shall be in the principal amount of $5,000,000 or any integral multiple of
$1,000,000 in excess thereof. Simultaneously with each reduction or termination
of the Total Commitment, the Borrower shall pay to the Agent for the account of
each Bank the Commitment Fee accrued on the amount of the Commitment of such
Bank so terminated or reduced through the date thereof. Any reduction of the
Total Commitment pursuant to this Section shall be applied pro rata to reduce
the Commitment of each Bank.

         (11) Alternate Rate of Interest. In the event, and on each occasion,
that on the day two Business Days prior to the commencement of any Interest
Period for a Eurodollar Loan, the Agent shall have determined (which
determination shall be conclusive and binding upon the Borrower absent manifest
error) that reasonable means do not exist for ascertaining the applicable
Adjusted LIBOR Rate, the Agent shall, as soon as practicable thereafter, give
written or telegraphic notice of such determination to the Borrower and the
Banks, and any request by the Borrower for a Borrowing of Eurodollar Loans
(including pursuant to a refinancing with Eurodollar Loans) pursuant to Section
2.06 or 2.12 shall be deemed a request for a Borrowing of Prime Rate Loans.
After such notice shall have been given and until the circumstances giving rise
to such notice no longer exist, each request for a Borrowing of Eurodollar Loans
shall be deemed to be a request for a Borrowing of Prime Rate Loans.

         (12) Refinancing of Loans. The Borrower shall have the right, at any
time, on three Business Days' prior irrevocable notice to the Agent (which
notice, to be effective, must be received by the Agent not later than 1:00 p.m.,
New York City time, on the third Business Day preceding the date of any
refinancing), (x) to refinance (without the satisfaction of the conditions set
forth in Section 4 as a condition to such refinancing) any outstanding Borrowing
or Borrowings of Loans of one Type (or a portion thereof) with a Borrowing of
Loans of the other Type or (y) to continue an outstanding Borrowing of
Eurodollar Loans for an additional Interest Period, subject to the following:

                  (1) as a condition to the refinancing of Prime Rate Loans with
Eurodollar Loans and to the continuation of Eurodollar Loans for an additional
Interest Period, no Event of Default or event which upon notice or lapse of time
or both would constitute an Event of Default shall have occurred and be
continuing at the time of such refinancing;

                                       28


                  (2) if less than a full Borrowing of Loans shall be
refinanced, such refinancing shall be made pro rata among the Banks in
accordance with the respective principal amounts of the Loans comprising such
Borrowing held by the Banks immediately prior to such refinancing;

                  (3) the aggregate principal amount of Loans being refinanced
shall be at least $1,000,000, provided that no partial refinancing of a
Borrowing of Eurodollar Loans shall result in the Eurodollar Loans remaining
outstanding pursuant to such Borrowing being less than $5,000,000 in aggregate
principal amount;

                  (4) each Bank shall effect each refinancing by applying the
proceeds of its new Eurodollar Loan or Prime Rate Loan, as the case may be, to
its Loan being refinanced;

                  (5) the Interest Period with respect to a Borrowing of
Eurodollar Loans effected by a refinancing or in respect to the Borrowing of
Eurodollar Loans being continued as Eurodollar Loans shall commence on the date
of refinancing or the expiration of the current Interest Period applicable to
such continuing Borrowing, as the case may be;

                  (6) a Borrowing of Eurodollar Loans may be refinanced only on
the last day of an Interest Period applicable thereto; and

                  (7) each request for a refinancing with a Borrowing of
Eurodollar Loans which fails to state an applicable Interest Period shall be
deemed to be a request for an Interest Period of one month.

In the event that the Borrower shall not give notice to refinance any Borrowing
of Eurodollar Loans, or to continue such Borrowing as Eurodollar Loans, or shall
not be entitled to refinance or continue such Borrowing as Eurodollar Loans, in
each case as provided above, such Borrowing shall automatically be refinanced
with a Borrowing of Prime Rate Loans at the expiration of the then-current
Interest Period. The Agent shall, after it receives notice from the Borrower,
promptly give each Bank notice of any refinancing, in whole or part, of any Loan
made by such Bank.



                                       29


         (13) Mandatory Prepayment; Commitment Termination; Cash Collateral.

                  (1) If at any time the aggregate principal amount of the
outstanding Loans plus the aggregate Letter of Credit Outstandings exceeds the
lesser of (x) the Total Commitment and (y) the Borrowing Base, the Borrower will
within three Business Days (i) prepay the Loans in an amount necessary to cause
the aggregate principal amount of the outstanding Loans plus the aggregate
Letter of Credit Outstandings to be equal to or less than the Total Commitment
and/or the Borrowing Base, as the case may be, and (ii) if, after giving effect
to the prepayment in full of the Loans, the aggregate Letter of Credit
Outstandings in excess of the amount of cash held in the Letter of Credit
Account exceeds the Total Commitment and/or the Borrowing Base, as the case may
be, deposit into the Letter of Credit Account an amount equal to 105% of the
amount by which the aggregate Letter of Credit Outstandings in excess of the
amount of cash held in the Letter of Credit Account so exceeds the Total
Commitment or Borrowing Base, as the case may be.

                  (2) Upon the sale or other disposition of any assets described
on Schedule 6.11 or that are consented to by the Required Banks after the date
hereof, then, (x) for so long as the cumulative amount of the Net Proceeds of
all of such sales or other dispositions is $42,500,000 or less in the aggregate,
100% of such Net Proceeds shall be applied first to reduce the aggregate amount
of the outstanding Loans plus the aggregate Letter of Credit Outstandings
(without a corresponding reduction in the Total Commitment) and second to cash
collateralize Letters of Credit to the extent set forth in Section 2.03(b) and
(y) thereafter, and for so long as no Event of Default or event which upon
notice or lapse of time or both would constitute an Event of Default has
occurred and is continuing (or would result from the application described in
clause (B) of this sentence), (A) 50% of the Net Proceeds of such sale or other
disposition shall be applied first to reduce the aggregate amount of the
outstanding Loans plus the aggregate Letter of Credit Outstandings (without a
corresponding reduction in the Total Commitment) and second to cash
collateralize Letters of Credit to the extent set forth in Section 2.03(b), and
(B) 50% of the Net Proceeds of such sale or disposition shall (i) in the case of
the sale or disposition of property that is Existing Shared Collateral, be
applied as set forth in the Collateral Agency Agreement and (ii) in the case of
the sale or disposition of property that is Synthetic Lease Collateral, be
applied to permanently repay the principal amount of the loans and obligations
outstanding under the Synthetic Lease Facility as set forth in the Synthetic
Lease Facility, provided, however, that in the event that the obligations under
the Synthetic Lease Facility are paid in full, then the proceeds from the sale
of Synthetic Lease Collateral described in this clause (B) shall be applied as
set forth in the Collateral Agency Agreement. If at the time of any such sale or
other disposition 50% of the Net Proceeds of which would otherwise be applied as
described in clause (B) of the preceding sentence an Event of Default or event
which upon notice or lapse of time or both would constitute an Event of Default
has occurred and is continuing (or would result from the application described
in clause (B) of the preceding sentence), 100% of the Net Proceeds of such sale
or other disposition shall be applied first to reduce the aggregate amount of
the outstanding Loans plus the aggregate Letter of Credit Outstandings (without
a corresponding reduction in the Total Commitment) and second to cash
collateralize Letters of Credit to the extent set forth in Section 2.03(b).
Notwithstanding anything to the contrary contained in this Section, the amount
of any Net Proceeds that otherwise would be required to be applied to
Obligations under or in connection with this Agreement but that exceeds the
amount of such Obligations at the time such Net Proceeds are received by the
Borrower or any Guarantor shall be so applied (to the extent of such excess Net
Proceeds) at such times, if any, at which Obligations are again outstanding
hereunder or in connection herewith.

                                       30


                  (3) Upon the Termination Date, the Total Commitment shall be
terminated in full and the Borrower shall pay the Loans in full and, except as
the Agent may otherwise agree in writing, if any Letter of Credit remains
outstanding, deposit into the Letter of Credit Account an amount equal to 105%
of the amount by which the sum of the aggregate Letter of Credit Outstandings
exceeds the amount of cash held in the Letter of Credit Account, such cash to be
remitted to the Borrower upon the expiration, cancellation, satisfaction or
other termination of such reimbursement obligations, or otherwise comply with
Section 2.03(b).

         (14) Optional Prepayment of Loans; Reimbursement of Banks.

                  (1) The Borrower shall have the right at any time and from
time to time to prepay any Loans, in whole or in part, (x) with respect to
Eurodollar Loans, upon at least three Business Days' prior written, telex or
facsimile notice to the Agent and (y) with respect to Prime Rate Loans on the
same Business Day if written, telex or facsimile notice is received by the Agent
prior to 1:00 p.m., New York City time, and thereafter upon at least one
Business Day's prior written, telex or facsimile notice to the Agent; provided,
however, that (i) each such partial prepayment shall be in multiples of
$1,000,000, (ii) no prepayment of Eurodollar Loans shall be permitted pursuant
to this Section 2.14(a) other than on the last day of an Interest Period
applicable thereto unless such prepayment is accompanied by the payment of the
amounts described in clause (i) of the first sentence of Section 2.14(b), and
(iii) no partial prepayment of a Borrowing of Eurodollar Loans shall result in
the aggregate principal amount of the Eurodollar Loans remaining outstanding
pursuant to such Borrowing being less than $5,000,000. Each notice of prepayment
shall specify the prepayment date, the principal amount of the Loans to be
prepaid and in the case of Eurodollar Loans, the Borrowing or Borrowings
pursuant to which made, shall be irrevocable and shall commit the Borrower to
prepay such Loan by the amount and on the date stated therein. The Agent shall,
promptly after receiving notice from the Borrower hereunder, notify each Bank of
the principal amount of the Loans held by such Bank which are to be prepaid, the
prepayment date and the manner of application of the prepayment.

                  (2) The Borrower shall reimburse each Bank on demand for any
loss incurred or to be incurred by it in the reemployment of the funds released
(i) resulting from any prepayment (for any reason whatsoever, including, without
limitation, refinancing with Prime Rate Loans) of any Eurodollar Loan required
or permitted under this Agreement, if such Loan is prepaid other than on the
last day of the Interest Period for such Loan (including, without limitation,
any such prepayment in connection with the syndication of the credit facility
evidenced by this Agreement) or (ii) in the event that after the Borrower
delivers a notice of borrowing under Section 2.06 in respect of Eurodollar
Loans, such Loans are not made on the first day of the Interest Period specified
in such notice of borrowing for any reason other than a breach by such Bank of
its obligations hereunder. Such loss shall be the amount as reasonably
determined by such Bank as the excess, if any, of (A) the amount of interest
which would have accrued to such Bank on the amount so paid or not borrowed at a
rate of interest equal to the Adjusted LIBOR Rate for such Loan, for the period
from the date of such payment or failure to borrow to the last day (x) in the
case of a payment or refinancing with Prime Rate Loans other than on the last
day of the Interest Period for such Loan, of the then current Interest Period
for such Loan, or (y) in the case of such failure to borrow, of the Interest
Period for such Loan which would have commenced on the date of such failure to
borrow, over (B) the amount of interest which would have accrued to such Bank on
such amount by placing such amount on deposit for a comparable period with
leading banks in the London interbank market. Each Bank shall deliver to the
Borrower from time to time one or more certificates setting forth the amount of
such loss as determined by such Bank.


                                       31


                  (3) In the event the Borrower fails to prepay any Loan on the
date specified in any prepayment notice delivered pursuant to Section 2.14(a),
the Borrower on demand by any Bank shall pay to the Agent for the account of
such Bank any amounts required to compensate such Bank for any loss incurred by
such Bank as a result of such failure to prepay, including, without limitation,
any loss, cost or expenses incurred by reason of the acquisition of deposits or
other funds by such Bank to fulfill deposit obligations incurred in anticipation
of such prepayment, but without duplication of any amounts paid under Section
2.14(b). Each Bank shall deliver to the Borrower from time to time one or more
certificates setting forth the amount of such loss as determined by such Bank.

                  (4) Any partial prepayment of the Loans by the Borrower
pursuant to Sections 2.13 or 2.14 shall be applied as specified by the Borrower
or, in the absence of such specification, as determined by the Agent, provided
that in the latter case no Eurodollar Loans shall be prepaid pursuant to Section
2.13 to the extent that such Loan has an Interest Period ending after the
required date of prepayment unless and until all outstanding Prime Rate Loans
and Eurodollar Loans with Interest Periods ending on such date have been repaid
in full.

         (15) Reserve Requirements; Change in Circumstances.

                  (1) Notwithstanding any other provision herein, if after the
date of this Agreement any change in applicable law or regulation or in the
interpretation or administration thereof by any Governmental Authority charged
with the interpretation or administration thereof (whether or not having the
force of law) shall change the basis of taxation of payments to any Bank of the
principal of or interest on any Eurodollar Loan made by such Bank or any fees or
other amounts payable hereunder (other than changes in respect of Taxes, Other
Taxes and taxes imposed on, or measured by, the net income or overall gross
receipts or franchise taxes of such Bank by the jurisdiction in which such Bank
has its principal office or in which the applicable lending office for such
Eurodollar Loan is located or by any political subdivision or taxing authority
therein, or by any other jurisdiction or by any political subdivision or taxing
authority therein other than a jurisdiction in which such Bank would not be
subject to tax but for the execution and performance of this Agreement), or
shall impose, modify or deem applicable any reserve, special deposit or similar
requirement against assets of, deposits with or for the account of or credit
extended by such Bank (except any such reserve requirement which is reflected in
the Adjusted LIBOR Rate) or shall impose on such Bank or the London interbank
market any other condition affecting this Agreement or the Eurodollar Loans made
by such Bank, and the result of any of the foregoing shall be to increase the
cost to such Bank of making or maintaining any Eurodollar Loan or to reduce the
amount of any sum received or receivable by such Bank hereunder (whether of
principal, interest or otherwise) by an amount deemed by such Bank to be
material, then the Borrower will pay to such Bank in accordance with paragraph
(c) below such additional amount or amounts as will compensate such Bank for
such additional costs incurred or reduction suffered.

                                       32


                  (2) If any Bank shall have determined that the adoption or
effectiveness after the date hereof of any law, rule, regulation or guideline
regarding capital adequacy, or any change in any of the foregoing or in the
interpretation or administration of any of the foregoing by any governmental
authority, central bank or comparable agency charged with the interpretation or
administration thereof, or compliance by any Bank (or any lending office of such
Bank) or any Bank's holding company with any request or directive regarding
capital adequacy (whether or not having the force of law) of any such authority,
central bank or comparable agency, has or would have the effect of reducing the
rate of return on such Bank's capital or on the capital of such Bank's holding
company, if any, as a consequence of this Agreement, the Loans made by such Bank
pursuant hereto, such Bank's Commitment hereunder or the issuance of, or
participation in, any Letter of Credit by such Bank to a level below that which
such Bank or such Bank's holding company could have achieved but for such
adoption, change or compliance (taking into account Bank's policies and the
policies of such Bank's holding company with respect to capital adequacy) by an
amount deemed by such Bank to be material, then from time to time the Borrower
shall pay to such Bank such additional amount or amounts as will compensate such
Bank or such Bank's holding company for any such reduction suffered.

                  (3) A certificate of each Bank setting forth such amount or
amounts as shall be necessary to compensate such Bank or its holding company as
specified in paragraph (a) or (b) above, as the case may be, shall be delivered
to the Borrower and shall be conclusive absent manifest error. The Borrower
shall pay each Bank the amount shown as due on any such certificate delivered to
it within 10 days after its receipt of the same. Any Bank receiving any such
payment shall promptly make a refund thereof to the Borrower if the law,
regulation, guideline or change in circumstances giving rise to such payment is
subsequently deemed or held to be invalid or inapplicable.

                  (4) Failure on the part of any Bank to demand compensation for
any increased costs or reduction in amounts received or receivable or reduction
in return on capital with respect to any period shall not constitute a waiver of
such Bank's right to demand compensation with respect to such period or any
other period. The protection of this Section shall be available to each Bank
regardless of any possible contention of the invalidity or inapplicability of
the law, rule, regulation, guideline or other change or condition which shall
have occurred or been imposed.



                                       33


         (16) Change in Legality.

                  (1) Notwithstanding anything to the contrary contained
elsewhere in this Agreement, if (x) any change after the date of this Agreement
in any law or regulation or in the interpretation thereof by any Governmental
Authority charged with the administration thereof shall make it unlawful for a
Bank to make or maintain a Eurodollar Loan or to give effect to its obligations
as contemplated hereby with respect to a Eurodollar Loan or (y) at any time any
Bank determines that the making or continuance of any of its Eurodollar Loans
has become impracticable as a result of a contingency occurring after the date
hereof which adversely affects the London interbank market then, by written
notice to the Borrower, such Bank may (i) declare that Eurodollar Loans will not
thereafter be made by such Bank hereunder, whereupon any request by the Borrower
for a Eurodollar Borrowing shall, as to such Bank only, be deemed a request for
a Prime Rate Loan unless such declaration shall be subsequently withdrawn; and
(ii) require that all outstanding Eurodollar Loans made by it be converted to
Prime Rate Loans, in which event all such Eurodollar Loans shall be
automatically converted to Prime Rate Loans as of the effective date of such
notice as provided in paragraph (b) below. In the event any Bank shall exercise
its rights under clause (i) or (ii) of this paragraph (a), all payments and
prepayments of principal which would otherwise have been applied to repay the
Eurodollar Loans that would have been made by such Bank or the converted
Eurodollar Loans of such Bank shall instead be applied to repay the Prime Rate
Loans made by such Bank in lieu of, or resulting from the conversion of, such
Eurodollar Loans.

                  (2) For purposes of this Section 2.16, a notice to the
Borrower by any Bank pursuant to paragraph (a) above shall be effective, if
lawful, and if any Eurodollar Loans shall then be outstanding, on the last day
of the then-current Interest Period, otherwise, such notice shall be effective
on the date of receipt by the Borrower.

         (17) Pro Rata Treatment, etc. All payments and repayments of principal
and interest in respect of the Loans (except as provided in Sections 2.15 and
2.16) shall be made pro rata among the Banks in accordance with the then
outstanding principal amount of the Loans and/or participations in Letter of
Credit Outstandings and all outstanding undrawn Letters of Credit (and the
unreimbursed amount of drawn Letters of Credit) hereunder and all payments of
Commitment Fees and Letter of Credit Fees (other than those payable to a
Fronting Bank) shall be made pro rata among the Banks in accordance with their
Commitments. All payments by the Borrower hereunder shall be (i) net of any tax
applicable to the Borrower or Guarantor and (ii) made in Dollars in immediately
available funds at the office of the Agent by 12:00 noon, New York City time, on
the date on which such payment shall be due. Interest in respect of any Loan
hereunder shall accrue from and including the date of such Loan to but excluding
the date on which such Loan is paid in full or converted to a Loan of a
different Type.



                                       34


         (18) Taxes.

                  (1) Any and all payments by the Borrower or any Guarantor
hereunder shall be made free and clear of and without deduction for any and all
current or future taxes, levies, imposts, deductions, charges or withholdings,
and all liabilities with respect thereto, excluding (i) taxes imposed on or
measured by the net income or overall gross receipts of the Agent or any Bank
(or any transferee or assignee thereof, including a participation holder (any
such entity being called a "Transferee")) and franchise taxes imposed on the
Agent or any Bank (or Transferee) by the United States or any jurisdiction under
the laws of which the Agent or any such Bank (or Transferee) is organized or in
which the applicable lending office of any such Bank (or Transferee) is located
or any political subdivision thereof or by any other jurisdiction or by any
political subdivision or taxing authority therein other than a jurisdiction in
which the Agent or such Bank (or Transferee) would not be subject to tax but for
the execution and performance of this Agreement and (ii) taxes, levies, imposts,
deductions, charges or withholdings ("Amounts") with respect to payments
hereunder to a Bank (or Transferee) in accordance with laws in effect on the
later of the date of this Agreement and the date such Bank (or Transferee)
becomes a Bank (or Transferee, as the case may be), but not excluding, with
respect to such Bank (or Transferee), any increase in such Amounts solely as a
result of any change in such laws occurring after such later date or any Amounts
that would not have been imposed but for actions (other than actions
contemplated by this Agreement) taken by the Borrower after such later date (all
such nonexcluded taxes, levies, imposts, deductions, charges, withholdings and
liabilities being hereinafter referred to as "Taxes"). If the Borrower or any
Guarantor shall be required by law to deduct any Taxes from or in respect of any
sum payable hereunder to the Banks (or any Transferee) or the Agent, (i) the sum
payable shall be increased by the amount necessary so that after making all
required deductions (including deductions applicable to additional sums payable
under this Section) such Bank (or Transferee) or the Agent (as the case may be)
shall receive an amount equal to the sum it would have received had no such
deductions been made, (ii) the Borrower shall make such deductions and (iii) the
Borrower shall pay the full amount deducted to the relevant taxing authority or
other Governmental Authority in accordance with applicable law.

                  (2) In addition, the Borrower agrees to pay any current or
future stamp or documentary taxes or any other excise or property taxes,
charges, assessments or similar levies that arise from any payment made
hereunder or from the execution, delivery or registration of, or otherwise with
respect to, this Agreement or any other Loan Document (hereinafter referred to
as "Other Taxes").

                                       35


                  (3) The Borrower will indemnify each Bank (or Transferee) and
the Agent for the full amount of Taxes and Other Taxes paid by such Bank (or
Transferee) or the Agent, as the case may be, and any liability (including
penalties, interest and expenses) arising therefrom or with respect thereto,
whether or not such Taxes or Other Taxes were correctly or legally asserted by
the relevant taxing authority or other Governmental Authority. Such
indemnification shall be made within 30 days after the date any Bank (or
Transferee) or the Agent, as the case may be, makes written demand therefor. If
a Bank (or Transferee) or the Agent shall become aware that it is entitled to
receive a refund in respect of Taxes or Other Taxes as to which it has been
indemnified by the Borrower pursuant to this Section, it shall promptly notify
the Borrower of the availability of such refund and shall, within 30 days after
receipt of a request by the Borrower, apply for such refund at the Borrower's
expense. If any Bank (or Transferee) or the Agent receives a refund in respect
of any Taxes or Other Taxes as to which it has been indemnified by the Borrower
pursuant to this Section, it shall promptly notify the Borrower of such refund
and shall, within 30 days after receipt of a request by the Borrower (or
promptly upon receipt, if the Borrower has requested application for such refund
pursuant hereto), repay such refund to the Borrower (to the extent of amounts
that have been paid by the Borrower under this Section with respect to such
refund plus interest that is received by the Bank (or Transferee) or the Agent
as part of the refund), net of all out-of-pocket expenses of such Bank (or
Transferee) or the Agent and without additional interest thereon; provided that
the Borrower, upon the request of such Bank (or Transferee) or the Agent, agrees
to return such refund (plus penalties, interest or other charges) to such Bank
(or Transferee) or the Agent in the event such Bank (or Transferee) or the Agent
is required to repay such refund. Nothing contained in this subsection (c) shall
require any Bank (or Transferee) or the Agent to make available any of its tax
returns (or any other information relating to its taxes that it deems to be
confidential).

                  (4) Within 30 days after the date of any payment of Taxes or
Other Taxes withheld by the Borrower in respect of any payment to any Bank (or
Transferee) or the Agent, the Borrower will furnish to the Agent, at its address
referred to on the signature pages hereof, the original or a certified copy of a
receipt evidencing payment thereof.

                  (5) Without prejudice to the survival of any other agreement
contained herein, the agreements and obligations contained in this Section shall
survive the payment in full of the principal of and interest on all Loans made
hereunder.

                  (6) Each Bank (or Transferee) that is organized under the laws
of a jurisdiction outside the United States shall, if legally able to do so,
prior to the immediately following due date of any payment by the Borrower
hereunder, deliver to the Borrower such certificates, documents or other
evidence, as required by the Code or Treasury Regulations issued pursuant
thereto, including (A) Internal Revenue Service Form W-8 or W-9 and (B) Internal
Revenue Service Form 1001 or Form 4224 and any other certificate or statement of
exemption required by Treasury Regulation Section 1.1441-1, 1.1441-4 or
1.1441-6(c) or any subsequent version thereof or successors thereto, properly
completed and duly executed by such Bank (or Transferee) establishing that such
payment is (i) not subject to United States federal withholding tax under the
Code because such payment is effectively connected with the conduct by such Bank
(or Transferee) of a trade or business in the United States or (ii) totally
exempt from United States federal withholding tax or subject to a reduced rate
of such tax under a provision of an applicable tax treaty. Unless the Borrower
and the Agent have received forms or other documents satisfactory to them
indicating that such payments hereunder or are not subject to United States
federal withholding tax or are subject to such tax at a rate reduced by an
applicable tax treaty, the Borrower or the Agent shall withhold taxes from such
payments at the applicable statutory rate.

                                       36


                  (7) The Borrower shall not be required to pay any additional
amounts to any Bank (or Transferee) in respect of United States federal
withholding tax pursuant to subsection (a) above or taxes pursuant to subsection
(c) above if the obligation to pay such additional amounts would not have arisen
but for a failure by such Bank (or Transferee) to comply with the provisions of
subsection (f) above.

                  (8) Any Bank (or Transferee) claiming any additional amounts
payable pursuant to this Section 2.18 shall use reasonable efforts (consistent
with legal and regulatory restrictions) to file any certificate or document
requested by the Borrower or to change the jurisdiction of its applicable
lending office if the making of such a filing or change would avoid the need for
or reduce the amount of any such additional amounts that may thereafter accrue
and would not, in the sole reasonable determination of such Bank (or
Transferee), be otherwise materially disadvantageous to such Bank (or
Transferee).

         (19) Certain Fees. The Borrower shall pay to the Agent, for the
respective accounts of the Agent and the Banks, the fees set forth in that
certain letter dated June 21, 2000 among the Agent and the Borrower at the times
set forth therein.

         (20) Commitment Fee. The Borrower shall pay to the Banks a
commitment fee (the "Commitment Fee") for the period commencing on the date the
Commitment Letter is executed to the Termination Date or the earlier date of
termination of the Commitment, computed (on the basis of the actual number of
days elapsed over a year of 360 days) at the rate of one-half of one percent
(1/2 of 1%) per annum on the average daily Unused Total Commitment. Such
Commitment Fee, to the extent then accrued, shall be payable (x) monthly, in
arrears, on the last calendar day of each month, (y) on the Termination Date and
(z) as provided in Section 2.10 hereof, upon any reduction or termination in
whole or in part of the Total Commitment.

         (21) Letter of Credit Fees. The Borrower shall pay with respect to each
Letter of Credit (i) to the Agent on behalf of the Banks a fee calculated (on
the basis of the actual number of days elapsed over a year of 360 days) at the
rate of three percent (3%) per annum on the daily average Letter of Credit
Outstandings and (ii) to the Fronting Bank such Fronting Bank's customary fees
for issuance, amendments and processing referred to in Section 2.03. In
addition, the Borrower agrees to pay each Fronting Bank for its account a
fronting fee in respect of each Letter of Credit issued by such Fronting Bank,
for the period from and including the date of issuance of such Letter of Credit
to and including the date of expiry or draw of such Letter of Credit, computed
at a rate, and payable at times, to be determined by such Fronting Bank, the
Borrower and the Agent. Accrued fees described in clause (i) of the first
sentence of this paragraph in respect of each Letter of Credit shall be due and
payable monthly in arrears on the last calendar day of each month and on the
Termination Date, or such earlier date as the Total Commitment is terminated.
Accrued fees described in clause (ii) of the first sentence of this paragraph in
respect of each Letter of Credit shall be payable at times to be determined by
the Fronting Bank, the Borrower and the Agent.

                                       37


         (22) Nature of Fees. All Fees shall be paid on the dates due, in
immediately available funds, to the Agent for the respective accounts of the
Agent and the Banks, as provided herein and in the letter described in Section
2.19. Once paid, none of the Fees shall be refundable under any circumstances.

         (23) Priority and Liens.

                  (1) The Borrower and each of the Guarantors hereby covenants,
represents and warrants that, upon entry of the Interim Order, the Obligations
of the Borrower and the Guarantors hereunder and under the Loan Documents and in
respect of Indebtedness permitted by Section 6.03 (viii): (i) pursuant to
Section 364(c)(1) of the Bankruptcy Code, shall at all times constitute allowed
administrative expense claims in the Cases having priority over all
administrative expenses of the kind specified in Section 503(b) or 507(b) of the
Bankruptcy Code; (ii) pursuant to Section 364(c)(2) of the Bankruptcy Code,
shall at all times be secured by perfected first priority Liens on all
unencumbered pre-petition and post-petition property of the Borrower and the
Guarantors (including, without limitation, all Accounts arising after the Filing
Date, except as otherwise provided in subparagraph (iii) below or in the Orders,
with any such Account on which the Agent and the Banks do not have a first
priority perfected Lien being excluded from the Borrowing Base, but excluding
bankruptcy causes of action, it being understood that, notwithstanding such
exclusion of bankruptcy causes of action, the proceeds of such causes of action
shall be available for the repayment of the Obligations) and on all cash
maintained in the Letter of Credit Account and any direct investments of the
funds contained therein; (iii) pursuant to Section 364(c)(3) of the Bankruptcy
Code, shall be secured by perfected Liens upon all pre-petition and
post-petition property of the Borrower and the Guarantors but not including
property that is subject to existing Liens that presently secure the obligations
of the Borrower and the Guarantors under the Existing Agreements as to which the
Liens in favor of the Agent and the Banks will be as described in clause (iv) of
this sentence or to perfected Liens in favor of Cardinal) that is subject to
valid and perfected Liens in existence on the Filing Date (including, without
limitation, Accounts in existence as of the Filing Date that are subject to
valid and perfected Liens in favor of the Real Estate Financiers and the
proceeds thereof) or to valid Liens in existence on the Filing Date or that are
perfected subsequent to the Filing Date as permitted by Section 546(b) or
362(b)(18) of the Bankruptcy Code or to Permitted Liens, junior to such valid
and perfected Liens; and (iv) pursuant to Section 364(d)(1) of the Bankruptcy
Code, shall be secured by perfected Liens on all pre-petition and post-petition
property of the Borrower and the Guarantors that is subject to (A) the existing
Liens that secure the obligations of the Borrower and the Guarantors under and
in connection with the Existing Agreements (subject to any Liens in existence on
the Filing Date to which the Liens being primed hereby are subject or become
subject or to valid liens in existence of the Filing Date that are perfected
subsequent to the Filing Date as permitted by Section 546(b) or 362(b)(18) of
the Bankruptcy Code or to Permitted Adequate Protection Liens and Permitted
Liens) and (B) any Liens granted after the Filing Date to provide adequate
protection in respect of the Existing Agreements; subject only to (x) in the
event of the occurrence and during the continuance of an Event of Default, the
payment of (1) accrued and unpaid professional fees and disbursements
theretofore incurred as of the occurrence and during the continuance of an
uncured or unwaived Event of Default, and (2) professional fees and


                                       38


disbursements incurred during the time of such continuance in an aggregate
amount not in excess of $4,500,000, in each case by the Borrower, the Guarantors
and any statutory committee appointed in the Cases and allowed by an order of
the Bankruptcy Court and (y) the payment of unpaid fees pursuant to 28 U.S.C.
ss. 1930 and to the Clerk of the Bankruptcy Court (collectively, the
"Carve-Out"), provided that following the Termination Date amounts in the Letter
of Credit Account shall not be subject to the Carve-Out, and provided, further,
that, except as otherwise provided in the Orders, no portion of the Carve-Out
shall be utilized for the payment of professional fees and disbursements
incurred in connection with any challenge to the amount, priority, validity,
perfection or enforcement of the indebtedness of the Borrower and the Guarantors
owing to the Existing Lenders or to the collateral securing such indebtedness
(it being understood that such amounts may be used for investigation thereof).
The Banks agree that so long as no Event of Default or event which with the
giving of notice or lapse of time or both would constitute an Event of Default
shall have occurred, the Borrower and the Guarantors shall be permitted to pay
compensation and reimbursement of expenses allowed and payable under 11 U.S.C.
ss. 330 and 11 U.S.C. ss. 331, as the same may be due and payable, and the same
shall not reduce the Carve-Out.

                  (2) Subject to the Carve-Out and Permitted Liens, as to all
real property the title to which is held by the Borrower or any of the
Guarantors, or the possession of which is held by the Borrower or any of the
Guarantors pursuant to a leasehold interest, the Borrower and each Guarantor
hereby assigns and conveys as security, grants a security interest in, and (as
applicable under relevant state law) conveys security title to, hypothecates,
mortgages, pledges and sets over unto the Agent on behalf of the Banks (with the
priorities described above) all of the right, title and interest of the Borrower
and such Guarantor in all of such owned real property and in all such leasehold
interests, together in each case with all of the right, title and interest of
the Borrower and such Guarantor in and to all buildings, improvements, and
fixtures related thereto, any lease or sublease thereof, all general intangibles
relating thereto and all proceeds thereof. The Borrower and each Guarantor
acknowledges that, pursuant to the Orders, the Liens in favor of the Agent on
behalf of the Banks in all of such real property and leasehold instruments shall
be perfected without the recordation of any mortgages, deeds of trust, deeds to
secure debt or assignments. The Borrower and each Guarantor further agrees that,
upon the request of the Agent, the Borrower and such Guarantor shall enter into
separate fee and leasehold mortgages, deeds of trust, deeds to secure debt,
collateral assignments or similar instruments in recordable form with respect to
such properties on terms reasonably satisfactory to the Agent.

         (24) Right of Set-Off. Subject to the provisions of Section 7.01 and
the Carve-Out, upon the occurrence and during the continuance of any Event of
Default the Agent and each Bank is hereby authorized at any time and from time
to time, to the fullest extent permitted by law and without further order of or
application to the Bankruptcy Court, to set off and apply any and all deposits
(general or special, time or demand, provisional or final) at any time held and
other indebtedness at any time owing by the Agent and each such Bank to or for
the credit or the account of the Borrower or any Guarantor against any and all
of the obligations of such Borrower or Guarantor now or hereafter existing under
the Loan Documents, irrespective of whether or not such Bank shall have made any
demand under any Loan Document and although such obligations may not have been
accelerated. Each Bank and the Agent agrees promptly to notify the Borrower and
Guarantors after any such set-off and application made by such Bank or by the
Agent, as the case may be, provided that the failure to give such notice shall
not affect the validity of such set-off and application. The rights of each Bank
and the Agent under this Section are in addition to other rights and remedies
which such Bank and the Agent may have upon the occurrence and during the
continuance of any Event of Default.

                                       39


         (25) Security Interest in Letter of Credit Account. Pursuant to Section
364(c)(2) of the Bankruptcy Code, the Borrower and the Guarantors hereby assign
and pledge to the Agent, for its benefit and for the ratable benefit of the
Banks, and hereby grant to the Agent, for its benefit and for the ratable
benefit of the Banks, a first priority security interest, senior to all other
Liens, if any, in all of the Borrower's and the Guarantors' right, title and
interest in and to the Letter of Credit Account and any direct investment of the
funds contained therein. Cash held in the Letter of Credit Account shall not be
available for use by the Borrower, whether pursuant to Section 363 of the
Bankruptcy Code or otherwise. Following the Termination Date, amounts in the
Letter of Credit Account shall not be used to satisfy the Carve-Out.

         (26) Payment of Obligations. Subject to the provisions of Section 7.01,
upon the maturity (whether by acceleration or otherwise) of any of the
Obligations under this Agreement or any of the other Loan Documents of the
Borrower and the Guarantors, the Banks shall be entitled to immediate payment of
such Obligations without further application to or order of the Bankruptcy
Court.

         (27) No Discharge; Survival of Claims. Each of the Borrower and the
Guarantors agrees that (i) its Obligations hereunder shall not be discharged by
the entry of an order confirming a Plan of Reorganization (and each of the
Borrower and the Guarantors, pursuant to Section 1141(d)(4) of the Bankruptcy
Code, hereby waives any such discharge) and (ii) the Superpriority Claim granted
to the Agent and the Banks pursuant to the Orders and described in Section 2.23
and the Liens granted to the Agent pursuant to the Orders and described in
Sections 2.23 and 2.25 shall not be affected in any manner by the entry of an
order confirming a Plan of Reorganization.

         (28) Use of Cash Collateral. Notwithstanding anything to the contrary
contained herein, the Borrower shall not be permitted (i) to request a Borrowing
under Section 2.06 or request the issuance of a Letter of Credit under Section
2.04 unless the Bankruptcy Court shall have entered the Interim Order or (ii) to
request a Borrowing under Section 2.06 unless the Borrower and the Guarantors
shall at that time have the use of all cash collateral subject to the Orders for
the purposes described in Section 3.10.

(4) REPRESENTATIONS AND WARRANTIES

                  In order to induce the Banks to make Loans and issue and/or
participate in Letters of Credit hereunder, the Borrower and each of the
Guarantors jointly and severally represent and warrant as follows:

         (1) Organization and Authority. Each of the Borrower and the Guarantors
(i) is a corporation duly organized and validly existing under the laws of the
State of its incorporation and is duly qualified as a foreign corporation and is
in good standing in each jurisdiction in which the failure to so qualify would
have a Material Adverse Effect; (ii) subject to the entry by the Bankruptcy
Court of the Interim Order (or the Final Order, when applicable) has the
requisite corporate power and authority to effect the transactions contemplated
hereby, and by the other Loan Documents to which it is a party, and (iii)
subject to the entry by the Bankruptcy Court of the Interim Order (or the Final
Order, when applicable) has all requisite corporate power and authority and the
legal right to own, pledge, mortgage and operate its properties, and to conduct
its business as now or currently proposed to be conducted.


                                       40


         (2) Due Execution. Upon the entry by the Bankruptcy Court of the
Interim Order (or the Final Order, when applicable), the execution, delivery and
performance by each of the Borrower and the Guarantors of each of the Loan
Documents to which it is a party (i) are within the respective corporate powers
of each of the Borrower and the Guarantors, have been duly authorized by all
necessary corporate action including the consent of shareholders where required,
and do not (A) contravene the charter or by-laws of any of the Borrower or the
Guarantors, (B) violate any law (including, without limitation, the Securities
Exchange Act of 1934) or regulation (including, without limitation, Regulations
T, U or X of the Board of Governors of the Federal Reserve System), or any order
or decree of any court or governmental instrumentality, the violation of which
could reasonably be expected to have a Material Adverse Effect, (C) conflict
with or result in a breach of, or constitute a default under, any indenture,
mortgage or deed of trust entered into after the Filing Date or any lease,
agreement or other instrument entered into after the Filing Date binding on the
Borrower or the Guarantors or any of their properties, in each case which
conflict, breach or default could reasonably be expected to have a Material
Adverse Effect, or (D) result in or require the creation or imposition of any
Lien upon any of the property of any of the Borrower or the Guarantors other
than the Liens granted pursuant to this Agreement, the other Loan Documents or
the Orders; and do not require the consent, authorization by or approval of or
notice to or filing or registration with any Governmental Authority other than
the entry of the Orders. Upon the entry by the Bankruptcy Court of the Interim
Order (or the Final Order, when applicable), this Agreement has been duly
executed and delivered by each of the Borrower and the Guarantors. This
Agreement is, and each of the other Loan Documents to which the Borrower and
each of the Guarantors is or will be a party, when delivered hereunder or
thereunder, will be, a legal, valid and binding obligation of the Borrower and
each Guarantor, as the case may be, enforceable against the Borrower and the
Guarantors, as the case may be, in accordance with its terms and the Orders.

         (3) Statements Made. The information that has been delivered in writing
by the Borrower or any of the Guarantors to the Agent or to the Bankruptcy Court
in connection with any Loan Document, and any financial statement delivered
pursuant hereto or thereto (other than to the extent that any such statements
constitute projections), taken as a whole and in light of the circumstances in
which made, as of the date so delivered, contained no untrue statement of a
material fact and did not omit to state a material fact necessary to make such
statements not misleading; and, to the extent that any such information
constitutes projections, such projections were prepared in good faith on the
basis of assumptions, methods, data, tests and information believed by the
Borrower or such Guarantor to be reasonable at the time such projections were
furnished.

         (4) Financial Statements. The Borrower has furnished the Banks with
copies of (i) the audited consolidated financial statement and schedules of the
Borrower for the fiscal year ended September 30, 1999 and (ii) the unaudited
consolidated financial statement and schedules of the Borrower for the fiscal
quarter ended March 31, 2000. Such financial statements present fairly the
financial condition and results of operations of the Borrower and its
consolidated Subsidiaries on a consolidated basis as of such dates and for such
periods; such balance sheets and the notes thereto disclose all liabilities,
direct or contingent, of the Borrower and its consolidated Subsidiaries as of
the dates thereof required to be disclosed by GAAP and such financial statements
were prepared in a manner consistent with GAAP, subject (in the case of such
fiscal quarter statement) to normal year end adjustments. No material adverse
change in the operations, business, properties, assets, prospects or condition
(financial or otherwise) of the Borrower and its consolidated Subsidiaries
(excluding Multicare), taken as a whole, has occurred from the fiscal quarter
ended March 31, 2000 other than those which have been disclosed to the Banks in
writing and those which customarily occur as a result of events leading up to
and following the commencement of a proceeding under Chapter 11 of the
Bankruptcy Code and the commencement of the Cases (including, without
limitation, those reflected in the financial projections heretofore made
available to the Agent).


                                       41


         (5) Ownership. Except as set forth on Schedule 3.05, (a) each of the
Persons listed on Schedule 3.05 is a wholly-owned, direct or indirect Subsidiary
of the Borrower and (b) the Borrower owns no other Subsidiaries, whether
directly or indirectly, other than Multicare.

         (6) Liens. Except for Liens existing on the Filing Date as reflected on
Schedule 3.06, there are no Liens of any nature whatsoever on any assets of the
Borrower or any of the Guarantors other than Liens permitted pursuant to Section
6.01. Neither the Borrower nor the Guarantors are parties to any contract,
agreement, lease or instrument the performance of which, either unconditionally
or upon the happening of an event, will result in or require the creation of a
Lien on any assets of the Borrower or any Guarantor or otherwise result in a
violation of this Agreement other than the Liens granted to the Agent and the
Banks as provided for in this Agreement.

         (7) Compliance with Law. Except as set forth on Schedule 3.07 (which
schedule need not duplicate disclosures referred to in Section 3.12) and except
for matters which, singly or in the aggregate, could not reasonably expected to
have a Material Adverse Effect:

                  (1) (i) To the knowledge of the Borrower or the Guarantors,
the operations of the Borrower and the Guarantors comply in all material
respects with all applicable environmental, health and safety statutes and
regulations, including, without limitation, regulations promulgated under the
Resource Conservation and Recovery Act (42 U.S.C. ss.ss. 6901 et seq.); (ii) to
the Borrower's and each of the Guarantor's knowledge, none of the operations of
the Borrower or the Guarantors is the subject of any pending or overtly
threatened federal or state investigation evaluating whether any remedial action
involving a material expenditure by the Borrower or any Guarantor is needed to
respond to a release of any Hazardous Waste or Hazardous Substance (as such
terms are defined in any applicable state or federal environmental law or
regulations) into the environment; and (iii) to the Borrower's and each of the
Guarantor's knowledge, the Borrower and the Guarantors do not have any material
contingent liability in connection with any release of any Hazardous Waste or
Hazardous Substance into the environment.

                  (2) Other than as set forth in Section 3.12, neither the
Borrower nor any Guarantor is, to the best of its knowledge, in violation of any
law, rule or regulation, or in default with respect to any judgment, writ,
injunction or decree of any Governmental Authority which in the aggregate could
reasonably be expected to have a Material Adverse Effect.

         (8) Insurance. All policies of insurance of any kind or nature owned by
or issued to the Borrower and the Guarantors, including, without limitation,
policies of life, fire, theft, product liability, public liability, property
damage, other casualty, employee fidelity, workers' compensation, employee
health and welfare, title, property and liability insurance, are in full force
and effect and are of a nature and provide such coverage (including self
insurance) as is customarily carried by companies of the size and character of
the Borrower and the Guarantors.

                                       42


         (9) The Orders. On the date of the making of the initial Loans or the
issuance of the initial Letters of Credit hereunder, whichever first occurs, the
Interim Order will have been entered and will not have been stayed, amended,
vacated, reversed or rescinded (without the prior written consent of the Agent).
On the date of the making of any Loan or the issuance of any Letter of Credit,
the Interim Order or the Final Order, as the case may be, shall have been
entered and shall not have been amended, stayed, vacated or rescinded (without
the prior written consent of the Agent). Upon the maturity (whether by the
acceleration or otherwise) of any of the Obligations of the Borrower and the
Guarantors hereunder and under the other Loan Documents, the Banks shall,
subject to the provisions of Section 7.01 and the Carve-Out, be entitled to
immediate payment of such Obligations, and to enforce the remedies provided for
hereunder, without further application to or order by the Bankruptcy Court.

         (10) Use of Proceeds. The proceeds of the Loans shall be used by the
Borrower (i) in the case of the initial Loans, to repay the obligations of the
Borrower and the Guarantors under the Tranche II Revolver of the Existing Credit
Agreement and (ii) for working capital and other general corporate purposes of
the Borrower and the Guarantors.

         (11) Litigation. Other than as set forth on Schedule 3.11 or as
disclosed pursuant to Section 5.05(b), there are no unstayed actions, suits or
proceedings pending or, to the knowledge of the Borrower or the Guarantors,
threatened against or affecting the Borrower or the Guarantors or any of their
respective properties, before any court or governmental department, commission,
board, bureau, agency or instrumentality, domestic or foreign, which if
determined adversely to the Borrower or the Guarantors would have a Material
Adverse Effect (excluding such litigation which has been taken into account
through reductions in the Borrowing Base).

         (12) Health Care Permits. Other than as set forth on Schedule 3.12:

                  (1) Except as, in the aggregate, could not reasonably be
expected to have a Material Adverse Effect: (i) each of the Borrower and the
Guarantors now has, and has no reason to believe it will not be able to maintain
in effect, all Health Care Permits necessary for the lawful conduct of its
business or operations wherever now conducted and as planned to be conducted,
without limitation, the ownership and operation of its Health Care Facilities
pursuant to all Requirements of Law, (ii) all such Health Care Permits are in
full force and effect and have not been amended or otherwise modified,
rescinded, revoked or assigned, (iii) the Borrower and each of the Guarantors is
substantially complying with the requirements of each such Health Care Permit,
and no event has occurred, and no condition exists, which, with the giving of
notice, the passage of time, or both, would constitute a violation thereof, (iv)
neither the Borrower nor any of the Guarantors has received any written notice
of any violation of any Requirement of Law, (v) to the knowledge of the
Borrower, no condition exists or event has occurred which in itself or with the
giving of notice or the lapse of time, or both, would result in the suspension,
revocation, impairment, forfeiture or non-renewal of any such Health Care
Permit, (vi) there is no claim filed with any Governmental Authority of which
the Borrower or any of the Guarantors has been notified in writing challenging
the validity of any such Health Care Permit and (vii) the continuation, validity
and effectiveness of all such Health Care Permits will not be adversely affected
by the execution and performance of this Agreement or any of the other Loan
Documents.

                                       43


                  (2) All Health Care Facilities owned, leased, managed or
operated by the Borrower or any of the Guarantors are entitled to participate
in, and receive payment under, the appropriate Medicare, Medicaid and related
reimbursement programs, and any similar state or local government-sponsored
program, to the extent that the Borrower or any of the Guarantors has decided to
participate in any such program, and to receive reimbursement from private and
commercial payers and health maintenance organizations to the extent applicable
thereto. There are no proceedings pending or, to the knowledge of the Borrower,
any proceedings threatened or investigations pending or threatened, by any
Governmental Authority with respect to the Borrower's or any of its
Subsidiaries' participation in the Medicare, Medicaid or related reimbursement
programs which could reasonably be expected to have a Material Adverse Effect.

(5) CONDITIONS OF LENDING

         (1) Conditions Precedent to Initial Loans and Initial Letters of
Credit. The obligation of the Banks to make the initial Loans or the Fronting
Bank to issue the initial Letter of Credit, whichever may occur first, is
subject to the following conditions precedent:

                  (1) Supporting Documents. The Agent shall have received for
each of the Borrower and the Guarantors (as applicable):

                           (1) a copy of the Borrower's certificate of
                  incorporation, as amended, certified as of a recent date by
                  the Secretary of State of the state of its incorporation;

                           (2) a certificate of such Secretary of State, dated
                  as of a recent date, as to the good standing of and payment of
                  taxes by the Borrower and as to the charter documents on file
                  in the office of such Secretary of State; and

                           (3) a certificate of the Secretary or an Assistant
                  Secretary of that entity dated the date of the initial Loans
                  or the initial Letter of Credit hereunder, whichever first
                  occurs, and certifying (A) that, with respect to the Borrower
                  only, attached thereto is a true and complete copy of the
                  by-laws of that entity as in effect on the date of such
                  certification, (B) that attached thereto is a true and
                  complete copy of resolutions adopted by the Board of Directors
                  of that entity authorizing the Borrowings and Letter of Credit
                  extensions hereunder, the execution, delivery and performance
                  in accordance with their respective terms of this Agreement,
                  the Loan Documents and any other documents required or
                  contemplated hereunder or thereunder and the granting of the
                  security interest in the Letter of Credit Account and other
                  Liens contemplated hereby, (C) that the certificate of
                  incorporation and by-laws of the Borrower have not been
                  amended since the date of the last amendment thereto indicated
                  on the certificate of the Secretary of State furnished
                  pursuant to clause (i) above, (D) that the certificate of
                  incorporation and by-laws of each of the Guarantors have not
                  been amended since such documents were furnished pursuant to
                  the closing of the Existing Credit Agreement or any credit
                  facilities predecessor thereto, (except at annexed thereto)
                  and (E) as to the incumbency and specimen signature of each
                  officer of that entity executing this Agreement and the Loan
                  Documents or any other document delivered by it in connection
                  herewith or therewith (such certificate to contain a
                  certification by another officer of that entity as to the
                  incumbency and signature of the officer signing the
                  certificate referred to in this clause (iii)).

                                       44


                  (2) Interim Order.

                           (1) At the time of the making of the initial Loans or
                  at the time of the issuance of the initial Letters of Credit,
                  whichever first occurs, but in any event not later than 15
                  days following the commencement of the Cases, the Agent and
                  the Banks shall have received a certified copy of an order of
                  the Bankruptcy Court in substantially the form of Exhibit A-1
                  (the "Interim Order") approving the Loan Documents and
                  granting the Superpriority Claim status and senior priming and
                  other Liens described in Section 2.23 which Interim Order: (i)
                  shall have been entered, with the consent or non-objection of
                  a preponderance, as determined by the Agent in its sole
                  judgment, of the Existing Lenders, upon an application or
                  motion of the Borrower reasonably satisfactory in form and
                  substance to the Agent, on such prior notice to such parties
                  (including the Existing Lenders) as may in each case be
                  reasonably satisfactory to the Agent; (ii) shall authorize
                  extensions of credit in an amount that is not in excess of
                  $150,000,000; (iii) shall approve the repayment of the Tranche
                  II Revolver under the Existing Credit Agreement out of the
                  proceeds of the initial Loans; (iv) shall approve the payment
                  by the Borrower of all of the Fees set forth in Sections 2.19,
                  2.20 and 2.21; (v) shall be in full force and effect; and (vi)
                  shall not have been stayed, reversed, modified or amended in
                  any respect without the prior written consent of the Agent,
                  and, if the Interim Order is the subject of a pending appeal
                  in any respect, neither the making of such Loans nor the
                  issuance of such Letter of Credit nor the performance by the
                  Borrower or any of the Guarantors of any of their respective
                  obligations hereunder or under the Loan Documents or under any
                  other instrument or agreement referred to herein shall be the
                  subject of a presently effective stay pending appeal.

                           (2) In addition, the Interim Order shall (1)
                  authorize the use by the Borrower and the Guarantors of any
                  cash collateral in which any Existing Lender under the
                  Existing Agreements may have an interest and shall provide, as
                  adequate protection for any diminution in value of the
                  Existing Lenders' pre-petition collateral resulting from the
                  use of such cash collateral and the priming of the Liens
                  granted pursuant to the Existing Agreements contemplated
                  hereby, for (A) monthly payments to the Pre-Petition Agent on
                  behalf of the lenders under the Existing Credit Agreement, the
                  Synthetic Lease Facility Agent on behalf of the Synthetic
                  Lease Facility Lenders and the Collateral Agent on behalf of
                  the Swap Party, in amounts equal to current interest and
                  letter of credit fees (as applicable) (including any such
                  interest and fees that are accrued and unpaid as of the
                  commencement of the Cases) at the applicable non-default rates
                  (including LIBOR options) provided for pursuant to the
                  Existing Agreements (the payments described in this clause to
                  be without prejudice to the rights of the parties under the
                  Existing Agreements to assert a claim for the payment of
                  additional interest calculated at any other applicable rates
                  of interest, or on any other basis, set forth in the Existing
                  Agreements), (B) a superpriority claim as contemplated by


                                       45


                  Section 507(b) of the Bankruptcy Code immediately junior to
                  the claims under Section 364(c)(1) of the Bankruptcy Code held
                  by the Agent and the Banks which shall be subject to the
                  Carve-Out, (C) a replacement Lien on substantially all of the
                  assets of the Borrower and the Guarantors that are subject to
                  the priming and other Liens granted in favor of the Agent and
                  the Bank hereunder and under the other Loan Documents which
                  replacement Lien shall have a priority immediately junior to,
                  and subject to the Carve-Out and the same limitations as are
                  applicable to, such priming and other Liens granted in favor
                  of the Agent and the Banks hereunder and under the other Loan
                  Documents (and, in the case of (x) Accounts arising on or
                  after the Filing Date out of use of the properties that are
                  subject as of the Filing Date to valid and perfected liens in
                  favor of the Real Estate Financiers, also junior to the
                  adequate protection liens in favor of the Real Estate
                  Financiers on such Accounts that may be granted in favor of
                  the Real Estate Financiers, and (y) other assets that are
                  subject as of the Filing Date to valid and perfected liens
                  that are not being primed, also junior to such replacement
                  adequate protection liens that may be granted on collateral of
                  the same type to the holders of such valid and perfected
                  liens), (D) the payment on a current basis of the reasonable
                  fees and disbursements of respective professionals (including,
                  but not limited to, the reasonable fees and disbursements of
                  counsel and third-party consultants, including investment
                  bankers, financial consultants, and auditors) incurred by the
                  Pre-Petition Agent, the Synthetic Lease Facility Agent and the
                  other Existing Co-Agents (including the payment on the Closing
                  Date or as soon thereafter as is practicable of any unpaid
                  pre-petition fees and expenses), the payment of reasonable
                  counsel fees and disbursements of members of the Steering
                  Committee acting under the Existing Credit Agreement acting in
                  their capacity as such and the continuation of the payment to
                  the Pre-Petition Agent and the Synthetic Lease Facility Agent
                  on a current basis of the administration fees that are
                  provided for under the Existing Credit Agreement or the
                  Synthetic Lease Facility, as the case may be, and (E) so long
                  as no Event of Default or event, which upon notice or lapse of
                  time or both, would constitute an Event of Default shall have
                  occurred and be continuing, the payment to the Existing
                  Lenders or the Synthetic Lease Facility Lenders, as the case
                  may be, of the Net Proceeds of asset sales or dispositions of
                  the Existing Shared Collateral or Synthetic Lease Collateral,
                  as the case may be, permitted hereunder, the proceeds of which
                  are not required to be applied to the Loans pursuant to
                  Section 2.13(b), and (2) provide that neither the Borrower nor
                  any Guarantor shall assume (without the written consent of the
                  Agent which shall not be unreasonably withheld), and no order
                  shall be entered authorizing the assumption of, any provider
                  agreements between the Borrower or any Guarantor, as the case
                  may be, and any governmental unit (without the prior written
                  consent of the Agent which shall not be unreasonably
                  withheld).

                                       46


                  (3) Security and Pledge Agreement. The Borrower and each of
the Guarantors shall have duly executed and delivered to the Agent a Security
and Pledge Agreement in substantially the form of Exhibit B (the "Security and
Pledge Agreement").

                  (4) First Day Orders. All of the "first day orders" entered by
the Bankruptcy Court at the time of the commencement of the Cases shall be
reasonably satisfactory in form and substance to the Agent.

                  (5) Opinion of Counsel. The Agent and the Banks shall have
received the favorable written opinion of counsel to the Borrower and the
Guarantors reasonably acceptable to the Agent, dated the date of the initial
Loans or the issuance of the initial Letter of Credit, whichever first occurs,
substantially in the form of Exhibit C.

                  (6) Payment of Fees. The Borrower shall have paid to the Agent
the then unpaid balance of all accrued and unpaid Fees then due and payable
under and pursuant to this Agreement and the letter referred to in Section 2.19.

                  (7) Corporate and Judicial Proceedings. All corporate and
judicial proceedings and all instruments and agreements in connection with the
transactions among the Borrower, the Guarantors, the Agent and the Banks
contemplated by this Agreement shall be reasonably satisfactory in form and
substance to the Agent, and the Agent shall have received all information and
copies of all documents and papers, including records of corporate and judicial
proceedings, which the Agent may have reasonably requested in connection
therewith, such documents and papers where appropriate to be certified by proper
corporate, governmental or judicial authorities.

                  (8) Information. The Agent shall have received such
information (financial or otherwise) as may be reasonably requested by the Agent
and shall have discussed the Borrower's financial forecast heretofore delivered
to the Agent with the Borrower's management and shall be reasonably satisfied
with the nature and substance of such discussions.

                  (i) Budget. The Agent shall have received from the Borrower a
budget detailing the Borrower's anticipated cash receipts and disbursements for
the period through the Maturity Date and setting forth the anticipated uses of
the Commitment that is reasonably satisfactory in form and substance to the
Agent and the Original Required Banks (the "Budget").

                  (j) Compliance with Laws. The Borrower and the Guarantors
shall have granted the Agent access to and the right to inspect all existing
reports, audits and other internal information of the Borrower and the
Guarantors relating to environmental matters to the extent in the possession,
custody or control of the Borrowers or the Guarantors, and any third-party
verification of certain matters relating to compliance with environmental laws
and regulations reasonably requested by the Agent to the extent in the
possession, custody or control of the Borrowers or the Guarantors, and the Agent
shall be reasonably satisfied that the Borrower and the Guarantors are not
reasonably likely to incur liabilities under or pursuant to applicable
environmental laws that would have a Material Adverse Effect.

                                       47


                  (k) Closing Documents. The Agent shall have received all
documents required by this Agreement reasonably satisfactory in form and
substance to the Agent.

         (2) Conditions Precedent to Each Loan and Each Letter of Credit. The
obligation of the Banks to make each Loan and of the Fronting Bank to issue each
Letter of Credit, including the initial Loan and the initial Letter of Credit,
is subject to the following conditions precedent:

                  (1) Notice. The Agent shall have received a notice with
respect to such borrowing or issuance, as the case may be, as required by
Section 2.

                  (2) Representations and Warranties. All representations and
warranties contained in this Agreement and the other Loan Documents shall be
true and correct in all material respects on and as of the date of each
Borrowing or the issuance of each Letter of Credit hereunder with the same
effect as if made on and as of such date except to the extent such
representations and warranties expressly relate to an earlier date.

                  (3) No Default. On the date of each Borrowing hereunder or the
issuance of each Letter of Credit, no Event of Default or event which upon
notice or lapse of time or both would constitute an Event of Default shall have
occurred and be continuing.

                  (d) Orders. The Interim Order shall be in full force and
effect and shall not have been stayed, reversed, modified or amended in any
respect without the prior written consent of the Agent and the Required Banks,
provided, that at the time of the making of any Loan or the issuance of any
Letter of Credit the aggregate amount of either of which, when added to the sum
of the principal amount of all Loans then outstanding and the Letter of Credit
Outstandings, would exceed the amount authorized by the Interim Order
(collectively, the "Additional Credit"), the Agent and each of the Banks shall
have received a certified copy of an order of the Bankruptcy Court in
substantially the form of Exhibit A-2 (the "Final Order"), which, in any event,
shall have been entered by the Bankruptcy Court no later than 45 days after the
entry of the Interim Order, and at the time of the extension of any Additional
Credit the Final Order shall be in full force and effect, and shall not have
been stayed, reversed, modified or amended in any respect without the prior
written consent of the Agent and the Required Banks; and if either the Interim
Order or the Final Order is the subject of a pending appeal in any respect,
neither the making of the Loans nor the issuance of any Letter of Credit nor the
performance by the Borrower or any Guarantor of any of their respective
obligations under any of the Loan Documents shall be the subject of a presently
effective stay pending appeal.

                  (e) Payment of Fees. The Borrower shall have paid to the Agent
the then unpaid balance of all accrued and unpaid Fees then due and payable
under and pursuant to this Agreement and the letter referred to in Section 2.19.

                                       48


                  (f) Borrowing Base Certificate. The Agent shall have received
the timely delivery of the most recent Borrowing Base Certificate required
pursuant to Section 5.06.

                  (g) UCC Searches. At the time of the making of the first Loan
or the issuance of the first Letter of Credit following the entry of the Final
Order, the Agent shall have received UCC searches conducted in the jurisdictions
in which the Borrower and the Guarantors conduct business (dated as of a date
reasonably satisfactory to the Agent), reflecting the absence of Liens and
encumbrances on the assets of the Borrower and the Guarantors other than Liens
granted (or otherwise permitted) under the Existing Agreements to Cardinal or
the Real Estate Financiers or Permitted Liens and such other Liens as may be
satisfactory to the Agent.

The request by the Borrower for, and the acceptance by the Borrower of, each
extension of credit hereunder shall be deemed to be a representation and
warranty by the Borrower that the conditions specified in this Section have been
satisfied or waived at that time.

(6) AFFIRMATIVE COVENANTS

                  From the date hereof and for so long as any Commitment shall
be in effect or any Letter of Credit shall remain outstanding (in a face amount
in excess of the amount of cash then held in the Letter of Credit Account, or in
excess of the face amount of back-to-back letters of credit delivered, in each
case pursuant to Section 2.03(b)), or any amount shall remain outstanding or
unpaid under this Agreement, the Borrower and each of the Guarantors agree that,
unless the Required Banks shall otherwise consent in writing, the Borrower and
each of the Guarantors will:

         (1) Financial Statements, Reports, etc. In the case of the Borrower
and the Guarantors, deliver to the Agent and each of the Banks:

                  (1) within 90 days after the end of each fiscal year, the
Borrower's consolidated balance sheets and related statements of income and cash
flows, together with a consolidating schedule thereof consistent with the Budget
presentation showing the financial condition of the Borrower and its
Subsidiaries (excluding Multicare) on a consolidated basis as of the close of
such fiscal year and the results of their respective operations during such
year, the consolidated statement of the Borrower to be audited for the Borrower
and its consolidated Subsidiaries (excluding Multicare) by KPMG Peat Marwick or
by other independent public accountants of recognized national standing
acceptable to the Required Banks and accompanied by an opinion of such
accountants (which shall not be qualified in any material respect other than
with respect to the Cases or a going concern qualification), to the effect that
such consolidated financial statements fairly present the financial condition
and results of operations of the Borrower and its Subsidiaries (excluding
Multicare) on a consolidated basis in accordance with GAAP;

                  (2) within 45 days after the end of each of the first three
fiscal quarters, the Borrower's consolidated balance sheets and related
statements of income and cash flows, showing the financial condition of the
Borrower and its Subsidiaries (excluding Multicare) on a consolidated basis as
of the close of such fiscal quarter and the results of their operations during
such fiscal quarter and the then elapsed portion of the fiscal year, each
certified by a Financial Officer as fairly presenting the financial condition
and results of operations of the Borrower and it Subsidiaries (excluding
Multicare) on a consolidated basis in accordance with GAAP consistently applied,
subject to normal year-end audit adjustments;

                                       49


                  (3) as soon as available, but no more than 45 days after the
end of each month, the unaudited consolidated balance sheets, and related
statements of income and cash flows of the Borrower and the Guarantors on a
consolidated basis and as of the close of such fiscal month and the then elapsed
portion of the fiscal year together with a report of the EBITDA performance
during the immediately preceding month of the real estate portfolios financed by
the Real Estate Financiers;

                  (4) concurrently with any delivery of financial statements
under (a) or (b) above as applicable, (i) a certificate of a Financial Officer
certifying such statements (A) certifying to the best of such Financial
Officer's knowledge that no Event of Default or event which upon notice or lapse
of time or both would constitute an Event of Default has occurred, or, if such
an Event of Default or event has occurred, specifying the nature and extent
thereof and any corrective action taken or proposed to be taken with respect
thereto and (B) setting forth computations in reasonable detail satisfactory to
the Agent demonstrating compliance with the provisions of Sections 6.03, 6.04,
6.05 and 6.14 and (ii) a certificate (which certificate may be limited to
accounting matters and disclaim responsibility for legal interpretations) of
such accountants accompanying the audited consolidated financial statements
delivered under (a) above certifying that, in the course of the regular audit of
the business of the Borrower and its Subsidiaries, such accountants have
obtained no knowledge that an Event of Default has occurred and is continuing,
or if, in the opinion of such accountants, an Event of Default has occurred and
is continuing, specifying the nature thereof and all relevant facts with respect
thereto;

                  (5) as soon as possible, and in any event within 45 days of
the Closing Date, a consolidated pro forma balance sheet of the Borrower's and
the Guarantors' financial condition as of the Filing Date;

                  (6) within 45 days from the end of each fiscal quarter of the
Borrower, an update of the Budget for the succeeding six-month period in form
satisfactory to the Agent together with an analysis of budgeted to actual
performance for the immediately preceding fiscal quarter (or a certificate from
a Financial Officer of the Borrower that the Budget need not be updated);

                  (7) promptly after the same become publicly available, copies
of all periodic and other reports, proxy statements and other materials filed by
it with the Securities and Exchange Commission, or any governmental authority
succeeding to any of or all the functions of said commission, or with any
national securities exchange, as the case may be;

                  (8) as soon as practicable and in any event (A) within 10 days
after the Borrower or any of its ERISA Affiliates knows or has reason to know
that any Termination Event described in clause (i) of the definition of
Termination Event with respect to any Single Employer Plan has occurred and (B)
within 10 days after the Borrower or any of its ERISA Affiliates knows or has
reason to know that any other Termination Event with respect to any such Plan
has occurred, a statement of a Financial Officer of the Borrower describing such
Termination Event and the action, if any, which the Borrower or such ERISA
Affiliate proposes to take with respect thereto;

                  (9) promptly and in any event within 10 days after receipt
thereof by the Borrower or any of its ERISA Affiliates from the PBGC copies of
each notice received by the Borrower or any such ERISA Affiliate of the PBGC's
intention to terminate any Single Employer Plan of the Borrower or such ERISA
Affiliate or to have a trustee appointed to administer any such Plan;

                                       50


                  (10) if requested by the Agent, promptly and in any event
within 30 days after the filing thereof with the Internal Revenue Service,
copies of the annual report (Form 5500 Series) with respect to each Single
Employer Plan of the Borrower or any of its ERISA Affiliates;

                  (11) within 10 days after notice is given or required to be
given to the PBGC under Section 302(f)(4)(A) of ERISA of the failure of the
Borrower or any of its ERISA Affiliates to make timely payments to a Plan, a
copy of any such notice filed and a statement of a Financial Officer of the
Borrower setting forth (A) sufficient information necessary to determine the
amount of the lien under Section 302(f)(3) of ERISA, (B) the reason for the
failure to make the required payments and (C) the action, if any, which the
Borrower or any of its ERISA Affiliates proposed to take with respect thereto;

                  (12) promptly and in any event within 10 days after receipt
thereof by the Borrower or any ERISA Affiliate from a Multiemployer Plan
sponsor, a copy of each notice received by the Borrower or any ERISA Affiliate
concerning (A) the imposition of Withdrawal Liability by a Multiemployer Plan,
(B) the determination that a Multiemployer Plan is, or is expected to be, in
reorganization within the meaning of Title IV of ERISA, (C) the termination of a
Multiemployer Plan within the meaning of Title IV of ERISA, or (D) the amount of
liability incurred, or which may be incurred, by the Borrower or any ERISA
Affiliate in connection with any event described in clause (A), (B) or (C)
above;

                  (13) promptly, from time to time, such other information
regarding the operations, business affairs and financial condition of the
Borrower or any Guarantor, or compliance with the terms of any material loan or
financing agreements as the Agent, at the request of any Bank, may reasonably
request; and

                  (14) furnish to the Agent and its counsel promptly after the
same is available, copies of all pleadings, motions, applications, judicial
information, financial information and other documents filed by or on behalf of
the Borrower or any of the Guarantors with the Bankruptcy Court in the Cases, or
distributed by or on behalf of the Borrower or any of the Guarantors to any
official committee appointed in the Cases.

         (2) Corporate Existence. Preserve and maintain in full force and effect
all governmental rights, privileges, qualifications, permits, licenses and
franchises necessary or desirable in the normal conduct of its business except
(i)(A) if in the reasonable business judgment of the Borrower or such Guarantor,
as the case may be, it is in its best economic interest not to preserve and
maintain such rights, privileges, qualifications, permits, licenses and
franchises, and (B) such failure to preserve the same could not, in the
aggregate, reasonably be expected to have a Material Adverse Effect and (ii) as
otherwise permitted in connection with sales of assets permitted by Section
6.11.

         (3) Insurance. (a) Keep its insurable properties insured at all times,
against such risks, including fire and other risks insured against by extended
coverage, as is customary with companies of the same or similar size in the same
or similar businesses; and maintain in full force and effect public liability
insurance against claims for personal injury or death or property damage
occurring upon, in, about or in connection with the use of any properties owned,
occupied or controlled by the Borrower or any Guarantor, as the case may be, in
such amounts and with such deductibles as are customary with companies of the
same or similar size in the same or similar businesses and in the same
geographic area; and (b) maintain such other insurance or self insurance as may
be required by law.

                                       51


         (4) Obligations and Taxes. With respect to the Borrower and each
Guarantor, pay all its material obligations arising after the Filing Date
promptly and in accordance with their terms and pay and discharge promptly all
material taxes, assessments and governmental charges or levies imposed upon it
or upon its income or profits or in respect of its property arising after the
Filing Date, before the same shall become in default, as well as all material
lawful claims for labor, materials and supplies or otherwise arising after the
Filing Date which, if unpaid, would become a Lien or charge upon such properties
or any part thereof; provided, however, that the Borrower and each Guarantor
shall not be required to pay and discharge or to cause to be paid and discharged
any such tax, assessment, charge, levy or claim so long as the validity or
amount thereof shall be contested in good faith by appropriate proceedings (if
the Borrower and the Guarantors shall have set aside on their books adequate
reserves therefor).

         (5) Notice of Event of Default, Investigations, Violations, etc.
Promptly give to the Agent notice in writing of:

                  (1) any Event of Default or the occurrence of any event or
circumstance which with the passage of time or giving of notice or both would
constitute an Event of Default;

                  (2) any litigation, investigations or proceeding which may
exist at any time between the Borrower or any of the Guarantors and any
Governmental Authority, which in either case could reasonably be expected to
have a Material Adverse Effect; and

                  (3) the following events, as soon as possible and in any event
within five Business Days (i) after obtaining knowledge thereof, the occurrence
of any event that would (with the giving of notice, the passage of time, or
both) be a violation of any Health Care Permit necessary for the lawful conduct
of the business or operations of the Borrower or any of the Guarantors (other
than those Health Care Permits the violation of which could not reasonably be
expected to have a Material Adverse Effect), including, without limitation, the
ownership and operation of its Health Care Facilities, (ii) after receipt
thereof, any notice of any violation of any Requirements of Law which would
(with the giving of notice, the passage of time, or both) cause any of the
Health Care Permits referred to in clause (i) to be modified, rescinded or
revoked and which the Borrower does not reasonably expect to be able to cure
within a reasonable period of time, (iii) after receipt thereof, any notice,
summons, citation, or other proceeding seeking to adversely modify in any
material respect, revoke, or suspend any Medicare provider agreement, Medicaid
provider agreement, Medicare certification or Medicaid certification applicable
to any of the Health Care Facilities of the Borrower or any of the Guarantors in
any manner which could reasonably be expected to have a Material Adverse Effect,
or (iv) after obtaining knowledge thereof, any revocation or involuntary
termination of any Medicare provider agreement, Medicaid provider agreement,
Medicare certification or Medicaid certification applicable to any of the Health
Care Facilities of the Borrower or any of the Guarantors that could reasonably
be expected to have a Material Adverse Effect.

                                       52


         (6) Borrowing Base Certificate. Deliver to the Agent, 30 days after the
end of each calendar month (and, if requested by the Agent at any other time
when the Agent reasonably believes that the then-existing Borrowing Base is
materially inaccurate, as soon as reasonably available but no later than 10 days
after the request), a completed Borrowing Base Certificate in substantially the
form of Exhibit E hereto (the "Borrowing Base Certificate") calculating and
certifying the Borrowing Base as of the last day of such calendar month (or as
of such other requested date, as the case may be), with supporting documentation
(including, without limitation, the documentation described in Schedule 1 to
Exhibit E), in each case signed on behalf of the Borrower by a Financial Officer
thereof and certified as being complete and correct based on the Borrower's and
applicable Division's accounting records.

         (7) Maintenance of Concentration Accounts. Continue to maintain with
the Agent an account or accounts to be used by the Borrower and the Guarantors
as their principal concentration accounts for day-to-day operations conducted by
the Borrower and the Guarantors.

         (8) Books and Records, Inspection and Collateral Review Rights.

                  (1) The Borrower will, and will cause each of the Guarantors
to, keep proper books of record and account in which full, true and correct
entries in conformity with GAAP in all material respects and all material
Requirements of Law are made of all dealings and transactions in relation to its
business and activities. The Borrower will, and will cause each of the
Guarantors to, permit any representatives designated by the Agent, upon
reasonable prior notice, to visit and inspect its financial records and
properties, to examine and make extracts from its books and records, and to
discuss its affairs, finances and condition with its officers and independent
accountants, all at such reasonable times and as often as reasonably requested.

                  (2) The Borrower will, and will cause each of the Guarantors
to, permit any representatives designated by the Agent (including any
consultants, accountants, lawyers and appraisers retained by the Agent) to
conduct evaluations and appraisals of the Borrower's computation of the
Borrowing Base and the assets included in the Borrowing Base, all at such
reasonable times and as often as reasonably requested. The Borrower shall pay
the reasonable fees and expenses of any such representatives retained by the
Agent as to which invoices have been furnished to conduct any such evaluation or
appraisal, including, without limitation, the reasonable fees and expenses
associated with collateral monitoring services. To the extent required by the
Agent as a result of any such evaluation, appraisal or monitoring, the Borrower
also agrees to modify or adjust the computation of the Borrowing Base (which may
include maintaining additional reserves, modifying the advance rates or
modifying the eligibility criteria for the components of the Borrowing Base).

                  (3) In the event that historical accounting practices, systems
or reserves relating to the components of the Borrowing Base are modified in a
manner that is adverse to the Banks in any material respect, the Borrower will
agree to maintain such additional reserves (for purposes of computing the
Borrowing Base) in respect to the components of the Borrowing Base and make such
other adjustments to its parameters for including the components of the
Borrowing Base as the Agent shall reasonably require based upon such
modifications.


                                       53


         (9) Conduct of Business and Maintenance of Existence, etc. (a) (i)
Continue to engage in the business of owning, operating, managing and/or
financing Health Care Facilities (except with respect to Health Care Facilities
which may be disposed of during the Case in accordance with this Agreement) and
providing other services or amenities customarily provided by, or other
activities customarily undertaken by, Persons owning, operating, managing and/or
financing Health Care Facilities (except with respect to Health Care Facilities
which may be disposed of during the Case in accordance with this Agreement),
(ii) except as set forth in Section 5.10, preserve, renew and keep in full force
and effect its corporate existence (except as otherwise permitted by Section
6.11) and (iii) take all reasonable action to maintain all rights, privileges
and franchises necessary or desirable in the normal conduct of its business,
except, in each case, as otherwise permitted by Section 6.11 and except, in the
case of clause (iii) above, to the extent that failure to do so could not
reasonably be expected to have a Material Adverse Effect; and (b) comply with
all Contractual Obligations and Requirements of Law except to the extent that
failure to comply therewith could not, in the aggregate, reasonably be expected
to have a Material Adverse Effect.

         (10) Health Care Permits and Approvals. Take all action reasonably
necessary to (a) maintain in full force and effect all Health Care Permits
reasonably necessary for the lawful conduct of its business or operations where
now conducted and as planned to be conducted, including the ownership and
operation of its Health Care Facilities (except with respect to Health Care
Facilities which may be disposed of during the Case in accordance with this
Agreement), pursuant to all Requirements of Law and (b) ensure that all Health
Care Facilities (except with respect to Health Care Facilities which may be
disposed of during the Case in accordance with this Agreement) owned, leased,
managed or operated by the Borrower or any of the Guarantors are entitled to
participate in, and receive payment under, the appropriate Medicare, Medicaid
and related reimbursement programs, and any similar state or local
government-sponsored program, to the extent the Borrower or any of the
Guarantors has decided to participate in any such program, and to receive
reimbursement from private and commercial payers and health maintenance
organizations to the extent applicable thereto, except, in each case, where a
failure to do so could not reasonably be expected to have a Material Adverse
Effect.

         (11) Financial Advisor. Not later than 45 days following the Filing
Date, retain, pursuant to an order entered by the Bankruptcy Court that is
satisfactory to the Agent, and thereafter continue the retention at all times
of, a financial advisor acceptable to the Agent which acceptance shall not be
unreasonably withheld (it being understood that the financial advisor heretofore
retained is acceptable to the Agent) to assist the Borrower with its operational
and financial restructuring, to monitor the Borrower's cash flows and financial
position (and to report same to the Agent) and to make such financial advisor
available to the Agent to discuss the Borrower's operations, financial
performance and cash flow reports upon the Agent's reasonable request.

         (12) Annual Operating Budget; Financial Forecast. As soon as
practicable, and in any event not later than (x) September 30, 2000, furnish to
the Agent the Borrower's annual operating budget (in form and substance
consistent with the historical practices of the Borrower) and (y) December 31,
2000, furnish to the Agent the Borrower's three-year financial forecast for the
three-year period ending September 30, 2003 (which shall include a timetable for
the implementation of the business strategies set forth therein), which shall be
satisfactory in form and substance to the Agent and make its senior officers
available to discuss the same with the Agent upon the Agent's reasonable
request.

                                       54


(7) NEGATIVE COVENANTS

                  From the date hereof and for so long as any Commitment shall
be in effect or any Letter of Credit shall remain outstanding (in a face amount
in excess of the amount of cash then held in the Letter of Credit Account, or in
excess of the face amount of back-to-back letters of credit delivered, in each
case pursuant to Section 2.03(b)) or any amount shall remain outstanding or
unpaid under this Agreement, unless the Required Banks shall otherwise consent
in writing, the Borrower and each of the Guarantors will not (and will not apply
to the Bankruptcy Court for authority to):

         (1) Liens. Incur, create, assume or suffer to exist any Lien on any
asset of the Borrower or the Guarantors, now owned or hereafter acquired by the
Borrower or any of such Guarantors, other than (i) Liens which were existing on
the Filing Date as reflected on Schedule 3.06 hereto and Liens granted pursuant
to the Existing Agreement; (ii) Liens in favor of the Existing Lenders as
adequate protection granted pursuant to the Orders, which Liens are junior to
the Liens contemplated hereby in favor of the Agent and the Banks, provided that
the Interim Order and the Final Order provide that the holder of such junior
Liens shall not be permitted to take any action to foreclose with respect to
such junior Liens so long as any amounts shall remain outstanding hereunder or
any Commitment shall be in effect; (iii) Permitted Liens; (iv) Liens in favor of
the Agent and the Banks; (v) Liens in existence as of the Filing Date in favor
of Cardinal or the Real Estate Financiers; and (vi) Liens securing purchase
money Indebtedness (including Cardinal) or Capitalized Leases permitted by
Section 6.03.

         (2) Merger, etc. Consolidate or merge with or into another Person
except that any Guarantor may merge with or into any other Guarantor or the
Borrower. The Borrower shall give the Agent no less than 10 days' prior written
notice before the consummation of any consolidation or merger permitted hereby.

         (3) Indebtedness. Contract, create, incur, assume or suffer to exist
any Indebtedness, except for (i) Indebtedness under this Agreement; (ii)
Indebtedness incurred prior to the Filing Date (including existing Capitalized
Leases); (iii) Indebtedness incurred subsequent to the Filing Date secured by
purchase money Liens in an aggregate outstanding amount not to exceed
$5,000,000; (iv) Capitalized Leases in an amount not in excess of $5,000,000;
(v) Indebtedness in favor of Cardinal incurred in the ordinary course of
business; (vi) Indebtedness arising from Investments among the Borrower and the
Guarantors that are permitted hereunder; (vii) Indebtedness which is secured by
a Lien permitted by Section 6.01; (viii) Indebtedness owed to Mellon or any of
its banking Affiliates in respect of any overdrafts and related liabilities
arising from treasury, depository and cash management services or in connection
with any automated clearing house transfers of funds; and (ix) Indebtedness
among the Borrower and the Guarantors.

         (4) Capital Expenditures. (a) Make Capital Expenditures (inclusive of
Capital Expenditures described in paragraph (b) of this Section) during each
consecutive three-month period ending on the dates listed below in excess of the
amount appearing opposite such date, provided that if the amount of the actual
Capital Expenditures that are made during any month is less than the amount
thereof that is permitted to be made during such three-month period, the unused
portion thereof may be carried forward to and made during the immediately
following three-month period:

                                       55


                  Three-Month Period
                       Ending                    Capital Expenditures
                  ------------------             --------------------

                  July 31, 2000                      $13,200,000
                  August 31, 2000                    $14,300,000
                  September 30, 2000                 $14,900,000
                  October 31, 2000                   $14,300,000
                  November 30, 2000                  $13,800,000
                  December 31, 2000                  $13,200,000
                  January 31, 2001                   $12,300,000
                  February 28, 2001                  $11,400,000
                  March 31, 2001                     $10,500,000
                  April 30, 2001                     $10,500,000
                  May 31, 2001                       $10,500,000
                  June 30, 2001                      $10,500,000
                  July 31, 2001                      $10,500,000
                  August 31, 2001                    $10,500,000
                  September 30, 2001                 $10,500,000
                  October 31, 2001                   $10,500,000
                  November 30, 2001                  $10,500,000
                  December 31, 2001                  $10,500,000

                  (b) In the case of any Health Care Facility that is leased
from, or subject to a Lien in favor of, a Real Estate Financier, make Capital
Expenditures in an aggregate amount in excess of $2,000,000 other than for (x)
normal routine maintenance or required to maintain applicable Health Care
Permits and (y) the completion of the construction of the Rittenhouse Health
Care Facility in an amount not to exceed $1,700,000.

         (5) EBITDA. Permit EBITDA during each consecutive three-month period
ending on the dates listed below to be less than the amount appearing opposite
such date:

                  Three Month Period Ending          EBITDA
                  -------------------------          ------

                  July 31, 2000                      $38,500,000
                  August 31, 2000                    $37,100,000
                  September 30, 2000                 $36,000,000
                  October 31, 2000                   $36,700,000
                  November 30, 2000                  $37,700,000
                  December 31, 2000                  $40,200,000
                  January 31, 2001                   $40,800,000
                  February 28, 2001                  $40,500,000
                  March 31, 2001                     $41,200,000
                  April 30, 2001                     $41,100,000
                  May 31, 2001                       $43,100,000
                  June 30, 2001                      $42,900,000
                  July 31, 2001                      $44,500,000
                  August 31, 2001                    $45,400,000
                  September 30, 2001                 $46,200,000
                  October 31, 2001                   $46,400,000
                  November 30, 2001                  $46,000,000
                  December 31, 2001                  $46,800,000



                                       56


         (6) Guarantees and Other Liabilities. Purchase or repurchase (or agree,
contingently or otherwise, so to do) the Indebtedness of, or assume, guarantee
(directly or indirectly or by an instrument having the effect of assuring
another's payment or performance of any obligation or capability of so doing, or
otherwise), endorse or otherwise become liable, directly or indirectly, in
connection with the obligations, stock or dividends of any Person, except (i)
for any guaranty of Indebtedness or other obligations of any Borrower or
Guarantor if the Person granting the guarantee could have incurred such
Indebtedness or obligations under this Agreement and (ii) by endorsement of
negotiable instruments for deposit or collection in the ordinary course of
business.

         (7) Chapter 11 Claims. Incur, create, assume, suffer to exist or permit
any other Super-Priority Claim which is pari passu with or senior to the claims
of the Agent and the Banks against the Borrower and the Guarantors hereunder,
except for the Carve-Out.

         (8) Dividends; Capital Stock. Declare or pay, directly or indirectly,
any dividends or make any other distribution or payment, whether in cash,
property, securities or a combination thereof, with respect to (whether by
reduction of capital or otherwise) any shares of capital stock (or any options,
warrants, rights or other equity securities or agreements relating to any
capital stock), or set apart any sum for the aforesaid purposes, provided that
any Guarantor may pay dividends or make distributions or other payments to its
direct parent or to the Borrower.

         (9) Transactions with Affiliates. Sell or transfer any property or
assets to, or otherwise engage in any other material transactions with, any of
its Affiliates (other than the Borrower and the Guarantors), other than in the
ordinary course of business at prices and on terms and conditions not less
favorable to the Borrower or such Guarantor than could be obtained on an
arm's-length basis from unrelated third parties.

         (10) Investments, Loans and Advances. Purchase, hold or acquire any
capital stock, evidences of indebtedness or other securities of, make or permit
to exist any loans or advances to, or make or permit to exist any investment in,
any other Person (including, without limitation, to Multicare or any of its
Subsidiaries or any Subsidiary of the Borrower that is not a Guarantor or that
has not commenced a Case) (all of the foregoing, "Investments"), except for (i)
ownership by the Borrower or the Guarantors of the capital stock of each of the
Subsidiaries listed on Schedule 3.05, (ii) Permitted Investments, (iii) advances
and loans by or among the Borrower and the Guarantors in the ordinary course of
business and (iv) advances and loans after the Filing Date by the Borrower or
any Guarantor to managed properties not in excess of $5,000,000 in the aggregate
at any one time outstanding.

         (11) Disposition of Assets. Sell or otherwise dispose of any assets
(including, without limitation, the capital stock of any Subsidiary) except for
(i) sales of inventory, fixtures and equipment in the ordinary course of
business, (ii) sales of surplus or obsolete personal property or fixtures, (iii)
sales of assets described on Schedule 6.11 upon terms reasonably acceptable to
the Agent and the Required Banks and (iv) sales or other dispositions of other
assets having a fair market value not exceeding $2,500,000 in the aggregate.

                                       57


         (12) Nature of Business. Modify or alter in any material manner the
nature and type of its business as conducted at or prior to the Filing Date or
the manner in which such business is conducted (except as required by the
Bankruptcy Code), it being understood that asset sales permitted by Section 6.11
shall not constitute such a material modification or alteration.

         (13) Health Care Permits and Approvals. Engage in any activity that (a)
constitutes or, with the giving of notice, the passage of time, or both, would
result in a material violation of, any Health Care Permit necessary for the
lawful conduct of its business or operations or (b) constitutes or, with the
giving of notice, the passage of time, or both, would result in the loss by any
Health Care Facility (except with respect to Health Care Facilities which may be
disposed of during the Case in accordance with this Agreement) owned or leased
by the Borrower or any of the Guarantors of the right to participate in, and
receive payment under, the appropriate Medicare, Medicaid and related
reimbursement programs, and any similar state or local government-sponsored
program, to the extent that the Borrower or such Guarantor has decided to
participate in any such program, and to receive reimbursement from private and
commercial payers and health maintenance organizations to the extent applicable
thereto, in each case, except where the loss of such Health Care Permit or
rights to participate in or receive payments under such programs could not
reasonably be expected to have a Material Adverse Effect or would not be
inconsistent with the Borrower's three-year financial forecast heretofore
delivered to the Agent and the Banks.

         (14) Census. Allow the patient census of the Borrower's and the
Guarantors' Health Care Facilities when taken as a whole, to fall below 87.8% of
the number of licensed available beds in such Health Care Facilities, taken as a
whole (computed in a manner consistent with reporting practices existing on the
Filing Date).

         (15) Assumption of Provider Agreements. Assume, without the prior
written consent of the Agent, any provider agreement between the Borrower or any
Guarantor and any Governmental Authority.

         (16) Modification of the Multicare Management Agreement. Permit any
modification, amendment or alteration in any material respect to the Multicare
Management Agreement.

         (17) Facility Usage. Permit the sum of the aggregate principal amount
of all outstanding Loans plus the aggregate Letter of Credit Outstandings during
each period commencing five (5) days before and ending five (5) days after each
of the dates listed below to be greater than the amount appearing opposite such
date (or, if less, the amount of the Borrowing Base as of such date):


                          Date                          Amount
                          ----                          ------

                    September 30, 2000               $190,000,000
                    December 31, 2000                $210,000,000
                      March 31, 2001                 $225,000,000
                      June 30, 2001                  $240,000,000

                                       58



(8) EVENTS OF DEFAULT

         (1) Events of Default. In the case of the happening of any of the
following events and the continuance thereof beyond the applicable period of
grace if any (each, an "Event of Default"):

                  (1) any material representation or warranty made by the
Borrower or any Guarantor in this Agreement or in any Loan Document or in
connection with this Agreement or the credit extensions hereunder or any
material statement or representation made in any report, financial statement,
certificate or other document furnished by the Borrower or any Guarantors to the
Banks under or in connection with this Agreement, shall prove to have been false
or misleading in any material respect when made or delivered; or

                  (2) default shall be made in the payment of any (i) Fees or
interest on the Loans, and such default shall continue unremedied for more than
two (2) Business Days or (ii) principal of the Loans or other amounts payable by
the Borrower hereunder (including, without limitation, reimbursement obligations
or cash collateralization in respect of Letters of Credit but excluding those
provided for in clause (i) above), when and as the same shall become due and
payable, whether at the due date thereof (including the Prepayment Date) or at a
date fixed for prepayment thereof or by acceleration thereof or otherwise; or

                  (3) default shall be made by the Borrower or any Guarantor in
the due observance or performance of any covenant, condition or agreement
contained in Section 6 hereof; or

                  (4) default shall be made by the Borrower or any Guarantor in
the due observance or performance of any other covenant, condition or agreement
to be observed or performed pursuant to the terms of this Agreement, the Orders
or any of the other Loan Documents and such default shall continue unremedied
for more than thirty (30) days (or, in the case of a default under Section 5.05,
5.09 or 5.10, for more than fifteen (15) days after a Responsible Officer has
knowledge of such default); or

                  (5) any of the Cases (other than the Case of a De Minimis
Guarantor) shall be dismissed or converted to a case under Chapter 7 of the
Bankruptcy Code (or the Borrower or any of the Guarantors (other than the Case
of a De Minimis Guarantor) shall seek such dismissal or conversion); a trustee
under Chapter 7 or Chapter 11 of the Bankruptcy Code, a responsible officer or
an examiner with enlarged powers relating to the operation of the business
(powers beyond those set forth in Section 1106(a)(3) and (4) of the Bankruptcy
Code) under Section 1106(b) of the Bankruptcy Code shall be appointed in any of
the Cases and the order appointing such trustee, responsible officer or examiner
shall not be reversed or vacated within 30 days after the entry thereof; or an
application shall be filed by the Borrower or any Guarantor for the approval of
any other Super-Priority Claim (other than the Carve-Out) in any of the Cases
which is pari passu with or senior to the claims of the Agent and the Banks
against the Borrower or any Guarantor hereunder, or there shall arise or be
granted any such pari passu or senior Super-Priority Claim; or

                                       59


                  (6) the Bankruptcy Court shall enter an order or orders
granting relief from the automatic stay applicable under Section 362 of the
Bankruptcy Code to the holder or holders of any security interest to permit
foreclosure (or the granting of a deed in lieu of foreclosure or the like) on
any assets of the Borrower or any of the Guarantors which have a value in excess
of $2,000,000 in the aggregate; or

                  (7) a Change of Control shall occur; or

                  (8) the Borrower shall fail to deliver a certified Borrowing
Base Certificate when due and such default shall continue unremedied for more
than three (3) Business Days; or

                  (9) any material provision of any Loan Document shall, for any
reason, cease to be valid and binding on the Borrower or any of the Guarantors,
or the Borrower or any of the Guarantors shall so assert in any pleading filed
in any court; or

                  (10) an order of the Bankruptcy Court shall be entered
reversing, amending, supplementing, staying for a period in excess of 10 days,
vacating or otherwise modifying either of the Orders or terminating the use of
cash collateral under the Existing Agreements by the Borrower or the Guarantors
pursuant to the Orders; or

                  (11) any judgment or order as to a post-petition liability or
debt for the payment of money in excess of $2,000,000 not covered by insurance
shall be rendered against the Borrower or any of the Guarantors and the
enforcement thereof shall not have been stayed; or

                  (12) any non-monetary judgment or order with respect to a
post-petition event shall be rendered against the Borrower or any of the
Guarantors which does or would reasonably be expected to (i) cause a material
adverse change in the financial condition, business, prospects, operations or
assets of the Borrower and the Guarantors taken as a whole on a consolidated
basis, (ii) have a material adverse effect on the ability of the Borrower or any
of the Guarantors to perform their respective obligations under any Loan
Document, or (iii) have a material adverse effect on the rights and remedies of
the Agent or any Bank under any Loan Document, and there shall be any period of
10 consecutive days during which a stay of enforcement of such judgment or
order, by reason of a pending appeal or otherwise, shall not be in effect; or



                                       60


                  (13) except as permitted by the Orders, the Borrower or the
Guarantors shall make any Pre-Petition Payment other than Pre-Petition Payments
authorized by the Bankruptcy Court (i) not in excess of $20,000,000 in respect
of certain critical vendors (other than Cardinal), (ii) to Cardinal in payment
in installments of Cardinal's approximately $50,000,000 claim on the Filing Date
but only if Cardinal agrees pursuant to a Stipulation in substantially the form
of the 6/21/00 draft thereof heretofore furnished to the Banks to extend
post-petition credit on terms of not less than 17 1/2 days but not greater in
amount than (a) the lesser of $39,000,000 and 85% of the value of the
pharmaceutical supplies and merchandise supplied by Cardinal to retail
pharmacies owned, managed or operated by the Borrower and the Guarantors after
applying a $20,000,000 payment to reduce Cardinal's pre-petition claim or (b)
$59,000,000 prior to the application of such $20,000,000 payment, (iii) not in
excess of $1,000,000 in respect of valid reclamation claims, (iv) in respect of
accrued payroll and related expenses and employee benefits as of the Filing
Date, (v) in respect of cure amounts for assumed executory contracts and
unexpired nonresidential leases, (vi) in respect of ordinary course expenditures
and (vii) other payments not in excess of $1,000,000 in the aggregate in
accordance with "first day" orders approved by the Agent; or

                  (14) any Termination Event described in clauses (iii) or (iv)
of the definition of such term shall have occurred and shall continue unremedied
for more than 10 days and the sum (determined as of the date of occurrence of
such Termination Event) of the Insufficiency of the Plan in respect of which
such Termination Event shall have occurred and be continuing and the
Insufficiency of any and all other Plans with respect to which such a
Termination Event (described in such clauses (iii) or (iv)) shall have occurred
and then exist is equal to or greater than $5,000,000; or

                  (15) (i) the Borrower or any ERISA Affiliate thereof shall
have been notified by the sponsor of a Multiemployer Plan that it has incurred
Withdrawal Liability to such Multiemployer Plan, (ii) the Borrower or such ERISA
Affiliate does not have reasonable grounds to contest such Withdrawal Liability
and is not in fact contesting such Withdrawal Liability in a timely and
appropriate manner, and (iii) the amount of such Withdrawal Liability specified
in such notice, when aggregated with all other amounts required to be paid to
Multiemployer Plans in connection with Withdrawal Liabilities (determined as of
the date of such notification), exceeds $5,000,000 allocable to post-petition
obligations or requires payments exceeding $500,000 per annum; or

                  (16) the Borrower or any ERISA Affiliate thereof shall have
been notified by the sponsor of a Multiemployer Plan that such Multiemployer
Plan is in reorganization or is being terminated, within the meaning of Title IV
of ERISA, if as a result of such reorganization or termination the aggregate
annual contributions of the Borrower and its ERISA Affiliates to all
Multiemployer Plans that are then in reorganization or being terminated have
been or will be increased over the amounts contributed to such Multiemployer
Plans for the plan years that include the date hereof by an amount exceeding
$5,000,000; or

                                       61


                  (17) the Borrower or any ERISA Affiliate shall have committed
a failure described in Section 302(f)(1) of ERISA (other than the failure to
make any contribution accrued and unpaid as of the Filing Date) and the amount
determined under Section 302(f)(3) of ERISA is equal to or greater than
$5,000,000; or

                  (18) it shall be determined (whether by the Bankruptcy Court
or by any other judicial or administrative forum) that the Borrower or any
Guarantor is liable for the payment of claims arising out of any failure to
comply (or to have complied) with applicable environmental laws or regulations
the payment of which will have a Material Adverse Effect on the financial
condition, business, properties, operations or assets of the Borrower or the
Guarantors, taken as a whole, and the enforcement thereof shall not have been
stayed; or

then, and in every such event and at any time thereafter during the continuance
of such event, and without further order of or application to the Bankruptcy
Court, the Agent may, and at the request of the Required Banks, shall, by notice
to the Borrower (with a copy to counsel for the Official Creditors' Committee
appointed in the Cases, to counsel for the Pre-Petition Agent and the Synthetic
Lease Facility Agent and to the United States Trustee for the District of
Delaware), take one or more of the following actions, at the same or different
times (provided, that with respect to clause (iv) below and the enforcement of
Liens or other remedies with respect to the Collateral under clause (v) below,
the Agent shall provide the Borrower (with a copy to counsel for the Official
Creditors' Committee in the Cases, to counsel for the Pre-Petition Agent and to
the United States Trustee for the District of Delaware) with five (5) Business
Days' written notice prior to taking the action contemplated thereby and
provided, further, that upon receipt of notice referred to in the immediately
preceding clause with respect to the accounts referred to in clause (iv) below,
the Borrower may continue to make ordinary course disbursements from such
accounts (other than the Letter of Credit Account) but may not withdraw or
disburse any other amounts from such accounts): (i) terminate forthwith the
Total Commitment; (ii) declare the Loans then outstanding to be forthwith due
and payable, whereupon the principal of the Loans together with accrued interest
thereon and any unpaid accrued Fees and all other liabilities of the Borrower
accrued hereunder and under any other Loan Document, shall become forthwith due
and payable, without presentment, demand, protest or any other notice of any
kind, all of which are hereby expressly waived by the Borrower and the
Guarantors, anything contained herein or in any other Loan Document to the
contrary notwithstanding; (iii) require the Borrower and the Guarantors upon
demand to forthwith deposit in the Letter of Credit Account cash in an amount
which, together with any amounts then held in the Letter of Credit Account, is
equal to the sum of 105% of the then outstanding Letters of Credit (and to the
extent the Borrower and the Guarantors shall fail to furnish such funds as
demanded by the Agent, the Agent shall be authorized to debit the accounts of
the Borrower and the Guarantors maintained with the Agent in such amount five
(5) Business Days after the giving of the notice referred to above); (iv)
set-off amounts in the Letter of Credit Account or any other accounts maintained
with the Agent and apply such amounts to the obligations of the Borrower and the
Guarantors hereunder and in the other Loan Documents; and (v) exercise any and
all remedies under the Loan Documents and under applicable law available to the
Agent and the Banks.

                                       62


(9) THE AGENT

         (1) Administration by Agent. The general administration of the Loan
Documents shall be by the Agent. Each Bank hereby irrevocably authorizes the
Agent, at its discretion, to take or refrain from taking such actions as agent
on its behalf and to exercise or refrain from exercising such powers under the
Loan Documents as are delegated by the terms hereof or thereof, as appropriate,
together with all powers reasonably incidental thereto (including the release of
Collateral in connection with any transaction that is expressly permitted by the
Loan Documents). The Agent shall have no duties or responsibilities except as
set forth in this Agreement and the remaining Loan Documents.

         (2) Advances and Payments.

                  (1) On the date of each Loan, the Agent shall be authorized
(but not obligated) to advance, for the account of each of the Banks, the amount
of the Loan to be made by it in accordance with its Commitment hereunder. Should
the Agent do so, each of the Banks agrees forthwith to reimburse the Agent in
immediately available funds for the amount so advanced on its behalf by the
Agent, together with interest at the Federal Funds Effective Rate if not so
reimbursed on the date due from and including such date but not including the
date of reimbursement.

                  (2) Any amounts received by the Agent in connection with this
Agreement (other than amounts to which the Agent is entitled pursuant to
Sections 2.19, 8.06, 10.05 and 10.06), the application of which is not otherwise
provided for in this Agreement shall be applied, first, in accordance with each
Bank's Commitment Percentage to pay accrued but unpaid Commitment Fees or Letter
of Credit Fees, and second, in accordance with each Bank's Commitment Percentage
to pay accrued but unpaid interest and the principal balance outstanding and all
unreimbursed Letter of Credit drawings. All amounts to be paid to a Bank by the
Agent shall be credited to that Bank, after collection by the Agent, in
immediately available funds either by wire transfer or deposit in that Bank's
correspondent account with the Agent, as such Bank and the Agent shall from time
to time agree.

         (3) Sharing of Setoffs. Each Bank agrees that if it shall, through the
exercise of a right of banker's lien, setoff or counterclaim against the
Borrower, including, but not limited to, a secured claim under Section 506 of
the Bankruptcy Code or other security or interest arising from, or in lieu of,
such secured claim and received by such Bank under any applicable bankruptcy,
insolvency or other similar law, or otherwise, obtain payment in respect of its
Loans as a result of which the unpaid portion of its Loans is proportionately
less than the unpaid portion of the Loans of any other Bank (a) it shall
promptly purchase at par (and shall be deemed to have thereupon purchased) from
such other Bank a participation in the Loans of such other Bank, so that the
aggregate unpaid principal amount of each Bank's Loans and its participation in
Loans of the other Banks shall be in the same proportion to the aggregate unpaid
principal amount of all Loans then outstanding as the principal amount of its
Loans prior to the obtaining of such payment was to the principal amount of all
Loans outstanding prior to the obtaining of such payment and (b) such other
adjustments shall be made from time to time as shall be equitable to ensure that
the Banks share such payment pro-rata, provided that if any such non-pro-rata
payment is thereafter recovered or otherwise set aside such purchase of
participations shall be rescinded (without interest). The Borrower expressly
consents to the foregoing arrangements and agrees that any Bank holding (or
deemed to be holding) a participation in a Loan may exercise any and all rights
of banker's lien, setoff (in each case, subject to the same notice requirements
as pertain to clause (iv) of the remedial provisions of Section 7.01) or
counterclaim with respect to any and all moneys owing by the Borrower to such
Bank as fully as if such Bank held a Note and was the original obligee thereon,
in the amount of such participation.

                                       63


         (4) Agreement of Required Banks. Upon any occasion requiring or
permitting an approval, consent, waiver, election or other action on the part of
the Required Banks, action shall be taken by the Agent for and on behalf or for
the benefit of all Banks upon the direction of the Required Banks, and any such
action shall be binding on all Banks. No amendment, modification, consent, or
waiver shall be effective except in accordance with the provisions of Section
10.10.

         (5) Liability of Agent.

                  (1) The Agent when acting on behalf of the Banks, may execute
any of its respective duties under this Agreement by or through any of its
respective officers, agents, and employees, and neither the Agent nor its
directors, officers, agents, employees or Affiliates shall be liable to the
Banks or any of them for any action taken or omitted to be taken in good faith,
or be responsible to the Banks or to any of them for the consequences of any
oversight or error of judgment, or for any loss, unless the same shall happen
through its gross negligence or willful misconduct. The Agent and its respective
directors, officers, agents, employees and Affiliates shall in no event be
liable to the Banks or to any of them for any action taken or omitted to be
taken by them pursuant to instructions received by them from the Required Banks
or in reliance upon the advice of counsel selected by it. Without limiting the
foregoing, neither the Agent, nor any of its respective directors, officers,
employees, agents or Affiliates shall be responsible to any Bank for the due
execution, validity, genuineness, effectiveness, sufficiency, or enforceability
of, or for any statement, warranty, or representation in, this Agreement, any
Loan Document or any related agreement, document or order, or shall be required
to ascertain or to make any inquiry concerning the performance or observance by
the Borrower of any of the terms, conditions, covenants, or agreements of this
Agreement or any of the Loan Documents.

                  (2) Neither the Agent nor any of its respective directors,
officers, employees, agents or Affiliates shall have any responsibility to the
Borrower or the Guarantors on account of the failure or delay in performance or
breach by any Bank or by the Borrower or the Guarantors of any of their
respective obligations under this Agreement or any of the Loan Documents or in
connection herewith or therewith.

                  (3) The Agent, in its capacity as Agent hereunder, shall be
entitled to rely on any communication, instrument, or document reasonably
believed by such person to be genuine or correct and to have been signed or sent
by a person or persons believed by such person to be the proper person or
persons, and such person shall be entitled to rely on advice of legal counsel,
independent public accountants, and other professional advisers and experts
selected by such person.

         (6) Reimbursement and Indemnification. Each Bank agrees (i) to
reimburse (x) the Agent for such Bank's Commitment Percentage of any expenses
and fees incurred for the benefit of the Banks under this Agreement and any of
the Loan Documents, including, without limitation, counsel fees and compensation
of agents and employees paid for services rendered on behalf of the Banks, and
any other expense incurred in connection with the operations or enforcement
thereof not reimbursed by the Borrower or the Guarantors and (y) the Agent for
such Bank's Commitment Percentage of any expenses of the Agent incurred for the
benefit of the Banks that the Borrower has agreed to reimburse pursuant to
Section 10.05 and has failed to so reimburse and (ii) to indemnify and hold
harmless the Agent and any of its directors, officers, employees, agents or
Affiliates, on demand, in the amount of its proportionate share, from and
against any and all liabilities, obligations, losses, damages, penalties,
actions, judgments, suits, costs, expenses, or disbursements of any kind or
nature whatsoever which may be imposed on, incurred by, or asserted against it
or any of them in any way relating to or arising out of this Agreement or any of
the Loan Documents or any action taken or omitted by it or any of them under
this Agreement or any of the Loan Documents to the extent not reimbursed by the
Borrower or the Guarantors (except such as shall result from their respective
gross negligence or willful misconduct).

                                       64


         (7) Rights of Agent. It is understood and agreed that Mellon shall have
the same rights and powers hereunder (including the right to give such
instructions) as the other Banks and may exercise such rights and powers, as
well as its rights and powers under other agreements and instruments to which it
is or may be party, and engage in other transactions with the Borrower or any
Guarantor, as though it were not the Agent of the Banks under this Agreement.

         (8) Independent Banks. Each Bank acknowledges that it has decided to
enter into this Agreement and to make the Loans hereunder based on its own
analysis of the transactions contemplated hereby and of the creditworthiness of
the Borrower and the Guarantors and agrees that the Agent shall bear no
responsibility therefor.

         (9) Notice of Transfer. The Agent may deem and treat a Bank party to
this Agreement as the owner of such Bank's portion of the Loans for all
purposes, unless and until a written notice of the assignment or transfer
thereof executed by such Bank shall have been received by the Agent.

         (10) Successor Agent. The Agent may resign at any time by giving
written notice thereof to the Banks and the Borrower. Upon any such resignation,
the Required Banks shall have the right to appoint a successor Agent, which
shall be reasonably satisfactory to the Borrower. If no successor Agent shall
have been so appointed by the Required Banks and shall have accepted such
appointment, within 30 days after the retiring Agent's giving of notice of
resignation, the retiring Agent may, on behalf of the Banks, appoint a successor
Agent, which shall be a commercial bank organized under the laws of the United
States of America or of any State thereof and having a combined capital and
surplus of a least $100,000,000, which shall be reasonably satisfactory to the
Borrower. Upon the acceptance of any appointment as Agent hereunder by a
successor Agent, such successor Agent shall thereupon succeed to and become
vested with all the rights, powers, privileges and duties of the retiring Agent,
and the retiring Agent shall be discharged from its duties and obligations under
this Agreement. After any retiring Agent's resignation hereunder as Agent, the
provisions of this Section 8 shall inure to its benefit as to any actions taken
or omitted to be taken by it while it was Agent under this Agreement.

(10) GUARANTY

         (1) Guaranty.

                  (1) Each of the Guarantors unconditionally and irrevocably
guarantees the due and punctual payment and performance by the Borrower of the
Obligations. Each of the Guarantors further agrees that the Obligations may be
extended or renewed, in whole or in part, without notice to or further assent
from it, and it will remain bound upon this guaranty notwithstanding any
extension or renewal of any of the Obligations. The Obligations of the
Guarantors shall be joint and several.

                                       65


                  (2) Each of the Guarantors waives presentation to, demand for
payment from and protest to the Borrower or any other Guarantor, and also waives
notice of protest for nonpayment. The Obligations of the Guarantors hereunder
shall not be affected by (i) the failure of the Agent or a Bank to assert any
claim or demand or to enforce any right or remedy against the Borrower or any
other Guarantor under the provisions of this Agreement or any other Loan
Document or otherwise; (ii) any extension or renewal of any provision hereof or
thereof; (iii) any rescission, waiver, compromise, acceleration, amendment or
modification of any of the terms or provisions of any of the Loan Documents;
(iv) the release, exchange, waiver or foreclosure of any security held by the
Agent for the Obligations or any of them; (v) the failure of the Agent or a Bank
to exercise any right or remedy against any other Guarantor; or (vi) the release
or substitution of any Guarantor or any other Guarantor.

                  (3) Each of the Guarantors further agrees that this guaranty
constitutes a guaranty of performance and of payment when due and not just of
collection, and waives any right to require that any resort be had by the Agent
or a Bank to any security held for payment of the Obligations or to any balance
of any deposit, account or credit on the books of the Agent or a Bank in favor
of the Borrower or any other Guarantor, or to any other Person.

                  (4) Each of the Guarantors hereby waives any defense that it
might have based on a failure to remain informed of the financial condition of
the Borrower and of any other Guarantor and any circumstances affecting the
ability of the Borrower to perform under this Agreement.

                  (5) Each Guarantor's guaranty shall not be affected by the
genuineness, validity, regularity or enforceability of the Obligations or any
other instrument evidencing any Obligations, or by the existence, validity,
enforceability, perfection, or extent of any collateral therefor or by any other
circumstance relating to the Obligations which might otherwise constitute a
defense to this Guaranty. Neither of the Agent, nor any of the Banks makes any
representation or warranty in respect to any such circumstances or shall have
any duty or responsibility whatsoever to any Guarantor in respect of the
management and maintenance of the Obligations.

                  (6) Subject to the provisions of Section 7.01, upon the
Obligations becoming due and payable (by acceleration or otherwise), the Banks
shall be entitled to immediate payment of such Obligations by the Guarantors
upon written demand by the Agent, without further application to or order of the
Bankruptcy Court.

         (2) No Impairment of Guaranty. The obligations of the Guarantors
hereunder shall not be subject to any reduction, limitation, impairment or
termination for any reason, including, without limitation, any claim of waiver,
release, surrender, alteration or compromise, and shall not be subject to any
defense or set-off, counterclaim, recoupment or termination whatsoever by reason
of the invalidity, illegality or unenforceability of the Obligations. Without
limiting the generality of the foregoing, the obligations of the Guarantors
hereunder shall not be discharged or impaired or otherwise affected by the
failure of the Agent or a Bank to assert any claim or demand or to enforce any
remedy under this Agreement or any other agreement, by any waiver or
modification of any provision thereof, by any default, failure or delay, willful
or otherwise, in the performance of the Obligations, or by any other act or
thing or omission or delay to do any other act or thing which may or might in
any manner or to any extent vary the risk of the Guarantors or would otherwise
operate as a discharge of the Guarantors as a matter of law, unless and until
the Obligations are paid in full.

                                       66


         (3) Subrogation. Upon payment by any Guarantor of any sums to the Agent
or a Bank hereunder, all rights of such Guarantor against the Borrower arising
as a result thereof by way of right of subrogation or otherwise, shall in all
respects be subordinate and junior in right of payment to the prior final and
indefeasible payment in full of all the Obligations. If any amount shall be paid
to such Guarantor for the account of the Borrower, such amount shall be held in
trust for the benefit of the Agent and the Banks and shall forthwith be paid to
the Agent and the Banks to be credited and applied to the Obligations, whether
matured or unmatured.

(11) MISCELLANEOUS

         (1) Notices. Notices and other communications provided for herein shall
be in writing (including telegraphic, telex, facsimile or cable communication)
and shall be mailed, telegraphed, telexed, transmitted, cabled or delivered to
the Borrower, or any Guarantor in care of the Borrower, at 101 East State
Street, Kennett Square, Pennsylvania 19348, Attention: Chief Financial Officer,
with copies to Weil, Gotshal & Manges LLP, 767 Fifth Avenue, New York, New York
10153-0119, Attn: Gary Holtzer, Esq., and to a Bank or the Agent to it at its
address set forth on Annex A with copies to Morgan, Lewis & Bockius LLP, 101
Park Avenue, New York, New York, 10178, Attn: Richard S. Toder, Esq. and
Drinker, Biddle & Reath LLP, One Logan Square, 18th & Cherry Streets,
Philadelphia, PA, 19103-6968, Attn: Jill Bronson, Esq., or such other address as
such party may from time to time designate by giving written notice to the other
parties hereunder. All notices and other communications given to any party
hereto in accordance with the provisions of this Agreement shall be deemed to
have been given on the fifth Business Day after the date when sent by registered
or certified mail, postage prepaid, return receipt requested, if by mail; or
when delivered to the telegraph company, charges prepaid, if by telegram; or
when receipt is acknowledged, if by any telegraphic communications or facsimile
equipment of the sender; or on the first Business Day after delivery to an
overnight courier (charges prepaid); or when received, if by hand delivery; in
each case addressed to such party as provided in this Section 10.01 or in
accordance with the latest unrevoked written direction from such party;
provided, however, that in the case of notices to the Agent notices pursuant to
the preceding sentence with respect to change of address and pursuant to Section
2 shall be effective only when received by the Agent.

         (2) Survival of Agreement, Representations and Warranties, etc. All
warranties, representations and covenants made by the Borrower or any Guarantor
herein or in any certificate or other instrument delivered by it or on its
behalf in connection with this Agreement shall be considered to have been relied
upon by the Banks and shall survive the making of the Loans herein contemplated
regardless of any investigation made by any Bank or on its behalf and shall
continue in full force and effect so long as any amount due or to become due
hereunder is outstanding and unpaid and so long as the Commitments have not been
terminated. All statements in any such certificate or other instrument shall
constitute representations and warranties by the Borrower and the Guarantors
hereunder with respect to the Borrower.

                                       67


         (3) Successors and Assigns.

                    (1) This Agreement shall be binding upon and inure to the
benefit of the Borrower, the Agent and the Banks and their respective successors
and assigns. Neither the Borrower nor any of the Guarantors may assign or
transfer any of their rights or obligations hereunder without the prior written
consent of all of the Banks. Each Bank may sell participations to any Person in
all or part of any Loan, or all or part of its Commitment, in which event,
without limiting the foregoing, the provisions of Section 2.15 shall inure to
the benefit of each purchaser of a participation (provided that such participant
shall look solely to the seller of such participation for such benefits and the
Borrower's and the Guarantors' liability, if any, under Sections 2.15 and 2.18
shall not be increased as a result of the sale of any such participation) and
the pro rata treatment of payments, as described in Section 2.17, shall be
determined as if such Bank had not sold such participation. In the event any
Bank shall sell any participation, such Bank shall retain the sole right and
responsibility to enforce the obligations of the Borrower and each of the
Guarantors relating to the Loans, including, without limitation, the right to
approve any amendment, modification or waiver of any provision of this Agreement
(provided that such Bank may grant its participant the right to consent to such
Bank's execution of amendments, modifications or waivers which (i) reduce any
Fees payable hereunder to the Banks, (ii) reduce the amount of any scheduled
principal payment on any Loan or reduce the principal amount of any Loan or the
rate of interest payable hereunder or (iii) extend the maturity of the
Borrower's obligations hereunder). The sale of any such participation shall not
alter the rights and obligations of the Bank selling such participation
hereunder with respect to the Borrower.

                    (2) Each Bank may assign to one or more Banks or Eligible
Assignees all or a portion of its interests, rights and obligations under this
Agreement (including, without limitation, all or a portion of its Commitment and
the same portion of the related Loans at the time owing to it), provided,
however, that (i) other than in the case of an assignment to a Person at least
50% owned by the assignor Bank, or by a common parent of both, or to another
Bank, the Agent and the Fronting Bank must give their respective prior written
consent to such assignment, which consent will not be unreasonably withheld,
(ii) the aggregate amount of the Commitment and/or Loans of the assigning Bank
subject to each such assignment (determined as of the date the Assignment and
Acceptance with respect to such assignment is delivered to the Agent) shall,
unless otherwise agreed to in writing by the Borrower and the Agent, in no event
be less than $5,000,000 or such lesser amount as is equal to the remaining
Commitment and/or Loans of the assignor thereof and (iii) the parties to each
such assignment shall execute and deliver to the Agent, for its acceptance and
recording in the Register (as defined below), an Assignment and Acceptance with
blanks appropriately completed, together with a processing and recordation fee
of $3,500 (for which the Borrower shall have no liability). Upon such execution,
delivery, acceptance and recording, from and after the effective date specified
in each Assignment and Acceptance, which effective date shall be within ten
Business Days after the execution thereof (unless otherwise agreed to in writing
by the Agent), (A) the assignee thereunder shall be a party hereto and, to the
extent provided in such Assignment and Acceptance, have the rights and
obligations of a Bank hereunder and (B) the Bank thereunder shall, to the extent
provided in such Assignment and Acceptance, be released from its obligations
under this Agreement (and, in the case of an Assignment and Acceptance covering
all or the remaining portion of an assigning Bank's rights and obligations under
this Agreement, such Bank shall cease to be a party hereto).

                                       68



                    (3) By executing and delivering an Assignment and
Acceptance, the Bank assignor thereunder and the assignee thereunder confirm to
and agree with each other and the other parties hereto as follows: (i) other
than the representation and warranty that it is the legal and beneficial owner
of the interest being assigned thereby free and clear of any adverse claim, such
Bank assignor makes no representation or warranty and assumes no responsibility
with respect to any statements, warranties or representations made in or in
connection with this Agreement or any of the other Loan Documents or the
execution, legality, validity, enforceability, genuineness, sufficiency or value
of this Agreement or any of the other Loan Documents; (ii) such Bank assignor
makes no representation or warranty and assumes no responsibility with respect
to the financial condition of the Borrower or any Guarantor or the performance
or observance by the Borrower or any Guarantor of any of its obligations under
this Agreement or any of the other Loan Documents or any other instrument or
document furnished pursuant hereto; (iii) such assignee confirms that it has
received a copy of this Agreement and the other Loan Documents, together with
copies of the financial statements referred to in Section 3.04 and such other
documents and information as it has deemed appropriate to make its own credit
analysis and decision to enter into such Assignment and Acceptance; (iv) such
assignee will, independently and without reliance upon the Agent, such Bank
assignor or any other Bank and based on such documents and information as it
shall deem appropriate at the time, continue to make its own credit decisions in
taking or not taking action under this Agreement; (v) such assignee appoints and
authorizes the Agent to take such action as agent on its behalf and to exercise
such powers under this Agreement as are delegated to the Agent by the terms
thereto, together with such powers as are reasonably incidental hereof; and (vi)
such assignee agrees that it will perform in accordance with their terms all
obligations that by the terms of this Agreement are required to be performed by
it as a Bank.

                    (4) The Agent shall maintain at its office a copy of each
Assignment and Acceptance delivered to it and a register for the recordation of
the names and addresses of the Banks and the Commitments of, and principal
amount of the Loans owing to, each Bank from time to time (the "Register"). The
entries in the Register shall be conclusive, in the absence of manifest error,
and the Borrower, the Guarantors, the Agent and the Banks shall treat each
Person the name of which is recorded in the Register as a Bank hereunder for all
purposes of this Agreement. The Register shall be available for inspection by
the Borrower or any Bank at any reasonable time and from time to time upon
reasonable prior notice.

                    (5) Upon its receipt of an Assignment and Acceptance
executed by an assigning Bank and the assignee thereunder together with the fee
payable in respect thereto, the Agent shall, if such Assignment and Acceptance
has been completed with blanks appropriately filled and consented to by the
Agent and the Fronting Bank (to the extent such consent is required hereunder),
(i) accept such Assignment and Acceptance, (ii) record the information contained
therein in the Register and (iii) give prompt written notice thereof to the
Borrower (together with a copy thereof). No assignment shall be effective for
purposes of this Agreement unless it has been recorded in the Register as
provided in this paragraph.

                                       69


                    (6) Any Bank may, in connection with any assignment or
participation or proposed assignment or participation pursuant to this Section
10.03, disclose to the assignee or participant or proposed assignee or
participant, any information relating to the Borrower or any of the Guarantors
furnished to such Bank by or on behalf of the Borrower or any of the Guarantors;
provided that prior to any such disclosure, each such assignee or participant or
proposed assignee or participant shall agree in writing to be bound by the
provisions of Section 10.04.

                    (7) The Borrower hereby agrees, to the extent set forth in
the Commitment Letter, to actively assist and cooperate with the Agent in the
Agent's efforts to sell participations herein (as described in Section 10.03(a))
and assign to one or more Banks or Eligible Assignees a portion of its
interests, rights and obligations under this Agreement (as set forth in Section
10.03(b)).

         (4) Confidentiality. Each Bank agrees to keep any information delivered
or made available by the Borrower or any of the Guarantors to it confidential
from anyone other than persons employed or retained by such Bank who are or are
expected to become engaged in evaluating, approving, structuring or
administering the Loans; provided that nothing herein shall prevent any Bank
from disclosing such information (i) to any other Bank, (ii) upon the order of
any court or administrative agency, (iii) upon the request or demand of any
regulatory agency or authority, (iv) which has been publicly disclosed other
than as a result of a disclosure by the Agent or any Bank which is not permitted
by this Agreement, (v) in connection with any litigation to which the Agent, any
Bank, or their respective Affiliates may be a party to the extent reasonably
required, (vi) to the extent reasonably required in connection with the exercise
of any remedy hereunder, (vii) to such Bank's legal counsel and independent
auditors, and (viii) to any actual or proposed participant or assignee of all or
part of its rights hereunder subject to the proviso in Section 10.03(f). Each
Bank shall use reasonable efforts to notify the Borrower of any required
disclosure under clause (ii) of this Section.

         (5) Expenses. Whether or not the transactions hereby contemplated shall
be consummated, the Borrower and the Guarantors agree to pay all reasonable
out-of-pocket expenses incurred by the Agent (including but not limited to the
reasonable fees and disbursements of Drinker, Biddle & Reath, LLP, Morgan, Lewis
& Bockius LLP, any other counsel that the Agent shall retain and third-party
appraisers, consultants, and auditors advising the Agent (including but not
limited to Policano & Manzo LLC and Freed Maxick ABL Services, Inc.) as to which
invoices have been furnished, in connection with the preparation, execution,
delivery and administration of this Agreement and the other Loan Documents, the
making of the Loans and the issuance of the Letters of Credit, the perfection of
the Liens contemplated hereby, the syndication of the transactions contemplated
hereby, the reasonable and customary costs, fees and expenses of the Agent in
connection with its monthly and other periodic field audits, monitoring of
assets (including reasonable and customary third-party fees related to the
initial and ongoing Borrowing Base examinations), the costs of electronic
communications services and publicity expenses, and, during the continuance of
an Event of Default, all reasonable out-of-pocket expenses incurred by the Banks
and the Agent in the enforcement or protection of the rights of any one or more
of the Banks or the Agent in connection with this Agreement or the other Loan
Documents, including but not limited to the reasonable fees and disbursements of
any counsel for the Banks or the Agent. Such payments shall be made on the
Closing Date and thereafter on demand, promptly upon delivery of a statement
setting forth such costs and expenses. Whether or not the transactions hereby
contemplated shall be consummated, the Borrower and the Guarantors agree to
reimburse the Agent for the expenses set forth in the Commitment Letter and the
reimbursement provisions thereof are hereby incorporated herein by reference.
The obligations of the Borrower and the Guarantors under this Section shall
survive the termination of this Agreement and/or the payment of the Loans.


                                       70


         (6) Indemnity. The Borrower and each of the Guarantors agree to
indemnify and hold harmless the Agent, and the Banks and their directors,
officers, employees, agents and Affiliates (each an "Indemnified Party") from
and against any and all expenses, losses, claims, damages and liabilities
incurred by such Indemnified Party arising out of claims made by any Person in
any way relating to the transactions contemplated hereby, but excluding
therefrom all expenses, losses, claims, damages, and liabilities to the extent
that they are determined by the final judgment of a court of competent
jurisdiction to have resulted from the gross negligence or willful misconduct of
such Indemnified Party. The obligations of the Borrower and the Guarantors under
this Section shall survive the termination of this Agreement and/or the payment
of the Loans.

         (7) CHOICE OF LAW. THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS SHALL IN
ALL RESPECTS BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE
STATE OF PENNSYLVANIA APPLICABLE TO CONTRACTS MADE AND TO BE PERFORMED WHOLLY
WITHIN SUCH STATE, WITHOUT TAKING INTO ACCOUNT ANY CONFLICT OF LAWS PRINCIPLES
THEREOF, AND THE BANKRUPTCY CODE.

         (8) No Waiver. No failure on the part of the Agent or any of the Banks
to exercise, and no delay in exercising, any right, power or remedy hereunder or
any of the other Loan Documents shall operate as a waiver thereof, nor shall any
single or partial exercise of any such right, power or remedy preclude any other
or further exercise thereof or the exercise of any other right, power or remedy.
All remedies hereunder are cumulative and are not exclusive of any other
remedies provided by law.

         (9) Extension of Maturity. Should any payment of principal of or
interest or any other amount due hereunder become due and payable on a day other
than a Business Day, the maturity thereof shall be extended to the next
succeeding Business Day and, in the case of principal, interest shall be payable
thereon at the rate herein specified during such extension.

         (10)       Amendments, etc.

                    (1) No modification, amendment or waiver of any provision of
this Agreement or the other Loan Documents, and no consent to any departure by
the Borrower or any Guarantor therefrom, shall in any event be effective unless
the same shall be in writing and signed by the Required Banks, and then such
waiver or consent shall be effective only in the specific instance and for the
purpose for which given; provided, however, that no such modification or
amendment shall without the written consent of the Bank affected thereby (x)
increase the Commitment of a Bank (it being understood that a waiver of an Event
of Default shall not constitute an increase in the Commitment of a Bank), or (y)
reduce the principal amount of any Loan or the rate of interest payable thereon,
or extend any date for the payment of interest hereunder or reduce any Fees
payable hereunder or extend the final maturity of the Borrower's obligations
hereunder; and, provided, further, that no such modification or amendment shall
without the written consent of (A) all of the Banks (i) amend or modify any
provision of this Agreement which provides for the unanimous consent or approval
of the Banks, (ii) amend this Section 10.10 or the definition of Required Banks,
(iii) amend or modify the Super-Priority Claim status of the Banks contemplated
by Section 2.23 or (iv) release all or any substantial portion of the Liens
granted to the Agent hereunder (other than in connection with dispositions


                                       71


permitted hereunder), under the Orders or under any other Loan Document, or
release any Guarantor; or (B) Banks holding Loans representing at least 66-2/3%
of the aggregate principal amount of the Loans outstanding, or if no Loans are
outstanding, Banks having Commitments representing at least 66-2/3% of the Total
Commitment (i) amend any of the advance rates set forth in the definition of the
term "Borrowing Base" or (ii) increase the maximum principal amounts of
extensions of credit permitted prior to the entry of the Final Order by Section
4.01(b)(i) or 4.02(d), or otherwise modify, waive or amend the conditions
precedent set forth therein. No such amendment or modification may adversely
affect the rights and obligations of the Agent or any Fronting Bank hereunder or
any Bank in the capacity referred to in Section 6.03(vii) without its prior
written consent. No notice to or demand on the Borrower or any Guarantor shall
entitle the Borrower or any Guarantor to any other or further notice or demand
in the same, similar or other circumstances. Each assignee under Section
10.03(b) shall be bound by any amendment, modification, waiver, or consent
authorized as provided herein, and any consent by a Bank shall bind any Person
subsequently acquiring an interest on the Loans held by such Bank. No amendment
to this Agreement shall be effective against the Borrower or any Guarantor
unless signed by the Borrower or such Guarantor, as the case may be.

                    (2) Notwithstanding anything to the contrary contained in
Section 10.10(a), in the event that the Borrower requests that this Agreement be
modified or amended in a manner which would require the unanimous consent of all
of the Banks (or the consent described in clause (B) of the first sentence of
Section 10.10(a)) and such modification or amendment is agreed to by the
Super-majority Banks (as hereinafter defined), then with the consent of the
Borrower and the Super-majority Banks, the Borrower and the Super-majority Banks
shall be permitted to amend the Agreement without the consent of the Bank or
Banks which did not agree to the modification or amendment requested by the
Borrower (such Bank or Banks, collectively the "Minority Banks") to provide for
(w) the termination of the Commitment of each of the Minority Banks, (x) the
addition to this Agreement of one or more other financial institutions (each of
which shall be an Eligible Assignee), or an increase in the Commitment of one or
more of the Super-majority Banks, so that the Total Commitment after giving
effect to such amendment shall be in the same amount as the Total Commitment
immediately before giving effect to such amendment, (y) if any Loans are
outstanding at the time of such amendment, the making of such additional Loans
by such new financial institutions or Super-majority Bank or Banks, as the case
may be, as may be necessary to repay in full the outstanding Loans of the
Minority Banks immediately before giving effect to such amendment and (z) such
other modifications to this Agreement as may be appropriate. As used herein, the
term "Super-majority Banks" shall mean, at any time, Banks holding Loans
representing at least 66-2/3% of the aggregate principal amount of the Loans
outstanding, or if no Loans are outstanding, Banks having Commitments
representing at least 66-2/3% of the Total Commitment.

         (11) Severability. Any provision of this Agreement which is prohibited
or unenforceable in any jurisdiction shall, as to such jurisdiction, be
ineffective to the extent of such prohibition or unenforceability without
invalidating the remaining provisions hereof, and any such prohibition or
unenforceability in any jurisdiction shall not invalidate or render
unenforceable such provision in any other jurisdiction.



                                       72


         (12) Headings. Section headings used herein are for convenience only
and are not to affect the construction of or be taken into consideration in
interpreting this Agreement.

         (13) Execution in Counterparts. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, but all of
which taken together shall constitute one and the same instrument. A fax copy of
a counterpart signature page shall serve as the functional equivalent of a
manually executed copy for all purposes.

         (14) Prior Agreements. This Agreement represents the entire agreement
of the parties with regard to the subject matter hereof and the terms of any
letters and other documentation entered into between the Borrower or a Guarantor
and any Bank or the Agent prior to the execution of this Agreement which relate
to Loans to be made hereunder shall be replaced by the terms of this Agreement
(except as otherwise expressly provided herein with respect to the Commitment
Letter and the fee letter referred to therein, including without limitation the
Borrower's agreement to actively assist the Agent in the syndication of the
transactions contemplated hereby referred to in Section 10.03(g) and including
also the provisions of Section 2.16).

         (15) Further Assurances. Whenever and so often as reasonably requested
by the Agent, the Borrower and the Guarantors will promptly execute and deliver
or cause to be executed and delivered all such other and further instruments,
documents or assurances, and promptly do or cause to be done all such other and
further things as may be necessary and reasonably required in order to further
and more fully vest in the Agent all rights, interests, powers, benefits,
privileges and advantages conferred or intended to be conferred by this
Agreement and the other Loan Documents.

         (16) WAIVER OF JURY TRIAL. EACH OF THE BORROWER, THE GUARANTORS, THE
AGENT AND EACH BANK HEREBY IRREVOCABLY WAIVES ALL RIGHT TO TRIAL BY JURY IN ANY
ACTION, PROCEEDING OR COUNTERCLAIM ARISING OUT OF OR RELATING TO ANY OF THE LOAN
DOCUMENTS OR THE TRANSACTIONS CONTEMPLATED THEREBY.



                            [SIGNATURE PAGES FOLLOW]




                                       73



                    IN WITNESS WHEREOF, the parties hereto have caused this
Agreement to be duly executed as of the day and the year first written.

                                    BORROWER:

                                    GENESIS HEALTH VENTURES, INC.

                                    By:  _______________________________
                                         Name:
                                         Title:

                                    GUARANTORS:

                                    BREVARD MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its sole
                                    general partner

                                    CARE4, L.P.
                                    By: Institutional Health Care Services,
                                    Inc.

                                    CATONSVILLE MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Health, Inc., one of its
                                        general partners

                                    EASTON MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Health, Inc., and Meridian
                                        Healthcare, Inc., its general partners

                                    EDELLA STREET ASSOCIATES
                                    By: Genesis Health Ventures of Clarks
                                        Summit, Inc., its sole general partner

                                    GENESIS PROPERTIES LIMITED
                                    PARTNERSHIP
                                    By: Genesis Health Ventures of
                                        Arlington, Inc., its sole general
                                        partner

                                    GREENSPRING MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its sole
                                        general partner



                                       74


                                    HALLMARK HEALTHCARE
                                    LIMITED PARTNERSHIP
                                    By: Pharmacy Equities, Inc., its general
                                        partner

                                    HAMMONDS LANE MERIDIAN
                                    LIMITED PARTNERSHIP
                                    By: Meridian Healthcare, Inc., one of its
                                        general partners

                                    MERIDIAN/CONSTELLATION
                                    LIMITED PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its general
                                        partner

                                    MERIDIAN EDGEWOOD LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its general
                                        partner

                                    MERIDIAN PERRING LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its general
                                        partner

                                    MERIDIAN VALLEY LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its general
                                        partner

                                    MERIDIAN VALLEY VIEW LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its general
                                        partner

                                    MILLVILLE MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Healthcare, Inc., its sole
                                        general partner

                                    PHILADELPHIA AVENUE
                                    ASSOCIATES
                                    By: Philadelphia Avenue Corporation, its
                                        sole general partner

                                    RIVER STREET ASSOCIATES
                                    By: Genesis Health Ventures of Wilkes-
                                        Barre, Inc., its sole general partner



                                       75


                                    SEMINOLE MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Health, Inc., its sole general
                                        partner

                                    STATE STREET ASSOCIATES, L.P.
                                    By: State Street Associates, Inc., its sole
                                        general partner

                                    THERAPY CARE SYSTEMS, L.P.
                                    By: Team Rehabilitation, Inc., its sole
                                        general partner

                                    VOLUSIA MERIDIAN LIMITED
                                    PARTNERSHIP
                                    By: Meridian Health, Inc., its sole general
                                        partner

                                    GENESIS PROPERTIES OF
                                    DELAWARE LTD. PARTNERSHIP,
                                    L.P.
                                    By: Genesis Properties of Delaware
                                        Corporation, a general partner

                                    MCKERLEY HEALTH FACILITIES
                                    By: Meridian Health, Inc., and Meridian
                                        Healthcare, Inc., its general partners

                                    GENESIS HEALTH VENTURES OF
                                    WEST VIRGINIA, LIMITED
                                    PARTNERSHIP
                                    By: Genesis Eldercare Network Services,
                                        Inc., and Genesis Eldercare
                                        Rehabilitation Services, Inc., its
                                        general partners

                                    By: _______________________________
                                        Name:
                                        on behalf of each of the foregoing as
                                        Treasurer of the general partner

                                    GENESIS HEALTH VENTURES OF
                                    ARLINGTON, INC.

                                    GENESIS HEALTH VENTURES OF
                                    BLOOMFIELD, INC.



                                       76


                                    GENESIS HEALTH VENTURES OF
                                    CLARKS SUMMIT, INC.

                                    GENESIS HEALTH VENTURES OF
                                    MASSACHUSETTS, INC.

                                    GENESIS HEALTH VENTURES OF
                                    NAUGATUCK, INC.

                                    GENESIS HEALTH VENTURES OF
                                    WAYNE, INC.

                                    GENESIS HEALTH VENTURES OF
                                    WEST VIRGINIA, INC.

                                    GENESIS HEALTH VENTURES OF
                                    WINDSOR, INC.

                                    GENESIS HEALTH VENTURES OF
                                    WILKES-BARRE, INC.

                                    GENESIS HEALTH VENTURES OF
                                    INDIANA, INC.

                                    GENESIS HEALTH VENTURES OF
                                    NEW GARDEN, INC.

                                    GENESIS HEALTH VENTURES OF
                                    POINT PLEASANT, INC.

                                    GENESIS IMMEDIATE MED CENTER,
                                    INC.

                                    GENESIS ELDERCARE HOME CARE
                                    SERVICES, INC. (f/k/a HEALTHCARE
                                    SERVICES NETWORK, INC.)

                                    GENESIS ELDERCARE PHYSICIAN
                                    SERVICES, INC. (f/k/a GENESIS
                                    PHYSICIAN SERVICES, INC.)

                                    KNOLLWOOD MANOR, INC.

                                    MERIDIAN HEALTH, INC.

                                    MERIDIAN HEALTHCARE, INC.

                                    PHILADELPHIA AVENUE
                                    CORPORATION


                                       77


                                    GENESIS ELDERCARE STAFFING
                                    SERVICES, INC. (f/k/a STAFF
                                    REPLACEMENT SERVICES, INC.)

                                    STATE STREET ASSOCIATES, INC.

                                    SUBURBAN MEDICAL SERVICES,
                                    INC.

                                    GENESIS ELDERCARE
                                    REHABILITATION SERVICES, INC.,
                                    (f/k/a TEAM REHABILITATION, INC.)

                                    THERAPY CARE, INC.

                                    THE TIDEWATER HEALTHCARE
                                    SHARED SERVICES GROUP, INC.

                                    WYNCOTE HEALTHCARE CORP.

                                    ASCO HEALTHCARE, INC.

                                    ACCUMED, INC.

                                    BRINTON MANOR, INC.

                                    COMPASS HEALTH SERVICES, INC.

                                    CONCORD HEALTHCARE
                                    CORPORATION

                                    CONCORD PHARMACY SERVICES,
                                    INC.

                                    CRYSTAL CITY NURSING CENTER,
                                    INC.

                                    EASTERN MEDICAL SUPPLIES, INC.

                                    ENCARE OF MASSACHUSETTS, INC.

                                    GENESIS HEALTH SERVICES
                                    CORPORATION

                                    GENESIS HEALTHCARE CENTERS
                                    HOLDINGS, INC.



                                       78


                                    GENESIS HOLDINGS, INC.

                                    GENESIS PROPERTIES OF
                                    DELAWARE CORPORATION

                                    HILLTOP HEALTH CARE CENTER,
                                    INC.

                                    HORIZON MEDICAL EQUIPMENT
                                    AND SUPPLY, INC.

                                    KEYSTONE NURSING HOME, INC.

                                    LINCOLN NURSING HOME, INC.

                                    MCKERLEY HEALTH CARE
                                    CENTERS, INC.

                                    WAYSIDE NURSING HOME, INC.

                                    PROFESSIONAL PHARMACY
                                    SERVICES, INC.

                                    MEDICAL SERVICES GROUP, INC.

                                    NEIGHBORCARE PHARMACIES,
                                    INC.

                                    DERBY NURSING CENTER
                                    CORPORATION

                                    GENESIS ELDERCARE NATIONAL
                                    CENTERS, INC., (f/k/a NATIONAL
                                    HEALTHCARE AFFILIATES, INC.)

                                    GENESIS ELDERCARE NETWORK
                                    SERVICES, INC., (f/k/a GENESIS
                                    MANAGEMENT RESOURCES, INC.)
                                    (f/k/a TOTAL CARE SYSTEMS, INC.)

                                    GENESIS ELDERCARE PROPERTIES,
                                    INC.

                                    VERSALINK, INC.

                                    GERIATRIC & MEDICAL
                                    COMPANIES, INC.

                                       79


                                    GERIATRIC AND MEDICAL
                                    SERVICES, INC.

                                    GERIATRIC AND MEDICAL
                                    INVESTMENTS CORPORATION

                                    BURLINGTON WOODS
                                    CONVALESCENT CENTER, INC.

                                    CRESTVIEW CONVALESCENT
                                    HOME, INC.

                                    CRESTVIEW NORTH, INC.

                                    GENESIS ELDERCARE DIAGNOSTIC
                                    SERVICES, INC, (f/k/a DIVERSIFIED
                                    DIAGNOSTICS, INC.)

                                    GMC MEDICAL CONSULTING
                                    SERVICES, INC.

                                    GERIMED CORP.

                                    GENESIS ELDERCARE
                                    HOSPITALITY SERVICES, INC. (f/k/a
                                    HCHS, INC.)

                                    GENESIS ELDERCARE
                                    TRANSPORTATION SERVICES, INC.
                                    (f/k/a HSS-PARA TRANSIT, INC.

                                    INNOVATIVE PHARMACY
                                    SERVICES, INC.

                                    INSTITUTIONAL HEALTH CARE
                                    SERVICES, INC.

                                    LIFE SUPPORT MEDICAL, INC.

                                    LIFE SUPPORT MEDICAL
                                    EQUIPMENT, INC.

                                    METRO PHARMACEUTICALS, INC.

                                    NATIONAL PHARMACY SERVICE,
                                    INC.

                                       80



                                    NETWORK AMBULANCE SERVICES,
                                    INC., (f/k/a REGIONAL AMBULANCE
                                    SERVICES, INC.) (f/k/a LIFE SUPPORT
                                    AMBULANCE, INC.)

                                    UNITED HEALTH CARE SERVICES,
                                    INC.

                                    VALLEY MEDICAL SERVICES, INC.

                                    VALLEY TRANSPORT AMBULANCE
                                    SERVICE, INC.

                                    VILLAS REALTY & INVESTMENTS,
                                    INC.

                                    WEISENFLUH AMBULANCE
                                    SERVICE, INC.

                                    GENESIS ELDERCARE ADULT DAY
                                    HEALTH SERVICES, INC.

                                    GENESIS ELDERCARE HOME
                                    HEALTH SERVICES - SOUTHERN,
                                    INC.

                                    GENESIS ELDERCARE
                                    MANAGEMENT SERVICES, INC.,
                                    (f/k/a BLUEFIELD MANOR, INC.)

                                    CARECARD, INC.

                                    CAREFLEET, INC.

                                    CHELTENHAM LTC MANAGEMENT,
                                    INC.

                                    EASTERN REHAB SERVICES, INC.

                                    EIDOS, INC.

                                    GMC LEASING CORPORATION

                                    GMS MANAGEMENT, INC.



                                       81


                                    GMS MANAGEMENT-TUCKER, INC.

                                    GOVERNOR'S HOUSE NURSING
                                    HOME, INC.

                                    HEALTH CONCEPTS AND SERVICES,
                                    INC.

                                    INNOVATIVE HEALTH CARE
                                    MARKETING, INC.

                                    KNOLLWOOD NURSING HOME, INC.

                                    MANOR MANAGEMENT CORP. OF
                                    GEORGIAN MANOR, INC.

                                    PHARMACY EQUITIES, INC.

                                    PROSPECT PARK LTC
                                    MANAGEMENT, INC.

                                    WALNUT LTC MANAGEMENT, INC.

                                    WEST PHILA. LTC MANAGEMENT,
                                    INC.

                                    TRANSPORT SERVICES, INC.

                                    YORK LTC MANAGEMENT, INC.


                                    GENESIS ELDERCARE
                                    REHABILITATION MANAGEMENT
                                    SERVICES, INC. (f/k/a ROBINDALE
                                    MEDICAL SERVICES, INC.)

                                    DELCO APOTHECARY, INC.

                                    NEIGHBORCARE OF WISCONSIN,
                                    INC. (f/k/a GCI INNOVATIVE
                                    PHARMACY, INC.)

                                    NEIGHBORCARE OF NORTHERN
                                    CALIFORNIA, INC. (f/k/a
                                    COMPUPHARM OF NORTHERN
                                    CALIFORNIA, INC.)


                                       82


                                    NEIGHBORCARE OF VIRGINIA, INC.
                                    (f/k/a TEAMCARE OF VIRGINIA,
                                    INC.)

                                    NEIGHBORCARE-TCI, INC. (f/k/a
                                    TEAMCARE, INC.)

                                    NEIGHBORCARE-MEDISCO, INC.
                                    (f/k/a MEDICSO PHARMACIES, INC.)

                                    NEIGHBORCARE-ORCA, INC. (f/k/a
                                    WHITE, MACK AND WART, INC.)

                                    NEIGHBORCARE OF OKLAHOMA,
                                    INC. (f/k/a VITALINK SUBSIDIARY,
                                    INC.)

                                    NEIGHBORCARE INFUSION
                                    SERVICES, INC. (f/k/a VITALINK
                                    INFUSION SERVICES, INC.)

                                    NEIGHBORCARE PHARMACY
                                    SERVICES, INC. (f/k/a VITALINK
                                    PHARMACY SERVICES, INC.)

                                    DIANE MORGAN AND ASSOCIATES,
                                    INC.

                                    GENESIS ELDERCARE NETWORK
                                    SERVICES OF MASSACHUSETTS,
                                    INC.

                                    ASCO HEALTH CARE OF NEW
                                    ENGLAND, INC.

                                    ASCO HEALTH CARE OF NEW
                                    ENGLAND, LIMITED PARTNERSHIP

                                    DOVER HEALTHCARE ASSOCIATES,
                                    INC.

                                    GENESIS ELDERCARE
                                    EMPLOYMENT SERVICES, LLC

                                    GENESIS HEALTH VENTURES OF
                                    LANHAM, INC.

                                    GENESIS SELECTCARE CORP.



                                       83


                                    GENESIS-GEORGETOWN SNF/JV,
                                    LIMITED LIABILITY COMPANY

                                    HEALTHOBJECTS CORPORATION

                                    MCKERLEY HEALTH CARE
                                    CENTER-CONCORD LIMITED
                                    PARTNERSHIP

                                    NORRISTOWN NURSING AND
                                    REHABILITATION CENTER
                                    ASSOCIATES, LIMITED
                                    PARTNERSHIP

                                    NORTH CAPE CONVALESCENT
                                    CENTER ASSOCIATES, L.P.

                                    NORTHWEST TOTAL CARE CENTER
                                    ASSOCIATES, L.P.

                                    OAK HILL HEALTH CARE CENTER,
                                    INC.

                                    RESPIRATORY HEALTH SERVICES,
                                    LLC

                                    RIVER RIDGE PARTNERSHIP

                                    By: _______________________________
                                        Name:
                                        on behalf of each of the foregoing as
                                        Treasurer



                                       84


                                    MAIN STREET PHARMACY, L.L.C.,
                                    By: Professional Pharmacy Services, Inc.

                                    By: _______________________________
                                        Name:
                                        on behalf of each of the foregoing as
                                        Treasurer of the managing member

                                    ___________________________________
                                    Address for notices
                                    101 East State Street
                                    Kennett Square, PA 19348
                                    Attention:  George V. Hager, Jr.,
                                                Senior Vice President and
                                                Chief Financial Officer
                                    Telephone:  (610) 444-8419
                                    Facsimiles: (610) 925-4100




                                    [REMAINDER OF PAGE
                                    INTENTIONALLY LEFT BLANK]


                                       85



                                    MELLON BANK, N.A.
                                    Individually and as Agent


                                    By: _______________________________
                                        Name:
                                        Title:

                                    GOLDMAN SACHS CREDIT
                                    PARTNERS L.P.


                                    By: _______________________________
                                        Name:
                                        Title:

                                    FIRST UNION NATIONAL BANK


                                    By: _______________________________
                                        Name:
                                        Title:

                                    THE CHASE MANHATTAN BANK


                                    By: _______________________________
                                        Name:
                                        Title:



                                       86


                                     ANNEX A
                                       to
                     REVOLVING CREDIT AND GUARANTY AGREEMENT

                            Dated as of June 22, 2000

                                           Commitment           Commitment
Banks                                        Amount             Percentage
- -----                                        ------             ----------
Mellon Bank, N.A.
One Mellon Bank Center                      $93,750,000          37.5000%
Room 151-1525
Pittsburgh, PA  15258-0001
Attn:  Colleen McCullum

Goldman Sachs Credit Partners L.P.
85 Broad Street                             $62,500,000          25.0000%
New York, NY 10004
Attn:    Joseph Lanasa

First Union National Bank
301 S. Collage Street                       $62,500,000          25.0000%
TW-5, NC-0737
Charlotte, NC  28288-0737
Attn:  J. Matt MacIver

The Chase Manhattan Bank
270 Park Avenue                             $31,250,000          12.5000%
New York, NY  10017
Attn:  Jay Lifton

Total                                       $250,000,000         100.0000%
                                            ============         =========





                                                                       EXHIBIT B
                                                                              to
                                                                Revolving Credit
                                                                             and
                                                              Guaranty Agreement


                          SECURITY AND PLEDGE AGREEMENT

         SECURITY AND PLEDGE AGREEMENT (the "Agreement"), dated as of _____ __,
2000 by and between GENESIS HEALTH VENTURES, INC., a Pennsylvania corporation
(the "Borrower"), and each of the direct or indirect subsidiaries of the
Borrower party hereto (together with the Borrower, the "Grantors") , each a
debtor and debtor-in-possession under Chapter 11 of the Bankruptcy Code, and
MELLON BANK, N.A., as administrative agent (in such capacity, the "Agent") for
the financial institutions and other lenders (the "Banks") party to the Credit
Agreement (as hereinafter defined).

         WHEREAS, contemporaneously with the execution and delivery of this
Agreement, the Agent, the Banks and the Grantors are entering into a Revolving
Credit and Guaranty Agreement dated as of the date hereof (as amended, modified
or supplemented from time to time, the "Credit Agreement"); and

         WHEREAS, unless otherwise defined herein, terms defined in the Credit
Agreement are used herein as therein defined; and

         WHEREAS, it is a condition precedent to the making of Loans and the
issuance of Letters of Credit that the Grantors shall have granted a security
interest, pledge and lien on (x) all cash maintained in the Letter of Credit
Account pursuant to Section 364(c)(2) of the Bankruptcy Code and (y) certain of
the Grantors' assets and properties and the proceeds thereof pursuant to
Sections 364(c)(2), 364(c)(3) and 364(d)(1) of the Bankruptcy Code; and

         WHEREAS, the grant of such security interest, pledge and lien has been
authorized pursuant to Sections 364(c)(2), 364(c)(3) and 364(d)(1) of the
Bankruptcy Code by the Interim Order, and, after the entry thereof, will have
been so authorized by the Final Order (collectively, the "Orders"); and

         WHEREAS, to supplement the Orders without in any way diminishing or
limiting the effect of the Orders or the security interest, pledge and lien
granted thereunder, the parties hereto desire to more fully set forth their
respective rights in connection with such security interest, pledge and lien;
and

         WHEREAS, this Agreement has been approved by the Orders;





         NOW, THEREFORE, in consideration of the premises and in order to induce
the Banks to make Loans and issue Letters of Credit, the Grantors hereby agree
with the Agent as follows:

         SECTION 1. Grant of Security and Pledge. Each of the Grantors hereby
transfers, grants, bargains, sells, conveys, hypothecates, assigns, pledges and
sets over to the Agent for its benefit and the ratable benefit of the Banks and
hereby grants to the Agent for its benefit and the ratable benefit of the Banks,
a pledge and security interest in all of the Grantors' right, title and interest
in and to the following (the "Collateral") which pledge and security interest
shall have the priorities set forth in Orders and shall be subject to the
Carve-Out:

                  (1) all present and future accounts, accounts receivable and
other rights of each of the Grantors to payment for goods sold or leased or for
services rendered (except those evidenced by instruments or chattel paper),
whether now existing or hereafter arising and wherever arising, and whether or
not they have been earned by performance (excluding any such accounts on which
Cardinal has a valid and perfected security interest) (collectively, the
"Accounts");

                  (2) all goods and merchandise now owned or hereafter acquired
by each of the Grantors wherever located, whether in the possession of a Grantor
or of a bailee or other person for sale, storage, transit, processing, use or
otherwise consisting of whole goods, components, supplies, materials, or
consigned, returned or repossessed goods) which are held for sale or lease or to
be furnished (or have been furnished) under any contract of service or which are
raw materials, work-in-process, finished goods or materials used or consumed in
such Grantor's business or processed by or on behalf of any Grantor (excluding
any such present or future property on which Cardinal has, or is subsequently
granted, a valid and perfected security interest (collectively, the
"Inventory");

                  (3) all machinery, all manufacturing, distribution, selling,
data processing and office equipment, all furniture, furnishings, appliances,
fixtures and trade fixtures, tools, tooling, molds, dies, vehicles, vessels,
aircraft and all other goods of every type and description (other than
Inventory), in each instance whether now owned or hereafter acquired by each of
the Grantors and wherever located (collectively, the "Equipment");

                  (4) all works of art now owned or hereafter acquired by each
of the Grantors, including, without limitation, paintings, sketches, drawings,
prints, sculptures, crafts, tapestries, porcelain, carvings, artifacts,
renderings and designs;



                                       89


                  (5) all rights, interests, choses in action, causes of action,
claims and all other intangible property of each of the Grantors of every kind
and nature (other than Accounts, Trademarks, Patents and Copyrights), in each
instance whether now owned or hereafter acquired by such Grantor, including,
without limitation, all general intangibles, but excluding causes of action
under the Bankruptcy Code (it being understood and agreed, however, that the
proceeds of any such causes of action shall be available to repay the
Obligations); all corporate and other business records; all loans, royalties,
and other obligations receivable; all inventions, designs, trade secrets,
computer programs, software, printouts and other computer materials, goodwill,
licenses, franchises, customer lists, credit files, correspondence, and
advertising materials (to the extent the same are assignable); all customer and
supplier contracts, firm sale orders, rights under license and franchise
agreements (including all license agreements with any other Person in connection
with any of the Patents and Trademarks or such other Person's names or marks,
whether such Grantor is a licensor or licensee under any such license agreement
but only to the extent such license agreements are assignable), and other
contracts and contract rights; all interests in partnerships and joint ventures;
all tax refunds and tax refund claims; all right, title and interest under
leases, subleases, licenses and concessions and other agreements to the extent
assignable relating to real or personal property; all payments due or made to
each of the Grantors in connection with any requisition, confiscation,
condemnation, seizure or forfeiture of any property by any person or
governmental authority; all deposit accounts (general or special) with any bank
or other financial institution; all credits with and other claims against
carriers and shippers; all rights to indemnification; all reversionary interests
in pension and profit sharing plans and reversionary, beneficial and residual
interest in trusts; all proceeds of insurance of which each of the Grantors is
beneficiary; and all letters of credit, guaranties, liens, security interest and
other security held by or granted to each of the Grantors; and all other
intangible property, whether or not similar to the foregoing (collectively, the
"General Intangibles");

                  (6) all chattel paper, all instruments, all notes and debt
instruments and all payments thereunder and instruments and other property from
time to time delivered in respect thereof or in exchange therefor, and all bills
of lading, warehouse receipts and other documents of title and documents, in
each instance whether now owned or hereafter acquired by each of the Grantors;

                  (7) all property or interests in property now or hereafter
acquired by each of the Grantors which may be owned or hereafter may come into
the possession, custody or control of the Agent or any agent or affiliate of the
Agent in any way or for any purpose (whether for safekeeping, deposit, custody,
pledge, transmission, collection or otherwise), and all rights and interests of
each of the Grantors, now existing or hereafter arising and however and wherever
arising, in respect of any and all (i) notes, drafts, letters of credits,
stocks, bonds, and debt and equity securities, whether or not certificated, and
warrants, options, puts and calls and other rights to acquire or otherwise
relating to the same; (ii) money (including all cash and cash equivalents held
in the Letter of Credit Account (as defined and referred to in the Credit
Agreement)); (iii) proceeds of loans, including, without limitation, Loans made
under the Credit Agreement; and (iv) insurance proceeds and books and records
relating to any of the property covered by this Agreement; together, in each
instance, with all accessions and additions thereto, substitutions therefor, and
replacements, proceeds and products thereof;



                                       90


                  (8) all trademarks, trade names, trade styles, service marks,
prints and labels on which said trademarks, trade names, trade styles and
service marks have appeared or appear, designs and general intangibles of like
nature, now existing or hereafter adopted or acquired, and all registrations and
recordings thereof, including, without limitation, applications, registrations
and recordings in the United States Patent and Trademark Office or in any
similar office or agency of the United States, any State thereof, or any other
country or political subdivision thereof (except for "intent to use"
applications for trademark or service mark registrations filed pursuant to
Section 1(b) of the Lanham Act, unless and until an Amendment to Allege Use or a
Statement of Use under Sections 1(c) and 1(d) of said Act has been filed), all
whether now owned or hereafter acquired by each of the Grantors, including, but
not limited to, those described in Schedule 3 annexed hereto and made a part
hereof, and all reissues, extensions or renewals thereof and all licenses
thereof (together, in each case, with the goodwill of the business connected
with the use of, and symbolized by each such trademark, service mark, trade name
and trade dress, all of the foregoing being herein referred to as the
"Trademarks");

                  (9) all letters patent of the United States or any other
country, and all registrations and recordings thereof, including, without
limitation, applications, registrations and recordings in the United States
Patent and Trademark Office or in any similar office or agency of the United
States, any State thereof or any other country or any political subdivision
thereof, all whether now owned or hereafter acquired by each of the Grantors,
including, but not limited to, those described in Schedule 4 annexed hereto and
made a part hereof, and (ii) all reissues, continuations, continuations-in-part
or extensions thereof and all licenses thereof (all of the foregoing being
herein referred to as the "Patents");

                  (10) all copyrights of the United States, or any other
country, and all registrations and recordings thereof, including, without
limitation, applications, registrations and recordings in the United States
Copyright Office or in any similar office or agency of the United States, any
State thereof, or any other country or political subdivision thereof, all
whether now owned or hereafter acquired by each of the Grantors, including, but
not limited to, those described in Schedule 5 hereto and all renewals and
extensions thereof and all licenses thereof (all of the foregoing being herein
referred to as the "Copyrights");

                  (11) all books, records, ledger cards and other property at
any time evidencing or relating to the Accounts, Equipment, General Intangibles,
Trademarks, Patents or Copyrights;

                  (12) (i) all the shares of capital stock owned by each
Grantor, as applicable, listed on Schedule 6 hereto of the issuers listed
thereon (individually, an "Issuer", and collectively, the "Issuers") and all
shares of capital stock of any Issuer obtained in the future by such Grantor and
the certificates representing or evidencing all such shares (the "Pledged
Shares"); (ii) all other property which may be delivered to and held by the
Agent in respect of the Pledged Shares pursuant to the terms hereof; (iii)
subject to Section 9 below, all dividends, cash, instruments and other property
from time to time received, receivable or otherwise distributed, in respect of,
in exchange for or upon the conversion of the securities referred to in clauses
(i) and (ii) above; and (iv) subject to Section 9 below, all rights and
privileges of each Grantor, as applicable, with respect to the securities and
other property referred to in clauses (i), (ii) and (iii) (the items referred to
in clauses (i) through (iv) being collectively called the "Pledged Collateral");


                                       91


                  (13) all other personal property of each of the Grantors,
whether tangible or intangible, and whether now owned or hereafter acquired; and

                  (14) all proceeds and products of any of the foregoing, in any
form, including, without limitation, any claims against third parties for loss
or damage to or destruction of any or all of the foregoing and to the extent not
otherwise included, all (i) payments under insurance (whether or not the Agent
is the loss payee thereof), or any indemnity, warranty or guaranty, payable by
reason of loss or damage to or otherwise with respect to any of the foregoing
Collateral and (ii) cash.

Notwithstanding anything contained herein to the contrary, the total amount of
shares of capital stock or other ownership interests of any Person pledged
pursuant to this Agreement that is not incorporated or organized in the United
States shall in no event exceed sixty-six percent (66%) of the total outstanding
shares of capital stock or such other ownership interests thereof.

         SECTION 2. Security for Obligations. This Agreement and the Collateral
secure the payment of all obligations of each of the Grantors, now or hereafter
existing, under the Credit Agreement and the other Loan Documents (and any other
documents in respect of such obligations), and in respect of Indebtedness
permitted by Section 6.03(viii) of the Credit Agreement, whether for principal,
interest, fees, expenses or otherwise, and all obligations of each of the
Grantors now or hereafter existing under or in respect of this Agreement (all
such obligations of the Grantor being herein called the "Obligations").

         SECTION 3. Delivery of Pledged Collateral; Other Action. Upon written
request by the Agent (and without further order of the Bankruptcy Court), all
certificates or instruments representing or evidencing the Pledged Collateral
not subject to a pledge in favor of any Real Estate Financier shall be delivered
to and held by the Agent pursuant hereto and shall be accompanied by duly
executed instruments of transfer or assignment in blank, all in form and
substance satisfactory to the Agent. All such certificates or instruments
previously delivered by the Grantors to the Pre-Petition Agent or the Collateral
Agent shall be deemed to be held by the Agent. Upon the occurrence and during
the continuance of any Event of Default, the Agent shall have the right (for the
ratable benefit of the Banks), at any time in its discretion and upon giving
notice to the Grantors of its intent to exercise such rights, to transfer to or
to register in the name of the Agent or any of its nominees any or all of the
Pledged Collateral.

         SECTION 4. Representations and Warranties. Each Grantor, jointly and
severally, represents and warrants (but only with regard to itself) as follows:

                  (1) All of the Inventory and/or Equipment is located at the
places specified in Schedule 1 hereto. The chief places of business and chief
executive offices of each of the Grantors and the offices where each Grantor
keeps its records concerning any Accounts and all originals of all chattel paper
which evidence any Account are located at the places specified in Schedule 2
hereto. All trade names under which each of the Grantors has sold and will sell
Inventory are listed on Schedule 3 hereto.

                                       92


                  (2) Each of the Grantors owns the Collateral free and clear of
any lien, security interest, charge or encumbrance except for the security
interest created by this Agreement and except as permitted under Section 6.01 of
the Credit Agreement. No effective financing statement or other instrument
similar in effect covering all or any part of the Collateral is on file in any
recording office, except (x) such as may have been filed in favor of the Agent
relating to this Agreement and (y) in favor of any holder of a Lien permitted
under Section 6.01 of the Credit Agreement.

                  (3) As of the Filing Date, no Grantor owns any material
Trademarks, Patents or Copyrights or has any material Trademarks, Patents or
Copyrights registered in, or the subject of pending applications in, the United
States Patent and Trademark Office or any similar office or agency in any other
country or any political subdivision thereof, other than those described in
Schedules 3, 4 and 5 hereto. The registrations for the Collateral disclosed on
such Schedules 3, 4 and 5 hereto are valid and subsisting and in full force and
effect. None of the material Patents or Copyrights have been abandoned or
dedicated.

                  (4) The Pledged Shares have been duly authorized and validly
issued and are fully paid and non-assessable.

                  (5) Each Grantor, as the case may be, is the legal and
beneficial owner of the Pledged Shares as described on Schedule 6 free and clear
of any lien, security interest, option or other charge or encumbrance, except
for the security interest created by this Agreement and the Orders and Liens
permitted under Section 6.01.

                  (6) Except as disclosed on Schedule 6, the Pledged Shares
described in Section 1(l) hereof constitute all of the issued and outstanding
shares of stock of each of the Issuers and no Issuer is under any contractual
obligation to issue any additional shares of stock or any other securities,
rights or indebtedness.

                  (7) Except for the entry of the Orders, no authorization,
approval or other action by, and no notice to or filing with, any governmental
authority or regulatory body is required for the grant and pledge by each of the
Grantors of the security interests granted hereby or for the execution, delivery
or performance of this Agreement by each of the Grantors.

         SECTION 5. Further Assurances.

         SECTION 1.

                  (1) Each of the Grantors agrees that from time to time, at the
expense of such Grantor, it will promptly execute and deliver all further
instruments and documents, and take all further action, that may be necessary,
or that the Agent may reasonably request, in order to perfect and protect any
security interest granted or purported to be granted hereby or to enable the
Agent to exercise and enforce any of its rights and remedies hereunder with
respect to any Collateral. Without limiting the generality of the foregoing, and
without further order of the Bankruptcy Court, each of the Grantors will execute
and file such financing or continuation statements, or amendments thereto, and
such other instruments or notices, as may be necessary, or as the Agent may
reasonably request, in order to perfect and preserve the security interests
granted or purported to be granted hereby.

                                       93


                  (2) Each Grantor hereby authorizes the Agent to file one or
more financing or continuation statements, and amendments thereto, relative to
all or any part of the Collateral without the signature of such Grantor where
permitted by law.

                  (3) Each Grantor will furnish to the Agent from time to time
statements and schedules further identifying and describing the Collateral and
such other reports in connection with the Collateral as the Agent may reasonably
request in connection with any prospective sale of Collateral pursuant to
Section 15 hereof, all in reasonable detail.

         SECTION 6. As to Equipment and Inventory. Each Grantor shall:

                  (1) Keep the Equipment and Inventory (other than Inventory
sold in the ordinary course of business) at the places specified therefor in
Schedule 1 hereto or, upon 30 days' written notice to the Agent following any
transfer thereof to a different jurisdiction, at other places in jurisdictions
where all action required by Section 5 shall have been taken to assure the
continuation of the perfection of the security interest of the Agent (for its
benefit and the ratable benefit of the Banks) with respect to the Equipment and
Inventory.

                  (2) Subject to provisions of the Credit Agreement, maintain or
cause to be maintained in good repair, working order and condition, excepting
ordinary wear and tear and damage due to casualty, all of the Equipment, and
make or cause to be made all appropriate repairs, renewals and replacements
thereof, to the extent not obsolete and consistent with past practice of such
Grantor, as quickly as practicable after the occurrence of any loss or damage
thereto which are necessary or reasonably desirable to such end, except where
the failure to do any of the foregoing would not result in a Material Adverse
Effect.

                  (3) Until satisfaction in full of the Obligations, at any time
when an Event of Default has occurred and is continuing: (i) each Grantor will
perform any and all reasonable actions requested by the Agent to enforce the
Agent's security interest in the Inventory and all of the Agent's rights
hereunder, such as subleasing warehouses to the Agent or its designee (to the
extent such subleases are not prohibited), placing and maintaining signs,
appointing custodians, transferring Inventory to warehouses, and delivering to
the Agent warehouse receipts and documents of title in the Agent's name; (ii) if
any Inventory is in the possession or control of any of the Grantors' agents,
contractors or processors or any other third party, each such Grantor will
notify the Agent thereof and will notify such agents, contractors or processors
or third party of the Agent's security interest therein and, upon request,
instruct them to hold all such Inventory for the Agent and such Grantor's
account, as their interests may appear, and subject to the Agent's instructions;
(iii) the Agent shall have the right to hold all Inventory subject to the
security interest granted hereunder; and (iv) the Agent shall have the right to
take possession of the Inventory or any part thereof and to maintain such
possession on such Grantor's premises or to remove any or all of the Inventory
to such other place or places as the Agent desires in its sole discretion. If
the Agent exercises its right to take possession of the Inventory, such Grantor,
upon the Agent's demand, will assemble the Inventory and make it available to
the Agent at such Grantor's premises at which it is located.



                                       94


         SECTION 7. As to Accounts.

                  (1) Each Grantor shall keep its chief place of business and
chief executive office and the offices where it keeps its records concerning the
Accounts, and the offices where it keeps all originals of all chattel paper
which evidence Accounts, at the location or locations therefor specified in
Section 4(a) or, upon 15 days' prior written notice to the Agent, at such other
locations in a jurisdiction where all actions required by Section 5 shall have
been taken with respect to the Accounts. Each Grantor will hold and preserve
such records and chattel paper and will permit representatives of the Agent, at
any time during normal business hours and upon reasonable prior written notice,
to inspect and make abstracts from such records and chattel paper in accordance
with Section 5.08 of the Credit Agreement.

                  (2) Except as otherwise provided in this subsection (b), each
Grantor shall continue to collect in accordance with its customary practice, at
its own expense, all amounts due or to become due to such Grantor under the
Accounts and, prior to the occurrence and continuance of an Event of Default,
such Grantor shall have the right to adjust, settle or compromise the amount or
payment of any Account, or release wholly or partly any account debtor or
obligor thereof, or allow any credit or discount thereon, all in accordance with
its customary practices. In connection with such collections, the Grantors may,
upon the occurrence and during the continuation of an Event of Default, take
(and at the direction of the Agent shall take) such action as the Grantors or
the Agent may reasonably deem necessary or advisable to enforce collection of
the Accounts; provided, that upon written notice by the Agent to any Grantor,
following the occurrence and during the continuation of an Event of Default, of
its intention so to do but subject to subsection (c) below, the Agent shall have
the right to notify the account debtors or obligors under any Accounts of the
assignment of such Accounts to the Agent and to direct such account debtors or
obligors to make payment of all amounts due or to become due to such Grantor
thereunder directly to the Agent and, upon such notification and at the expense
of such Grantor, to enforce collection of any such Accounts, and to adjust,
settle or compromise the amount or payment thereof, in the same manner and to
the same extent as such Grantor might have done. After receipt by such Grantor
of the notice referred to in the proviso to the preceding sentence, and unless
and until such notice is rescinded by the Agent by written notice to such
Grantor (i) all amounts and proceeds (including instruments) received by such
Grantor in respect of the Accounts shall be received in trust for the benefit of
the Agent (for the ratable benefit of the Banks) hereunder, shall be segregated
from other funds of the Grantors and shall be forthwith paid over to the Agent
in the same form as so received (with any necessary endorsement) to be held as
cash collateral and either (A) released to the Grantors if such Event of Default
shall have been cured or waived or (B) if such Event of Default shall be
continuing, applied as provided by Section 15, and (ii) the Grantors shall not
adjust, settle or compromise the amount or payment of any Account, or release
wholly or partly any account debtor or obligor thereof, or allow any credit or
discount thereon.



                                       95


                  (3) Notwithstanding the provisions of Section 7, the Agent
shall not collect or enforce payment of any Account the Account Debtor of which
is a Governmental Authority (a "Governmental Account") if and to the extent that
such collection or enforcement is prohibited under 42 U.S.C. ss.ss.1395(g) or
1396(a) or under any comparable provision of federal or state law. To the extent
the Agent's rights as to any Governmental Account are limited pursuant to this
Section 7, upon the occurrence and during the continuation of an Event of
Default, each Grantor will (i) use its reasonable and diligent best efforts to
collect and enforce payment of such Governmental Account, (ii) immediately
deposit in the exact form received, duly indorsed by such Grantor to the Agent
if required, in a collateral account maintained under the sole dominion and
control of the Agent, subject to withdrawal by the Agent for the account of the
Banks only as provided in Section 15, and until so turned over, shall be held by
such Grantor in trust for the Agent and the Banks, segregated from other funds
of such Grantor and (iii) upon written demand by the Agent at any time and from
time to time, remit (and cause the depository bank for such collateral account
to remit) directly to the Agent, as proceeds of the Collateral and for
application to the payment of the Obligations pursuant to Section 15, all
finally collected funds on deposit in such collateral account.

         SECTION 8. As to Trademarks, Patents and Copyrights.

                  (1) Each Grantor shall, either itself or through licensees,
continue to use the Trademarks as each is currently used in the Grantor's
business in order to maintain the Trademarks in full force free from any claim
of abandonment for nonuse and each such Grantor will not (and will not permit
any licensee thereof to) do any act or knowingly omit to do any act whereby any
Trademark may become invalidated, unless such failure to use a Trademark is not
reasonably likely to have a material adverse effect on the condition (financial
or otherwise), operation or properties of the Grantors taken as a whole.

                  (2) No Grantor will do any act, or omit to do any act, whereby
the Patents or Copyrights may become abandoned or dedicated and each such
Grantor shall notify the Agent immediately if it knows of any reason or has
reason to know that any application or registration may become abandoned or
dedicated, unless such abandonment or dedication is not reasonably likely to
have a material adverse effect on the condition (financial or otherwise),
operations or properties of the Grantors taken as a whole.

                  (3) No Grantor will, either itself or through any agent,
employee, licensee or designee, (i) file an application for the registration of
any Patent or Trademark with the United States Patent and Trademark Office or
any similar office or agency in any other country or any political subdivision
thereof or (ii) file any assignment of any patent or trademark, which such
Grantor may acquire from a third party, with the United States Patent and
Trademark Office or any similar office or agency in any other country or any
political subdivision thereof, unless such Grantor shall, within 30 days after
the date of such filing, notify the Agent thereof, and, upon request of the
Agent, execute and deliver any and all assignments, agreements, instruments,
documents and papers as the Agent may request to evidence the Agent's interest
in such Patent or Trademark and the goodwill and general intangibles of such
Grantor relating thereto or represented thereby, and such Grantor hereby
constitutes the Agent its attorney-in-fact to execute and file all such writings
for the foregoing purposes, all lawful acts of such attorney being hereby
ratified and confirmed; such power being coupled with an interest is irrevocable
until the Obligations are paid in full.

                                       96


                  (4) Each Grantor will take all necessary steps in any
proceeding before the United States Patent and Trademark Office, the United
States Copyright Office or any similar office or agency in any other country or
any political subdivision thereof, to maintain in all material respects each
application and registration of all material Trademarks, Patents and Copyrights,
including, without limitation, filing of renewals, affidavits of use, affidavits
of incontestability and opposition, interference and cancellation proceedings.

                  (5) Each Grantor will, without further order of the Bankruptcy
Court, perform all acts and execute and deliver all further instruments and
documents, including, without limitation, assignments for security in form
suitable for filing with the United States Patent and Trademark Office, and the
United States Copyright Office, respectively, reasonably requested by the Agent
at any time to evidence, perfect, maintain, record and enforce the Agent's
interest in all material Trademarks, Patents and Copyrights or otherwise in
furtherance of the provisions of this Agreement, and each Grantor hereby
authorizes the Agent to execute and file one or more accurate financing
statements (and similar documents) or copies thereof or of this Security
Agreement with respect to material Patents, Trademarks and Copyrights signed
only by the Agent.

                  (6) Each Grantor will, upon acquiring knowledge of any use by
any person of any term or design likely to cause confusion with any material
Trademark, promptly notify the Agent of such use, and if requested by the Agent,
shall join with the Agent, at such Grantor's expense, in such action as the
Agent, in its reasonable discretion, may deem advisable for the protection of
the Agent's interest in and to the Trademarks.

         SECTION 9. As to the Pledged Collateral; Voting Rights; Dividends; Etc.

                  (1) So long as no Event of Default shall have occurred and be
continuing and no written notice thereof shall have been given by the Agent to
the Grantors revoking all of the following rights pursuant to Section 9(b)(i)
hereof:

                           (1) the Grantors (as applicable) shall be entitled to
                  exercise any and all voting and other consensual rights
                  pertaining to the Pledged Collateral or any part thereof for
                  any purpose not inconsistent with the terms of this Agreement;

                           (2) notwithstanding the provisions of Section 1
                  hereof, the Grantors shall be entitled to receive and retain
                  any and all dividends and other distributions paid in respect
                  of the Pledged Collateral; provided, that any and all


                                       97


                           (A)  dividends paid or payable other than in cash in
                                respect of, and instruments and other property
                                received, receivable or otherwise distributed in
                                respect of, or in exchange for, any Pledged
                                Collateral, and

                           (B)  dividends and other distributions paid or
                                payable in cash in respect of any Pledged
                                Collateral in connection with a partial or total
                                liquidation or dissolution or in connection with
                                a reduction of capital, capital surplus or
                                paid-in-surplus, and

                           (C)  cash paid, payable or otherwise distributed in
                                respect of, or in redemption of, or in exchange
                                for, any Pledged Shares;

         shall be, and shall be forthwith delivered to the Agent, to hold as
         Pledged Collateral and shall, if received by any of the Grantors, be
         received in trust for the benefit of the Agent, be segregated from the
         other property or funds of such Grantor, and be forthwith delivered to
         the Agent as Pledged Collateral in the same form as so received (with
         any necessary endorsement); and

                           (3) the Agent shall execute and deliver (or cause to
                  be executed and delivered) to the Grantors (as applicable) all
                  such proxies and other instruments as the Grantors (as
                  applicable) may reasonably request for the purpose of enabling
                  such Grantor to exercise the voting and other rights which it
                  is entitled to exercise pursuant to paragraph (i) above and to
                  receive the dividends which it is authorized to receive and
                  retain pursuant to paragraph (ii) above;

                  (2) Upon the occurrence and during the continuance of an
Event of Default:

                           (1) upon written notice from the Agent to the
                  Grantors (as applicable) to such effect, all rights of such
                  Grantors (as applicable) to exercise the voting and other
                  consensual rights which it would otherwise be entitled to
                  exercise pursuant to Section 9(a)(i) and to receive the
                  dividends which it would otherwise be authorized to receive
                  and retain pursuant to Section 9(a)(ii) shall cease, and all
                  such rights shall thereupon become vested in the Agent, who
                  shall thereupon have the sole right to exercise such voting
                  and other consensual rights and to receive and hold as Pledged
                  Collateral any such dividends; and

                           (2) all dividends which are received by such Grantors
                  contrary to the provisions of paragraph (i) of this Section
                  9(b) shall be received in trust for the benefit of the Agent,
                  shall be segregated from other funds of the Grantors and shall
                  be forthwith paid over to the Agent as Pledged Collateral in
                  the same form as so received (with any necessary endorsement).


                                       98


         SECTION 10. Insurance. Upon the occurrence and during the continuance
of any Event of Default, all insurance payments in respect of Inventory and
Equipment shall be held, applied and paid to the Agent as specified in Section
15 hereof.

         SECTION 11. Transfers to Others; Liens; Additional Shares.

                  (1) Each Grantor shall not sell, assign (by operation of law
or otherwise) or otherwise dispose of any of the Collateral, except for
dispositions otherwise permitted by the Credit Agreement.

                  (2) Each Grantor shall not create or suffer to exist any lien,
security interest or other charge or encumbrance upon or with respect to any of
the Collateral to secure any obligation of any person or entity, except for the
security interest created by this Agreement and the Orders, or except as
otherwise permitted by the Credit Agreement.

                  (3) Each of the Grantors (as applicable) agrees that it will
(i) cause each of the Issuers that are wholly-owned Subsidiaries not to issue
any stock or other securities in addition to or substitution for the Pledged
Shares issued by such Issuer, except to the respective Grantor and (ii) pledge
hereunder, immediately upon its acquisition (directly or indirectly) thereof,
any and all such additional shares of stock or other securities of each Issuer
of the Pledged Shares.

         SECTION 12. Agent Appointed Attorney-in-Fact. Each Grantor hereby
irrevocably appoints the Agent such Grantor's attorney-in-fact (which
appointment shall be irrevocable and deemed coupled with an interest), with full
authority in the place and stead of such Grantor and in the name of such Grantor
or otherwise, from time to time in the Agent's discretion, upon and during the
occurrence and continuation of an Event of Default, to take any action and to
execute any instrument which the Agent may deem necessary or advisable to
accomplish the purposes of this Agreement, including, without limitation:

                           (1) to obtain and adjust insurance required to be
                  paid to the Agent pursuant to Section 10,

                           (2) to ask, demand, collect, sue for, recover,
                  compound, receive and give acquittance and receipts for moneys
                  due and to become due under or in respect of any of the
                  Collateral,

                           (3) to receive, endorse, and collect any drafts or
                  other instruments, documents and chattel paper, in connection
                  with clause (i) or (ii) above,

                           (4) to receive, endorse and collect all instruments
                  made payable to the Grantors representing any dividend or
                  other distribution in respect of the Pledged Collateral or any
                  part thereof and to give full discharge for the same, and


                                       99


                           (5) to file any claims or take any action or
                  institute any proceedings which the Agent may deem necessary
                  or desirable for the collection of any of the Collateral or
                  otherwise to enforce the rights of the Agent with respect to
                  any of the Collateral.

         SECTION 13. Agent May Perform. If any Grantor fails to perform any
agreement contained herein, the Agent may itself perform, or cause performance
of, such agreement, and the reasonable expenses of the Agent incurred in
connection therewith (as to which invoices have been furnished) shall be payable
by the Grantors under Section 16(b).

         SECTION 14. The Agent's Duties. The powers conferred on the Agent
hereunder are solely to protect its interest and the interests of the Banks in
the Collateral and shall not impose any duty upon it to exercise any such
powers. Except for the safe custody of any Collateral in its possession and the
accounting for moneys actually received by it hereunder, the Agent shall have no
duty as to any Collateral or as to the taking of any necessary steps to preserve
rights against prior parties or any other rights pertaining to any Collateral,
including, without limitation, ascertaining or taking action with respect to
calls, conversions, exchanges, maturities, tenders or other matters relative to
any Pledged Collateral, whether or not the Agent has or is deemed to have
knowledge of such matters.

         SECTION 15. Remedies. If any Event of Default shall have occurred and
be continuing, and subject to the provisions of Section 7 of the Credit
Agreement:

                  (1) The Agent may exercise in respect of the Collateral, in
addition to other rights and remedies provided for herein or otherwise available
to it, and without application to or order of the Bankruptcy Court, all the
rights and remedies of a secured party on default under the Uniform Commercial
Code and also may (i) require each Grantor to, and each Grantor hereby agrees
that it will at its expense and upon request of the Agent forthwith, assemble
all or part of the Collateral as directed by the Agent and make it available to
the Agent at a place to be designated by the Agent which is reasonably
convenient to both parties and (ii) without notice, except as specified in the
following sentence, sell the Collateral or any part thereof in one or more
parcels at public or private sale, at any of the Agent's offices or elsewhere,
for cash, on credit or for future delivery, and at such price or prices and upon
such other terms as the Agent may deem commercially reasonable. Each Grantor
agrees that, to the extent notice of such sale shall be required by law, at
least ten days' notice to the Grantors of the time and place of any public sale
or the time after which any private sale is to be made shall constitute
reasonable notification. The Agent shall not be obligated to make any sale of
Collateral regardless of notice of sale having been given. The Agent may adjourn
any public or private sale from time to time by announcement at the time and
place fixed therefor, and such sale may, without further notice, be made at the
time and place to which it was so adjourned.

                  (2) The Agent may instruct the Grantors not to make any
further use of the Patents, Copyrights or Trademarks or any mark similar thereto
for any purpose to the extent that such use would be inconsistent with the
exercise by the Agent of any other remedies under this Section.

                                      100


                  (3) The Agent may license, whether general, special or
otherwise, and whether on an exclusive or nonexclusive basis, any of the
Trademarks, Patents or Copyrights throughout the world for such term or terms,
on such conditions, and in such manner, as the Agent shall in its sole
discretion determine; provided, however, that any such license shall not
conflict with any existing license or sublicense.

                  (4) The Agent may (without assuming any obligations or
liability thereunder), at any time, enforce (and shall have the exclusive right
to enforce) against any licensee or sublicensee all rights and remedies of the
Grantors in, to and under any one or more license agreements with respect to the
Collateral, and take or refrain from taking any action under any thereof, and
each of the Grantors hereby releases the Agent from, and agrees to hold the
Agent free and harmless from and against any claims arising out of, any action
taken or omitted to be taken with respect to any such license agreement except
claims involving gross negligence, willful misconduct or bad faith of the Agent.

                  (5) In the event of any such license, assignment, sale or
other disposition of the Collateral, or any of it, each Grantor shall supply its
know-how and expertise relating to the Trademarks, Patents or Copyrights, and
its customer lists and other records relating to the Trademarks, Patents or
Copyrights to the Agent or its designee.

                  (6) In order to implement the assignment, sale or other
disposal of any of the Trademarks, Patents or Copyrights, the Agent may, at any
time, pursuant to the authority granted in Section 12 hereof, execute and
deliver on behalf of the Grantors, one or more instruments of assignment of the
Trademarks, Patents or Copyrights (or any application of registration thereof),
in form suitable for filing, recording or registration in any country.

                  (7) All cash proceeds received by the Agent in respect of any
sale of, collection from, or other realization upon all or any part of the
Collateral may, in the discretion of the Agent, be held by the Agent as
collateral for, and then or at any time thereafter applied (after payment of any
amounts payable to the Agent pursuant to Section 16 hereof) in whole or in part
against, all or any part of the Obligations in such order as the Agent shall
elect or as shall be required by applicable law. Any surplus of such cash or
cash proceeds held by the Agent and remaining after payment in full of all the
Obligations shall be paid over to the Grantors or to whomsoever may be lawfully
entitled to receive such surplus.



                                      101


                  (8) If at any time when the Agent shall determine to exercise
its right to sell all or any part of the Pledged Collateral pursuant to this
Section 15, such Pledged Collateral or the part thereof to be sold shall not be
effectively registered under the Securities Act of 1933, as amended, and as from
time to time in effect, and the rules and regulations thereunder (the
"Securities Act"), the Agent is hereby expressly authorized to sell such Pledged
Collateral or such part thereof by private sale in such manner and under such
circumstances as the Agent may deem necessary or advisable in order that such
sale may legally be effected without such registration. Without limiting the
generality of the foregoing, in any such event the Agent, in compliance with
applicable securities laws, (a) may proceed to make such private sale
notwithstanding that a registration statement for the purpose of registering
such Pledged Collateral or such part thereof shall have been filed under such
Securities Act, (b) may approach and negotiate with a restricted number of
potential purchasers to effect such sale and (c) may restrict such sale to
purchasers as to their number, nature of business and investment intention
including without limitation to purchasers each of whom will represent and agree
to the satisfaction of the Agent that such purchaser is purchasing for its own
account, for investment, and not with a view to the distribution or sale of such
Pledged Collateral, or part thereof, it being understood that the Agent may
cause or require each Grantor, and each Grantor hereby agrees upon the written
request of the Agent, to cause (i) a legend or legends to be placed on the
certificates to be delivered to such purchasers to the effect that the Pledged
Collateral represented thereby have not been registered under the Securities Act
and setting forth or referring to restrictions on the transferability of such
securities; and (ii) the issuance of stop transfer instructions to such Issuer's
transfer agent, if any, with respect to the Pledged Collateral, or, if such
Issuer transfers its own securities, a notation in the appropriate records of
such Issuer. In the event of any such sale, each Grantor does hereby consent and
agree that the Agent shall incur no responsibility or liability for selling all
or any part of the Pledged Collateral at a price which the Agent may deem
reasonable under the circumstances, notwithstanding the possibility that a
substantially higher price might be realized if the sale were public and
deferred until after registration as aforesaid.

         SECTION 16. Indemnity and Expenses.

                  (1) Each Grantor, jointly and severally, agrees to indemnify
the Agent from and against any and all claims, losses and liabilities growing
out of or resulting from this Agreement (including, without limitation,
enforcement of this Agreement), except claims, losses or liabilities directly
arising from the Agent's own gross negligence, willful misconduct or bad faith.

                  (2) The Grantors will upon demand pay to the Agent the amount
of any and all reasonable expenses (as to which invoices have been furnished),
including the reasonable fees and disbursements of its counsel and of any
experts and agents, which the Agent may incur in connection with (i) the
administration of this Agreement, (ii) the custody, preservation, use or
operation of, or the sale of, collection from, or other realization upon, any of
the Collateral, (iii) the exercise or enforcement of any of the rights of the
Agent hereunder or (iv) the failure by any of the Grantors to perform or observe
any of the provisions hereof.

                                      102


                  (3) The Grantors assume all responsibility and liability
arising from the use of the Trademarks, Patents and Copyrights.

                  (4) Each of the Grantors agrees that the Agent does not
assume, and shall have no responsibility for, the payment of any sums due or to
become due under any agreement or contract included in the Collateral or the
performance of any obligations to be performed under or with respect to any such
agreement or contract by any of the Grantors, and except as the same may have
resulted from the gross negligence, willful misconduct or bad faith of the
Agent, each of the Grantors hereby jointly and severally agree to indemnify and
hold the Agent harmless with respect to any and all claims by any person
relating thereto.

         SECTION 17. Security Interest Absolute. All rights of the Agent and
security interests hereunder, and all obligations of each of the Grantors
hereunder, shall be absolute and unconditional, irrespective of any circumstance
which might constitute a defense available to, or a discharge of, any guarantor
or other obligor in respect of the Obligations.

         SECTION 18. Amendments; Etc. No amendment or waiver of any provision of
this Agreement, nor any consent to any departure by any of the Grantors
herefrom, shall in any event be effective unless the same shall be in writing
and signed by the party against whom enforcement is sought, and then such waiver
or consent shall be effective only in the specific instance and for the specific
purpose for which given.

         SECTION 19. Addresses for Notices. All notices and other communications
provided for hereunder shall be in writing and shall be given in accordance with
the applicable provisions of the Credit Agreement.

         SECTION 20. Continuing Security Interest. This Agreement shall create a
continuing security interest in the Collateral and shall (i) remain in full
force and effect until payment in full of the Obligations, (ii) be binding upon
each of the Grantors, their successors and assigns and (iii) inure, together
with the rights and remedies of the Agent hereunder, to the benefit of the Agent
and each of the Banks and their respective successors, transferees and assigns.
Upon the payment in full of the Obligations, the security interest granted
hereby shall terminate and all rights to the Collateral shall revert to the
Grantors subject to any existing liens, security interests or encumbrances on
such Collateral. Upon any such termination, the Agent will, at the Grantor's
expense, execute and deliver to the Grantors such documents as the Grantors
shall reasonably request to evidence such termination.

         SECTION 21. Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of New York, except as
required by mandatory provisions of law and except to the extent that the
validity or perfection of the security interest hereunder, or remedies
hereunder, in respect of any particular Collateral are governed by the laws of a
jurisdiction other than the Commonwealth of Pennsylvania and by Federal law
(including, without limitation, the Bankruptcy Code) to the extent the same has
pre-empted the law of the Commonwealth of Pennsylvania or such other
jurisdiction.

         SECTION 22. Headings. Section headings in this Agreement are included
herein for convenience of reference only and shall not constitute a part of this
Agreement for any other purpose.

         SECTION 1.
                                      103


         IN WITNESS WHEREOF, each of the Grantors and the Agent have caused this
Agreement to be duly executed and delivered by their respective officers
thereunto duly authorized as of the date first above written.

                                 GRANTORS:

                                 GENESIS HEALTH VENTURES, INC.


                                 By: __________________________________
                                     Name:
                                     Title:


                                 GUARANTORS:

                                 BREVARD MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its sole
                                     general partner

                                 CARE4, L.P.
                                 By: Institutional Health Care Services, Inc.

                                 CATONSVILLE MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Health, Inc., one of its general
                                     partners

                                 EASTON MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Health, Inc., and Meridian
                                 Healthcare, Inc., its general partners

                                 EDELLA STREET ASSOCIATES
                                 By: Genesis Health Ventures of Clarks
                                 Summit, Inc., its sole general partner


                                      104


                                 GENESIS PROPERTIES LIMITED
                                 PARTNERSHIP
                                 By: Genesis Health Ventures of Arlington,
                                     Inc., its sole general partner

                                 GREENSPRING MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its sole general
                                     partner

                                 HALLMARK HEALTHCARE LIMITED
                                 PARTNERSHIP
                                 By: Pharmacy Equities, Inc., its general
                                     partner

                                 HAMMONDS LANE MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., one of its
                                     general partners

                                 MERIDIAN/CONSTELLATION LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its general
                                     partner

                                 MERIDIAN EDGEWOOD LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its general
                                     partner

                                 MERIDIAN PERRING LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its general
                                     partner

                                 MERIDIAN VALLEY LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its general
                                     partner


                                      105


                                 MERIDIAN VALLEY VIEW LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its general
                                     partner

                                 MILLVILLE MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Healthcare, Inc., its sole general
                                     partner

                                 PHILADELPHIA AVENUE ASSOCIATES
                                 By: Philadelphia Avenue Corporation, its sole
                                     general partner

                                 RIVER STREET ASSOCIATES
                                 By: Genesis Health Ventures of Wilkes-Barre,
                                     Inc., its sole general partner

                                 SEMINOLE MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Health, Inc., its sole general
                                     partner

                                 STATE STREET ASSOCIATES, L.P.
                                 By: State Street Associates, Inc., its sole
                                     general partner

                                 THERAPY CARE SYSTEMS, L.P.
                                 By: Team Rehabilitation, Inc., its sole general
                                     partner

                                 VOLUSIA MERIDIAN LIMITED
                                 PARTNERSHIP
                                 By: Meridian Health, Inc., its sole general
                                     partner

                                 GENESIS PROPERTIES OF DELAWARE
                                 LTD. PARTNERSHIP, L.P.
                                 By: Genesis Properties of Delaware
                                     Corporation, a general partner


                                      106


                                 MCKERLEY HEALTH FACILITIES
                                 By: Meridian Health, Inc., and Meridian
                                     Healthcare, Inc., its general partners

                                 GENESIS HEALTH VENTURES OF WEST
                                 VIRGINIA, LIMITED PARTNERSHIP
                                 By: Genesis Eldercare Network Services, Inc.,
                                     and Genesis Eldercare Rehabilitation
                                     Services, Inc., its general partners

                                 By: _______________________________
                                     Name:
                                     on behalf of each of the foregoing as
                                     Treasurer of the general partner

                                 GENESIS HEALTH VENTURES OF
                                 ARLINGTON, INC.

                                 GENESIS HEALTH VENTURES OF
                                 BLOOMFIELD, INC.

                                 GENESIS HEALTH VENTURES OF CLARKS
                                 SUMMIT, INC.

                                 GENESIS HEALTH VENTURES OF
                                 MASSACHUSETTS, INC.

                                 GENESIS HEALTH VENTURES OF
                                 NAUGATUCK, INC.

                                 GENESIS HEALTH VENTURES OF WAYNE,
                                 INC.

                                 GENESIS HEALTH VENTURES OF WEST
                                 VIRGINIA, INC.

                                 GENESIS HEALTH VENTURES OF
                                 WINDSOR, INC.

                                 GENESIS HEALTH VENTURES OF WILKES-
                                 BARRE, INC.

                                 GENESIS HEALTH VENTURES OF
                                 INDIANA, INC.

                                      107


                                 GENESIS HEALTH VENTURES OF NEW
                                 GARDEN, INC.

                                 GENESIS HEALTH VENTURES OF POINT
                                 PLEASANT, INC.

                                 GENESIS IMMEDIATE MED CENTER, INC.

                                 GENESIS ELDERCARE HOME CARE
                                 SERVICES, INC. (f/k/a HEALTHCARE
                                 SERVICES NETWORK, INC.)

                                 GENESIS ELDERCARE PHYSICIAN
                                 SERVICES, INC. (f/k/a GENESIS PHYSICIAN
                                 SERVICES, INC.)

                                 KNOLLWOOD MANOR, INC.

                                 MERIDIAN HEALTH, INC.

                                 MERIDIAN HEALTHCARE, INC.

                                 PHILADELPHIA AVENUE CORPORATION

                                 GENESIS ELDERCARE STAFFING
                                 SERVICES, INC. (f/k/a STAFF
                                 REPLACEMENT SERVICES, INC.)

                                 STATE STREET ASSOCIATES, INC.

                                 SUBURBAN MEDICAL SERVICES, INC.

                                 GENESIS ELDERCARE REHABILITATION
                                 SERVICES, INC., (f/k/a TEAM
                                 REHABILITATION, INC.)

                                 THERAPY CARE, INC.

                                 THE TIDEWATER HEALTHCARE SHARED
                                 SERVICES GROUP, INC.

                                 WYNCOTE HEALTHCARE CORP.

                                 ASCO HEALTHCARE, INC.

                                 ACCUMED, INC.

                                 BRINTON MANOR, INC.



                                      108


                                 COMPASS HEALTH SERVICES, INC.

                                 CONCORD HEALTHCARE CORPORATION

                                 CONCORD PHARMACY SERVICES, INC.

                                 CRYSTAL CITY NURSING CENTER, INC.

                                 EASTERN MEDICAL SUPPLIES, INC.

                                 ENCARE OF MASSACHUSETTS, INC.

                                 GENESIS HEALTH SERVICES CORPORATION

                                 GENESIS HEALTHCARE CENTERS HOLDINGS, INC.

                                 GENESIS HOLDINGS, INC.

                                 GENESIS PROPERTIES OF DELAWARE CORPORATION

                                 HILLTOP HEALTH CARE CENTER, INC.

                                 HORIZON MEDICAL EQUIPMENT AND SUPPLY, INC.

                                 KEYSTONE NURSING HOME, INC.

                                 LINCOLN NURSING HOME, INC.

                                 MCKERLEY HEALTH CARE CENTERS, INC.

                                 WAYSIDE NURSING HOME, INC.

                                 PROFESSIONAL PHARMACY SERVICES, INC.

                                 MEDICAL SERVICES GROUP, INC.

                                 NEIGHBORCARE PHARMACIES, INC.

                                 DERBY NURSING CENTER CORPORATION

                                 GENESIS ELDERCARE NATIONAL
                                 CENTERS, INC., (f/k/a NATIONAL
                                 HEALTHCARE AFFILIATES, INC.)

                                 GENESIS ELDERCARE NETWORK
                                 SERVICES, INC., (f/k/a  GENESIS
                                 MANAGEMENT RESOURCES, INC.)
                                 (f/k/a TOTAL CARE SYSTEMS, INC.)

                                      109


                                 GENESIS ELDERCARE PROPERTIES, INC.

                                 VERSALINK, INC.

                                 GERIATRIC & MEDICAL COMPANIES, INC.

                                 GERIATRIC AND MEDICAL SERVICES, INC.

                                 GERIATRIC AND MEDICAL INVESTMENTS
                                 CORPORATION

                                 BURLINGTON WOODS CONVALESCENT CENTER, INC.

                                 CRESTVIEW CONVALESCENT HOME, INC.

                                 CRESTVIEW NORTH, INC.

                                 GENESIS ELDERCARE DIAGNOSTIC
                                 SERVICES, INC, (f/k/a DIVERSIFIED
                                 DIAGNOSTICS, INC.)

                                 GMC MEDICAL CONSULTING SERVICES, INC.

                                 GERIMED CORP.

                                 GENESIS ELDERCARE HOSPITALITY
                                 SERVICES, INC. (f/k/a HCHS, INC.)

                                 GENESIS ELDERCARE TRANSPORTATION
                                 SERVICES, INC. (f/k/a HSS-PARA TRANSIT, INC.

                                 INNOVATIVE PHARMACY SERVICES, INC.

                                 INSTITUTIONAL HEALTH CARE
                                 SERVICES, INC.

                                 LIFE SUPPORT MEDICAL, INC.

                                 LIFE SUPPORT MEDICAL EQUIPMENT, INC.

                                 METRO PHARMACEUTICALS, INC.

                                 NATIONAL PHARMACY SERVICE, INC.

                                 NETWORK AMBULANCE SERVICES, INC.,
                                 (f/k/a REGIONAL AMBULANCE SERVICES, INC.)
                                 (f/k/a LIFE SUPPORT AMBULANCE, INC.)

                                 UNITED HEALTH CARE SERVICES, INC.

                                 VALLEY MEDICAL SERVICES, INC.

                                      110


                                 VALLEY TRANSPORT AMBULANCE
                                 SERVICE, INC.

                                 VILLAS REALTY & INVESTMENTS, INC.

                                 WEISENFLUH AMBULANCE SERVICE, INC.

                                 GENESIS ELDERCARE ADULT DAY
                                 HEALTH SERVICES, INC.

                                 GENESIS ELDERCARE HOME HEALTH
                                 SERVICES - SOUTHERN, INC.

                                 GENESIS ELDERCARE MANAGEMENT
                                 SERVICES, INC., (f/k/a  BLUEFIELD MANOR,
                                 INC.)

                                 CARECARD, INC.

                                 CAREFLEET, INC.

                                 CHELTENHAM LTC MANAGEMENT, INC.

                                 EASTERN REHAB SERVICES, INC.

                                 EIDOS, INC.

                                 GMC LEASING CORPORATION

                                 GMS MANAGEMENT, INC.

                                 GMS MANAGEMENT-TUCKER, INC.

                                 GOVERNOR'S HOUSE NURSING HOME,
                                 INC.

                                 HEALTH CONCEPTS AND SERVICES, INC.

                                 INNOVATIVE HEALTH CARE MARKETING, INC.

                                 KNOLLWOOD NURSING HOME, INC.

                                 MANOR MANAGEMENT CORP. OF
                                 GEORGIAN MANOR, INC.

                                 PHARMACY EQUITIES, INC.

                                 PROSPECT PARK LTC MANAGEMENT,
                                 INC.

                                 WALNUT LTC MANAGEMENT, INC.

                                      111


                                 WEST PHILA. LTC MANAGEMENT, INC.

                                 TRANSPORT SERVICES, INC.

                                 YORK LTC MANAGEMENT, INC.

                                 GENESIS ELDERCARE REHABILITATION
                                 MANAGEMENT SERVICES, INC.
                                 (f/k/a ROBINDALE MEDICAL SERVICES, INC.)

                                 DELCO APOTHECARY, INC.

                                 NEIGHBORCARE OF WISCONSIN, INC.
                                 (f/k/a GCI INNOVATIVE PHARMACY,
                                 INC.)

                                 NEIGHBORCARE OF NORTHERN
                                 CALIFORNIA, INC. (f/k/a COMPUPHARM
                                 OF NORTHERN CALIFORNIA, INC.)

                                 NEIGHBORCARE OF VIRGINIA, INC. (f/k/a
                                 TEAMCARE OF VIRGINIA, INC.)

                                 NEIGHBORCARE-TCI, INC. (f/k/a
                                 TEAMCARE, INC.)

                                 NEIGHBORCARE-MEDISCO, INC. (f/k/a
                                 MEDICSO PHARMACIES, INC.)

                                 NEIGHBORCARE-ORCA, INC. (f/k/a WHITE,
                                 MACK AND WART, INC.)

                                 NEIGHBORCARE OF OKLAHOMA, INC.
                                 (f/k/a VITALINK SUBSIDIARY, INC.)

                                 NEIGHBORCARE INFUSION SERVICES,
                                 INC. (f/k/a VITALINK  INFUSION SERVICES,
                                 INC.)

                                 NEIGHBORCARE PHARMACY SERVICES,
                                 INC. (f/k/a VITALINK PHARMACY
                                 SERVICES, INC.)

                                 DIANE MORGAN AND ASSOCIATES, INC.

                                 GENESIS ELDERCARE NETWORK
                                 SERVICES OF MASSACHUSETTS, INC.

                                 ASCO HEALTH CARE OF NEW ENGLAND,
                                 INC.

                                 ASCO HEALTH CARE OF NEW ENGLAND,
                                 LIMITED PARTNERSHIP

                                 DOVER HEALTHCARE ASSOCIATES, INC.

                                 GENESIS ELDERCARE EMPLOYMENT
                                 SERVICES, LLC

                                 GENESIS HEALTH VENTURES OF
                                 LANHAM, INC.

                                 GENESIS SELECTCARE CORP.



                                      112


                                 GENESIS-GEORGETOWN SNF/JV, LIMITED
                                 LIABILITY COMPANY

                                 HEALTHOBJECTS CORPORATION

                                 MCKERLEY HEALTH CARE CENTER-
                                 CONCORD LIMITED PARTNERSHIP

                                 NORRISTOWN NURSING AND REHABILITATION
                                 CENTER ASSOCIATES, LIMITED PARTNERSHIP

                                 NORTH CAPE CONVALESCENT CENTER
                                 ASSOCIATES, L.P.

                                 NORTHWEST TOTAL CARE CENTER
                                 ASSOCIATES, L.P.

                                 OAK HILL HEALTH CARE CENTER, INC.

                                 RESPIRATORY HEALTH SERVICES, LLC

                                 RIVER RIDGE PARTNERSHIP

                                 By: _______________________________
                                     Name:
                                     on behalf of each of the foregoing as
                                     Treasurer

                                 MAIN STREET PHARMACY, L.L.C.,
                                 By:  Professional Pharmacy Services, Inc.

                                 By: _______________________________
                                     Name:
                                     on behalf of each of the foregoing as
                                     Treasurer of the managing member

                                 __________________________________
                                 Address for notices
                                 101 East State Street
                                 Kennett Square, PA 19348
                                 Attention:   George V. Hager, Jr.,
                                 Senior Vice President and
                                 Chief Financial Officer
                                 Telephone: (610) 444-8419
                                 Facsimiles: (610) 925-4100


                                 MELLON BANK, N.A.,
                                       as Agent


                                 By: _____________________________
                                     Name:
                                     Title



                                      113