Exhibit 99.1 SECOND AMENDMENT AND WAIVER TO REVOLVING CREDIT AND GUARANTY AGREEMENT SECOND AMENDMENT AND WAIVER, dated as of February 14, 2001 (the "Amendment"), to the 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 under Chapter 11 of the Bankruptcy Code, and each of the direct and indirect subsidiaries of the Borrower party thereto (each a "Guarantor" and collectively, the "Guarantors"), each of which Guarantors is a debtor and debtor-in-possession in a case pending under chapter 11 of the Bankruptcy Code, 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 thereto (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. Unless otherwise defined herein, all terms that are defined in the Credit Agreement (or defined below) shall have the same meanings herein. W I T N E S S E T H: WHEREAS, the Borrower, the Guarantors, the Banks and the Agent are parties to that certain Revolving Credit and Guaranty Agreement, dated as of June 22, 2000, as amended by that certain First Amendment to Revolving Credit and Guaranty Agreement, dated as of August 10, 2000 (as amended, and as the same may be further amended, modified or supplemented from time to time, the "Credit Agreement"); and WHEREAS, the Borrower, the Guarantors, the Banks and the Agent have agreed to amend the Credit Agreement as set forth herein; and WHEREAS, from and after the Effective Date (as hereinafter defined) of this Amendment, the Credit Agreement shall be amended, subject to and upon terms and conditions set forth herein, as follows: NOW, THEREFORE, it is agreed: SECTION 1. Waiver. The Banks hereby waive (x) compliance by the Borrower and the Guarantors with the provisions of Sections 5.01(b) and 5.01(d) of the Credit Agreement with respect to the fiscal quarter ended December 31, 2000, provided that the financial reports and certificate required to be delivered pursuant thereto shall be delivered no later than April 2, 2001 and (y) any default or Event of Default under the Credit Agreement (including, without limitation, under Section 6.05) that was occasioned by the following asset impairment and other non-recurring charges which were recorded by the Borrower in the fiscal year ended September 30, 2000: (i) SFAS 121 and provisions for terminated operations, and other asset impairments representing the write-down of goodwill and other long-lived assets of acquired operations which are not deemed recoverable in an aggregate amount of $148,900,000; (ii) debt restructuring and reorganization charges representing costs associated with the Cases, employee severance costs and investments in formerly managed operations in an aggregate amount of $28,400,000; (iii) benefit-related costs in the amount of $12,600,000; and (iv) costs associated with accounts receivable which are deemed uncollectible in the amount of $7,600,000. SECTION 2. Amendment to Section 5.01. Section 5.01 is hereby amended by (i) redesignating clauses "(b)" through "(n)" as clauses "(d)" through "(p)", and (ii) deleting clause (a) thereof in its entirety and inserting in lieu thereof the following new clauses (a), (b), and (c): "(a) within 90 days after the end of each fiscal year and by April 2, 2001 for the fiscal year ended September 30, 2000, the Borrower's consolidated balance sheet and related statements of income and cash flows, showing the financial condition of the Borrower and its Subsidiaries (including 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 (including 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 accountant (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 (including Multicare) on a consolidated basis in accordance with GAAP. (b) within 90 days after the end of each fiscal year and April 2, 2001 for the fiscal year ended September 30, 2000, a combining schedule showing the financial condition and results of operations of (i) Genesis, together with its consolidated subsidiaries (excluding Multicare), (ii) Multicare, together with its consolidated subsidiaries, and (iii) any relevant intercompany eliminations. 2 (c) within 90 days after the end of each fiscal year and by April 2, 2001 for the fiscal year ended September 30, 2000, a schedule showing the financial condition and operating results of Genesis, together with its consolidated subsidiaries (excluding Multicare), by major business lines during such fiscal year." SECTION 3 Amendment to Section 6.05. The table appearing in Section 6.05 is hereby in its entirety to read as follows: "Three Month Period Ending EBITDA -------------------------- ------ January 31, 2001 $32,700,000 February 28, 2001 $30,000,000 March 31, 2001 $32,100,000 April 30, 2001 $35,100,000 May 31, 2001 $38,300,000 June 30, 2001 $39,900,000 July 31, 2001 $41,500,000 August 31, 2001 $44,300,000 September 30, 2001 $46,200,000 October 31, 2001 $46,400,000 November 30, 2001 $46,000,000 December 31, 2001 $46,800,000" SECTION 4. Amendment to Section 7.01. Section 7.01(m) of the Credit Agreement is hereby amended by inserting the phrase ", unexpired leases of personal property" immediately following the words "assumed executory contracts" appearing in clause (v) thereof. SECTION 5. Representations and Warranties. The Borrower and the Guarantors hereby represent and warrant that all of the representations and warranties contained in the Loan Documents are true and correct on and as of the date hereof as if made on and as of such date, both before and after giving effect to this Amendment, and that no Event of Default or Default has occurred and is continuing or exists or would occur or exist after giving effect to this Amendment. 3 SECTION 6. Conditions to Effectiveness. This Amendment shall not become effective until the date (the "Effective Date") on which this Amendment shall have been executed by the Borrower, the Guarantors, the Required Banks and the Agent, and the Agent shall have received evidence satisfactory to it of such execution, provided that, notwithstanding the occurrence of the Effective Date, the effect of the amendments (but not the waivers) set forth herein shall terminate and be of no further force or effect if on or before April 2, 2001 the Bankruptcy Court shall not have entered an order reasonably satisfactory in form and substance to the Agent approving the payment by the Borrower to the Banks of an amendment fee in an amount equal to 1/2 of 1% of the Total Commitment, such fee to be payable as an administrative expense upon the effectiveness of a Reorganization Plan for the Borrower. SECTION 7. Ratification. Except to the extent hereby amended, the Credit Agreement and each of the Loan Documents remain in full force and effect and are hereby ratified and affirmed. SECTION 8. Costs and Expenses. The Borrower agrees that its obligations set forth in Section 10.05 of the Credit Agreement shall extend to the preparation, execution and delivery of this Amendment, including the reasonable fees and disbursements of special counsel to the Agent. SECTION 9. References. This Amendment shall be limited precisely as written and shall not be deemed (a) to be a consent granted pursuant to, or a waiver or modification of, any other term or condition of the Credit Agreement or any of the instruments or agreements referred to therein or (b) to prejudice any right or rights which the Agent or the Banks may now have or have in the future under or in connection with the Credit Agreement or any of the instruments or agreements referred to therein. Whenever the Credit Agreement is referred to in the Credit Agreement or any of the instruments, agreements or other documents or papers executed or delivered in connection therewith, such reference shall be deemed to mean the Credit Agreement as modified by this Amendment. SECTION 10. Counterparts. This Amendment may be executed in any number of counterparts and by the different parties hereto in separate counterparts, each of which when so executed and delivered shall be deemed to be an original and all of which taken together shall constitute but one and the same instrument. A fax copy of a counterpart signature page shall serve as the functional equivalent of a manually executed copy of all purposes. SECTION 11. Applicable Law. This Amendment shall be governed by, and construed in accordance with, the laws of the Commonwealth of Pennsylvania applicable to contracts made and to be performed wholly within such State. [REMAINDER OF PAGE LEFT INTENTIONALLY BLANK] 4 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed as of the day and the year first above written. BORROWER: GENESIS HEALTH VENTURES, INC. By: _________________________ 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 5 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 6 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 _______ of the general partner GENESIS HEALTH VENTURES OF ARLINGTON, INC. GENESIS HEALTH VENTURES OF BLOOMFIELD, INC. 7 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. 8 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. 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 9 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.) GENESIS ELDERCARE PROPERTIES, INC. VERSALINK, INC. GERIATRIC & MEDICAL COMPANIES, INC. 10 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. 11 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. GMS MANAGEMENT-TUCKER, INC. 12 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.) NEIGHBORCARE OF VIRGINIA, INC. (f/k/a TEAMCARE OF VIRGINIA, INC.) NEIGHBORCARE-TCI, INC. (f/k/a TEAMCARE, INC.) 13 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. GENESIS-GEORGETOWN SNF/JV, LIMITED LIABILITY COMPANY HEALTHOBJECTS CORPORATION 14 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 _______ MAIN STREET PHARMACY, L.L.C., By: Professional Pharmacy Services, Inc. By: _______________________________ Name: on behalf of each of the foregoing as _______ of the managing member -------------------------------- Address for notices 101 East State Street Kennett Square, PA 19348 Attention: George V. Hager, Jr., Executive Vice President and Chief Financial Officer Telephone: (610) 444-8419 Facsimiles: (610) 925-4100 15 [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 16 AGENT: MELLON BANK, N.A., Individually and as Agent By: _________________________ Title: FIRST UNION NATIONAL BANK By: _________________________ Title: GOLDMAN SACHS CREDIT PARTNERS, L.P. By: _________________________ Title: THE CHASE MANHATTAN BANK By: Chase Securities, Inc., as its Agent By: _________________________ Title: FOOTHILL CAPITAL CORP. By: _________________________ Title: TD SECURITIES By: _________________________ Title: THE BANK OF NOVA SCOTIA By: _________________________ Title: 17 METROPOLITAN LIFE INSURANCE COMPANY By: __________________________ Title GENERAL ELECTRIC CAPITAL CORP. By: __________________________ Title: CREDIT LYONNAIS NEW YORK BRANCH By: _________________________ Title: SILVER OAK CAPITAL, L.L.C. By: _________________________ Title: AG CAPITAL FUNDING, L.P. By: Angelo, Gordon & Co., L.P. as Investment Advisors By: _________________________ Title: OAK HILL SECURITIES FUND, L.P. By: _________________________ Title: OAK HILL SECURITIES FUND II, L.P. By: _________________________ Title: 18