===============================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                       ----------------------------------



                                    FORM 8-K

                                 CURRENT REPORT

                     Pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934


                       -----------------------------------



          Date of Report (Date of earliest event reported): May 3, 1996



                          GENESIS HEALTH VENTURES, INC.
                  --------------------------------------------
             (Exact name of Registrant as specified in its charter)



            Pennsylvania                1-11666              06-1132947
  -------------------------------   ----------------    ----------------------
  (State or other jurisdiction of     (Commission        (I.R.S. Employer
   incorporation or organization)     File Number)      Identification Number)


                              148 West State Street
                       Kennett Square, Pennsylvania 19348
          ------------------------------------------------------------
          (Address of principal executive offices, including zip code)


    Registrant's telephone number, including area code:    (610) 444-6350
                                                        --------------------

===============================================================================


Item 5.    Other Events.

           On May 3, 1996, Genesis Health Ventures, Inc., a Pennsylvania
corporation ("Genesis"), entered into an agreement to acquire the outstanding
stock of National Health Care Affiliates, Inc., Oak Hill Health Center, Inc.,
Derby Nursing Center Corporation, EIDOS, Inc. and VersaLink, Inc., and all of
the outstanding partnership interests of Delaware Avenue Partnership
(collectively, "National Health"), for a total consideration of approximately
$133,600,000, including assumed debt, subject to adjustment. The transaction is
expected to close in the second calendar quarter of 1996 and is subject to
normal regulatory approvals and certain third party consents. The consideration
will be comprised of approximately $79,400,000 in cash and the assumption of
approximately $54,200,000 of indebtedness. Genesis intends to repay all but
approximately $18,000,000 of the assumed indebtedness concurrently with the
closing of the transaction. The cash portion of the purchase price and repayment
of indebtedness will be financed by borrowings under the Company's bank credit
facilities.

           National Health owns six eldercare centers in Florida with 863 beds,
leases four eldercare centers in Florida with 368 beds, owns six eldercare
centers in Virginia with 1,168 beds and leases one eldercare center in
Connecticut with 120 beds. National Health also provides enteral nutrition and
rehabilitation therapy services to the eldercare centers that it owns and
leases. In addition, National Health manages four eldercare centers in Colorado
with 283 beds pursuant to an agreement which expires in October 1997. Certain
businesses, including home health care, infusion therapy and assisted living
facilities in the State of New York, which are currently owned by National
Health, will not be acquired by Genesis as part of the transaction.

Item 7.    Financial Statements and Exhibits.

      (a)  Financial Statements of business acquired.

           National Health Care Affiliates, Inc. and Related Entities -- Audited
           Combined Financial Statements for the Year-Ended December 31, 1995

           o  Report of Independent Auditors

           o  Combined Balance Sheet

           o  Combined Statement of Earnings

           o  Combined Statement of Owners' Equity

           o  Combined Statement of Cash Flows

           o  Notes to Combined Financial Statements

      (b)  Pro Forma Condensed Consolidated Financial Information

           o  Unaudited Condensed Consolidated Statements of Operation for the 
              year ended September 30, 1995 and the three months ended 
              December 31, 1995.

           o  Unaudited Pro Forma Condensed Consolidated Balance Sheet at
              December 31, 1995.

      (c)  Exhibits.

      Number         Title
      ------         ------
         1.          Purchase Agreement, dated May 3, 1996, by and among Mark E.
                     Hamister, Oliver C. Hamister, George E. Hamister, Julia L.
                     Hamister, The George E. Hamister Trust, The Oliver C. 
                     Hamister Trust, National Health Care Affiliates, Inc., Oak
                     Hill Health Care Center, Inc., Derby Nursing Center 
                     Corporation, Delaware Avenue Partnership, EIDOS, Inc.,
                     VersaLink Inc., certain other individuals and Genesis 
                     Health Ventures, Inc.


         2.          Consent of Ernst & Young, LLP
                                       -1-










National Health Care Affiliates, Inc.
and Related Entities

Audited Combined Financial Statements


Year ended December 31, 1995




Contents


Report of Independent Auditors ............................................  1

Audited Combined Financial Statements

Combined Balance Sheet ....................................................  2
Combined Statement of Earnings.............................................  4
Combined Statement of Owners' Equity ......................................  5
Combined Statement of Cash Flows...........................................  6
Notes to Combined Financial Statements.....................................  7







Report of Independent Auditors


Board of Directors and Shareholders
National Health Care Affiliates, Inc.
   and Related Entities


We have audited the accompanying combined balance sheet as of December 31, 1995
of National Health Care Affiliates, Inc. and Related Entities (Note 1), and the
related combined statements of earnings, owners' equity, and cash flows for the
year then ended. These financial statements are the responsibility of the
Companies' management. Our responsibility is to express an opinion on these
financial statements based on our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in
all material respects, the combined financial position at December 31, 1995 of
National Health Care Affiliates, Inc. and Related Entities, and the combined 
results of their operations and their cash flows for the year then ended in
conformity with generally accepted accounting principles.






Buffalo, New York
March 15, 1996

1



National Health Care Affiliates, Inc.
and Related Entities

Combined Balance Sheet

December 31, 1995


Assets
Current assets:
   Cash and cash equivalents                                         $ 3,538,809
   Cash restricted for bond retirement - Note 4                          524,188
   Accounts receivable, less allowance for doubtful
     accounts of $374,000                                             12,615,783
   Inventory                                                             629,512
   Due from third parties                                              1,675,377
   Prepaid expenses                                                    1,007,638
                                                                     -----------
Total current assets                                                  19,991,307

Land, buildings and equipment - Notes 2 and 4:
   Land and land improvements                                          4,156,914
   Building and improvements                                          69,423,972
   Equipment                                                          13,354,321
                                                                     -----------
                                                                      86,935,207

   Less accumulated depreciation and amortization                     27,522,518
                                                                     -----------
                                                                      59,412,689

Other assets:
   Notes receivable from shareholders - Note 6                           250,000
   Reserve fund cash and U.S. Government
     obligations - Note 4                                                665,056
   Escrow cash - Note 2                                                  335,014
   Goodwill, net - Note 2                                              6,273,566
   Deferred finance costs - Note 2                                     1,639,614
   Other - Note 2                                                      2,464,465
                                                                     -----------
                                                                      11,627,715
                                                                     -----------
Total assets                                                         $91,031,711
                                                                     ===========

2


Liabilities and owners' equity
Current liabilities:
   Accounts payable and accrued expenses                             $11,567,422
   Salaries and wages                                                  3,138,625
   Accrued interest                                                      584,028
   Deferred resident income                                              540,327
   Current maturities of long-term debt                                3,284,623
                                                                     -----------
Total current liabilities                                             19,115,025





Long-term debt, less current maturities - Note 4                      67,183,144





Owners' equity:
   Common stock - Note 8                                                 231,565
   Preferred stock, par value $.10 per share
     Authorized 5,000,000 shares; issued and
       outstanding, none                                                    --
   Additional paid-in capital                                            278,470
   Capital accounts of affiliates                                        884,573
   Retained earnings                                                   3,338,934
                                                                     -----------
Total owners' equity                                                   4,733,542
                                                                     -----------
Total liabilities and owners' equity                                 $91,031,711
                                                                     ===========


See accompanying notes.

3


National Health Care Affiliates, Inc.
and Related Entities

Combined Statement of Earnings

Year ended December 31, 1995


Revenue:
   Basic healthcare services, net - Note 2                          $ 62,473,477
   Specialty medical services, net - Note 2                           44,840,029
   Management services and other                                       1,471,587
                                                                    ------------
Net revenue                                                          108,785,093

Operating expenses:
   Salaries, wages and benefits                                       52,792,169
   Other operating expenses                                           33,992,494
   Administrative and general                                          6,205,327
   Depreciation and amortization                                       4,055,259
   Rent expense                                                        3,175,908
   Interest expense                                                    6,176,718
                                                                    ------------

Net earnings                                                        $  2,387,218
                                                                    ============


See accompanying notes.





















4


National Health Care Affiliates, Inc.
and Related Entities

Combined Statement of Owners' Equity
Year ended December 31, 1995



                                                                             Capital
                                                                             Accounts
                                        Common           Additional             of              Retained
                                        Stock          Paid-in Capital       Affiliates         Earnings              Total
                                        ------         ---------------       ----------         --------              -----
                                                                                                       
Balance at
   January 1, 1995                   $   234,447         $   278,470        $   342,668        $ 1,806,740         $ 2,662,325

Net earnings                                --                  --                 --            2,387,218           2,387,218

Redemption and retirement of
   NHCA stock (29,820 shares)             (2,982)               --                 --             (156,064)           (159,046)

Issuance of VersaLink stock                  100                --                 --                 --                   100

Redemption and retirement of
   HSNNY stock                              --                  --                 --              (10,480)            (10,480)

Redemption and retirement of
   Oak Hill stock                           --                  --                 --              (46,600)            (46,600)

Dividends paid                              --                  --                 --             (641,880)           (641,880)

Contributions from
   owners                                   --                  --              541,905               --               541,905
                                     -----------         -----------        -----------        -----------         -----------
Balance at
   December 31, 1995                 $   231,565         $   278,470        $   884,573        $ 3,338,934         $ 4,733,542
                                     ===========         ===========        ===========        ===========         ===========   

                                     
See accompanying notes.
















5


National Health Care Affiliates, Inc.
and Related Entities

Combined Statement of Cash Flows

Year ended December 31, 1995



                                                                         
Operating activities
Net earnings                                                                $ 2,387,218
Adjustments to reconcile net earnings to net cash
   provided by operating activities:
     Depreciation and amortization                                            4,055,259
     Deferred revenue                                                          (113,696)
                                                                            -----------
                                                                              6,328,781
Changes in operating assets and liabilities, net of effects of
   acquisitions:
     Accounts receivable                                                     (2,454,726)
     Inventory                                                                  (72,920)
     Prepaid expenses                                                           (25,921)
     Accounts payable and other accruals                                      4,673,300
     Deferred resident income                                                     9,799
     Due to third parties, net                                               (1,435,853)
                                                                            -----------
Net cash provided by operating activities                                     7,022,460

Investing activities
Capital expenditures                                                         (2,036,624)
Decrease in notes and other receivables from
   related entities and shareholders                                           (915,164)
Acquisitions of businesses, net of cash acquired - Note 3                    (1,807,549)
                                                                            -----------
Net cash used in investing activities                                        (4,759,337)

Financing activities
Increase in restricted cash                                                     (57,541)
Decrease in escrow cash                                                         408,124
Increase in deferred expenses                                                  (990,888)
Proceeds from long-term borrowings                                            4,398,000
Principal payments on long-term debt                                         (3,113,778)
Principal payments from debt refinancing                                     (1,323,916)
Retirement of stock                                                            (216,126)
Contributions from shareholders                                                 541,905
Dividends paid                                                                 (641,880)
Other - net                                                                    (123,769)
                                                                            -----------
Net cash used in financing activities                                        (1,119,869)
                                                                            -----------
Net increase in cash and cash equivalents                                     1,143,254
Cash and cash equivalents at beginning of year                                2,395,555
                                                                            -----------
Cash and cash equivalents at end of year                                    $ 3,538,809
                                                                            ===========


See accompanying notes 

6


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements

December 31, 1995


1. General

The financial statements presented herein include the combined financial
statements of National Health Care Affiliates, Inc. (NHCA) and its
majority-owned subsidiary Proxyfusion, Inc. (ProxyFusion), as well as the
related entities of Brompton Heights (Brompton), Delaware Avenue Partners (DAP),
Derby Nursing Center Corporation (Derby), Orchard Heights, Oak Hill Health Care
Center, Inc. (Oak Hill), Health Services of Northern New York, Inc. (HSNNY),
VersaLink, Inc., EIDOS (formerly known as NHCA Management Services Corporation),
and Hamister Office Building Partnership (HOBP). Intercompany transactions and
balances have been eliminated in combination.


2. Summary of Significant Accounting Policies

Cash and Cash Equivalents

Cash equivalents consist of certificates of deposit with maturities of less than
three months.

Accounts Receivable and Revenues

NHCA and related entities provide services to nursing home patients and home
health care clients under agreements with third-party payors (Medicare and
Medicaid), whereby NHCA and related entities are reimbursed under provisions of
their respective cost reimbursement formulas. Amounts received under these
agreements are generally less than established billing rates and the difference
is accounted for as a deduction from revenue. Final determination of the amounts
earned is subject to review by the third-party payors or their agents. While the
ultimate outcome of such reviews is unknown, it is the opinion of management
that adequate provision has been made for any significant adjustments that may
result.

Significant concentrations of resident service revenues are derived from
contractual arrangements with Medicaid and Medicare. Resident accounts
receivable at December 31, 1995 include Medicaid, 26% and Medicare, 23%.

Deferred resident income represents a liability for future resident care
services for which advance payment has been received.



7


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


2. Summary of Significant Accounting Policies (continued)

Inventory

Inventory is valued at the lower of cost (first-in, first-out method) or market.

Land, Buildings and Equipment

Land, buildings, and equipment are recorded at cost; renewals and betterments
are capitalized at cost, and maintenance and repairs are charged to expense as
incurred.

Depreciation is provided over the estimated service lives of the assets on the
straight-line method. Generally, the estimated service lives used are 40 years
for buildings, 20 years for land and building improvements, 15 years for fixed
equipment, and 10 years for furniture and fixtures.

Escrow Cash

Escrow cash at December 31, 1995 consists of $50,000 in deposits related to
potential business acquisitions. Certain financing agreements require monthly
payments to fund mortgage insurance premiums, real estate taxes, capital
improvements and property insurance of which $285,014 is held in escrow at
December 31, 1995.

Funding of $35,665 per month is required during 1996.

Funds Held in Trust

NHCA and related entities maintain funds in trust for residents' use. These
funds are included in cash and accounts payable, and amounted to $505,418 at
December 31, 1995.

Goodwill

Goodwill costs of $6,441,176 at December 31, 1995 resulted from acquisitions
(Note 3) and are being amortized over a 40 year life. Accumulated amortization
was $167,610 at December 31, 1995. Based upon management's assessment of the
future undiscounted operating cash flows of acquired businesses, the carrying
value of goodwill at December 31, 1995 has not been impaired.






8


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


2. Summary of Significant Accounting Policies (continued)

Deferred Finance Costs

Deferred financing costs of $2,415,782 at December 31, 1995 were incurred in
connection with various debt financing arrangements and are being amortized over
the term of the respective debt agreements. Accumulated amortization was
$776,168 at December 31, 1995.

Other Assets

Other assets consist primarily of the following:

     Leasehold interests related to NHCA were acquired in 1989 at a cost of
     $1,650,000, and are being amortized using the straight-line method over the
     initial term of the related lease. Accumulated amortization was $1,024,153
     at December 31, 1995.

     Costs related to covenant-not-to-compete agreements of $875,000 at December
     31, 1995 resulted from acquisitions (Note 3) and are being amortized over
     periods of 2.5 to 5 years, according to the terms of the respective
     agreements. Accumulated amortization was $115,972 at December 31, 1995.

     Fees of $835,545 were incurred during 1995 in conjunction with a franchise
     agreement and the securement of a related non-compete agreement with a
     national supplementary staffing franchisor. The payment is being amortized
     over the future benefit period of this agreement (2.8 years). Accumulated
     amortization was $124,048 at December 31, 1995.

Nonrecurring Costs

Nonrecurring costs of $242,463 included in administrative and general expenses
represent charges to operations for legal, accounting and other costs incurred
in connection with negotiations and due diligence activities related to
discussions with potential equity investors in 1995.

Income Taxes

NHCA and related entities (except for HSNNY and ProxyFusion, Inc. which are
taxable C-Corporations) have elected to be treated as either S Corporations,
under Subchapter S of the Internal Revenue Code, or as partnerships and are not
subject to income taxes as such taxes accrue to the shareholders or partners.
Taxes attributable to HSNNY and ProxyFusion, Inc. of approximately $7,000 are
included in administrative and general expenses.

9


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


2. Summary of Significant Accounting Policies (continued)

Earnings Per Share

NHCA and related entities do not present information on earnings per share
because the combined statements are those of a private enterprise which is not
required to present earnings per share.

Use of Estimates

The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions that
affect the amounts reported in the financial statements and accompanying notes.
Actual results could differ from those estimates.

Fair Value of Financial Instruments

The fair value of financial instruments is determined by reference to various
market data and other valuation considerations. The fair value of financial
instruments approximates their recorded values.


3. Acquisitions

On October 25, 1995, NHCA acquired the business assets of Professional Home
Health, L.P. d/b/a Commonwealth Pediatrics, a durable medical equipment and home
health care company specializing in pediatric respiratory services in Richmond
and Charlottesville, Virginia. The purchase price was $2,306,586 paid in a
combination of cash and long-term notes payable. The excess of the purchase
price over the estimated fair value of the tangible assets was recorded as
goodwill. The acquisition may result in the payment of up to $400,000 contingent
upon future earnings of the home health care company. During 1995, no contingent
payments were required under the terms of this agreement. The estimated effect
(unaudited) of this acquisition, as if the acquisition had occurred on January
1, 1995, would have been to increase net revenues and net earnings by $2,295,000
and $252,000, respectively, in 1995.






10


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


3. Acquisitions (continued)

On September 29, 1995, NHCA (79%) and Oak Hill (21%) acquired the stock of
ProxyFusion, Inc. d/b/a Progressive Infusion Care P.A., a provider of infusion
therapy services. The purchase price was $1,542,029, paid in a combination of
cash and long-term notes payable. The excess of the purchase price over the
estimated fair value of the net assets was recorded as goodwill. The estimated
effect (unaudited) of this acquisition, as if the acquisition had occurred on
January 1, 1995, would have been to increase net revenues by $1,936,000 and
would have had an immaterial impact on net earnings in 1995.

Effective January 1, 1995, the shareholders of NHCA acquired the stock of Health
Services of Northern New York, Inc., a provider of temporary nursing and
certified home health care services. The purchase price was $1,689,391, paid in
a combination of cash and long-term notes payable. The excess purchase price
over the estimated fair value of the net assets was recorded as goodwill. The
acquisition may result in an additional $300,000 payment contingent upon future
earnings of the Company. During 1995 no contingent payments were required under
this agreement.

On May 23, 1994, NHCA acquired the business assets of Care Med Management
Systems, Inc., a provider of home care and supplemental staffing services in
West Palm Beach, Florida d/b/a PRN of West Palm Beach. The purchase price was
$1,800,000 in cash and long-term notes payable. The excess of the purchase price
over the estimated fair value of the net assets was recorded as goodwill. The
acquisition may result in an additional $1,200,000 payment contingent upon
future earnings of the Company. A total of $166,062 in contingent payments have
been made under the terms of this agreement ($122,228 in 1995).

On January 31, 1994, NHCA acquired the stock of Nursefinders of Cleveland, Inc.,
a temporary nursing and home health agency with operations in Cleveland and
Akron, Ohio, d/b/a PRN of Cleveland and Akron. The purchase price was
$1,829,000, paid in a combination of cash and a long-term note payable. The
excess of the purchase price over the estimated fair value of the net assets was
recorded as goodwill. The acquisition may result in an additional $500,000
payment contingent upon future earnings of the agency. A total of $65,572 in
contingent payments (all made in 1995) have been made under this agreement.






11


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


4. Long-Term Debt

Long-term debt consists of the following at December 31, 1995:



                                                                                          
   First mortgages with banks, at various rates from 7.75% to 12.5%, payable through 2034.   $54,664,483

   Other mortgages, at various rates from 9% to 10.5%, payable through 1999.                   4,096,896

   Other secured obligation, at prime plus 1.5%, payable through 2001.                         3,770,361

   Industrial Revenue Bonds, at rates of 9.75% and 10.7%, maturing serially through 2010.      3,190,000

   Unsecured obligations, at various rates from 5% through 10%, payable through 2002.          4,083,774

   Other                                                                                         662,253
                                                                                             -----------
                                                                                              70,467,767
Less current maturities                                                                        3,284,623
                                                                                             -----------
                                                                                             $67,183,144
                                                                                             ===========



Substantially all property and equipment are pledged as collateral on long-term
debt. Subordinated debt is subordinate for all purposes and subject in right of
payment to prior payment in full of the senior debt. In the event of default on
senior debt, the holder of the senior debt may declare a halt to the subordinate
debt payments until the default has been satisfactorily cured.










12


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


4. Long-Term Debt (continued)

The aggregate maturities of long-term debt for years subsequent to December 31,
1995 are as follows:

             1996                          $ 3,284,623
             1997                           15,607,180
             1998                            2,474,088
             1999                           17,099,722
             2000                            7,810,411
             Thereafter                     24,191,743
                                           -----------
                                           $70,467,767
                                           ===========

Interest paid in 1995 was $6,141,024.

Cash restricted for bond retirement relates to currently payable Industrial
Revenue Bonds. Reserve funds are required to be maintained over the life of the
bonds and used solely for the purpose of paying principal and interest on the
bonds to the extent that such funds may be needed. Cash and U.S. Government
obligations in the reserve fund are subject to certain withdrawal restrictions
under the terms of the respective bond agreements.

Certain loan agreements provide restrictions including among others, the
maintenance of specified debt coverage, debt-to-worth and current ratios, and
specified net earnings. At December 31, 1995, NHCA and related entities were in
compliance with these requirements.

NHCA's $4,000,000 working capital line of credit is used to collateralize
letters of credit issued on behalf of the Company. At December 31, 1995,
approximately $1,200,000 is available on this line and $2,800,000 has been
utilized to secure letters of credit. NHCA has a revolving credit facility of up
to $5,000,000 of which $3,770,361 was outstanding at December 31, 1995. The
credit facility is available for financing of home health care agency
acquisitions through December 31, 1997.









13


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


4. Long-Term Debt (continued)

In 1996, NHCA received bank commitments to refinance certain of its debt
obligations. These obligations will be refinanced in 1996 under the terms of the
bank commitment. Funds of $18 million have been committed. If these debt
obligations had been refinanced at December 31, 1995, the aggregate maturities
on long-term debt for years subsequent to December 31, 1995 would be as follows
(assuming an interest rate of 8.45%).

               1996                                 $ 2,936,281
               1997                                   9,195,217
               1998                                   2,292,358
               1999                                  14,577,772
               2000                                   8,102,456
               Thereafter                            33,363,683
                                                    -----------
                                                    $70,467,767
                                                    ===========

5. Operating Leases

NHCA currently leases four health care facilities and Derby leases one health
care facility under noncancelable operating leases. The facility leases each
provide for an initial term of 10 years, with two 5-year renewal options, and
are subject to annual escalators based on increases in operating revenues. NHCA
and Derby have the right to purchase the facilities at fair market value after
October 1999. Aggregate minimum lease payments under the terms of these leases
are as follows:

               1996                                 $2,411,000
               1997                                  2,433,500
               1998                                  2,456,000
               1999                                  2,405,917
                                                    ----------
                                                    $9,706,417
                                                    ==========

NHCA has issued a standby letter of credit for $900,000 guaranteeing in part its
future commitment under the facility leases.


6. Related Party Transactions

During 1995, a shareholder borrowed $250,000 at 5% interest, maturing in
August 2000. Interest revenue of $4,452 has been accrued as of December 31,
1995.

14


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


6. Related Party Transactions (continued)

In addition, NHCA has guaranteed certain shareholder indebtedness aggregating
$655,803 at December 31, 1995. Management believes NHCA will not incur any
liability under these guarantees.


7. Employee Savings and Retirement Plan

NHCA and related entities offer a defined contribution plan (the Plan), subject
to the provisions of the Employee Retirement Income Security Act (ERISA) of
1974, to qualified employees who are not members of a bargaining unit.
Participants voluntarily elect to contribute up to 15% of their annual gross
wages up to the maximum allowed by the Internal Revenue Service. NHCA and
related entities matched 25% of the participants' qualified contributions up to
a maximum of 4% of their gross wages. The Plan began operations in 1988. Company
contributions were $68,742 in 1995.


8. Capital Stock

Common stock outstanding was as follows at December 31, 1995:

NHCA - par value $.10 per share:
   Authorized 12,000,000 shares; issued and
     outstanding 2,304,650 shares                                       $230,465
Oakhill - no par value:
   Authorized 12,000,000 shares; issued and
     outstanding 2,304,682 shares                                           --
Derby - par value $.20 per share:
   Authorized, issued and outstanding 5,000 shares                         1,000
Versalink - par value $1 per share:
   Authorized 1,000 shares; issued and outstanding
     100 shares                                                              100
HSNNY
   Authorized 2,389,790 shares; issued and
     outstanding 2,256,511 shares at stated value                           --
                                                                        --------
                                                                        $231,565
                                                                        ========




15


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


8. Capital Stock (continued)

The issuance of up to 5,000,000 shares of NHCA series preferred stock is
authorized. The rights, privileges, and preferences of each series will be
determined by resolutions of the Board of Directors upon issuance.

NHCA and its shareholders have entered into a share purchase agreement which
restricts the transferability of their shares and provides for certain
conditions under which their shares must be purchased by the other principal
shareholders or NHCA at the lower of a specified price (as determined by a
formula based on NHCA earnings) or fair market value of the shares.

Up to 47,796 shares of common stock of NHCA is authorized to be issued to two
outside directors, as defined in a stock option agreement. The options are
exercisable at a price of $12.553 per share through February 2005. No
compensation expense was incurred related to these options in 1995, and at
December 31, 1995, no options have been exercised.


9. Stock Redemption

The shareholders have entered into an agreement whereby NHCA and certain related
entities will redeem annually, subject to certain restrictions and limitations,
the ownership interests of two principal shareholders based upon a predetermined
formula. Payments of $159,046 were made in 1995 to redeem a portion of NHCA
stock. In addition, payments of $10,480 and $46,600 were made to redeem HSNNY
and Oak Hill stock, respectively, in 1995. As a result of limitations related to
availability of cash flow and debt covenant requirements, management does not
expect the amount to be paid in 1996 related to the stock redemption agreement
to be materially higher than the 1995 amount.


10. Contingencies

At December 31, 1995, certain claims of the type normally associated with the
Company's business have been asserted against NHCA. In the opinion of
management, all matters involving claims for damages are adequately covered by
insurance, are without merit or are of such kind or amount as would not have a
material effect on the financial position or results of operations of the
Company.




16


National Health Care Affiliates, Inc.
and Related Entities

Notes to Combined Financial Statements (continued)


11. Non-Cash Transactions

The following non-cash transactions occurred during 1995:



                                                                                                    
     Note payable to sellers for acquisition of Commonwealth Pediatrics (Note 3)                        $  600,000

     Note payable for noncompete agreement (Note 2)                                                     $  429,545

     Note payable to sellers for acquisition of HSNNY (Note 3)                                          $1,089,391


12. Subsequent Event - Purchase of Business Assets

Effective January 1, 1996, NHCA purchased the business assets of Nurses PRN of
Denver, Inc. and PRN, Inc., entities that provide home care and supplementary
staffing services in Florida, Alabama, Colorado, and Oregon. The purchase price
was $3,975,000 with an additional $2,500,000 payment contingent upon future
earnings of the business units. In connection with this purchase, the Company
utilized approximately $1,092,000 of its available revolving credit facility.

13. Subsequent Event - Sale of Business Interests - Unaudited

On May 3, 1996, NHCA entered into an agreement with Genesis Health Ventures to
sell certain of its business interests in the states of Florida, Virginia and
Connecticut for approximately $133,600,000, including assumed debt. These
entities account for $83,800,000 of the combined net revenues and $65,500,000 of
the combined total assets reported in the accompanying combined financial
statements.

17



    
            PRO FORMA CONDENSED CONSOLIDATED FINANCIAL INFORMATION 
          PRO FORMA CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                  (Unaudited)

   The following unaudited pro forma condensed consolidated statement of
operations gives effect to (i) the acquisition by Genesis of McKerley Health
Care Centers, Inc.  and certain related entities ("McKerley") in November 1995,
(ii) the transaction contemplated by the agreement, dated in April 1996, between
Genesis and NeighborCare Pharmacies, Inc. and certain of its related entities
("NeighborCare"), (iii) the transaction contemplated by the agreement between
Genesis and National Health as described in this report, and (iv) the proposed
public offering by Genesis of up to 6,900,000 shares of its Common Stock and the
application of the estimated net proceeds from such offering as described under
"Use of Proceeds" in the Registration Statement on Form S-3 with respect to 
such offering, as if each had occurred at the beginning of the periods 
presented.

   The pro forma condensed statements of operations are based upon assumptions
and include adjustments as described in the notes below. The pro forma
information should be read in conjunction with the Genesis's historical
consolidated financial statements, McKerley's historical combined financial
statements and National Health's historical combined financial statements
included or incorporated by reference herein. The historical combined financial
statements of McKerley for the year ended November 30, 1995 and for the three
months ended December 31, 1995 are included in the columns "McKerley" in the
tables below. As a result of the differing year ends of the two companies, the
two months ended November 30, 1995 are included in both periods. The historical
financial statements of NeighborCare for the year ended July 2, 1995 and the
three months ended December 31, 1995 are included in the colums "NeighborCare"
in the tables below. The historical combined financial statements of National
Health for the year ended December 31, 1995 and for the three months ended
December 31, 1995 are included in the columns "National Health" in the tables
below. As a result of the differing year ends of the two companies, the three
months ended December 31, 1995 is included in both periods. Such data is not
necessarily indicative of the historical financial results that would have been
achieved had the acquisitions occurred at the beginning of the periods presented
or that may be expected to result in the future as a result of such
transactions.




                                                                      Year ended September 30, 1995 
                                   ------------------------------------------------------------------------------------------------
                                     Genesis        McKerley          McKerley Pro     NeighborCare  NeighborCare  National Health 
                                   Historical      Historical             Forma         Historical    Pro Forma        Historical 
                                    Results         Results            Adjustments       Results     Adjustments       Results  
                                   ----------      ----------         -------------     ----------   ------------  ---------------
                                                              (In thousands, except share and per share data)  
                                                                                                       
Net revenues  ..................... $486,393         $57,266       $    114 (A)(B)(C)     $ 52,751    $  --            $108,785
Operating expense:   
Operating expenses other than 
  depreciation, amortization 
  and lease expense ...............  393,139          50,400         (4,394)(A)(D)          51,986     (1,849)(I)        92,990
Depreciation and 
  amortization ....................   18,793           1,900          1,079 (F)               --        2,547 (J)         4,055
Lease expense  ....................   13,798           2,759         (1,244)(G)               --          --              3,176
Interest expense, net  ............   20,367           4,200          1,625 (A)(E)           1,276      1,880 (M)         6,177 
                                    --------        --------       --------               --------     ------           -------
Earnings from operations 
  before income taxes and 
  extraordinary items .............   40,296          (1,993)         3,048                   (511)    (2,578)            2,387
                                    --------        --------       --------               --------     ------           -------
Earnings from operations 
  before extraordinary items....... $ 25,531         $(1,255)      $  1,920                  $(322)   $(1,624)          $ 1,504   
                                    --------        --------       --------               --------     ------           -------
Fully diluted earnings per 
  share before extraordinary 
  items ...........................    $1.03                                                              333(H)
Weighted average common 
  shares and equivalents ..........   28,452 
     




   


        
                                                                     Year ended September 30, 1995
                                           -----------------------------------------------------------------------------------
                                                                                                                                  
                                                                                                              Pro Forma     
                                                                    Pro Forma                                Consolidated 
                                                                   Consolidated                           Genesis/McKerley/ 
                                            National Health      Genesis/McKerley/                          NeighborCare/ 
                                               Pro Forma       NeighborCare/National       Offering   National Health Results
                                              Adjustments         Health Results          Adjustment    Adjusted for Offering 
                                           ----------------    ---------------------     ------------   ---------------------- 
                                                        (In thousands, except per share data)  
                                                                                                   
Net revenues  ....................            (22,949)(L)(P)       682,360                    --                682,360
Operating expense:                                                                                          
Operating expenses other than                                                                               
  depreciation, amortization                                                                                
  and lease expense ..............            (26,435)(L)(O)(P)    555,837                    --                555,837
Depreciation and                                                                                            
  amortization ...................              1,067 (M)           29,441                    --                 29,441
Lease expense  ...................               (233)(L)           18,256                                       18,256
Interest expense, net  ...........              3,375 (L)(N)        38,900                 (11,696)(Q)           27,204
                                             --------              -------              ----------             --------
Earnings from operations                                                                                    
  before taxes and                                                                                          
  extraordinary items ...........                (723)              39,926                  11,696               51,622
                                                                                         ----------             -------
Earnings from operations                                                                                    
  before extraordinary items.....                (455)              25,299                 $ 7,368               32,667
                                                                                         ----------             -------
Fully diluted earnings per                                                                               
  share before extraordinary 
  items .........................                                                                                 $1.05
Weighted average common 
  shares and equivalents ........                                                            6,000               34,785


                                    
    

                                  







                                                               Three Months ended December 31, 1995 
                                -------------------------------------------------------------------------------------------------
                                   Genesis        McKerley           McKerley        NeighborCare  NeighborCare   National Health 
                                  Historical     Historical          Pro Forma        Historical    Pro Forma        Historical    
                                   Results        Results           Adjustments        Results     Adjustments       Results      
                                 ----------      ----------         -------------    ------------  ------------   --------------- 
                                                              (In thousands, except share and per share data)  
                                                                        
Net revenues  ................... $132,778      $ 9,671        $  204 (A)(B)(C)        $16,819         --            $28,595
Operating expenses:  
Operating expenses other than 
  depreciation, amortization 
  and lease expense .............  107,477        9,868        (2,151)(A)(D)            15,198       (462)(I)(K)      24,857
Debenture conversion expense ....    1,090          --            --                                                           
Depreciation and 
  amortization ..................    5,148          323           180 (F)                  219        637 (J)          1,130
Lease expense  ..................    3,793          460          (207)(G)                  366         --                830
Interest expense, net  ..........    6,040        1,158          (201)(A)(E)               453        346 (H)          1,585 
                                   -------       --------        -------               -------      -----             ------
Earnings from operations 
  before taxes and 
  extraordinary items ...........    9,230       (2,138)        2,583                      583       (521)               193    
                                   -------       --------       -------                -------      -----             ------
Earnings from operations 
  before extraordinary items.....  $ 5,858       $(1,347)      $1,627                   $  367      $(328)             $ 122
                                   -------       --------      -------                 -------      -----             ------
Fully diluted earnings per 
  share before extraordinary 
  items and Debenture 
  conversion expense ............    $0.26 
Weighted average common 
  shares and equivalents ........   28,669                                                           333(H)





   
                                                               Three Months ended December 31, 1995
                                        -------------------------------------------------------------------------------
                                                                                                       Pro Forma                   
                                                              Pro Forma                              Consolidated 
                                                            Consolidated                            Genesis/McKerley 
                                        National Health    Genesis/McKerley                           NeighborCare 
                                         Pro Forma       NeighborCare/National      Offering     National Health Results
                                          Adjustments       Health Results         Adjustment     Adjusted for Offering 
                                        ---------------  ---------------------    ------------   ------------------------ 
                                                      (In thousands, except share and per share data)  
                                                                                                  
Net revenues  .................          $(6,159)(L)(P)      $181,908                                  $181,908
Operating expenses:  
Operating expenses other than 
  depreciation, amortization 
  and lease expense ...........           (7,325)(L)(O)(P)    147,462                                    147,462
Debenture conversion expense ..                                 1,090               --                     1,090
Depreciation and 
  amortization ................              151 (L)(M)         7,788                                      7,788
Lease expense  ................              (75)(L)            5,167                                      5,167
Interest expense, net  ........              787 (L)(N)        10,168               (2,948)(Q)             7,220
                                          ------               ------               ------                 -----
                                                                                     
Earnings from operations 
  before taxes and 
  extraordinary items ........               303               10,233                2,948                13,181
                                          ------               ------              -------                ------
                                         
Earnings from operations 
  before extraordinary items...           $  190              $ 6,489               $1,857               $ 8,346               
                                          ------              -------               ------                ------   
Fully diluted earnings per                                                        
  share before extraordinary 
  items and Debenture 
  conversion expense ..........                                                                            $0.28               
Weighted average common 
  shares and equivalents ......                                                     6,000                 35,002


    
                                      


                 GENESIS HEALTH VENTURES, INC. AND SUBSIDIARIES 

           Notes to Consolidated Financial Statements  - (Continued) 

PRO FORMA ADJUSTMENTS ARE AS FOLLOWS: 

McKerley Transaction

(A) The historical financial statements of McKerley include unusual, 
    nonrecurring charges related to a provision to properly state certain 
    insurance program liabilities, record a loss related to the termination 
    of an interest rate swap agreement and to write off certain other 
    long-term assets. 



                                                               Year Ended      Three Months Ended 
                                                           September 30, 1995   December 31, 1995 
                                                           ------------------   ----------------- 
                                                                        (In thousands) 
                                                                                    
    Revenues, net  .....................................        $   204              $   204 
                                                                =======              =======   
    Operating expenses other than depreciation, 
      amortization and lease expense ...................         (1,579)              (1,579) 
    Interest expense, net  .............................        $  (566)             $  (566) 
                                                                =======              ======= 


(B) Effective October 1, 1995 the State of New Hampshire issued a reduction 
    in payment rates under the Medical Assistance program. The annualized 
    impact of this rate reduction is approximately $1,500,000. 

                         Year Ended       Three Months Ended 
                     September 30, 1995   December 31, 1995 
                     ------------------   ----------------- 
                                  (In thousands) 
    Revenues, net.....       ($1,500)               -- 
                             =======            =======

(C) The former owners have agreed to pay certain Genesis subsidiaries for 
    marketing and other services for approximately two years with annual 
    payments of approximately $900,000. The former owners also agreed to lease 
    30,000 square feet of office space from the Genesis for approximately two 
    years at an annual rate of $510,000. 

                          Year Ended       Three Months Ended 
                      September 30, 1995   December 31, 1995 
                      ------------------   ----------------- 
                                   (In thousands) 
    Revenues, net...         $1,410                  -- 
                             ======              ======= 

(D) As a result of the McKerley Transaction, corporate overhead functions 
    related to the prior owners, certain nursing staff and regional 
    management of the nursing facilities will be merged. Genesis has 
    identified duplicative positions and the costs associated with such 
    positions, and plans to eliminate these costs according to a transition 
    plan within one year of the acquisition. 

    Salary costs and other payments associated with certain McKerley 
    principals who will not be joining Genesis have been identified and 
    eliminated, as well as costs associated with other management positions 
    which have already been vacated and will not be replaced. Support staff 
    associated with these positions have also been eliminated. 

    The components of the savings expected upon merging McKerley's operations 
    into Genesis are as follows: 



                                                                  Annual Cost    Quarterly Cost 
                                                                 -------------   -------------- 
                                                                         (In thousands) 
                                                                           
    Principal salaries, payments and cost of support 
      personnel ..............................................      $1,693            $418 
    Management to be eliminated due to overlap, and vacated 
      management positions not to be replaced ................         622             104 
    Personnel reduction in operating staff to eliminate 
      duplicative positions ..................................         500              50 
                                                                 -------------   -------------- 
                                                                    $2,815            $572 
                                                                 =============   ============== 
     

                                      

                 GENESIS HEALTH VENTURES, INC. AND SUBSIDIARIES 

           Notes to Consolidated Financial Statements  - (Continued) 

   The impact of the savings have been reflected in a pro forma adjustment as 
follows: 



                                                               Year Ended      Three Months Ended 
                                                           September 30, 1995   December 31, 1995 
                                                           ------------------   ----------------- 
                                                                      (In thousands) 
                                                                          
    Operating expenses other than depreciation, 
      amortization and lease expense .......................        $(2,815)              $(572) 
                                                                  ==========            ========


(E) The McKerley Transaction was financed with borrowings under the Genesis's  
    bank credit facilities aggregating approximately $68,000,000. Genesis 
    has repaid approximately $27,000,000 of assumed McKerley debt. Genesis 
    has also assumed a mortgage obligation of approximately $9,000,000 which
    was not immediately repaid. Interest rate assumptions are 7.25% for 
    Genesis's borrowing under its bank credit facilities. 



                                                                 Year Ended      Three Months Ended 
                                                             September 30, 1995   December 31, 1995 
                                                             ------------------   ----------------- 
                                                                         (In thousands) 
                                                                                   
    Interest expense, net:  .............................. 
       Interest expense -- bank facilities................        $ 4,930               $ 822 
       Elimination of historical McKerley remaining 
         interest expense  ...............................         (2,739)               (457) 
                                                                ---------              -------
                                                                  $ 2,191               $ 365 
                                                                =========              =======


   
(F) In accordance with generally accepted accounting principles, the net 
    assets acquired are recorded at the lower of purchase price or fair 
    value. The estimated fair value adjustments have been determined based on 
    the most recent information available. The resultant excess of purchase 
    price over fair value of net assets acquired is required to be amortized. 
    The pro forma adjustment to reflect the increased depreciation and 
    amortization is as follows: 
    



                                                Year Ended       Three Months Ended 
                                             September 30, 1995   December 31, 1995 
                                             ------------------   ----------------- 
                                                         (In thousands) 
                                                              
    Depreciation and amortization expense          $1,079               $180 
                                                   =======              ====== 


(G) The former owners have agreed to make certain lease payments on behalf of 
    the Company with respect to certain lease obligations of the McKerley 
    Entities. The following pro forma adjustment reflects the impact of 
    recognizing the resulting lease expense on a straight line basis over the 
    remaining lease term: 

                           Year Ended      Three Months Ended 
                       September 30, 1995   December 31, 1995 
                       ------------------   ----------------- 
                                    (In thousands) 
    Lease expense ..        $(1,244)             ($207) 
                           ========              =====


             

   
NeighborCare Transaction

(H) A portion of the NeighborCare Transaction will be financed with 
    borrowings under Genesis's bank credit facilities aggregating 
    approximately $47,250,000. Genesis expects to repay approximately 
    $18,000,000 of NeighborCare debt assumed in the transaction. Interest 
    rate assumptions are 6.8% for Genesis's borrowings under its credit 
    facilities. 


    

                                                                Year Ended      Three Months Ended 
                                                            September 30, 1995   December 31, 1995 
                                                            ------------------   ----------------- 
                                                                       (In thousands)
                                                                                  
    Interest expense, net:  .............................. 
       Interest expense -- bank facility .................        $ 3,171              $ 799 
       Elimination of historical NeighborCare remaining 
         interest expense  ...............................         (1,291)              (453)
                                                                ---------            -------
                                                                 $ 1,880              $ 346 
                                                               =========            =======


Adjustment to reflect the issuance of $10,000,000 of Genesis Common Stock as a
portion of the consideration. The stock issuance price has been estimated at $30
per share resulting in the issuance of 333,333 shares.

   
(I) As a result of the NeighborCare Transaction, corporate and administrative
    overhead functions related to the prior ownership structure will be merged.
    Accordingly, Genesis has identified duplicative physical locations which
    will be merged into existing Genesis pharmacy and medical supply locations.
    


                                                                  Annual Cost    Quarterly Cost 
                                                                 -------------   -------------- 
                                                                       (In thousands)
                                                                                   
   
    Consolidation of institutional pharmacy locations  .......     $  (300)          $ (75) 
    Consolidation of medical supply division  ................        (300)            (75) 
    Personnel reduction in operating staff to eliminate 
      duplicative positions ..................................        (615)           (154) 
    Other operating costs including legal and accounting 
      fees, advertising and office expense ...................        (474)           (118) 
                                                                   -------            ----
                                                                   $(1,689)          $(422) 
                                                                   =======           ===== 

    



    The impact of the savings have been reflected in a pro forma adjustment 
as follows: 


                                                                  Year Ended      Three Months Ended 
                                                              September 30, 1995   December 31, 1995 
                                                              ------------------   ----------------- 
                                                                       (In thousands)
                                                                              
   
    Operating expenses other than depreciation 
      amortization and lease expense .......................       $(1,689)              ($422) 
                                                                   =======              ======


(J) In accordance with generally accepted accounting principles, the net assets
    acquired are recorded at the lower of purchase price or fair value. The
    estimated fair value adjustments have been determined based on the most
    recent information available. The resultant excess of purchase price over
    fair value of net assets acquired is required to be amortized. The
    elimination of historical depreciation expense is the result of certain
    assets not being acquired by Genesis. The pro forma adjustment to reflect
    the net increased depreciation and amortization is as follows:

    




                                                        Year Ended      Three Months Ended 
                                                    September 30, 1995   December 31, 1995 
                                                    ------------------   ----------------- 
                                                                (In thousands) 
                                                                     
    Impact of step-up and allocation of goodwill          $2,706               $677 
    Elimination of historical depreciation 
       expense ...................................          (159)               (40) 
                                                         -------             ------
    Depreciation and amortization.................        $2,547               $637 
                                                         =======             ====== 


   
(K) In connection with the NeighborCare Transaction, certain corporate office 
    and furniture and fixture leases will be terminated. The pro forma 
    adjustment to reflect this is as follows: 

                                            Year Ended       Three Months Ended 
                                        September 30, 1995   December 31, 1995 
                                        ------------------   ----------------- 
                                                    (In thousands)
    Operating expenses other
      than depreciation, amortization
      and lease expense .....                  $(160)              $(40) 
                                               =======             ======
    


                                      



   

National Health Transaction

(L) In connection with the National Health Transaction certain assets and  
    liabilities will not to be acquired by Genesis. Additionally certain   
    businesses, including home health care, infusion therapy and assisted   
    living facilities in New York State will not be acquired. The statement of 
    operations data from these assets is presented in a proforma footnote below:


                                                                    Year Ended        Three Months Ended
                                                               September 30, 1995     December 31, 1995
                                                               ------------------   ----------------------- 
                                                                             (In thousands)
                                                                                   
    Net Reveunes .............................................     $(24,949)             $(6,659)
    Operating expenses other than debenture conversion expense
      depreciation, amortization and lease expense ...........      (27,375)              (7,560)
    Depreciation and amortization ............................       (1,290)                (417)
    Lease expense ............................................         (233)                 (75)
    Interest expense, net ....................................       (1,124)                (338)


(M) In accordance with generally accepted accounting principles, the net assets 
    acquired are recorded at the lower of the purchase price or fair value. The
    estimated fair value adjustments have been determined based on the most 
    recent information available. The resultant excess of purchase price over  
    fair value of net assets acquired is required to be amortized. The pro forma
    adjustment to reflect the increased depreciation and amortization is as 
    follows:


                                                                    Year Ended        Three Months Ended
                                                               September 30, 1995      December 31, 1995
                                                               ------------------   ----------------------- 
                                                                             (In thousands)
                                                                                   
    Depreciation and amortization ............................     $2,357                    $568
                                                                   ======                    ====
                                                                   

(N) The National Health Transaction is expected to be financed by 
    Genesis with borrowings under its bank credit facilities aggregating   
    approximately $116,272,000. Genesis intends to repay approximately     
    $36,200,000 of indebtedness to be assumed upon consummation of the 
    transaction. Genesis also expects to assume mortgage obligations of 
    approximately $18,000,000 which is not expected to be repaid. Interest rate 
    assumptions are 6.8% for Genesis's borrowing under its bank credit 
    facilities.


                                                                   Year Ended         Three Months Ended
                                                               September 30, 1995     December 31, 1995
                                                               ------------------   ----------------------- 
                                                                             (In thousands)
                                                                                   
    Interest expense, net:
         Interest expense-bank facility .......................     $8,139                  $2,035  
         Elimination of historical National Health remaining
           expense.............................................     (3,640)                   (910) 
                                                                    ------                  ------
                                                                    $4,499                  $1,125
                                                                    ======                  ======

(O) Genesis has identified certain cost saving opportunities in connection
    with the National Health Transaction. Genesis has identified duplicative
    positions and the costs associated with such positions, and plans to 
    eliminate these costs according to a transition plan within one year of the 
    acquisition.


                                                                   Year Ended        Three Months Ended
                                                               September 30, 1995     December 31, 1995
                                                               ------------------   ----------------------- 
                                                                             (In thousands)
                                                                                   
    Reduction in contract labor services .....................      $(108)                  $(27) 
    Personnel reduction in operating staff to eliminate       
      duplicative positions...................................       (252)                   (63)
                                                                     ----                   ----  
                                                                    $(360)                  $(90)
                                                                     ====                    ===

                                      


(P) Genesis has identified certain revenue synergies relating to its pharmacy, 
    medical supply and group purchasing businesses. These services are     
    currently not provided by Genesis to National Health  facilities nor does 
    National Health have the businesses to deliver these services.


                                                                   Year Ended        Three Months Ended
                                                               September 30, 1995     December 31, 1995
                                                               ------------------   ----------------------- 
                                                                                   
    Revenues, net.............................................     $2,000                  $500  
    Operating expenses other than debenture conversion expense
      depreciation, amortization and lease expense ...........      1,300                   325  
                                                                   ------                  ----
        Net impact ...........................................     $  700                  $175
                                                                   ======                  ====


Offering Adjustment

(Q) Adjustment to reflect the application of the net proceeds of the Offering 
    to repay indebtedness under Genesis's bank credit facilities which 
    currently bear interest at a weighted average annual rate of 
    approximately 6.8%. 
    
                           Year Ended      Three Months Ended 
                       September 30, 1995   December 31, 1995 
                       ------------------   ----------------- 
                                    (In thousands) 
    Interest, net....        $11,696              $2,948 
                            ========             =======


                                      



                PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET 
                                 (UNAUDITED) 
   
   The following unaudited pro forma condensed consolidated balance sheet 
includes the historical consolidated condensed balance sheet of Genesis 
at December 31, 1995 and the pro forma adjustments to reflect the 
NeighborCare Transaction and the National Health Transaction, as if they 
occurred on December 31, 1995. The pro forma adjustments should be read in 
conjunction with Genesis's historical consolidated financial statements 
included elsewhere herein and National Health's historical combined financial 
statements included in Genesis's Form 8-K dated May 3, 1996. 
    




                                                                                                            
                                                                                                            
                                                                                               Pro Forma            Pro Forma      
                                                                   Pro Forma                    National           Consolidated    
                                                                 NeighborCare     National       Health       Genesis/NeighborCare/
                                      Genesis    NeighborCare     Adjustments      Health      Adjustments        National Health 
                                                                          (In thousands)                    
                                                                                                   
Current assets  ...................   $189,281     $18,188         $   --          $19,991   $(6,979)(D)               $220,481 
Property and equipment, net........    292,594       1,691             --           59,413    63,841(D)(G)              417,539 
Other assets  .....................    202,051       6,096           46,327(C)      11,628     2,483(D)(G)              268,585 
Total assets  .....................   $683,926     $25,975         $ 46,327        $91,032    $59,345                  $906,605 
Current liabilities  ..............   $ 50,259     $10,476         $ (2,149)(A)(B) $19,115    $(2,295)(D)(E)(F)       $  75,406 
Long term debt, excluding 
  current maturities ..............    358,882      11,055           39,844(A)      67,183     65,854(D)(E)             542,818 
Other liabilities  ................     14,495       2,686              390(B)        --          520(F)                 18,091 
Shareholders' equity  .............    260,290       1,758            8,242(A)(C)    4,734     (4,734)(D)(G)            270,290 
Total liabilities and shareholders 
  equity ..........................   $683,926     $25,975         $ 46,327        $91,032    $59,345                  $906,605 



   Pro forma adjustments are as follows: 

NEIGHBORCARE TRANSACTION 

(A) The NeighborCare Transaction will be financed with a combination of 
    borrowing by Genesis under its bank credit facilities of approximately 
    $47,250,000 and the issuance of $10,000,000 of Genesis Common Stock. The 
    impact of the borrowings under the bank credit facilities and the issuance 
    of Genesis common stock at an estimated value of $30 per share is 
    reflected in the following pro forma adjustment: 

                        (In thousands) 
Current Liabilities        $(3,649) 
Long-term debt  .....       39,844 
Shareholders' equity        10,000 
                           =======

(B) Transaction costs which include professional fees, duplicative salary 
    costs and severance, taxes and title costs and certain other costs 
    incurred or to be incurred in order to consummate the transaction will be 
    accrued, net of tax benefits, in the amount of $1,890. The following pro 
    forma adjustment represents the accrual for these costs: 

                             (In thousands) 
Current liabilities .....       $1,500 
Other liabilities........          390 
                                ======

(C) Purchase accounting adjustments include the following allocations: 

                                 (In thousands) 
Other assets ..............        $46,327
Shareholders' equity.......         (1,758) 
                                   =======


                                      



NATIONAL HEALTH TRANSACTION 

(D) The assets and liabilities of National Health not being acquired or 
    assumed by Genesis in the National Health Transaction are eliminated in a 
    pro forma adjustment as follows: 

                                               (In thousands) 
Current assets  ............................      $ (6,979) 
Property and equipment  ....................        (9,778) 
Other assets  ..............................        (8,616)
                                                  -------- 
Total assets  ..............................      $(25,373)
                                                  ========
Current liabilities  .......................      $ (4,195) 
Long term debt, excluded current maturities        (14,318) 
Other liabilities  ......................... 
Shareholders' equity  ......................        (6,860)
                                                  -------- 
Total liabilities and shareholders' equity        $(25,373) 
                                                  ========


(E) The National Health Transaction will be financed by Genesis with 
    borrowings under its bank credit facility of approximately $116,272,000 
    which includes the repayment of approximately $36,200,000. Additionally, 
    Genesis will assume existing indebtedness of approximately $18,000,000 
    which it does not intend to repay immediately. The impact of the 
    borrowings under the bank credit facility is reflected in the following 
    pro forma adjustment: 

                                                (In thousands) 
Current liabilities  ........................      $  (100) 
Long term debt, excluding current maturities        80,172 
                                                   =======

   
(F) Transaction costs which include professional fees, duplicative salary 
    costs and severance, taxes and title costs and certain other costs 
    incurred or to be incurred in order to consummate the transaction will be 
    accrued, net of tax benefits, in the amount of $2,520. The following pro 
    forma adjustment represent the accrual for these costs: 
    

                               (In thousands) 
Current liabilities.......          $2,000 
Other liabilities ........             520 
                                    ======

(G) Purchase accounting adjustments include the following allocations: 

                                (In thousands) 
Property and equipment, net..      $73,619 
Other assets  ...............       11,099 
Shareholders' equity.........        2,126
                                   =======







                                   SIGNATURES


         Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.

                                           GENESIS HEALTH VENTURES, INC.



                                       By:     /s/ George V. Hager, Jr.
                                          -----------------------------------




Date: May 6, 1996

                                      -2-