Exhibit 10.4

                  SECOND AMENDMENT AND WAIVER TO LOAN DOCUMENTS


                  THIS SECOND AMENDMENT AND WAIVER TO LOAN DOCUMENTS (this
"Amendment and Waiver"), dated as of July 19, 1996, by and among GENESIS HEALTH
VENTURES, INC., a Pennsylvania corporation (together with its successors,
"Genesis"), the Subsidiaries of Genesis which are parties to the Revolving
Credit Agreement (as defined below) or the Acquisition Credit Agreement (as
defined below) (such Subsidiaries referred to collectively with Genesis as the
"Borrowers"), MELLON BANK, N.A., a national banking association, as agent for
the Lenders and the Issuer under and as defined in the Revolving Credit
Agreement and under the other Loan Documents (as defined in the Revolving Credit
Agreement) (in such capacity, together with its successors in such capacity, the
"RCA Agent") and as Agent for the Lenders under and as defined in the
Acquisition Credit Agreement and under the other Loan Documents (as defined in
the Acquisition Credit Agreement) (in such capacity, together with its
successors in such capacity, the "ACA Agent" and collectively with the RCA
Agent, the "Agent") and MELLON BANK, N.A. a national banking association, as
Collateral Agent for the Secured Parties (as defined in the Collateral Agency
Agreement referred to in the Revolving Credit Agreement and the Acquisition
Credit Agreement) (in such capacity, together with its successors in such
capacity, the "Collateral Agent");








                                 WITNESSETH THAT

                  WHEREAS, certain of the Borrowers, the Lenders party thereto,
the Issuer party thereto, the RCA Agent and the Co-Agent named therein executed
and delivered that certain Amended and Restated Credit Agreement dated as of
September 29, 1995, as previously amended as of April 12, 1996 (the "Existing
Revolving Credit Agreement"); and

                  WHEREAS, certain of the Borrowers, the Lenders party thereto,
the ACA Agent and the Co-Agent named therein executed and delivered that certain
Acquisition Credit Agreement dated as of September 29, 1995, as amended as of
April 12, 1996 (the "Existing Acquisition Credit Agreement"); and

                  WHEREAS, the Borrowers wish to enter into a certain Synthetic
Lease, which Lease would replace the Acquisition Credit Agreement; and

                  WHEREAS, the terms of the Existing Revolving Credit Agreement
and the Existing Acquisition Credit Agreement would not permit the Borrowers to
enter into such a Synthetic Lease; and

                  WHEREAS, the Borrowers have requested that the Existing
Revolving Credit Agreement, the Existing Acquisition Credit Agreement and

                                      -2-


certain Loan Documents be amended and certain waivers thereto be granted to
allow for the Synthetic Lease transaction; and

                  WHEREAS, the Lenders are willing to amend the Existing
Revolving Credit Agreement, the Existing Acquisition Credit Agreement and
certain Loan Documents and enter into certain waivers in the manner set forth in
this Amendment and Waiver.

The Existing Revolving Credit Agreement as previously supplemented and as
amended and modified by this Amendment and Waiver is herein referred to as the
"Revolving Credit Agreement"; the Existing Acquisition Credit Agreement as
previously supplemented and as amended and modified by this Amendment and Waiver
is referred to herein as the "Acquisition Credit Agreement". Capitalized terms
used but not defined in this Amendment and Waiver have the meanings assigned to
them in, or by reference in, the Revolving Credit Agreement, or in the
Acquisition Credit Agreement as the context requires.

                  NOW, THEREFORE, in consideration of the foregoing premises and
other valuable consideration and intending to be legally bound, the parties
hereto agree as follows:


                                       -3-






                                       I.

          Amendments and Waivers to Existing Revolving Credit Agreement
          -------------------------------------------------------------

                    and Existing Acquisition Credit Agreement
                    -----------------------------------------

         1.1 Definition of Indebtedness. The definition of "Indebtedness" in
Section 1.1 of the Existing Revolving Credit Agreement and Section 1.1 of the
Existing Acquisition Credit Agreement is amended in each of the following
respects:

             1.1.1 by deleting the word "and" at the end of clause (g) thereof;

             1.1.2 by replacing the period at the end of clause (h) thereof with
a semicolon and the word "and"; and

             1.1.3 by adding the following new clause (i) at the end of said
definition following clause (h): "(i) without duplication, all obligations of
Genesis or any of its Subsidiaries under, or in respect of, the Synthetic
Lease."

         1.2 Definition of Synthetic Lease. The following new definition shall
be added in its correct alphabetical location in Section 1.1 of the Existing
Revolving Credit Agreement and the Existing Acquisition Credit Agreement:


                                       -4-





             "Synthetic Lease" shall mean a synthetic lease facility entered, or
             to be entered, into by Genesis and/or one or more of its
             Subsidiaries on substantially the terms set forth in the Outline of
             Terms of the Synthetic Lease (Summary of Principal Terms and
             Conditions) thereof dated 6/19/96 with such modifications thereto
             as the parties to such facility may determine so long as such
             modifications would not be reasonably likely to have a material
             adverse effect on the Lender Parties together with all agreements,
             instruments and documents delivered thereunder or in connection
             therewith, and any amendment, supplement, modification,
             refinancing, restatement thereto or thereof.

         1.3 Permitted Liens. Section 7.02 of the Existing Revolving Credit
Agreement and 6.02 of the Acquisition Credit Agreement are amended in each of
the following respects:

             1.3.1 by deleting the word "and" in clause (g) thereof;

             1.3.2 by adding the word "and" after the semicolon in clause (h)
thereof; and

             1.3.3 by adding the following new clause (i) immediately following
clause (h) thereof: "(i) the Synthetic Lease and the Liens substantially as
described in the Outline of Terms of the Synthetic Lease (Summary of Principal
Terms and Conditions) dated 6/19/96 which secure obligations in respect of the
Synthetic Lease;"


                                       -5-





         1.4 Indebtedness Covenant. Section 7.03 of the Existing Revolving
Credit Agreement and Section 6.03 of the Existing Acquisition Credit Agreement
are amended in each of the following respects:

             1.4.1 by deleting the word "and" at the end of clause (h) thereof;

             1.4.2 by replacing the period at the end of clause (i) thereof with
a semicolon and the word "and"; and

             1.4.3 by adding a new clause (j) immediately following clause (i)
thereof as follows: " (j) Indebtedness in a principal amount not to exceed One
Hundred Eleven Million Dollars ($111,000,000) pursuant to the Synthetic Lease."

         1.5 Lease Covenant. Section 7.08 of the Existing Revolving Credit
Agreement and Section 6.08 of the Existing Acquisition Credit Agreement are
amended in each of the following respects:

             1.5.1 by deleting the word "and" at the end of clause (c) thereof;

             1.5.2 by adding a new clause (d) immediately following clause (c)
thereof as follows: "(d) the Synthetic Lease (including, without limitation, any
subleases and ground leases entered into in connection therewith); and"; and

                                       -6-



             1.5.3 by redesignating the existing clause (d) as clause (e).

         1.6 Assets of Lessee as Collateral. Section 10.16 of the Existing
Revolving Credit Agreement and Section 9.16 of the Existing Acquisition Credit
Agreement are amended by adding a new paragraph (i) immediately following
paragraph (h) thereof as follows:

             (i) Lessee Assets. Notwithstanding anything to the contrary set
             forth herein, if a Subsidiary shall become a Joining Subsidiary
             hereunder in connection with the transactions described in the
             Outline of Terms of the Synthetic Lease (Summary of Principal Terms
             and Conditions) dated 6/19/96, then this Section shall not require
             the grant of a security interest in the assets of the Joining
             Subsidiary (other than stock of other Joining Subsidiaries) and any
             joinders or other documents required hereunder to be delivered by
             the Joining Subsidiary shall be modified accordingly.

         1.7 Certain Waivers. In addition to the foregoing amendments, in order
to facilitate the Synthetic Lease transaction, each of the Lender Parties hereby
waives provisions of the Existing Revolving Credit Agreement and the Existing
Acquisition Credit Agreement to the extent necessary to permit Genesis and/or
one or more of its Subsidiaries to enter into, and perform its obligations
under, the Synthetic Lease as set forth in the Outline of Terms of

                                       -7-






the Synthetic Lease (Summary of Principal Terms and Conditions) dated 6/19/96
including, without limitation, the following:

             1.7.1 Section 7.04 of Existing Revolving Credit Agreement and
Section 6.04 of the Existing Acquisition Credit Agreement (respecting
limitations on certain guarantees);

             1.7.2 Section 7.16 of the Existing Revolving Credit Agreement and
Section 6.16 of the Existing Acquisition Credit Agreement (respecting
limitations on entering into agreements restricting the creation of Liens); and

             1.7.3 Section 7.10 of the Existing Revolving Credit Agreement and
Section 6.10 of the Existing Acquisition Agreement (respecting limitations on
dispositions).

                                       II.

                 Amendments and Waivers to Other Loan Documents

             2.1 Synthetic Lease Collateral. It is understood that the Synthetic
Lease obligations are expected to be secured by, among other things, a security
interest in certain assets of the lessee or lessees and any sublessees and a
pledge of the stock or other ownership interests of certain or substantially all
of the Subsidiaries of Genesis. Notwithstanding anything set forth in the
Collateral Agency Agreement or any Shared Security Document to the contrary,

                                      -8-


each of the Shared Obligors may pledge any such collateral, including the stock
or other ownership interests, to secure its obligations (including, without
limitation, any guaranty obligations) under the Synthetic Lease and any such
provisions to the contrary are hereby waived.

         2.2 Sharing of Stock Collateral. To the extent that the stock and other
ownership interests (together with proceeds) so pledged to the lessor and
Persons funding with debt or equity the acquisition of the facilities subject to
the Synthetic Lease (collectively, the "Lease Obligees") constitutes Shared
Collateral previously pledged to the Secured Parties, such collateral (the
"Joint Stock Collateral") shall be held by the Collateral Agent as agent for
both the Secured Parties and the Lease Obligees on an equal and ratable basis
and any distributions of the Joint Stock Collateral (but not other Collateral)
after an Event of Default shall be made by the Collateral Agent on a pro rata
basis to both the Secured Parties and the Lease Obligees based on the then
outstanding amount of the obligations secured thereby. It is understood that no
credit enhancement under or respecting the Synthetic Lease other than the pledge
of the stock and the other ownership interests (together with proceeds thereof)
shall be shared with the Secured Parties.

             2.3 Amendments and Waivers. The undersigned recognize that the
Collateral Agency Agreement and certain Shared Security Documents must be
modified to provide for the sharing of the Joint Stock Collateral with the Lease
Obligees. Accordingly, the Collateral Agent, the ACA Agent and the RCA Agent are
hereby authorized and directed by each of the undersigned Secured Parties to

                                      -9-


enter into such amendments, waivers, and modifications to the Collateral Agency
Agreement and any Shared Security Documents and any supplemental instruments and
agreements as may be consistent with the purposes set forth in the preceding
Section 2.2 including, without limitation, an amendment to Section 4.04 of the
Collateral Agency Agreement to provide for the pro rata distributions with
respect to the Joint Stock Collateral (based on the then outstanding amount of
the obligations secured thereby) and an amendment to Section 6.01 of the
Collateral Agency Agreement to provide that an agent or representative of the
Lease Obligees shall be entitled to similar voting rights as the ACA Agent and
the RCA Agent under the Shared Security Documents on matters affecting the Joint
Stock Collateral. It shall not be necessary for the consent of the Secured
Parties under this Section 2.3 to approve the particular form of any proposed
amendment, supplement or waiver, but it shall be sufficient if such consent
approves the substance thereof.

                                      III.

                          Conditions and Effectiveness
                          ----------------------------

         3.1 Conditions Precedent to Effectiveness. The amendments and waivers
set forth above shall become effective, as of the date first above written, upon
the satisfaction of the following conditions precedent:


                                      -10-






             3.1.1 Execution of Amendment and Waiver. The Borrowers, the
Collateral Agent and the Agent shall have executed and delivered this Amendment
and Waiver and the necessary Lenders shall have executed the Consent set forth
below following the signature lines of the Borrowers and Agent.

             3.1.2 Additional Matters. The Agent shall have received such other
certificates, opinions, documents and instruments as may be reasonably requested
by the Agent. All corporate and other proceedings, and all documents,
instruments and other matters in connection with the transactions contemplated
by this Amendment, the other Loan Documents (as defined in the Revolving Credit
Agreement) or the other Loan Documents (as defined in the Acquisition Credit
Agreement) shall be satisfactory in form and substance to the Agent.

                                       IV.

                                  Miscellaneous
                                  -------------

             4.1 Representations and Warranties. The Borrowers hereby represent
and warrant to each Lender Party that all of the representations and warranties
contained in Article 4 of the Revolving Credit Agreement, all of the
representations and warranties contained in Article 3 of the Acquisition Credit
Agreement and all of the representations and warranties contained in Article 4
of the Security Agreement, in each case after giving effect to the
supplementation previously made pursuant to Section 5.01(a) of the Security
Agreement and after giving effect to the amendments and waivers to be made
hereby, are true in all material respects on and as of the date hereof with the

                                      -11-


same effect as though made on and as of the date hereof. Further, the Borrowers
hereby represent and warrant to each Lender Party that, both before and after
giving effect to the amendments and waivers set forth above, no condition or
event which constitutes an Event of Default or Potential Default (as such terms
are defined in the Revolving Credit Agreement) or an Event of Default or
Potential Default (as such terms are defined in the Acquisition Credit
Agreement) exists or has occurred and is continuing.

         4.2 Effect of Amendments. The Existing Revolving Credit Agreement, the
Existing Acquisition Credit Agreement and each Loan Document, in each case as
previously supplemented and as amended or modified by this Amendment and Waiver,
are in all respects ratified, approved and confirmed and shall, as so
supplemented and amended, remain in full force and effect. From and after the
effective date hereof, all references in any document or instrument to the
Revolving Credit Agreement, the Acquisition Credit Agreement or the Collateral
Agency Agreement or any other Loan Document, as the case may be, shall mean the
Existing Revolving Credit Agreement as previously supplemented and as amended by
this Amendment and Waiver, the Existing Acquisition Credit Agreement as
previously supplemented and as amended by this Amendment and Waiver or the
existing Collateral Agency Agreement or other Loan Document as previously
supplemented and as amended by this Amendment and Waiver, respectively (unless
the context clearly requires otherwise).


                                      -12-






         4.3 Governing Law. This Amendment and Waiver shall be governed by and
shall be interpreted and enforced in accordance with the laws of the
Commonwealth of Pennsylvania, without regard to choice of law principles.

         4.4 Headings. The section and other headings contained in this
Amendment and Waiver are for reference purposes only and shall not control or
affect the construction or interpretation of this Amendment and Waiver in any
respect.

         4.5 Counterparts. This Amendment and Waiver may be executed in any
number of counterparts and by the different parties hereto on separate
counterparts, each of which counterparts, when so executed and delivered, shall
be deemed to be an original, and all of which counterparts, taken together,
shall constitute but one and the same instrument.

         IN WITNESS WHEREOF, the parties hereto, by their duly authorized
officers thereunto duly authorized, have executed and delivered this Agreement
as of the date first above written.

ATTEST:                                GENESIS HEALTH VENTURES, INC. a
                                       Pennsylvania corporation



By                                     By
  ---------------------------------      --------------------------------------
Title:  Secretary                        Title:  Senior Vice President and
                                          Chief Financial Officer


                                      -13-





PROFESSIONAL PHARMACY
SERVICES, INC.,
a Maryland Corporation

MEDICAL SERVICES GROUP, INC.,
a Maryland Corporation


CARECARD, INC.,
a Maryland Corporation

TRANSPORT SERVICES, INC.,
a Maryland Corporation

NEIGHBORCARE PHARMACIES, INC.,
a Maryland Corporation

GENESIS HEALTH VENTURES, INC.,
a Pennsylvania corporation

BREVARD MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
By:  Meridian Health, Inc., a
Pennsylvania corporation,
its sole general partners

CATONSVILLE MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
By:  Meridian Health, Inc.,
a Pennsylvania corporation,
one of its general partners

EASTON MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
By:  Meridian Health, Inc.,
a Pennsylvania corporation,
its sole general partner


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

GENESIS HEALTH VENTURES OF
ARLINGTON, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
BLOOMFIELD, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
CLARKS SUMMIT, INC.,
 a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
INDIANA, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
MASSACHUSETTS, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
NAUGATUCK, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
SALISBURY, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
WAYNE, INC.,
  a Pennsylvania corporation

GENESIS HEALTH VENTURES OF
WEST VIRGINIA, INC.,
  a Pennsylvania corporation

                                      -14-


GENESIS HEALTH VENTURES OF
WINDSOR, INC.,
  a Pennsylvania corporation

GENESIS IMMEDIATE MED
CENTER, INC.,
  a Pennsylvania corporation

GENESIS MANAGEMENT
RESOURCES,
INC.,
  a Pennsylvania corporation

GENESIS ELDERCARE HOME CARE
SERVICES, INC.,
  a Pennsylvania corporation

GENESIS ELDERCARE PHYSICIANS
SERVICES, INC.,
  a Pennsylvania corporation

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

GREENSPRING MERIDIAN LIMITED
PARTNERSHIP,
a Maryland limited partnership
By:  Meridian Healthcare, Inc.,
a Pennsylvania corporation,
its sole general partner

HALLMARK HEALTHCARE LIMITED
PARTNERSHIP,
a Maryland limited partnership
By: Pharmacy Equities, Inc., a
Pennsylvania corporation,
its sole general partner



HAMMONDS LANE MERIDIAN
LIMITED
PARTNERSHIP,
a Maryland limited partnership
By:  Meridian Healthcare, Inc.,
a Pennsylvania corporation,
one of its general partners

HEALTHCARE RESOURCES CORP.,
  a Pennsylvania corporation

KNOLLWOOD MANOR, INC.,
  a Pennsylvania corporation

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

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

MERIDIAN HEALTH, INC.,
  a Pennsylvania corporation

MERIDIAN HEALTHCARE, INC.,
  a Pennsylvania corporation

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

MERIDIAN VALLEY LIMITED
PARTNERSHIP
By: Meridian Healthcare, Inc.,
a general partner
                                      -15-



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

MILLVILLE MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
 By: Meridian Healthcare, Inc., a
 Pennsylvania corporation, its
 sole general partner

PHARMACY EQUITIES, INC.,
  a Pennsylvania corporation

PHILADELPHIA AVENUE
ASSOCIATES,
  a Pennsylvania limited partnership
By: Philadelphia Avenue Corp., its
sole general partner

PHILADELPHIA AVENUE
CORPORATION,
  a Pennsylvania corporation

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

SEMINOLE MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
By: Meridian Health, Inc., a
Pennsylvania corporation, its
sole general partner

GENESIS ELDERCARE STAFFING
SERVICES INC.
  a Pennsylvania corporation


STATE STREET ASSOCIATES, L.P.,
  a Pennsylvania limited partnership
By: Genesis Health Ventures, Inc.,
its sole general partner

STATE STREET ASSOCIATES, INC.,
  a Pennsylvania corporation

SUBURBAN MEDICAL SERVICES,
INC.
  a Pennsylvania corporation

GENESIS ELDERCARE
REHABILITATION SERVICES, INC.,
  a Pennsylvania corporation

THERAPY CARE INC.,
  a Pennsylvania corporation

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

THE TIDEWATER HEALTHCARE
SHARED
SERVICES GROUP, INC.,
  a Pennsylvania corporation

VOLUSIA MERIDIAN LIMITED
PARTNERSHIP,
  a Maryland limited partnership
By: Meridian Health, Inc., a
Pennsylvania corporation, its sole
general partner

WYNCOTE HEALTHCARE CORP.,
  a Pennsylvania corporation

ASCO HEALTHCARE, INC.,
  a Maryland corporation

                                      -16-


BRINTON MANOR, INC.,
  a Delaware corporation

CONCORD HEALTHCARE
CORPORATION,
  a Delaware corporation

CRYSTAL CITY NURSING CENTER,
INC.,
  a Maryland corporation

EASTERN MEDICAL SUPPLIES, INC.,
  a Maryland corporation

EASTERN REHAB SERVICES, INC.,
  a Maryland corporation

GENESIS HEALTH SERVICES
CORPORATION,
  a Delaware corporation

GENESIS HEALTHCARE CENTERS
HOLDINGS,
INC.,
  a Delaware corporation

GENESIS HOLDINGS, INC.,
  a Delaware corporation

GENESIS PROPERTIES OF
DELAWARE
CORPORATION,
  a Delaware corporation

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


GOVERNOR'S HOUSE NURSING
HOME, INC.,
  a Delaware corporation

HEALTH CONCEPTS AND SERVICES,
INC.,
  a Maryland corporation

HILLTOP HEALTH CARE CENTER,
INC.,
  a Delaware corporation

KEYSTONE NURSING HOME, INC.,
  a Delaware corporation

LINCOLN NURSING HOME, INC.,
  a Delaware corporation

McKERLEY HEALTH CARE CENTERS,
INC.,
  a New Hampshire corporation

McKERLEY HEALTH CARE CENTER-
  CONCORD, INC., a New Hampshire
  corporation

McKERLEY HEALTH CARE CENTER-
CONCORD
LIMITED PARTNERSHIP,
  a New Hampshire limited partnership
By:  McKerley Health Care Center-
Concord, Inc., a New Hampshire
corporation, its general partner

McKERLEY HEALTH FACILITIES,
  a New Hampshire general partnership
By:  Meridian Health, Inc., a
Pennsylvania corporation, and
Meridian Healthcare, Inc., a
Pennsylvania corporation, its
general partners
                                      -17-



WAYSIDE NURSING HOME, INC.,
  a Delaware corporation



                                            ATTEST:

By:                                         By:
   ----------------------------------          --------------------------------
On behalf of each of the foregoing as       Title:  Secretary
Senior Vice President and Chief
Financial Officer

                                      -18-





                                            MELLON BANK, N.A., as RCA Agent,
                                            as ACA Agent and as Collateral Agent


                                            By
                                              ---------------------------------
                                              Title:  Vice President

AS OF THE DATE FIRST ABOVE WRITTEN, THE FOLLOWING INSTITUTIONS, AS THE LENDERS
UNDER THE REVOLVING CREDIT AGREEMENT REFERENCED ABOVE, AND AS THE LENDERS UNDER
THE ACQUISITION CREDIT AGREEMENT REFERENCED ABOVE, CONSENT TO THE FOREGOING
SECOND AMENDMENT WAIVER TO LOAN DOCUMENTS AND DIRECT THE AGENT TO ENTER INTO THE
SAME:


MELLON BANK, N.A., as a Lender              FLEET NATIONAL BANK (formerly
  under the Revolving Credit Agreement      known as FLEET BANK OF
  and as a Lender under the Acquisition     MASSACHUSETTS, N.A.)
  Credit Agreement

By                                          By
  -------------------------------------       ---------------------------------
  Title:  Vice President                      Title


CITIBANK, N.A.                              MERIDIAN BANK

By                                          By
  --------------------------------------      ---------------------------------
  Title:                                      Title:


FIRST UNION NATIONAL BANK OF                FLEET BANK, N.A. (formerly known as
  NORTH CAROLINA                            NATWEST BANK N.A.)

By                                          By
  --------------------------------------      ---------------------------------
  Title:                                      Title:


NATIONSBANK, N.A.                           LTCB TRUST COMPANY

By                                          By
  --------------------------------------      ---------------------------------
  Title:                                      Title:


                                      -19-



CREDITANSTALT-BANKVEREIN

By
  --------------------------------------
  Title:  Gregory F. Mathis
          Vice President


By
  --------------------------------------
  Title:  Stacy Harmon
          Senior Associate


SIGNET BANK/MARYLAND

By
  --------------------------------------
  Title:


PNC BANK, NATIONAL ASSOCIATION


By
  --------------------------------------
  Title:


TORONTO DOMINION (NEW YORK), INC.

By
  --------------------------------------
  Title:


THE FIRST NATIONAL BANK OF
  MARYLAND

By
  --------------------------------------
  Title:


                                      -20-