Exhibit 10
June 16, 1997

The Board of Directors
The Multicare Companies, Inc.
411 Hackensack Avenue
Hackensack, NJ  07601

Members of the Board:

You have  requested  our opinion as to the fairness,  from a financial  point of
view,  to the  holders  of the common  stock of The  Multicare  Companies,  Inc.
("Multicare")  of the  consideration  to be received by such holders pursuant to
the terms and subject to the  conditions  set forth in the Agreement and Plan of
Merger, dated as of June 16, 1997 (the "Merger Agreement"), by and among Genesis
ElderCare Corp.  ("GEC"),  Genesis ElderCare  Acquisition  Corp., a wholly owned
subsidiary of GEC ("Merger Sub"), and Multicare.  As more fully described in the
Merger  Agreement,  (i) GEC will cause  Merger Sub to commence a tender offer to
purchase all outstanding  shares of the common stock, par value $0.01 per share,
of Multicare  (the  "Multicare  Common Stock") at a purchase price of $28.00 per
share, net to the seller in cash (the "Tender Offer") and (ii) subsequent to the
Tender Offer,  Merger Sub will be merged with and into  Multicare  (the "Merger"
and,  together with the Tender Offer,  the  "Transaction")  and each outstanding
share of Multicare  Common Stock not previously  tendered will be converted into
the right to receive $28.00 in cash.

In  arriving  at  our  opinion,  we  reviewed  the  Merger  Agreement  and  held
discussions  with certain senior officers,  directors and other  representatives
and advisors of Multicare and certain senior officers and other  representatives
of GEC  concerning  the business,  operations  and  prospects of  Multicare.  We
examined certain publicly available business and financial  information relating
to Multicare as well as certain  financial  forecasts and other  information and
data for Multicare which were provided to or otherwise  discussed with us by the
management of Multicare.  We reviewed the financial  terms of the Transaction as
set forth in the Merger  Agreement in relation to, among other  things:  current
and historical  market prices and trading volumes of Multicare Common Stock; the
historical and projected earnings and other operating data of Multicare; and the
capitalization  and financial  condition of  Multicare.  We  considered,  to the
extent publicly available,  the financial terms of similar transactions recently
effected which we considered relevant in evaluating the Transaction and analyzed
certain  financial,  stock  market  and  other  publicly  available  information
relating to the  businesses of other  companies  whose  operations we considered
relevant in evaluating those of Multicare. In connection with our engagement, we
were requested to approach,  and held discussions with, third parties to solicit
indications of interest in a possible  acquisition of Multicare.  In addition to
the foregoing,  we conducted such other analyses and examinations and considered
such other financial,  economic and market criteria as we deemed  appropriate in
arriving at our opinion.

In  rendering  our  opinion,  we have  assumed and relied,  without  independent
verification,  upon the accuracy and  completeness  of all  financial  and other
information and data publicly available or furnished to or otherwise reviewed by
or discussed with us. With respect to financial  forecasts and other information
and data provided to or otherwise reviewed by or discussed with us, we have been
advised by the management of Multicare that such forecasts and other information
and data  were  reasonably  prepared  on  bases  reflecting  the best  currently
available  estimates  and  judgments  of the  management  of Multicare as to the
future  financial  performance  of Multicare.  We have not made or




The Board of Directors
The Multicare Companies, Inc.
June 16, 1997
Page 2


been  provided  with an  independent  evaluation  or  appraisal of the assets or
liabilities (contingent or otherwise) of Multicare nor have we made any physical
inspection of the properties or assets of Multicare.  Our opinion is necessarily
based upon  information  available to us, and financial,  stock market and other
conditions  and  circumstances  existing  and  disclosed  to us,  as of the date
hereof.

Smith Barney has been engaged to render financial advisory services to Multicare
in  connection  with the  proposed  Transaction  and will receive a fee for such
services,  a significant portion of which is contingent upon the consummation of
the  Transaction.  We also will receive a fee upon the delivery of this opinion.
In the ordinary course of our business, we and our affiliates may actively trade
or hold the  securities of Multicare  and certain  affiliates of GEC for our own
account or for the account of our customers  and,  accordingly,  may at any time
hold a long or short position in such  securities.  We have in the past provided
investment banking services to Multicare unrelated to the proposed  Transaction,
for which  services  we have  received  compensation.  In  addition,  we and our
affiliates  (including  Travelers  Group Inc. and its  affiliates)  may maintain
relationships with Multicare, GEC and their respective affiliates.

Our  advisory  services  and the opinion  expressed  herein are provided for the
information  of the Board of Directors of  Multicare  in its  evaluation  of the
proposed  Transaction,  and our  opinion  is not  intended  to be and  does  not
constitute  a  recommendation  to any  stockholder  as to  whether  or not  such
stockholder  should tender shares of Multicare  Common Stock in the Tender Offer
or how such stockholder  should vote on the proposed Merger. Our opinion may not
be published or otherwise used or referred to, nor shall any public reference to
Smith Barney be made,  without our prior  written  consent;  provided  that this
opinion    letter    may    be    included    in    its    entirety    in    the
Solicitation/Recommendation  Statement  of  Multicare  relating to the  proposed
Transaction.

Based upon and subject to the foregoing,  our experience as investment  bankers,
our work as described above and other factors we deemed relevant,  we are of the
opinion that, as of the date hereof,  the cash  consideration  to be received by
the holders of Multicare Common Stock (other than GEC and its affiliates) in the
Transaction is fair, from a financial point of view, to such holders.

Very truly yours,



SMITH BARNEY INC.