GENESIS HEALTH VENTURES INC /PA
8-K, 1996-10-25
SKILLED NURSING CARE FACILITIES
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<PAGE>

                       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): October 11, 1996



                          Genesis Health Ventures, Inc.
- ------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)



       Pennsylvania                   1-11666              06-1132947
- ------------------------------------------------------------------------------
(State or other jurisdiction        (Commission          (IRS Employer
    of incorporation)               File Number)       Identification No.)



                        148 West State Street, Suite 100
                       Kennett Square, Pennsylvania 19348
- ------------------------------------------------------------------------------
                    (Address of principal executive offices,
                               including zip code)


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




                                                             

<PAGE>



Item 2.  Acquisition or Disposition of Assets.

                  On October 11, 1996, Genesis Health Ventures, Inc. ("Genesis")
and its wholly-owned subsidiary G Acquisition Corporation ("Newco") consummated
an Agreement and Plan of Merger (the "Merger Agreement") with Geriatric &
Medical Companies, Inc. ("GMC"). Pursuant to the Merger Agreement, Newco merged
into GMC and GMC became a wholly-owned subsidiary of Genesis (the "Merger").
Each share of GMC common stock was converted into the right to receive $5.75 in
cash, subject to statutory appraisal rights. The total consideration paid to
stockholders of GMC to acquire their shares (including shares which may have
been issued upon exercise of outstanding warrants, options and long-term
incentive plans) was approximately $93.9 million. Prior to the Merger, GMC had
outstanding approximately $133.1 million of indebtedness which included
approximately $87.6 million which the Company loaned to GMC immediately prior to
consummation of the Merger to repay $82.8 million principal amount of
indebtedness and to pay related prepayment expenses. The cash portion of the
purchase price and the loan to GMC were provided through the sale by the Company
on October 7, 1996 of $125,000,000 of 9-1/4% Senior Subordinated Notes due 2006
and borrowing under its Bank Credit Facility.

                  GMC owns and operates 18 long-term care facilities and six
assisted living facilities with approximately 3,000 licensed beds; 11 of these
facilities are located in the eastern Pennsylvania market and 13 are
located in New Jersey. GMC also operates an ambulance transportation business, a
medical supply business, a pharmacy business, a contract management service
business, a diagnostic and rehabilitative management services business and a
financial services and information systems business. In addition, GMC currently
is developing two long-term care facilities with approximately 240 beds.

                  In connection with the Merger, Daniel Veloric, Chairman of the
Board, President and the principal beneficial stockholder of GMC, and certain 
companies which he controls entered into an agreement in principle with Genesis
for Genesis to manage a long-term care facility located in New Jersey with 335
licensed beds (the "New Jersey Facility"). The Management Agreement is expected
to provide that Genesis receive a management fee of 6% of annual revenues and 
that the owner receive payments of $26,667 per month. Genesis is also expected 
to provide certain working capital loans to the New Jersey Facility. Mr. Veloric
and certain companies which he controls have also agreed in principle to sell to
Genesis for $1,000,000 and $500,000 respectively five year options to acquire
the stock of the companies which own the New Jersey Facility and certain excess
land adjacent to the New Jersey Facility for $5,000,000 (plus the assumption of
outstanding debt) and $2,500,000, respectively (with the option payments being
deducted against the respective purchase prices).



                                       -2-

<PAGE>



                  Incident to Genesis' acquisition of GMC, an agreement in
principle has been reached, without any admission of wrongdoing, with the United
States Attorney's Office for the Eastern District of Pennsylvania and other
governmental agencies and third parties to settle claims related to alleged
improper billings by GMC's ambulance transportation subsidiary. The aggregate
amount of the settlement is within the amount that has previously been withheld
by governmental authorities.


Item 7.  Financial Statements, Pro Forma Financial Information and
                  Exhibits.

                  a. Financial Statements of business to be acquired

                  Geriatric & Medical Companies, Inc. and Subsidiaries

                  *Independent Auditors' Report

                  *Consolidated Balance Sheets as of May 31, 1996

                  *Consolidated Statements of Operations for the years
                  ended May 31, 1995 and 1996

                  *Consolidated Statements of Shareholders' Equity for the
                  years ended May 31, 1995 and 1996

                  *Consolidated Statements of Cash Flows for the years
                  ended May 31, 1995 and 1996

                  *Notes to Consolidated Financial Statements

                  b. Pro Forma Financial Information

                  Unaudited Pro Forma Condensed Consolidated Statements of
                  Operations for the year ended September 30, 1995 and the nine
                  months ended June 30, 1996

                  Unaudited Pro Forma Condensed Consolidated Balance Sheet
                  at June 30, 1996

                  c. Exhibits




                                       -3-

<PAGE>



                  The following Exhibits are filed herewith:

                  Number   Title

                  *1.               Agreement and Plan of Merger, dated as of
                                    July 11, 1996, by and among Genesis Health
                                    Ventures, Inc., a Pennsylvania corporation,
                                    G Acquisition Corporation, a Delaware
                                    corporation and Geriatric & Medical
                                    Companies, Inc., a Delaware corporation.

- --------
         *Incorporated by reference to Genesis Health Ventures, Inc.'s
Current Report on Form 8-K/A dated July 11, 1996.



                                       -4-



<PAGE>

            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 the Company of McKerley
Health Care Centers, Inc. and certain related entities (colectively, "McKerley")
in November 1995 (the "McKerley Transaction"); (ii) the acquisition of the
pharmacy healthcare services businesses of NeighborCare Pharmacies, Inc. and
certain related entities (collectively, "NeighborCare") in June 1996 (the
"NeighborCare Transaction"); (iii) the acquisition of the outstanding stock of
National Health Care Affiliates, Inc. and certain related entities
(collectively, "National Health") and certain related transactions in July 1996
(the "National Health Transaction"); (iv) the sale by the Company of 6,500,000
shares of Common Stock in May 1996 (the "1996 Equity Offering") and the
application of the net proceeds therefrom; (v) the merger of Geriatric & Medical
Companies, Inc. ("GMC") with a wholly-owned subsidiary of Genesis in July 1996
(the "GMC Transaction"); and (iv) the sale of the Company of $125,000,000 of
9 1/4% Senior Subordinated Notes Due 2006 in October 1996 (the "Offering") and
the application of the net proceeds therefrom 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 Company's historical
consolidated financial statements, McKerley's historical combined financial
statements, National Health's historical combined financial statements and GMC's
historical combined financial statements. The column entitled "McKerley
Historical Results" represents the historical combined results of McKerley for
the year ended November 30, 1995. The column entitled "McKerley Historical
Results" for the nine months ended June 30, 1996 represents the two months ended
November 30, 1995. As a result of the differing year ends of Genesis and
McKerley, 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 seven months ended April 30, 1996 are included in the columns
"NeighborCare" in the tables below. The historical combined financial statements
of National Health for the year ended December 31, 1995 and for the nine months
ended June 30, 1996 are included in the columns "National Health" in the tables
below. As a result of the differing year ends of Genesis and National Health,
the three months ended December 31, 1995 is included in both periods. The column
entitled "GMC Historical Results" for the year ended September 30, 1995
represents the historical results of GMC for the year ended May 31, 1995. The
column entitled "GMC Historical Results" for the nine months ended June 30, 1996
represents the historical results of GMC for the nine months ended May 31, 1996.
For purposes of this presentation, an effective tax rate of 37% has been assumed
for McKerley, NeighborCare, National Health and GMC, for the historical results,
and the resulting pro forma adjustments and offering adjustments. 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.
<PAGE>


<TABLE>
<CAPTION>
                                                                 Year ended September 30, 1995 
                         --------------------------------------------------------------------------------------------------------
                                                                                                         National       National 
                          Genesis      McKerley        McKerley         NeighborCare    NeighborCare      Health         Health 
                         Historical   Historical       Pro Forma         Historical       Pro Forma     Historical     Pro  Forma 
                          Results       Results       Adjustments         Results        Adjustments      Results      Adjustments 
                         ----------    ----------   --------------     ------------    --------------   ----------    ------------
                                                             (In thousands, except per share data) 
<S>                      <C>           <C>            <C>                 <C>         <C>             <C>        <C>       
Net revenues .........    $486,393      $57,266     $    114 (A)(B)(C)  $52,751       $    --         $108,785  $(22,949)(L)(P) 
Operating expense: 
Operating expenses other 
  than depreciation, 
  amortization and lease 
  expense  ............    393,139       52,069       (6,063)(A)(D)      51,986        (1,849)(I)(K)    92,990   (26,435)(L)(O)(P) 
Depreciation and 
  amortization  .......     18,793        1,900        1,079 (F)             --         2,547 (J)        4,055     1,067 (L)(M) 
   
Lease expense ........      13,798        2,759       (1,244)(G)             --            --            3,176     4,716 (L)(N) 
Interest expense, net .     20,367        4,200        1,625 (A)(E)       1,276         1,880 (H)        6,177    (1,498)(L)(N) 
                         ---------    ---------   ----------            ---------    --------        ---------   --------
Earnings from operations 
  before income taxes and 
  extraordinary items .     40,296       (3,662)       4,717               (511)       (2,578)           2,387      (799) 
                         ---------    ---------   ----------            ---------    --------        ---------   --------
Earnings from operations 
  before extraordinary 
  items  ..............   $ 25,531      $(2,307)    $  2,972            $  (322)      $(1,624)        $  1,504     $(503) 
                         ---------    ---------   ----------            ---------    --------        ---------   --------
Fully diluted earnings 
  per share before 
  extraordinary items .      $1.03 
Weighted average common 
  shares and equivalents    28,452                                                        308 (H) 

</TABLE>

                     (RESTUBBED TABLE CONTINUED FROM ABOVE) 


<TABLE>
<CAPTION>
                                               Pro Forma                                                     Pro Forma 
                                             Consolidated                                                  Consolidated 
                                           Genesis/McKerley/                                             Genesis/McKerley/ 
                                             NeighborCare/                                                 NeighborCare/ 
                                            National Health                                              National Health/ 
                               1996        Results Adjusted                                                 GMC Results 
                              Equity              for               GMC          GMC                     Adjusted for 1996 
                             Offering         1996 Equity       Historical    Pro Forma      Offering     Equity Offering 
                            Adjustment         Offering           Results    Adjustments    Adjustment     and Offering 
                            -----------   -------------------    ----------   -----------   ----------   ----------------- 

<S>                         <C>           <C>                    <C>         <C>            <C>          <C>
Net revenues  ...........    $     --          $682,360          $192,234      $    --       $    --         $874,594 
Operating expense: 
Operating expenses other 
  than depreciation, 
  amortization and lease 
  expense ...............          --           555,837           163,769         (617)(S)(T)     --          718,989 
Depreciation and 
  amortization ..........          --            29,441             8,734           --            --           38,175 
Lease expense  ..........          --            23,205                --           --            --           23,205 
Interest expense, net  ..     (13,720)(Q)        20,307            14,666        4,987(S)(U)  (2,368)(V)       37,592 
                            ---------         ---------        ----------     --------       --------        --------
Earnings from operations 
  before income taxes and 
  extraordinary items ...      13,720            53,570             5,065       (4,370)        2,368           56,633 
                            ---------         ---------        ----------     --------       --------        --------
Earnings from operations 
  before extraordinary 
  items .................    $  8,644          $ 33,895          $  3,191      $(2,753)      $ 1,492         $ 35,825 
                            ---------         ---------        ----------     --------       --------        --------
Fully diluted earnings per 
  share before 
  extraordinary items ...                                                                                       $1.12 
Weighted average common 
  shares and equivalents .      6,500                                                                          35,260 

</TABLE>

                                       -5-
<PAGE>

<TABLE>
<CAPTION>
                                                               Nine Months ended June 30, 1996 
                         ---------------------------------------------------------------------------------------------------------
                                                                                                       National         National 
                          Genesis      McKerley        McKerley        NeighborCare    NeighborCare     Health           Health 
                         Historical   Historical      Pro Forma         Historical      Pro Forma     Historical       Pro  Forma 
                          Results       Results      Adjustments         Results       Adjustments      Results        Adjustments 
                         ----------    ----------   -------------  -   ------------    -------------   ----------     -------------
                                                            (In thousands, except per share data) 
<S>                      <C>           <C>          <C>            <C> <C>          <C>             <C>         <C>
Net revenues .........    $460,354      $ 9,671        $  204(A)(B)(C)   $39,765     $   --          $92,092   $(24,764)(L)(P) 
Operating expenses: 
Operating expenses other 
  than depreciation, 
  amortization and lease 
  expense  ............    373,041       11,537        (3,820)(A)(D)      36,697     (1,078)(I)(K)    79,865    (27,635)(L)(O)(P) 
Debenture conversion 
  expense  ............      1,245           --            --                 --         --               --        -- 
Depreciation and 
  amortization  .......     17,883          323           180 (F)            506      1,485(J)         3,556        286 (L)(M) 
Lease expense ........      11,948          460          (207)(G)            857         --            2,617      3,389 (L)(N) 
Interest expense, net .     19,104        1,158          (201)(A)(E)       1,171        671(H)         4,898     (1,432)(L)(N) 
                         ---------    ---------      --------           --------   --------         --------     -------
Earnings from operations 
  before taxes and 
  extraordinary items .     37,133       (3,807)        4,252                534     (1,078)           1,156        628 
                         ---------    ---------      --------           --------   --------         --------     -------
Earnings from operations 
  before extraordinary 
  items  ..............   $ 23,759      $(2,398)       $2,678            $   336     $ (679)         $   728      $ 396 
                         ---------    ---------      --------           --------   --------         --------     -------
Fully diluted earnings 
  per share before 
  extraordinary items 
  and Debenture 
  conversion expense  .     $0.91 
Weighted average common 
  shares and equivalents   29,359                                                       239(H) 


</TABLE>
<PAGE>

                     (RESTUBBED TABLE CONTINUED FROM ABOVE) 

<TABLE>
<CAPTION>
                                                                                                                      Pro Forma 
                                                                                                                    Consolidated 
                                                Pro Forma                                                         Genesis/McKerley/ 
                                               Consolidated                                                         NeighborCare/ 
                                            Genesis/McKerley/                                                     National  Health/ 
                               1996           NeighborCare/                                                          GMC Results 
                              Equity         National Health            GMC             GMC                       Adjusted for 1996 
                             Offering        Results Adjusted       Historical       Pro Forma        Offering     Equity  Offering 
                            Adjustment   for 1996 Equity Offering     Results       Adjustments      Adjustment     and Offering 
                            ----------   ------------------------    ----------   ----------------   ----------  ----------------- 

<S>                         <C>                 <C>                     <C>          <C>                <C>          <C>
Net revenues  ...........    $    --             $577,322            $145,787      $     --           $    --         $723,109 
Operating expenses: 
Operating expenses other 
  than depreciation, 
  amortization and lease 
  expense ...............         --              468,607             125,455        (2,353)(R)(S)(T)                  591,709 
Debenture conversion 
  expense ...............         --                1,245                  --            --                --            1,245 
Depreciation and 
  amortization ..........         --               24,219               6,537            --                --           30,756 
Lease expense  ..........         --               19,064                  --            --                --           19,064 
Interest expense, net  ..     (8,831)(Q)           16,538              12,408         2,210(R)(S)(U)    (1,776)(V)      29,380 
                            --------            ---------          ----------       -------            --------        -------
Earnings from operations 
  before taxes and 
  extraordinary items ...      8,831               47,649               1,387           143              1,776          50,955 
                            --------            ---------          ----------       -------            --------        -------
Earnings from operations 
  before extraordinary 
  items .................    $ 5,563             $ 30,383            $    874        $   90            $ 1,119        $ 32,466 
                            --------            ---------          ----------       -------            --------        -------
Fully diluted earnings per 
  share before 
  extraordinary items and 
  Debenture conversion 
  expense ...............                                                                                                $1.01 
Weighted average common 
  shares and equivalents .     5,958                                                                                    35,556 

</TABLE>

                                       -6-
<PAGE>

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. 

<TABLE>
<CAPTION>
                                                               Year Ended       Nine Months Ended 
                                                           September 30, 1995     June 30, 1996 
                                                           ------------------   ----------------- 
                                                                       (In thousands) 
<S>                                                        <C>                  <C>
Revenues, net  .........................................        $   204              $   204 
Operating expenses other than depreciation, 
  amortization and lease expense .......................         (3,248)              (3,248) 
Interest expense, net  .................................        $  (566)             $  (566) 

</TABLE>

(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. 

<TABLE>
<CAPTION>
                                 Year Ended                 Nine Months Ended 
                             September 30, 1995               June 30, 1996 
                             ------------------              ----------------- 
                                              (In thousands) 
<S>                              <C>                        <C>
Revenues, net ................    $(1,500)                           -- 

</TABLE>

(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 Company for 
    approximately two years at an annual rate of $510,000. 

                                 Year Ended                 Nine Months Ended 
                             September 30, 1995               June 30, 1996 
                             ------------------              ----------------- 
                                              (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. The Company 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: 

<TABLE>
<CAPTION>
                                                              Annual Cost    Nine Months Cost 
                                                             -------------   ---------------- 
                                                                      (In thousands) 
<S>                                                          <C>             <C>
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) 
                                                             =============   ================ 

</TABLE>

                                       -7-
<PAGE>

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

<TABLE>
<CAPTION>
                                                               Year Ended       Nine Months Ended 
                                                           September 30, 1995     June 30, 1996 
                                                           ------------------   ----------------- 
                                                                       (In thousands) 
<S>                                                        <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................        $(2,815)              $(572) 

</TABLE>


(E) The McKerley Transaction was financed with borrowings under the Company's 
    bank credit facilities aggregating approximately $68,700,000. The Company 
    has repaid approximately $27,000,000 of assumed McKerley debt. The 
    Company has also assumed a mortgage obligation of approximately 
    $9,100,000 which was not immediately repaid. Interest rate assumptions 
    are 7.25% for the Company's borrowing under its bank credit facilities. 


<TABLE>
<CAPTION>
                                                             Year Ended       Nine Months Ended 
                                                         September 30, 1995     June 30, 1996 
                                                         ------------------   ----------------- 
                                                                     (In thousands) 
<S>                                                      <C>                  <C>
Interest expense, net: 
   Interest expense -- bank facilities ...............        $ 4,930               $ 822 
   Elimination of historical McKerley remaining 
     interest expense  ...............................         (2,739)               (457) 
                                                         ------------------   ----------------- 
                                                              $ 2,191               $ 365 
                                                         ==================   ================= 

</TABLE>

(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: 

<TABLE>
<CAPTION>
                                             Year Ended       Nine Months Ended 
                                         September 30, 1995     June 30, 1996 
                                         ------------------   ----------------- 
                                                     (In thousands) 
<S>                                              <C>                <C>
Depreciation and amortization expense...      $1,079               $180 

</TABLE>


(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: 


<TABLE>
<CAPTION>
                                 Year Ended                 Nine Months Ended 
                             September 30, 1995               June 30, 1996 
                             ------------------              ----------------- 
                                              (In thousands) 
<S>                              <C>                             <C>           
Lease expense  ..........         $(1,244)                        $(207) 

</TABLE>

                                     -8-
<PAGE>
NEIGHBORCARE TRANSACTION 

(H) A portion of the NeighborCare Transaction will be financed with 
    borrowings under the Company'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 the Company's borrowings under its credit 
    facilities. 
<TABLE>
<CAPTION>
                                                             Year Ended       Nine Months Ended 
                                                         September 30, 1995     June 30, 1996 
                                                         ------------------   ----------------- 
                                                                     (In thousands) 
<S>                                                      <C>                  <C>
Interest expense, net: 
   Interest expense -- bank facilities ...............        $ 3,171              $ 1,842 
   Elimination of historical NeighborCare remaining 
     interest expense  ...............................         (1,291)              (1,171) 
                                                         ------------------   ----------------- 
                                                              $ 1,880              $   671 
                                                         ==================   ================= 
</TABLE>

   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 $32.50 per share resulting in the issuance of 307,692 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. 

<TABLE>
<CAPTION>
                                                              Annual Cost    Nine Months Cost 
                                                             -------------   ---------------- 
                                                                      (In thousands) 
<S>                                                          <C>             <C>
Consolidation of institutional pharmacy locations  .......      $  (300)          $(175) 
Consolidation of medical supply division  ................         (300)           (175) 
Personnel reduction in operating staff to eliminate 
  duplicative positions ..................................         (615)           (360) 
Other operating costs including legal and accounting 
  fees, advertising and office expense ...................         (474)           (275) 
                                                             -------------   ---------------- 
                                                                $(1,689)          $(985) 
                                                             =============   ================ 
</TABLE>

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

<TABLE>
<CAPTION>
                                                               Year Ended       Nine Months Ended 
                                                           September 30, 1995     June 30, 1996 
                                                           ------------------   ----------------- 
                                                                       (In thousands) 
<S>                                                              <C>               <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................        $(1,689)              $(985) 

</TABLE>

(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: 

<TABLE>
<CAPTION>
                                                      Year Ended       Nine Months Ended 
                                                  September 30, 1995     June 30, 1996 
                                                  ------------------   ----------------- 
                                                              (In thousands) 
<S>                                               <C>                  <C>
Impact of step-up and allocation of goodwill  .         $2,706              $1,578 
Elimination of historical depreciation expense            (159)                (93) 
                                                  ------------------   ----------------- 
Depreciation and amortization  ................         $2,547              $1,485 
                                                  ==================   ================= 
</TABLE>
                                       -9-
<PAGE>
(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: 

<TABLE>
<CAPTION>
                                                               Year Ended       Nine Months Ended 
                                                           September 30, 1995     June 30, 1996 
                                                           ------------------   ----------------- 
                                                                       (In thousands) 
<S>                                                                   <C>            <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................         $(160)               $(93) 

</TABLE>

NATIONAL HEALTH TRANSACTION 

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

<TABLE>
<CAPTION>
                                                              Year Ended       Nine Months Ended 
                                                          September 30, 1995     June 30, 1996 
                                                          ------------------   ----------------- 
                                                                      (In thousands) 
<S>                                                          <C>                  <C>
Net Revenues  .........................................        $(24,949)           $(26,264) 
Operating expenses other than depreciation, 
  amortization and lease expense ......................         (27,375)            (28,340) 
Depreciation and amortization  ........................          (1,290)             (1,453) 
Lease expense  ........................................            (233)               (323) 
Interest expense, net  ................................          (1,124)             (1,151) 

</TABLE>

(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: 

<TABLE>
<CAPTION>
                                        Year Ended          Nine Months Ended 
                                    September 30, 1995        June 30, 1996 
                                    ------------------       ----------------- 
                                                  (In thousands) 
<S>                                         <C>                  <C>
Depreciation and amortization......     $2,357                  $1,739 

</TABLE>

(N) The National Health Transaction was financed by Genesis with borrowings 
    under its bank credit facilities aggregating approximately $51,800,000. 
    Genesis repaid approximately $36,200,000 of indebtedness assumed upon 
    consummation of the transaction. The Company also assumed mortgage 
    obligations of approximately $7,900,000 which were not repaid. Interest 
    rate assumptions are 6.8% for the Company's borrowing under its bank 
    credit facilities. 

    Prior to the closing of the stock acquisitions, an affiliate of a 
    financial institution purchased nine of the National Health eldercare 
    centers and subsequently leased the centers to a subsidiary of Genesis 
    under operating lease agreements. 

<TABLE>
<CAPTION>
                                                           Year Ended       Nine Months Ended 
                                                       September 30, 1995     June 30, 1996 
                                                       ------------------   ----------------- 
                                                                   (In thousands) 
<S>                                                    <C>                  <C>
Interest expense, net: 
   Interest expense-bank facility ..................        $ 3,619              $ 2,714 
   Elimination of historical National Health 
     remaining expense  ............................         (3,993)              (2,995) 
                                                       ------------------   ----------------- 
                                                            $  (374)             $  (281) 
                                                       ==================   ================= 
   Lease expense ...................................        $ 4,949              $ 3,712 

</TABLE>
                                      -10-
<PAGE>
(O) Genesis has identified certain cost saving opportunities in connection 
    with the National Health Transaction. The Company 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. 

<TABLE>
<CAPTION>
                                                                 Year Ended       Nine Months Ended 
                                                             September 30, 1995     June 30, 1996 
                                                             ------------------   ----------------- 
                                                                         (In thousands) 
<S>                                                          <C>                  <C>
Reduction in contract labor services  ....................         $(108)               $ (81) 
Personnel reduction in operating staff to eliminate 
  duplicative positions ..................................          (252)                (189) 
                                                             ------------------   ----------------- 
                                                                   $(360)               $(270) 
                                                             ==================   ================= 

</TABLE>

(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. 

<TABLE>
<CAPTION>
                                                              Year Ended       Nine Months Ended 
                                                          September 30, 1995     June 30, 1996 
                                                          ------------------   ----------------- 
                                                                      (In thousands) 
<S>                                                       <C>                  <C>
Revenues, net  ........................................         $2,000              $1,500 
Operating expenses other than depreciation, 
  amortization and lease expense ......................          1,300                 975 
                                                          ------------------   ----------------- 
  Net impact  .........................................         $  700              $  525 
                                                          ==================   ================= 

</TABLE>

1996 EQUITY OFFERING ADJUSTMENT 

(Q) Adjustment to reflect the application of the net proceeds of the 1996 
    Equity Offering to repay indebtedness under the Company's bank credit 
    facilities which currently bear interest at a weighted average annual 
    rate of approximately 6.8%. 

                                 Year Ended                 Nine Months Ended 
                             September 30, 1995               June 30, 1996 
                             ------------------              ----------------- 
                                              (In thousands) 
Interest, net  ..........       $(13,720)                      $(8,831) 


GMC TRANSACTION 


(R) The historical financial statements of GMC include unusual, non-recurring 
    charges related to a provision to increase allowance for doubtful 
    accounts, the settlement of a matter relating to reimbursement for 
    nutritional services provided at a nursing facility previously managed by 
    a GMC subsidiary and an amount recorded relating to a class action suit. 
    The historical financial statements also include non-recurring charges 
    related to additional interest incurred under GMC's credit facility and a 
    discount on a note receivable. 


<TABLE>
<CAPTION>
                                                              Year Ended       
                                                             September 30,     Nine Months Ended  
                                                                 1995            June 30, 1996 
                                                           -----------------   ----------------- 
                                                                      (In thousands) 
<S>                                                               <C>                 <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................          --                $(2,300) 
Interest, net  .........................................          --                 (1,121) 
</TABLE>


                                      -11-

<PAGE>
(S) The historical financial results include a provision for costs on the 
    sale of accounts receivable, which is included in the interest expense 
    line item. The following pro forma adjustment represents the 
    reclassification of the portion of the provision that relates to 
    operating expenses: 

<TABLE>
<CAPTION>
                                                              Year Ended       
                                                             September 30,     Nine Months Ended 
                                                                 1995            June 30, 1996 
                                                           -----------------   ----------------- 
                                                                      (In thousands) 
<S>                                                              <C>                 <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................        $ 1,383             $ 1,447 
Interest expense, net  .................................         (1,383)             (1,447) 

</TABLE>

(T) As a result of the GMC Transaction, certain corporate and administrative 
    overhead functions related to the prior ownership structure will be 
    merged. Genesis has identified duplicative physical locations which will 
    be merged into existing Genesis administrative locations. 

<TABLE>
<CAPTION>
                                                                              Nine Months 
                                                             Annual Cost         Cost 
                                                             ------------   --------------- 
                                                                     (In thousands) 
<S>                                                          <C>            <C>
Personnel reduction in operating staff to eliminate 
  duplicative position ...................................     $(1,000)         $  (750) 
Other operating costs including legal and accounting 
  fees, advertising and office expense ...................      (1,000)            (750) 
                                                             ----------         --------
                                                               $(2,000)         $(1,500) 
                                                             ==========         ========
</TABLE>

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

<TABLE>
<CAPTION>
                                                              Year Ended                         
                                                             September 30,     Nine Months Ended 
                                                                 1995            June 30, 1996 
                                                           -----------------   ----------------- 
                                                                      (In thousands) 
<S>                                                             <C>                 <C>
Operating expenses other than depreciation, 
  amortization and lease expense .......................        $(2,000)            $(1,500) 
</TABLE>

(U) A portion of the purchase price was financed with borrowings under the 
    Company's bank credit facility of approximately $91,000,000. Interest rate 
    assumptions are 6.8% for the Company's borrowings: 

                                          Year Ended         
                                        September 30,       Nine Months Ended 
                                             1995             June 30, 1996 
                                       -----------------     ----------------- 
                                                   (In thousands) 
Interest expense -- bank 
  facilities .....................          $6,370                $4,778 

OFFERING ADJUSTMENT 

(V) Adjustment to reflect the application of the net proceeds of the Offering 
    to repay a portion of assumed GMC term indebtedness ($108,000,000 at a 
    weighted average rate of 12.25%) and other GMC indebtedness ($10,000,000 
    at a weighted average rate of 7%). The assumed rate of this Offering is 
    9.25%. 

                                            Year Ended       Nine Months Ended 
                                           September 30, 
                                               1995            June 30, 1996 
                                         -----------------   ----------------- 
                                                    (In thousands) 
Interest expense, net: 
     Interest expense -- offering  ...       $ 11,562            $  8,672 
     Eliminate historical interest 
        expense ......................        (13,930)            (10,448) 
                                           ----------         -----------
                                             $ (2,368)           $ (1,776) 
                                          ===========         ===========

                                      -12-
<PAGE>

                PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET 
                                 (UNAUDITED) 


   The following unaudited pro forma condensed consolidated balance sheet 
includes the historical consolidated condensed balance sheet of the Company 
at June 30, 1996 and the pro forma adjustments to reflect the National Health 
Transaction, the GMC Transaction, as adjusted to reflect the Offering and the 
application of the estimated net proceeds as if they occurred on June 30, 
1996. The pro forma adjustments should be read in conjunction with the 
Company's historical consolidated financial statements, National Health's 
historical combined financial statements and GMC's historical combined 
financial statements.


<TABLE>
<CAPTION>
                                                                                                                     Pro Forma, 
                                                                                                                    As Adjusted 
                                                                Pro Forma                                           Consolidated 
                                                                 National                       Pro Forma             Genesis/ 
                                                National          Health                           GMC                National 
                                   Genesis       Health        Adjustments          GMC        Adjustments           Health/GMC 
                                  --------     ---------      ------------          ---       ------------         -------------
                                                                        (In thousands)                          
<S>                                <C>          <C>            <C>               <C>           <C>              <C>
Current assets.................    $297,009     $23,401          $(9,108)(A)        $75,834      $       --            $387,136 
Property and equipment, net  ..     313,388      58,608            7,346 (A)(D)      93,042          73,325(E)          545,709 
Other assets  .................     267,951      13,795           (7,426)(A)(D)      22,808          44,000(E)          341,128 
                                    -------      ------           ------             ------          ------             ------- 
Total assets  .................    $878,348     $95,804          $(9,188)          $191,684        $117,325          $1,273,973 
                                   ========     =======          =======           ========        ========          ========== 
Current liabilities  ..........    $ 69,410     $21,777          $(3,349)(A)(B)(C) $ 37,951      $   (5,820)(F)(G)   $  119,969 
Long term debt, excluding 
  current maturities ..........     295,897      68,826           (1,158)(A)(B)     130,775         101,025 (G)         595,365 
Other liabilities  ............      12,803          --              520 (C)          4,078          41,000 (E)          58,401 
Shareholders' equity  .........     500,238       5,201           (5,201)(A)(D)      18,880         (18,880)(E)         500,238 
                                    -------      ------           ------             ------          ------             ------- 
Total liabilities and 
  shareholders' equity ........    $878,348     $95,804          $(9,188)          $191,684        $117,325          $1,273,973 
                                   ========     =======          =======           ========        ========          ========== 

</TABLE>

   Pro forma adjustments are as follows: 

NATIONAL HEALTH TRANSACTION 

(A) The assets and liabilities of National Health not acquired or assumed by 
    Genesis in the National Health Transaction are eliminated in a pro forma 
    adjustment as follows: 
                                                            (In thousands) 
Current assets ......................................           $(9,108) 
Property and equipment  .............................            (9,686) 
Other assets  .......................................           (11,141) 
                                                                -------  
Total assets  .......................................          $(29,935) 
                                                               ========  
Current liabilities  ................................          $ (5,249) 
Long term debt, excluding current 
  maturities .......................................           (16,758) 
Other liabilities  .................................                -- 
Shareholders' equity  ..............................            (7,928) 
                                                                -------  
Total liabilities and shareholders' equity                    $(29,935) 
                                                               ========  


(B) The National Health Transaction was financed by Genesis with borrowings 
    under its bank credit facilities of approximately $51,800,000 which 
    includes the repayment of approximately $36,200,000. Additionally, 
    Genesis assumed existing indebtedness of approximately $7,900,000 which 
    was not repaid immediately. The impact of the borrowings under the bank 
    credit facilities is reflected in the following pro forma adjustment: 



                                                               (In thousands) 
Current liabilities .....................................        $  (100) 
Long term debt, excluding current maturities  ...........         15,600 


                                      -13-
<PAGE>


(C) 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 $2,520,000. The following 
    pro forma adjustment represents the accrual for these costs: 


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


(D) Purchase accounting adjustments include the following allocations: 

                                                               (In thousands) 
Property and equipment, net ..................................    $17,032 
Other assets  ................................................      3,715 
Shareholders' equity  ........................................      2,727 



GMC TRANSACTION 

(E) Purchase accounting adjustments include the following allocations: 


                                                               (In thousands) 
Property and equipment, net ..............................         $72,345 
Other assets  ............................................          44,000 
Other liabilities  .......................................          41,000 
Shareholders' equity  ....................................         (18,880) 



(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 in the amount of $8,000,000. The following pro forma adjustment 
    represents the accrual for these costs: 


                                                               (In thousands) 
Current liabilities .......................................        $8,000 




(G) The GMC Transaction was financed by the payment of $93,900,000 
    representing the equity purchase price, the repayment of approximately 
    $90,000,000 of existing indebtedness and the assumption of approximately 
    $47,900,000 of other indebtedness. The following pro forma adjustment 
    represents the incremental debt incurred in the transaction and reflects 
    the repayment of certain GMC indebtedness with the net proceeds of the 
    Offering: 


                                                                (In thousands) 
Current liabilities .....................................         $ (8,820) 
Long-term debt  .... ....................................          101,025 


                                      -14-












<PAGE>



                                   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.
                                             ---------------------------------
                                             George V. Hager, Jr.
                                             Senior Vice President and
                                             Chief Financial Officer








Date: October 25, 1996










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