GENESIS HEALTH VENTURES INC /PA
8-K, 1996-08-12
SKILLED NURSING CARE FACILITIES
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<PAGE>

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                       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): July 26, 1996



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


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



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


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



===============================================================================
<PAGE>

Item 2.           Acquisition or Disposition of Assets.

                  On July 26, 1996, Genesis Health Ventures, Inc., a
Pennsylvania corporation ("Genesis"), pursuant to the terms of a certain
Purchase Agreement, dated May 3, 1996, as modified by a certain Purchase
Agreement Addendum, dated July 24, 1996, acquired the outstanding stock of
National Health Care Affiliates, Inc., Oak Hill Health Center, Inc., Derby
Nursing Center Corporation, EIDOS, Inc. and VersaLink, Inc. (collectively,
"National Health"), for a total consideration of approximately $68,700,000,
including assumed debt, subject to adjustment. Prior to the acquisition by
Genesis of the stock of National Health, an affiliate of a financial institution
purchased nine eldercare centers owned by National Health for $67.7 million and
subsequently leased the centers to a subsidiary of Genesis under the terms of
operating lease agreements. The cash portion of the purchase price
(approximately $51.8 million) was funded with available cash and the repayment
of assumed indebtedness (approximately $7.9 million) was financed by borrowings
under the Company's bank credit facilities.

                  As a result of the foregoing transactions, Genesis now owns or
leases and operates an additional 16 long-term care centers with 2,202 licensed
nursing and assisted living beds in Florida (10 centers), Virginia (5 centers)
and Connecticut (1 center) and manages four eldercare centers in Colorado with
283 beds pursuant to an agreement which expires in October 1997. In addition,
Genesis acquired businesses which provide enteral nutrition and rehabilitation
therapy services to the eldercare centers operated by National Health.

Item 7.           Financial Statements and Exhibits.

         (a)      Financial Statements of businesses acquired.

                  The following Financial Statements are incorporated by
                  reference to the Form 8-K/A (Number 1) of Genesis for
                  May 3, 1996:

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

                        Report of Independent Auditors

                        Combined Balance Sheet

                        Combined Statement of Earnings

                        Combined Statement of Owners' Equity

                        Combined Statement of Cash Flows

                        Notes to Combined Financial Statements

                        National Health Care Affiliates, Inc. and Related
                        Entities -- Unaudited Combined Financial Statements for
                        the Quarter ended March 31, 1996

                        Combined Balance Sheet

                        Combined Statement of Earnings

                        Combined Statement of Cash Flows



         (b)      Pro Forma Financial Information

                  It is impracticable to provide the required pro forma
                  financial information at the time this report is being filed.
                  The required pro forma financial information will be filed as
                  soon as practicable, but not later than 60 days after this
                  report is required to be filed.

         (c)      Exhibits.

         Number     Title
         ------     -----
         1.         Purchase Agreement, dated May 3, 1996, by and among Mark E.
                    Hamister, Oliver C. Hamister, George E. Hamister, Julia L.
                    Hamister, The George E. Hamister Trust, The Oliver C.
                    Hamister Trust, National Health Care Affiliates, Inc., Oak
                    Hill Health Care Center, Inc., Derby Nursing Center
                    Corporation, Delaware Avenue Partnership, EIDOS, Inc.,
                    VersaLink Inc., certain other individuals and Genesis Health
                    Ventures, Inc. (Incorporated by reference to Exhibit No. 1
                    filed with the Form 8-K of Genesis for May 3, 1996)

         2.         Purchase Agreement Addendum, dated July 24, 1996, by and
                    among Mark E. Hamister, Oliver C. Hamister, George E.
                    Hamister, Julia L. Hamister, The George E. Hamister Trust,
                    The Oliver C. Hamister Trust, National Health Care
                    Affiliates, Inc., Oak Hill Health Care Center, Inc., Derby

                                       -1-
<PAGE>

                    Nursing Center Corporation, Delaware Avenue Partners, EIDOS,
                    Inc., VersaLink Inc., certain other individuals and Genesis
                    Health Ventures, Inc.

         3.         Press Release, dated July 26,  1996.















                                       -2-
<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: August 12, 1996










                                       -3-


<PAGE>

                                                                     EXHIBIT 2


                                                                 EXECUTION COPY


                               PURCHASE AGREEMENT ADDENDUM

    THIS AGREEMENT (the "Agreement") is made on this 24th day of July, 1996, by
and among Mark E. Hamister, an individual residing at 9715 Rocky Point,
Clarence, New York, Oliver C. Hamister, an individual residing at 6430 Sun Eagle
Lane, Bradenton, Florida, George E. Hamister, an individual residing at 112 The
Waterways, 9604 Cortez Road, Bradenton, Florida, Julia L. Hamister, an
individual residing at 6430 Sun Eagle Lane, Bradenton, Florida, The George E.
Hamister Trust, an irrevocable trust established under the terms of a trust
agreement dated December 31, 1991, and The Oliver C. Hamister Trust, an
irrevocable trust established under the terms of an agreement dated December 31,
1991 (collectively, the "Hamisters"), National Health Care Affiliates, Inc., a
Florida corporation with an office at 651 Delaware Avenue, Buffalo, New York
("NHCA"), Oak Hill Health Care Center, Inc., a Virginia corporation with an
office at 651 Delaware Avenue, Buffalo, New York ("Oak Hill"), Derby Nursing
Center Corporation, a Connecticut corporation with an office at 651 Delaware
Avenue, Buffalo, New York ("Derby Nursing Center"), Delaware Avenue Partners, a
New York General Partnership with an office at 651 Delaware Avenue, Buffalo, New
York ("DAP"), EIDOS, Inc., a Florida corporation with an office at 222 S.
Westmonte Drive, #200, Altamonte Springs, Florida ("EIDOS"), VersaLink, Inc., a
Delaware corporation with an office at 651 Delaware Avenue, Buffalo, New York
("VersaLink"), each of the individuals identified in Exhibit "A" attached
hereto (each of such individuals being hereinafter sometimes referred to
individually as a "Minority Shareholder" and collectively as the "Minority
Shareholders") and Sal H. Alfiero and Gerald S. Lippes (Mr. Alfiero and Mr.
Lippes being hereinafter individually referred to as an "Optionee" and
collectively referred to as the "Optionees") and Genesis Health Ventures, Inc.,
a Pennsylvania corporation with an office at 148 West State Street, Kennett
Square, Pennsylvania (the "Buyer").

                                    RECITALS:

    On May 3, 1996, the above referenced parties (other than the Estate of
George Hart, which is a party to this Agreement as a result of Mr. Hart's death
on May 18, 1996) entered into a purchase agreement (the "Purchase Agreement")
providing, among other things, for the purchase by the Buyer of all the issued
and outstanding common stock of NHCA, Oak Hill, Derby Nursing Center, EIDOS and
VersaLink and further providing for the purchase by the Buyer of all the issued
and outstanding partnership interests of DAP.

    Section 14.9 of the Purchase Agreement permits the Buyer, at its option, to
restructure the form of transaction contemplated by the Purchase Agreement to,
among other things, include a transaction whereby some or all of the assets of
the Skilled Nursing Facilities Business are purchased by the Buyer or a nominee
of the Buyer. Buyer has determined to exercise such option and desires that
certain parcels of real property (each a "Land Interest") and certain facilities
currently located thereon (each a "Facility") (each such Land Interest, together
with such Facility, are referred to individually as a "Site" and collectively as
the "Sites" and are identified on Exhibit "B" attached hereto) will be
transferred to Mellon, Financial Services Corporation #4 ("Mellon Leasing")
prior to consummation of the transactions contemplated by the Purchase
Agreement.
<PAGE>

    The Purchase Agreement contemplates that all the outstanding partnership
interests of DAP could be sold, other than to the Buyer or an affiliate of the
Buyer, prior to the sale of the Skilled Nursing Facilities Business. American
Housing Foundation I, Inc. ("AHF") has expressed an interest in purchasing the
outstanding partnership interests in DAP pursuant to a transaction which will be
structured as described in a letter agreement dated June 5, 1996 and made by and
between AHF, the Buyer and NHCA, a copy of which is attached hereto as Exhibit
"C" (such letter agreement being hereinafter referred to as the "AHF Letter of
Intent"). However, Mark E. Hamister, George E. Hamister and Oliver C. Hamister
(hereinafter collectively referred to as the "DAP Partners") and the Buyer
acknowledge that, as of the Closing Date, the sale of the partnership interests
in DAP as provided for by the AHF Letter of Intent will not have occurred.

    The Purchase Agreement inadvertently identifies the New York General
Partnership known as "Delaware Avenue Partners" as "Delaware Avenue
Partnership". In addition, the Purchase Agreement inadvertently indicates that
Oak Hill, a Virginia corporation, is a Florida corporation.

    The Hamisters, NHCA, Oak Hill, Derby Nursing Center, DAP, EIDOS, VersaLink,
the Minority Shareholders, the Optionees and Buyer (sometimes hereinafter
collectively referred to as the "Parties") desire to set forth in writing
certain modifications to the structure of the transaction contemplated by the
Purchase Agreement and to make certain other miscellaneous changes to the terms
of the Purchase Agreement, all as permitted by Sections 14.5 and 14.9 of the
Purchase Agreement.

                                 CONSIDERATION:

    NOW, THEREFORE, in consideration of the foregoing and the covenants and
agreements hereinafter set forth, the Parties hereby agree as follows:

         1. Except as expressly set forth in this Agreement, capitalized terms
    used in this Agreement shall have the meaning ascribed to them in the
    Purchase Agreement.

         2. Each Reference to "Delaware Avenue Partnership" and "DAP" contained
    in the Purchase Agreement and any other document to be executed and
    delivered by the Parties in connection with the consummation of the
    transactions contemplated by the Purchase Agreement shall be deemed and
    construed to mean Delaware Avenue Partners, a New York General Partnership
    with an office at 651 Delaware Avenue, Buffalo, New York. Each reference to
    "Oak Hill Health Care Center, Inc." and "Oak Hill" contained in the Purchase
    Agreement and any other document to be executed and delivered by the Parties
    in connection with the consummation of the transactions contemplated by the
    Purchase Agreement shall be deemed and construed to mean Oak Hill Health
    Care Center, Inc., a Virginia corporation with an office at 651 Delaware
    Avenue, Buffalo, New York. Any references to the Purchase Agreement in any
    other documents to be executed and delivered by and between the Parties (or
    any of them) hereto in connection with the consummation of the transactions
    contemplated by the Purchase Agreement shall be deemed and construed to mean
    the Purchase Agreement as supplemented, modified and amended by this
    Agreement.

         3. Notwithstanding anything to the contrary contained in the Purchase
    Agreement, the Base Price (subject to such adjustments as may be required by
    the Purchase Agreement, as supplemented and modified by this Agreement)
    shall equal One Hundred Thirty Four Million, Four Hundred Eighty Thousand
    Dollars ($134,480,000).
<PAGE>

         4. Notwithstanding anything to the contrary contained in the Purchase
    Agreement, prior to consummation of the transactions contemplated by the
    Purchase Agreement, the Hamisters shall cause the Sites to be sold,
    transferred, conveyed and assigned to Mellon Leasing for a total purchase
    price to be paid by Mellon Leasing to NHCA of $67,700,000 (hereinafter the
    "Mellon Leasing Payment"). All instruments necessary to effectuate the
    transfer of the Sites shall be reasonably acceptable to Mellon Leasing and
    the Buyer. The sale, transfer and conveyance of the Sites to Mellon Leasing
    shall not limit or affect in any way the representations and warranties of
    the Hamisters under the Purchase Agreement or the Buyer's rights to
    indemnification thereunder.

         5. The Parties acknowledge that the Purchase Agreement provides that,
    since the Closing of the sale of the stock of NHCA, Oak Hill, Derby Nursing
    Center, EIDOS and Versalink will not occur prior to July 24, 1996, the
    Hamisters are required to deliver a June 30, 1996 balance sheet of the
    Skilled Nursing Facilities Business to the Buyer at least five (5) days
    prior to the Closing. The Parties wish to close the transactions
    contemplated by the Purchase Agreement (as modified by this Agreement) prior
    to the delivery by the Hamisters of the June 30, 1996 balance sheet of the
    Skilled Nursing Facilities Business. However, the Parties wish to provide
    that the Final Purchase Price will be based on a June 30, 1996 balance sheet
    of the Skilled Nursing Facilities Business. In order to accomplish this
    result, the Parties are willing to close the transactions contemplated by
    the Purchase Agreement (as modified by this Agreement) using the May 31,
    1996 balance sheet of the Skilled Nursing Facilities Business as the balance
    sheet which will be used for determining the amount of the closing
    adjustment pursuant to Section 2.04 of the Purchase Agreement and to
    determine the amount of the Final Purchase Price by using the June 30, 1996
    balance sheet of the Skilled Nursing Facilities Business as the balance
    sheet which will be used for determining the Post-Closing Working Capital
    Adjustment and the Post Closing Net Worth Adjustment. Accordingly, the
    Parties hereby agree that, notwithstanding anything to the contrary
    contained in the Purchase Agreement, the Purchase Agreement shall be deemed
    and construed to be modified and amended to the extent necessary to provide
    that:

             (a) for purposes of determining the amount payable by the Buyer at
         the Closing (but not for purposes of determining the amount of the
         Final Purchase Price), the Closing Balance Sheet shall be deemed to be
         the unaudited May 31, 1996 balance sheet of the Skilled Nursing
         Facilities Business which has previously been delivered to Buyer;

             (b) on or before August 15, 1996, the Hamisters shall deliver to
         Buyer, an unaudited combined (after elimination of intercompany
         transactions) balance sheet of the Skilled Nursing Facilities Business
         as of June 30, 1996 (the "June 30 Balance Sheet") together with the
         related statement of income for the Skilled Nursing Facilities Business
         for the year-to-date period ended on June 30, 1996;

             (c) the June 30 Balance Sheet and related statement of income shall
         be prepared in accordance with the same principles set forth in Section
         2.03 of the Purchase Agreement for calculation of the Closing Balance
         Sheet except that any assets, liabilities, income or expenses reflected
         in the June 30 Balance Sheet and related statement of income shall be
         determined as of June 30, 1996;

             (d) for purposes of determining the amount of the Final Purchase
         Price, the Buyer shall notify the Hamisters in writing of any dispute
         it may have with respect to the accuracy of the June 30 Balance Sheet
         no later than September 29, 1996 and, if Buyer disputes the accuracy of
         the June 30 Balance Sheet, such written notice shall specify the nature
         of the dispute in reasonable detail;
<PAGE>

             (e) if Buyer does not deliver written notice to the Hamisters of
         any dispute it may have with respect to the accuracy of the June 30
         Balance Sheet by September 29, 1996, the Buyer shall be deemed to have
         accepted the accuracy of the June 30 Balance Sheet;

             (f) if the Buyer disputes the accuracy of the June 30 Balance Sheet
         and delivers written notice of such dispute to the Hamisters on or
         before September 29, 1996, the procedures (including applicable time
         periods) for determining the amounts to be reflected in the June 30
         Balance Sheet shall be the same as the procedures contained in Section
         2.05 of the Purchase Agreement for determining the amount of the
         Closing Balance Sheet; and

             (g) after the June 30 Balance Sheet has been finalized, whether by
         the Buyer's Agreement to the entries contained in the June 30 Balance
         Sheet prepared and delivered by the Hamisters, as a result of a
         resolution of a dispute concerning the June 30 Balance Sheet which is
         mutually agreeable to the Buyer and Mark E. Hamister or as a result of
         a decision of the Arbitrator, the June 30 Balance Sheet, as so
         finalized, shall be deemed to be the "Final Balance Sheet" for purposes
         of the Agreement.

         6. The Parties agree that, notwithstanding anything to the contrary
    contained in the Purchase Agreement, for purposes of Section 2.02(a) of the
    Purchase Agreement the amount of the Closing Payment shall be deemed and
    construed to mean an amount equal to the Base Price, decreased by the
    Discharged and Assumed Debt, decreased by the amount of the Mellon Leasing
    Payment and increased or decreased, as the case may be (as provided in
    Section 2.04), by the amount of the Closing Adjustments. Notwithstanding the
    foregoing or anything to the contrary contained in the Agreement, for
    purposes of Section 2.02(b) the Closing Payment shall be deemed and
    construed to include the amount of the Mellon Leasing Payment.

         7. The Parties agree that notwithstanding anything to the contrary
    contained in the Purchase Agreement, the obligation of the Hamisters to fund
    up to $750,000 in purchase price adjustments payable to Buyer pursuant to
    Section 2.02(b) of the Purchase Agreement (as modified by this Agreement)
    shall be deemed to be a joint obligation of the Owners and the Optionees up
    to an amount equal to $750,000 together with any interest thereon. However,
    notwithstanding the foregoing, the Parties further agree that to the extent
    that the amount of any payment which Buyer is entitled to pursuant to
    Section 2.02 of the Purchase Agreement (as modified by this Agreement)
    exceeds $750,000, the obligation to pay to the Buyer the amount by which any
    such payment exceeds $750,000 (excluding any interest thereon) shall not be
    an obligation of the Minority Shareholders or the Optionees and shall be
    solely and exclusively an obligation of the Hamisters.
<PAGE>

         8. The Parties acknowledge that the Minority Shareholders and the
    Optionees have also agreed to have a portion of the amount which they would
    otherwise be entitled to receive in connection with the consummation of the
    transactions contemplated by the Purchase Agreement (as modified by this
    Agreement) paid to the Escrow Account. Accordingly, the Parties acknowledge
    that, in addition to serving as security for the indemnification and other
    obligations of the Hamisters contained in the Purchase Agreement (as
    modified by this Agreement), the funds deposited in the Escrow Account shall
    also serve as security for the indemnification and other obligations of the
    Minority Shareholders and the Optionees contained in the Purchase Agreement
    (as modified by this Agreement). In this regard, the Parties (including,
    specifically, the Minority Shareholders and the Optionees) hereby agree that
    the Purchase Agreement shall be deemed and construed to be modified and
    amended to the extent necessary to provide that the Minority Shareholders
    and the Optionees shall be liable for all the indemnification and other
    obligations of the Hamisters provided for in the Purchase Agreement (as
    modified by this Agreement), subject to all the limitations on such
    liabilities provided for by the Purchase Agreement (as modified by this
    Agreement) including, without limitation, those limitations which provide
    (under certain circumstances) that the liability of any particular
    indemnifying party is a several liability (as opposed to a joint and several
    liability) and is limited to the percentage of indemnifiable damages set
    forth for any such indemnifying party in the supplement to Schedule 13.01(b)
    and limitations on the obligation of an indemnifying party (or the
    indemnifying parties) to indemnify Buyer and the Buyer Group in the event
    that the amount of Damages suffered as a result of certain specifically
    identified claims, individually or in the aggregate, do not exceed a certain
    indemnification threshold. In addition to the foregoing, the Parties hereby
    agree that the indemnification and other obligations of each Minority
    Shareholder and each Optionee as contained in this Section 8 are and shall
    be deemed and construed to be limited, in all cases, to an amount equal to
    the amount, if any, which is held in the Escrow Account for any such
    Minority Shareholder or optionee.

         9. The Parties hereby agree that notwithstanding anything to the
    contrary contained in the Purchase Agreement:

             (a) the DAP partnership interests shall not be sold to the Buyer on
         the Closing Date and the Buyer and each of the DAP Partners shall use
         their best efforts to cause the sale of the DAP partnership interests
         (or substantially all of the assets of DAP) to AHF and the other
         transactions described in the AHF Letter of Intent to be consummated as
         soon as possible following the date hereof;

             (b) on or prior to the Closing Date, NHCA shall assign to Gradior
         Health Services Corporation, a Florida corporation which is a successor
         in interest to the home health care businesses of NHCA (hereinafter
         "Gradior") all of the rights of NHCA arising under the terms of the
         existing management agreement for the Kensington Gardens facility
         between DAP and NHCA, as amended through the date hereof (the
         "Management Agreement");

             (c) during the period between the date hereof and the date the DAP
         partnership interests (or substantially all the assets of DAP) are
         sold, the ownership of DAP by the DAP Partners and the management of
         the Kensington Garden facility by Gradior shall not be deemed or
         construed to violate or otherwise conflict with the provisions of the
         Purchase Agreement which restrict the rights of the Hamisters and the
         Hamister Affiliates to engage in a competitive business;
<PAGE>

             (d) during the period between the date hereof and the date the DAP
         partnership interests (or substantially all the assets are sold), the
         Hamisters shall use their reasonable best efforts to improve the
         standing of the Kensington Gardens facility with respect to the rules
         and regulations of the Virginia Department of Social Services for adult
         care facilities and, in this regard, Buyer shall cooperate with the DAP
         Partners and shall make available to the DAP Partners for reasonable
         periods of time, appropriate personnel who are knowledgeable with
         respect to the operations of the Kensington Gardens facility,
         including, but not limited to Tod Mahoney and Dianne Farthing (as long
         as such individuals are employees of Buyer or its affiliates), in order
         to enable the DAP Partners to develop and implement plans and programs
         which will increase the likelihood that the adult care facility license
         currently held by DAP will be continued;

             (e) since the Partnership interests (and substantially all the
         assets of DAP) will not have been purchased by the Buyer at the
         Closing, for purposes of calculating the amount which is payable by the
         Buyer in connection with the closing of the transactions contemplated
         by the Purchase Agreement: (i) the amount of the Discharged and Assumed
         Debt described in Schedule 2.01 attached to the Purchase Agreement
         shall be calculated without giving effect to the indebtedness of DAP to
         Huntoon Hastings Capital Corp.; and (ii) the Base Price shall be
         reduced by the dollar amount set forth in Section 2.08 of the Purchase
         Agreement;

             (f) in the event that the issued and outstanding partnership
         interests of DAP (or substantially all of the assets of DAP) have not
         been sold by the DAP Partners on or before December 31, 1996 as
         contemplated by Section 2.08 of the Purchase Agreement, the Buyer shall
         be obligated to purchase all the issued and outstanding partnership
         interests of DAP (and in connection therewith, to assume all
         liabilities and obligations of DAP, including, without limitation, all
         liabilities arising under the terms of the indebtedness of DAP which is
         payable to Huntoon Hastings Capital Corp.) subject only to: (i) the
         receipt by the Buyer of written notice from the DAP Partners of their
         intent to sell the DAP partnership interests to the Buyer; (ii) the
         consent of the U.S. Department of Housing and Urban Development to the
         purchase by the Buyer of the outstanding partnership interests of DAP;
         (iii) the correction or remediation of the environmental problems which
         currently exist at the Kensington Gardens facility as more particularly
         identified in a letter, dated July 3, 1996, by Kenneth N. Klass, Esq.
         to Ira Gubernick, Esq. (a copy of which is attached hereto as Exhibit
         "D"); (iv) the payment by the DAP Partners to the Buyer by wire
         transfer of immediately available funds in an amount equal to
         $1,000,000 minus the difference between $9,368,011 and the outstanding
         principal amount of the indebtedness of DAP to Huntoon Hastings Capital
         Corp. on the date that the DAP partnership interests are transferred to
         the Buyer; (v) all representations and warranties of the Hamisters set
         forth in the Purchase Agreement which are given with respect to DAP or
         which apply to DAP shall be true and correct in all material respects
         as of the date the partnership interests of DAP are transferred to the
         Buyer; (vi) all covenants of the Hamisters and the Buyer set forth in
         the Purchase Agreement which relate to or could apply to DAP shall have
         been performed and complied with by the Hamisters and the Buyer, as the
         case may be, on or prior to the date the partnership interests of DAP
         are transferred to the Buyer; and (vii) all conditions precedent to the
         obligations of Buyer and the Owners set forth in the Purchase Agreement
         which relate to or could apply in the case of a sale of the partnership
         interests of DAP (or substantially all the assets of DAP) to the Buyer,
         shall have been satisfied on or before the date the partnership
         interests of DAP are transferred to the Buyer; and
<PAGE>

             (g) in the event that the DAP Partners are able to sell the
         Kensington Gardens facility to AHF or its assignee, the Buyer shall be
         obligated to assume the obligations of Gradior under the Management
         Agreement with DAP upon written direction from the DAP Partners,
         subject only to the satisfaction of the conditions set forth in Section
         9(d) and (f) hereof.

         In the event that the DAP Partners deliver written notice of their
    intent to sell the DAP partnership interests to the Buyer as provided by
    subparagraph 9(f)(i) above, or in the event the DAP Partners elect to assign
    their rights to manage Kensington Gardens to DAP as contemplated by
    subparagraph 9(g) above, Buyer agrees to promptly cooperate with all
    reasonable requests of the DAP Partners relating to the effectuation of the
    sale of the DAP partnership interests to the Buyer (or the assumption of
    rights and obligations of NHCA under the management agreement) and the
    obtaining of the consent of the U.S. Department of Housing and Urban
    Development to such sale. In the event that the conditions to the Buyer's
    obligation to purchase the partnership interests of DAP have not been
    satisfied on or before June 30, 1997 the Buyer shall have no further
    obligation to purchase the partnership interests of DAP (or substantially
    all the assets of DAP) as provided for above.

         Notwithstanding anything to the contrary contained above in this
    Section 9, if the DAP Partners elect to transfer their partnership interests
    to the Buyer and the Buyer does not, for any reason other than the DAP
    Partner's inability to deliver good and marketable title to the DAP
    partnership interests (or the DAP assets) or a bad faith failure of the DAP
    Partners to comply with their covenants set forth above, consummate the
    purchase of such DAP Partnership interests by June 30, 1997, Buyer shall
    promptly pay to the DAP Partners, in cash or immediately available funds, an
    amount equal to $734,000. Upon receipt by the DAP Partners of such sum,
    Buyer's obligation to purchase the partnership interests or manage
    Kensington Gardens shall terminate. If Buyer purchases the DAP partnership
    interests, Gradior shall assign all of its rights under the Management
    Agreement to Buyer. If Buyer fails to assume the obligations of Gradior
    under the Management Agreement pursuant to subsection (g) above, upon the
    later of the closing of the sale of the DAP partnership interests (or
    substantially all the assets of DAP) and thirty (30) days following receipt
    by Buyer of written notice of the intention of the DAP Partners to make such
    sale ("Assumption Date"), the Buyer shall, no later than ten (10) days
    following the Assumption Date, pay to the DAP Partners, in cash or
    immediately available funds, an amount equal to $734,000. Upon receipt by
    the DAP Partners of such sum, Buyer's obligation to purchase the DAP
    partnership interests or manage Kensington Gardens shall terminate.

         10. The Parties acknowledge that, as listed in Schedule 4.17 to the
    Purchase Agreement, the consent of Health Care Property Investors, Inc.
    ("HCPI") is required to be obtained in connection with the consummation of
    the transactions contemplated by the Purchase Agreement. The Parties further
    acknowledge that HCPI has agreed to consent to the transactions contemplated
    by the Purchase Agreement upon the payment to HCPI, at the Closing, of an
    amount equal to $4.15 million. In order to provide for the payment of these
    funds, the Parties hereby agree that the Purchase Agreement shall be deemed
    and construed to be modified and amended to the extent necessary to treat
    the amount payable to HCPI as additional indebtedness of NHCA to be
    discharged at the Closing with the same effect as though such amount was
    included in Schedule 2.01 as discharged debt. Such amount shall be paid by
    Buyer to HCPI by wire transfer at Closing of immediately available funds.
<PAGE>

         11. The Purchase Agreement contemplates that, following the Closing
    Date, NHCA will continue to maintain and provide to employees of the Skilled
    Nursing Facilities Business, the opportunity to participate in the employee
    pension plans that, as of the date of execution of the Purchase Agreement,
    were made available to employees of the Skilled Nursing Facilities Business.
    The Parties wish to modify the Purchase Agreement with respect to the
    obligations of the Buyer and NHCA relating to employee pension plans
    maintained for employees of the Skilled Nursing Facilities Business.
    Accordingly, the Parties hereby agree that the Purchase Agreement shall be
    deemed and construed to be modified and amended to the extent necessary to
    provide that:

             (a) on or before the Closing Date, NHCA shall except as
         contemplated by subparagraph 11(e) below, assign to Gradior Health
         Services Corporation, a Florida corporation which Mark E. Hamister has
         caused to be formed in order to carry on the operations of the Retained
         Businesses after the Closing Date (such corporation being hereinafter
         referred to as "Gradior"), all the rights of NHCA as plan sponsor of
         the 401(k) retirement plan known as the NHCA Employee's Retirement Plan
         (hereinafter the "Plan"), including, without limitation, all rights to
         amend the Plan, all rights to appoint and remove a plan administrator
         and all rights to appoint and remove the trustee of the assets held
         pursuant to the terms of the Plan;

             (b) on or before the Closing Date, Mark E. Hamister, George E.
         Hamister, Gerald S. Lippes, Sal H. Alfiero, and Jack Turesky,
         constituting all the members of the Board of Directors of Gradior
         (hereinafter the "Gradior Directors"), shall take such action as may be
         necessary to cause Gradior to assume all obligations of NHCA as plan
         sponsor of the Plan;

             (c) the Gradior Directors shall take such action as may be
         reasonably necessary to cause the Plan to pay benefits to participants
         in the Plan as and when the same shall be due under the current terms
         and conditions of the Plan;

             (d) the Gradior Directors shall take such action as may be
         reasonably necessary to cause Gradior and the Plan to permit employees
         of each of NHCA, Oak Hill, Derby Nursing Center, EIDOS and VersaLink
         (such companies being hereinafter referred to collectively as the
         "Acquired Companies") to continue to actively participate in the Plan
         after the Closing Date until December 31, 1996, at which time, the
         right of employees of the Acquired Companies to actively participate in
         the Plan shall be terminated;

             (e) each of the Acquired Companies hereby acknowledge and agree
         that they shall be deemed to be contributing sponsors to the Plan
         during the period from the Closing Date through and including December
         31, 1996;

             (f) each of the Acquired Companies hereby agrees to remit all
         employee deferrals to the Plan for deposit into the trust maintained in
         connection with the Plan promptly, but in no event later than the time
         provided by applicable rules and regulations of the Code, ERISA, the
         Internal Revenue Service, and the U.S. Department of Labor relating to
         the time for depositing of employees 401(k) deferrals;
<PAGE>

             (g) each of the Acquired Companies hereby agrees to remit to the
         Plan all employer matching contributions required to be made with
         respect to employee deferrals made by the employees of each such
         Acquired Company, promptly following the end of the calendar month in
         which the employee deferrals giving rise to such employer matching
         contributions were made but in no event later than the time provided by
         the applicable rules and regulations of the Code, ERISA, the Internal
         Revenue Service and the U.S. Department of Labor relating to the time
         for depositing of employer matching contributions in the trust
         maintained pursuant to the Plan;

             (h) each of the Acquired Companies hereby agrees to provide Gradior
         with such information as may reasonably be requested by Gradior in
         connection with its administration of the Plan for the benefit of the
         employees of the Acquired Companies;

             (i) each of the Acquired Companies hereby agrees to indemnify and
         hold Gradior and each of its officers, directors, agents and employees
         harmless from and against any loss, cost or damage arising as a result
         of the failure of any of the Acquired Companies to promptly remit any
         employee deferrals or employer matching contributions to Gradior for
         deposit pursuant to the terms of the Plan or as a result of any
         incorrect information supplied to Gradior in connection with its
         administration of the Plan;

             (j) the Gradior Directors agree to take such action as may
         reasonably be necessary to: (i) cause the Buyer to be provided, as soon
         as possible after December 31, 1996 and in a form which is reasonably
         acceptable to Buyer: (A) a statement of the aggregate value determined
         as of December 31, 1996, of the accounts of all employees of the
         Acquired Companies that are participants in the Plan; and (B) a
         statement of the value, as of December 31, 1996, of each individual
         account of each participant in the Plan that is an employee of the
         Acquired Companies; and (ii) cause the Buyer to be provided with a list
         of the name and social security number of each participant in the Plan
         that is an employee of the Acquired Companies determined as of December
         31, 1996;

             (k) the Gradior Directors agree to take such action as may be
         reasonably necessary to cause the Plan to transfer the assets of the
         Plan which are attributable to participants in the Plan that are
         employees of the Acquired Companies, in cash or by wire transfer of
         immediately available funds, to a trust established under the terms of
         a tax qualified retirement plan maintained by the Buyer (or an
         affiliate of the Buyer) as soon as practicable following December 31,
         1996 using a date for the valuation of accounts of participants that
         are employees of the Acquired Companies which is made not more than 30
         days prior to the date on which such assets are transferred; and

             (1) the Gradior Directors agree to take such action as may
         reasonably be necessary to cause Gradior to cooperate with each of the
         Acquired Companies and each of the Acquired Companies agree to
         cooperate with Gradior in connection with: (i) the maintenance of the
         Plan by Gradior between the Closing Date and December 31, 1996; and
         (ii) the transfer of the assets of the Plan attributable to employees
         of the Acquired Companies to the trust maintained by the Buyer (or an
         affiliate of the Buyer) pursuant to the terms of a tax qualified
         retirement plan maintained by the Buyer (or an affiliate of the Buyer),
         all as contemplated by this Section 6.
<PAGE>

         12. The Parties acknowledge that, in connection with the transactions
    contemplated by the Purchase Agreement, the State of Connecticut has
    performed a "Change - of - Ownership" Inspection of the Derby Nursing Center
    facility located at 210 Chatfield Street, Derby, Connecticut (hereinafter
    the "Derby Facility") and issued a written report, (a copy of which is
    attached hereto as Exhibit "E") with respect to matters requiring
    correction, clarification or additional information by letter addressed to
    Martha E. Meng and dated June 28, 1996 (such report being hereinafter
    referred to as the "Inspection Report"). In response to the Inspection
    Report, the Buyer has prepared or will prepare a Plan of Correction which
    addresses the concerns and requirements of the State of Connecticut
    Department of Public Health for the license to be issued to the Buyer or its
    assignee. In consideration of the reduction of the Base Price by $100,000
    (as reflected in Section 3 above), the Parties agree that the Purchase
    Agreement shall be deemed and construed to be modified and amended to the
    extent necessary to provide that the costs of performing the repairs,
    maintenance and other items identified in the Buyer's Plan of Correction
    shall be the sole responsibility of the Buyer. The Parties hereby further
    agree that the Purchase Agreement shall be deemed and construed to be
    modified and amended to the extent necessary to provide that the fact that
    the State of Connecticut Department of Public Health has required certain
    repairs, maintenance and other items to be performed at the Derby Facility,
    the existence of the conditions identified in the Inspection Report and the
    costs incurred by the Buyer to secure a license from the State of
    Connecticut Department of Public Health for the Derby Facility shall not be
    deemed or construed as a breach of any representation or warranty made by
    the Hamisters in the Purchase Agreement, shall not be deemed or construed to
    constitute Damages within the meaning of the Purchase Agreement and shall
    not be deemed or construed to create or give rise to any cause of action for
    indemnification of Damages as provided for by the Purchase Agreement.

         13. The Parties acknowledge that NHCA and Oak Hill intend to pay a
    bonus to Mark E. Hamister in an aggregate amount equal to $5.4 million from
    the proceeds of the sale of the Sites to Mellon Leasing. In addition, the
    Parties acknowledge that a portion of the proceeds of the sale of the Sites
    to Mellon Leasing will be used to pay certain "stay bonuses" and certain
    performance bonuses to the individuals identified in Exhibit "F" attached
    hereto in amounts to be determined at the discretion of Mark E. Hamister.
    The Parties hereby further acknowledge that, following the payment of the
    bonuses described above in this Section 13, NHCA intends to distribute the
    balance of the Mellon Leasing Payment to the shareholders of NHCA as a
    distribution of sales proceeds reflecting the fact that NHCA is a Subchapter
    S Corporation. The Parties hereby agree that, notwithstanding anything to
    the contrary contained in the Purchase Agreement, the payment of the bonuses
    described in the preceding provisions of this Section 13 and the
    distribution of the remaining proceeds from the sale of the Sites to the
    shareholders of Oak Hill and NHCA described above in the preceding
    provisions of this Section 13 shall not be deemed or construed to violate
    any covenant, representation, warranty or other term or condition contained
    in the Purchase Agreement.
<PAGE>

         14. Section 12.4 of the Purchase Agreement is hereby amended by adding
    at the end thereof new subsections (g), (h) and (i) to read as follows:

         "(g) the failure of the Virginia Department of Environmental Quality to
         issue No Further Action Letters in forms reasonably acceptable to the
         Buyer with respect to contamination at the Williamsburg, Virginia and
         Staunton, Virginia facilities, identified in the June 17, 1996 and June
         27, 1996 letter reports prepared by Ray F. Weston, Inc., without
         requiring any further analysis, investigation, remediation or other
         work whatsoever prior to the issuance of such letters; (h) any costs
         which are incurred by Buyer to remove the asbestos containing
         fireproofing materials located underneath the stairwells at the Windham
         facility; or (i) any claims made by unrelated third parties or
         governmental authorities against NHCA arising as a result of its
         management of the Kensington Gardens facility of DAP prior to the
         Closing Date."

         15. Section 13.1 (a) of the Purchase Agreement is hereby amended to
    read in its entirety as follows:

         "13.1 Limitation on the Hamisters' Indemnity and Adjustment
         Obligations. (a) The obligation of the Hamisters to indemnify and hold
         Buyer harmless from and against any Damages incurred as a result of
         Claims described in subclauses (a), (c), (d), (e), (g), (h) and (i) of
         Section 12.4 shall apply with respect to the full amount of any and all
         Damages incurred by Buyer and the Buyer Group as a result of such
         Claims."

         16. The Parties agree that, notwithstanding anything to the contrary
    contained in the Purchase Agreement, the costs of removal of the asbestos
    containing fireproofing at the Windham facility shall be paid by the Owners
    and the Optionees. In addition, notwithstanding anything to the contrary
    contained in the Purchase Agreement, the Parties hereby agree that the
    Purchase Agreement shall be deemed and construed to be modified and amended
    to the extent necessary to provide that, following the Closing, the Buyer
    shall promptly following receipt by the Buyer of an itemized statement of
    such charges, reimburse to the Owners, the normal and reasonable operating
    costs and expenses attributable to the corporate headquarters operations of
    NHCA to the extent that such costs are attributable to the Skilled Nursing
    Facilities Business and then only to the extent that such costs and expenses
    are accrued and unpaid as of the Closing Date. The Owners agree that Buyer
    shall be permitted to review all underlying documentation and other records
    which support the amount of such charges. Payment of the expenses required
    to be reimbursed to the Owners pursuant to this Section 16 shall be made by
    wire transfer of immediately available funds to an account specified by Mark
    E. Hamister in writing to Buyer. The Parties agree that the Medicare cost
    allocation methodology shall be used for purposes of determining the portion
    of the normal and ordinary operating expenses of the corporate headquarters
    facility which is attributable to the Skilled Nursing Facilities Business.
    The Parties hereby further agree that the portion of the purchase price
    which shall be allocated to the tangible personal property of each of NHCA,
    Oak Hill, Derby Nursing Center, EIDOS, VersaLink and DAP (if applicable)
    shall be equal to the net book value of such tangible personal property
    determined as of December 31, 1995 and as more particularly set forth in
    Exhibit "G" attached hereto.

         17. The Parties agree that except as expressly modified or amended by
    this Agreement, all other terms, conditions and provision of the Purchase
    Agreement shall be and remain in full force and effect and shall be binding
    on each of the Parties.

<PAGE>

    IN WITNESS WHEREOF, the parties hereto have executed this Agreement on and
as of the date first set forth above.


                                    /s/ Mark E. Hamister
                                    ------------------------------
                                    Mark E. Hamister


                                              *
                                    ------------------------------
                                    Oliver C. Hamister


                                              *
                                    ------------------------------
                                    George E. Hamister


                                              *
                                    ------------------------------
                                    Julia L. Hamister



                                    THE GEORGE E. HAMISTER TRUST


                                    By:        *
                                       ----------------------------
                                             Trustee


                                               *
                                       -----------------------------
                                             Trustee

 
                                    THE OLIVER C. HAMISTER TRUST


                                    By:         *
                                       ------------------------------
                                              Trustee


                                                *
                                       ------------------------------
                                              Trustee

                                      

                                     EIDOS, INC.


                                     /s/ Mark E. Hamister
                                     ----------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer
<PAGE>


                                     VERSALINK, INC.


                                     /s/ Mark E. Hamister
                                     -----------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer



                                     NATIONAL HEALTH CARE AFFILIATES, INC.


                                     /s/ Mark E. Hamister
                                     -------------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer

        


                                     OAK HILL HEALTH CARE CENTER

                                     /s/ Mark E. Hamister
                                     --------------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer



                                     DERBY NURSING CENTER CORPORATION

                                     /s/ Mark E. Hamister
                                     ---------------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer



                                     DELAWARE AVENUE PARTNERS

                                     /s/ Mark E. Hamister
                                     ---------------------------------------
                                     Mark E. Hamister
                                     Chief Executive Officer
<PAGE>

                                                   *
                                     ---------------------------------------
                                     Jack A. Turesky


                                     /s/ David R. Taber
                                     ---------------------------------------
                                     David R. Taber


                                      /s/ Lisa Clark Driscoll
                                     ---------------------------------------
                                     Lisa Clark Driscoll

                                                   *
                                     ---------------------------------------
                                     Sal H. Alfiero


                                                   *
                                     ---------------------------------------
                                     Gerald S. Lippes




                                     ESTATE OF GEORGE E. HART


                                     By:           *
                                        -------------------------------------
                                        Administratrix



                                    *By: /s/ Mark E. Hamister
                                        -------------------------------------
                                        Mark E. Hamister
                                        Attorney-in-Fact


 
                                     GENESIS HEALTH VENTURES, INC.


                                     /s/ Edward B. Romanov, Jr.
                                     -----------------------------------------
                                     Edward B. Romanov, Jr.
                                     Senior Vice President
                                     Development/Finance


<PAGE>

                                                                     EXHIBIT 3


                                                  Genesis Health Ventures(SM)



                                                          News Release



                                                      148 West State Street
Contact: George V. Hager, Jr.                         Kennett Square, PA 19348
                                                      Tel 610 444 6350
Senior Vice President & Chief Financial Officer       Fax 610 444 3365

610-444-6350

For Immediate Release


               Genesis Health Ventures, Inc. Closes Acquisition Of
                      National Health Care Affiliates, Inc.

KENNETT SQUARE, PA -- July 26, 1996 -- Genesis Health Ventures, Inc. (NYSE:GHV)
today announced that it has closed the previously announced acquisition of the
outstanding stock of National Health Care Affiliates, Inc. ("NHCA") and four
related entities. The acquired companies owned or leased and operated 16
long-term care centers, a contract rehabilitation therapy business and a
nutritional therapy company. Prior to the closing of the stock acquisitions, an
affiliate of a financial institution purchased nine of the eldercare centers for
$67.7 million and subsequently leased the centers to a subsidiary of Genesis
Health Ventures under the terms of the operating lease agreements. The balance
of the total valuation was funded with available cash ($51.8 million) and
assumed debt ($7.9 million).

The transaction will add 16 centers with 2,202 licensed nursing and assisted
living beds in Florida (10 centers), Virginia (5 centers) and Connecticut (1
center). NHCA also provides rehabilitation therapy and nutritional therapy
primarily to customers in its centers and manages four eldercare centers in
Colorado with 283 beds.

A leader in the healthcare industry, Genesis Health Ventures was founded in 1985
to redefine how America cares for the elderly, utilizing a coordinated,
comprehensive approach that helps older people define and live a full life. The
Company has established Genesis ElderCare(SM) Networks in five major
metropolitan markets in the eastern United States and currently serves more than
70,000 customers.


                                       ###






                      Genesis Health Ventures, Inc.(SM) is the parent company's
                      corporate name and does business as Genesis ElderCare(SM)



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