GENESIS HEALTH VENTURES INC /PA
DEF 14A, 1997-01-22
SKILLED NURSING CARE FACILITIES
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<PAGE>
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                            SCHEDULE 14A INFORMATION
                Proxy Statement Pursuant to Section 14(a) of the
                Securities Exchange Act of 1934 (Amendment No. )

Filed by the Registrant /X/
Filed by a Party other than the Registrant / /

Check the appropriate box:

/ / Preliminary Proxy Statement
/ / Confidential, for Use of the Commission Only (as permitted by
    Rule 14a-6(e)(2))
/X/ Definitive Proxy Statement
/ / Definitive Additional Materials
/ / Soliciting Material Pursuant to 240.14a-11(c) or 240.14a-12


                            Genesis Health Ventures
- -----------------------------------------------------------------------------
                (Name of Registrant as Specified in Its Charter)


 -----------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

/X/ No fee required
/ / Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

    1) Title of each class of securities to which transaction applies:

       
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    2) Aggregate number of securities to which transaction applies:

       
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    3) Per unit price or other underlying value of transaction computed
       pursuant to Exchange Act Rule 0-11 (set forth the amount on which the
       filing fee is calculated and state how it was determined):

        
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    4) Proposed maximum aggregate value of transaction:

        
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    5) Total fee paid:

       
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/ / Fee paid previously with preliminary materials.
/ / Check box if any part of the fee is offset as provided by Exchange Act Rule
    0-11(a)(2) and identify the filing for which the offsetting fee was
    paid previously. Identify the previous filing by registration statement
    number, or the Form or Schedule and the date of its filing.

    1) Amount Previously Paid: 

    ___________________________________________________________________________
    2) Form, Schedule or Registration Statement No.:

    ___________________________________________________________________________
    3) Filing Party:

    ___________________________________________________________________________
    4) Date Filed:

    ___________________________________________________________________________
<PAGE>

                                            LOGO Genesis Health Ventures(SM)

                                                     148 West State Street 
                                                     Kennett Square, PA 19348 
                                                     Tel 610 444 6350 
                                                     Fax 610 444 3365





 

                                                        January 21, 1997 





      Dear Shareholder: 

        You are cordially invited to attend the 1997 Annual Meeting of 
      Shareholders of Genesis Health Ventures, Inc. which will be held 
      on Thursday, March 6, 1997 at 10:00 A.M., at 209 Dalmatian Street, 
      Kennett Square, Pennsylvania 19348. The official notice of the 
      meeting together with a proxy statement and form of proxy are 
      enclosed. Please give this information your careful attention. 

        Shareholders of the Company are being asked to elect two 
      directors of the Company to serve for three-year terms until 
      the 2000 Annual Meeting of Shareholders and to approve an 
      amendment to the Company's Employee Stock Option Plan. 
      Whether or not you expect to attend the meeting in person, it 
      is important that your shares be voted at the meeting. I urge 
      you to specify your choices by marking the enclosed proxy and 
      returning it promptly.




 
                                              Sincerely,

                                              /s/ Michael R. Walker
                                              ---------------------------
                                              MICHAEL R. WALKER 
                                              Chairman and 
                                              Chief Executive Officer 

<PAGE>

                          GENESIS HEALTH VENTURES, INC.
                              148 WEST STATE STREET
                          KENNETT SQUARE, PA 19348-3021
                                     ------
                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
                                  MARCH 6, 1997
                                     ------

      To Our Shareholders: 

        The 1997 Annual Meeting of Shareholders of Genesis Health 
      Ventures, Inc. (the "Company") will be held at 209 Dalmatian 
      Street, Kennett Square, Pennsylvania 19348, on Thursday, March 6, 
      1997 at 10:00 A.M., for the following purposes as more fully 
      described in the annexed Proxy Statement: 

         1. To elect two directors for terms of three years each; 

         2. To consider and act on an amendment to the Company's 
            Employee Stock Option Plan which increases the number of 
            shares issuable under the Plan from 3,750,000 to 4,500,000; 
            and 

         3. To transact such other business as may properly come before 
            the meeting or any postponement or adjournment thereof. 

        The Board of Directors has fixed December 20, 1996, as the 
      record date for the determination of shareholders entitled to vote 
      at the meeting. Only shareholders of record at the close of 
      business on that date will be entitled to notice of, and to vote 
      at, the meeting. 

        You are cordially invited to attend the meeting in person. 
      Whether or not you expect to attend the meeting in person, 
      you are urged to sign and date the enclosed proxy and return 
      it promptly in the envelope provided for that purpose. 


                                      By the Order of the Board of Directors


                                      /s/ Ira C. Gubernick
                                      ---------------------------------------
                                      IRA C. GUBERNICK 
                                      Corporate Secretary 

January 21, 1997 
<PAGE>

                          GENESIS HEALTH VENTURES, INC.
                              148 West State Street
                          Kennett Square, PA 19348-3021
                                     ------
                                 PROXY STATEMENT
                                     ------

   This proxy statement, which together with the accompanying proxy card is 
first being mailed to shareholders on or about January 21, 1997, is furnished 
to the shareholders of the Company in connection with the solicitation of 
proxies by the Board of Directors on behalf of the Company for use in voting 
at the 1997 Annual Meeting of Shareholders, including any adjournment or 
postponement thereof. 

   Proxies in the form enclosed, if properly executed and received in time 
for voting, and not revoked, will be voted as directed in accordance with the 
instructions thereon. Any proxy not so directing to the contrary will be 
voted FOR the Company's nominees as directors and FOR approval of the 
amendment to the Employee Stock Option Plan. Sending in a signed proxy will 
not affect a shareholder's right to attend the meeting and vote in person 
since the proxy is revocable. Any shareholder giving a proxy may revoke it at 
any time before it is voted at the meeting by delivering a later dated proxy 
or by giving written notice to the Secretary of the Company. 

   The cost of this solicitation will be borne by the Company. In addition to 
solicitation by mail, proxies may be solicited in person or by telephone, 
telegraph or facsimile by directors, officers or employees of the Company and 
its subsidiaries without additional compensation. In addition, Corporate 
Investors Communications, Inc. will provide solicitation services to the 
Company for a fee of approximately $4,000 plus out-of-pocket expenses. The 
Company will, on request, reimburse shareholders of record who are brokers, 
dealers, banks or voting trustees, or their nominees, for their reasonable 
expenses in sending proxy materials and annual reports to the beneficial 
owners of the shares they hold of record. 

VOTING SECURITIES 

   At the close of business on December 20, 1996, the record date for the 
determination of shareholders entitled to receive notice of and to vote at 
the meeting, the Company's outstanding voting securities consisted of 
34,900,863 shares of Common Stock. Holders of Common Stock are entitled to 
one vote per share. 
<PAGE>

                            PRINCIPAL SHAREHOLDERS 

   The following table sets forth at November 30, 1996, certain information 
with respect to the beneficial ownership of Common Stock (i) by each person 
who is known by the Company to be the beneficial owner of more than five 
percent of the Common Stock, (ii) by each director and nominee for director, 
(iii) by each of the Company's five most highly compensated executive 
officers and (iv) by all directors and executive officers as a group. 

<TABLE>
<CAPTION>
                                                                               Shares of 
                                                                              Common Stock      Percent of 
                                                                              Beneficially     Common Stock 
                                                                               Owned (1)           Owned 
                                                                             --------------    -------------- 
<S>                                                                          <C>               <C>
Putnam Investments, Inc. (2) 
  One Post Office Square 
  Boston, Massachusetts 02109 ............................................     2,969,041           8.51% 
AIM Management Group Inc. (3) 
  11 Greenway Plaza 
  Houston, Texas 77046 ...................................................     2,339,781           6.70% 
Fred F. Nazem (4) ........................................................     1,623,704           4.65% 
Allen R. Freedman(5) .....................................................         4,500               * 
Richard R. Howard (6) ....................................................       258,202               * 
Samuel H. Howard (7) .....................................................        26,250               * 
Roger C. Lipitz (8) ......................................................        19,000               * 
Stephen E. Luongo (9) ....................................................        41,018               * 
Alan B. Miller (10) ......................................................        17,000               * 
Michael R. Walker (11) ...................................................       767,876           2.20% 
David C. Barr (12) .......................................................       179,875               * 
George V. Hager, Jr. (13) ................................................        93,599               * 
Edward B. Romanov, Jr.(14) ...............................................        98,947               * 
All executive officers and directors as a group (16 persons) .............     3,254,232           9.32% 
</TABLE>
- ------ 
* Less than one percent. 
 (1) The securities "beneficially owned" by a person are determined in 
     accordance with the definition of "beneficial ownership" set forth in 
     the regulations of the Securities and Exchange Commission (the 
     "Commission") and accordingly, may include securities owned by or for, 
     among others, the spouse, children or certain other relatives of such 
     person as well as other securities as to which the person has or shares 
     voting or investment power or has the right to acquire within 60 days 
     after November 30, 1996. The same shares may be beneficially owned by 
     more than one person. Beneficial ownership may be disclaimed as to 
     certain of the securities. 
 (2) Based upon a Schedule 13G, dated January 15, 1996. Consists of 2,505,019 
     shares beneficially owned by Putnam Investment Management, Inc. and 
     464,022 shares beneficially owned by The Putnam Advisory Company, Inc. 
     which are registered investment advisors, are wholly-owned by Putnam 
     Investments, Inc. Putnam Investments, Inc. is a wholly-owned subsidiary 
     of Marsh & McLennon Companies, Inc. 
 (3) Based upon a Schedule 13G, dated November 9, 1995. 
 (4) Consists of 966,724 shares of Common Stock held by Nazem & Company, II, 
     L.P., 630,480 shares of Common Stock held by Nazem & Company, III, L.P 
     and 22,500 shares of Common Stock which may be acquired upon the 
     exercise of stock options. 
 (5) Consists of 4,500 shares which may be acquired upon the exercise of 
     stock options. 
 (6) Includes 46,877 shares of Common Stock held of record by the Retirement 
     Plan as to which Mr. Howard shares voting power and 152,375 shares which 
     may be acquired upon the exercise of stock options. 
 (7) Consists of 22,500 shares which may be acquired upon the exercise of 
     stock options. 
 (8) Consists of 9,000 shares which may be acquired upon the exercise of 
     stock options. 
 (9) Includes 27,000 shares which may be acquired upon the exercise of stock 
     options. 
(10) Consists of 13,500 shares which may be acquired upon the exercise of 
     stock options. 
(11) Includes 46,877 shares of Common Stock held of record by the Retirement 
     Plan as to which Mr. Walker shares voting power and 334,500 shares of 
     Common Stock which may be acquired upon the exercise of stock options. 
(12) Includes 176,825 shares which may be acquired upon the exercise of stock 
     options. 
(13) Includes 93,000 shares which may be acquired upon the exercise of stock 
     options. 
(14) Includes 38,499 shares which may be acquired upon the exercise of stock 
     options. 

                                      2 
<PAGE>

                                  PROPOSAL 1 
                            ELECTION OF DIRECTORS 

INFORMATION CONCERNING NOMINEES 

   Two directors are to be elected at the Annual Meeting to serve three-year 
terms until the 2000 Annual Meeting of Shareholders and until their 
respective successors are elected and qualified. 

   The Board of Directors has designated the persons listed below to be 
nominees for election as directors: 

<TABLE>
<CAPTION>
          Name                        Age        Position with the Company 
 ----------------------------        -----       ----------------------------------- 
<S>                                   <C>         <C>
Stephen E. Luongo (1) ......          49         Director 
Michael R. Walker (2) ......          48         Chairman and Chief Executive Officer 
</TABLE>

- ------ 
(1) Member of the Compensation Committee of the Board of Directors. 

(2) Member of the Executive Committee of the Board of Directors. 

   Stephen E. Luongo has served as a director of the Company since June 1985. 
He is a partner in the law firm of Blank Rome Comisky & McCauley. Blank Rome 
Comisky & McCauley serves as outside legal counsel for the Company. 

   Michael R. Walker, founder of the Company, has served as Chairman and 
Chief Executive Officer of the Company since its inception. In 1981, Mr. 
Walker co-founded Health Group Care Centers ("HGCC"). At HGCC, he served as 
Chief Financial Officer and, later, as President and Chief Operating Officer. 
Prior to its sale in 1985, HGCC operated nursing homes with 4,500 nursing 
beds in 12 states. From 1978 to 1981, Mr. Walker was the Vice President and 
Treasurer of AID Healthcare Centers, Inc. ("AID"). AID, which owned and 
operated 20 nursing centers, was co-founded in 1977 by Mr. Walker as the 
nursing home division of Hospital Affiliates, Inc. ("HAI"). Mr. Walker is a 
member of the Board of Directors of Renal Treatment Centers, Inc. and the 
Board of Trustees of Universal Health Realty Income Trust. 

   Stephen E. Luongo and Michael R. Walker are currently serving as directors 
of the Company and have consented to being named in this Proxy Statement and 
to serve if elected. The Company has no reason to believe that any of the 
nominees will be unavailable for election. Should any nominee become 
unavailable for any reason, the Board of Directors may designate a substitute 
nominee. 

   Unless authority has been withheld, the proxy agents intend to vote FOR 
the election of all of the Company's nominees. The election of a director 
requires the affirmative vote of a majority of the votes cast by all 
shareholders represented and entitled to vote thereon. An abstention, 
withholding of authority to vote or broker non-vote, therefore, will not have 
the same legal effect as an "against" vote and will not be counted in 
determining whether the nominee has received the required shareholder vote. 
The Board of Directors unanimously recommends that you vote "For" the 
election of all nominees. 

INFORMATION CONCERNING CONTINUING DIRECTORS 

   The following tables set forth certain information concerning those 
directors whose terms will expire at the 1998 and 1999 Annual Meetings of 
Shareholders: 

<TABLE>
<CAPTION>
                           Name                              Age   Position with the Company 
 --------------------------------------------------------   -----   ----------------------------------------------- 
<S>                                                         <C>    <C>
The terms of the following directors will expire in 
  1998: 

Roger C. Lipitz (1)  ....................................    54    Director 
Alan B. Miller (2)  .....................................    58    Director 
Fred F. Nazem (3)  ......................................    56    Director 

The terms of the following directors will expire in 
  1999: 

Richard R. Howard (3)  ..................................    47    President, Chief Operating Officer and Director 
Samuel H. Howard (1), (2)  ..............................    57    Director 
Allen R. Freedman (1)  ..................................    56    Director 
</TABLE>

                                      3 
<PAGE>

- ------ 
(1) Member of the Audit Committee of the Board of Directors. 

(2) Member of the Compensation Committee and Stock Option Subcommittee of the 
Board of Directors. 

(3) Member of the Executive Committee of the Board of Directors. 

   Roger C. Lipitz has served as a director of the Company since March, 1994. 
From 1969 until its acquisition by the Company in 1993, Mr. Lipitz served as 
Chairman of the Board of Meridian Healthcare, Inc., a Maryland based long 
term care company which operated over 5,000 beds and related businesses. Mr. 
Lipitz is a past president of the American Health Care Association, Health 
Facilities Association of Maryland and the National Council of Health Care 
Services. Mr. Lipitz is a member of the Board of Directors of Blue Cross and 
Blue Shield of Maryland. 

   Alan B. Miller has served as a director of the Company since October, 
1993. Since 1978, he has been Chairman of the Board, President and Chief 
Executive Officer of Universal Health Services, Inc., a Pennsylvania based 
health services company. Prior thereto, Mr. Miller was Chairman of the Board, 
President and Chief Executive Officer of American Medicorp, Inc. Mr. Miller 
is a member of the Board of Trustees of Universal Health Realty Income Trust 
and the Board of Directors of GMIS, Inc. 

   Fred F. Nazem has served as a director of the Company since January 1989. 
He is the founder and Managing Partner of Nazem & Company, a New York-based 
venture capital organization which manages a number of private partnerships 
funded by major American and international institutions. Prior to forming the 
partnerships, Mr. Nazem founded and managed two venture capital partnerships 
and an investment advisory firm, the GeoCapital Corporation. Before that, he 
had various investment management positions at the Irving Trust Company, 
including Vice President in charge of venture capital. Mr. Nazem is a member 
of the Board of Directors of Consep, Inc., Tegal Corporation, Oxford Health 
Plans, Inc. and Spatial Technology, Inc. 

   Richard R. Howard has served as a director of the Company since its 
inception and as Chief Operating Officer since June, 1986. He joined the 
Company in September 1985 as Vice President of Development. Mr. Howard's 
background in healthcare includes two years as the Chief Financial Officer 
HGCC. Mr. Howard's experience also includes over ten years with Fidelity 
Bank, Philadelphia, Pennsylvania and one year with Equibank, Pittsburgh, 
Pennsylvania. 

   Samuel H. Howard has served as a director of the Company since March, 
1988. He is the founder and Chairman of Phoenix Healthcare Corporation 
("Phoenix Healthcare") and the founder and President of Phoenix 
Communications Group, Inc. ("Phoenix Group") and Phoenix Holdings, Inc. all 
of which are based in Nashville, Tennessee. Formed in 1993, Phoenix 
Healthcare provides management services for managed care organizations, 
including health maintenance organizations serving Tennessee's Medicaid 
population through the innovative TennCare program which offers a managed 
care approach to meeting the healthcare needs of Tennessee's Medicaid and 
uninsured populations. Mr. Howard's past corporate and operations experience 
in the healthcare industry include having served as the Senior Vice President 
of Public Affairs for Hospital Corporation of America from August 1981 to 
January 1990, Vice President and Treasurer for HAI, and Vice President of 
Finance and Business for Meharry Medical College. In addition, Mr. Howard was 
a financial analyst for General Electric and a White House Fellow with U.S. 
Ambassador Arthur Goldberg. Mr. Howard is a member of the Board of Directors 
of O'Charley's, Inc. 

   Richard R. Howard and Samuel H. Howard are not related. 

   Allen R. Freedman has served as a director of the Company since February, 
1996. Since 1990, Mr. Freedman has served on the executive board of Fortis, a 
multinational financial services organization, which is the operating entity 
of Fortis AG, based in Belgium, and Fortis AMEV, based in the Netherlands. 
Since 1990, he has been Chairman and Chief Executive Officer of Fortis, Inc. 
and Chairman of the Board of its principal insurance and investment 
affiliates in the United States. These affiliates include American Security 
Group; Fortis Benefits Insurance Company; Time Insurance Company; and United 
Family Life Insurance Company. Mr. Freedman served as President of Fortis, 
Inc. from 1979 to 1990. Mr. Freedman is also a director of Fortis Advisors, 
Inc. and Systems and Computer Technology Corporation. 

BOARD MEETINGS AND COMMITTEES OF THE BOARD 

   The Board of Directors held four regular meetings and six special meetings 
during the fiscal year ended September 30, 1996. 

                                      4 
<PAGE>

   The Executive Committee held four meetings during the fiscal year ended 
September 30, 1996. The Executive Committee has the authority of the Board of 
Directors in the management of the business of the Company between the dates 
of regular meetings of the Board of Directors. 

   The Compensation Committee held two meetings during the fiscal year ended 
September 30, 1996. The Compensation Committee reviews the compensation of 
executive officers, makes recommendations to the Board regarding executive 
compensation and, through its Stock Option Subcommittee, administers the 
Company's Employee Stock Option Plan and Incentive Compensation Program. 

   The Audit Committee held two meetings during the fiscal year ended 
September 30, 1996. The Audit Committee is responsible for reviewing the 
Company's accounting and financial practices and policies and the scope and 
results of the Company's audit. The Audit Committee is also responsible for 
recommending the selection of the Company's independent public accountants. 

   The Company does not have a standing nominating committee. 

   Each director attended more than 75% of the meetings of the Board and 
committees of which they were members during the fiscal year ended September 
30, 1996, except that Alan R. Freedman attended 57% of the meetings of the 
Board and committee to which he is a member. 

   Directors who are not employees of the Company receive an annual retainer 
of $6,000 plus $2,500 for each regularly scheduled Board meeting which they 
attend and annually receive options to purchase 4,500 shares of Common Stock 
at an option price equal to the share's fair market value on the date of the 
grant. See "Executive Compensation and Certain Transactions -- Stock Option 
Plans -- Director Plan." 

                                  PROPOSAL 2 
               APPROVAL OF AMENDMENT TO THE COMPANY'S EMPLOYEE 
                              STOCK OPTION PLAN 

   On, November 13, 1996 the Board of Directors approved an amendment to the 
Company's 1985 Amended and Restated Employee Stock Option Plan (the "Employee 
Plan") that increased the maximum number of shares issuable under the 
Employee Plan by 750,000 shares to a total of 4,500,000 shares, subject to 
approval by the shareholders of the Company. 

   In fiscal 1996, the Company revised its incentive compensation program, 
which provided for cash bonuses and stock options, with its new incentive 
compensation program. Under the revised incentive compensation program, stock 
options issued under the Employee Plan are the sole form of incentive 
compensation to most eligible employees. Assuming approval of the amendment 
to increase the number of shares issuable under the Employee Plan by 750,000, 
options for a total of 3,760,700 shares are issued under the Employee Plan, 
corresponding to 10.7% of the total shares outstanding as of December 20, 
1996. See "Executive Compensation and Certain Transactions -- Incentive 
Compensation Program." 

INCREASE IN AUTHORIZED SHARES 

   Currently, options for a total of 3,750,000 shares may be issued under the 
Employee Plan. Of these shares, no shares remain currently available for 
future options, assuming approval of the proposed amendment. The amendment 
increases the maximum number of shares issuable under the Employee Plan by 
750,000 to a total of 4,500,000 shares. Of these shares, a determination has 
been made that all of the proposed additional 750,000 options will be 
allocated among eligible participants in the Employee Plan. If the 
shareholders do not approve the increase, then the maximum number of shares 
issuable under the Employee Plan will remain at 3,750,000. 

   The purpose of the proposed increase is to provide sufficient shares for 
future option grants to officers, key employees, consultants and advisors of 
the Company. The Board of Directors believes that the Company should have 
shares available under the Employee Plan to provide options to certain of its 
officers, key employees, consultants and advisors. The Board of Directors 
believes that the Company and its shareholders significantly benefit from 
having the Company's key management employees receive options to purchase the 
Company's Common Stock, and that the opportunity thus afforded these 
employees to acquire Common Stock is an essential element of an effective 
management incentive program. The Board of Directors also believes that stock 
options, particularly incentive stock options, are very valuable in 
attracting and retaining highly qualified management personnel and in 
providing additional motivation to management to use their best efforts on 
behalf of the Company and its shareholders. 

   Set forth below is a summary of certain significant provisions of the 
Employee Plan. 

                                      5 
<PAGE>

GENERAL 

   Pursuant to the Employee Plan, stock options may be granted which are 
intended to qualify as incentive stock options ("Incentive Options") under 
Section 422 of the Internal Revenue Code of 1986, as amended (the "Code"), as 
well as stock options not intended to so qualify ("Non-Qualified Options"). 
The primary purpose of the Employee Plan is to provide additional incentive 
to key employees and officers of the Company by encouraging them to invest in 
the Company's Common Stock and thereby acquire a proprietary interest in the 
Company and an increased personal interest in the Company's continued success 
and progress. 

ELIGIBILITY AND ADMINISTRATION 

   All officers and key employees of, and consultants and advisors to, the 
Company or any current or future subsidiary ("Subsidiary") (currently in 
excess of 750 people) are eligible to receive options under the Employee 
Plan. The Employee Plan is administered by the Stock Option Subcommittee of 
the Compensation Committee ("the Stock Option Subcommittee"). Subject to the 
provisions of the Employee Plan, the Stock Option Subcommittee determines, 
among other things, which officers, directors, key employees, consultants and 
advisors of the Company and any subsidiary will be granted options under the 
Employee Plan, whether options granted will be Incentive Options or 
Non-Qualified Options, the number of shares subject to an option, the time at 
which an option is granted, the rate of option exercisability, the duration 
of an option and the exercise price of an option. The Stock Option 
Subcommittee has the exclusive right to adopt or rescind rules for the 
administration of the Employee Plan, correct defects and omissions in, 
reconcile inconsistencies in, and construe the Employee Plan. The Stock 
Option Subcommittee also has the right to modify, suspend or terminate the 
Employee Plan, subject to certain conditions. 

NUMBER OF SHARES ADJUSTMENT 

   The aggregate number of shares which may be issued upon the exercise of 
options granted under the Employee Plan will be increased as a result of the 
proposed amendment from 3,750,000 to 4,500,000 shares of the Company's Common 
Stock. The aggregate number and kind of shares issuable under the Employee 
Plan is subject to appropriate adjustment to reflect changes in the 
capitalization of the Company, such as by stock dividend, stock split or 
other circumstances deemed by the Stock Option Subcommittee to be similar. 
Any shares of Common Stock subject to options that terminate unexercised will 
be available for future options granted under the Employee Plan. 

EXERCISE PRICE AND TERMS 

   The exercise price for Incentive Options granted under the Employee Plan 
must be equal to at least 100% of the fair market value of the Company's 
Common Stock as of the date of the grant of the option, except that the 
option exercise price of Incentive Options granted to an individual owning 
shares of the Company possessing more than 10% of the total combined voting 
power of all classes of stock of the Company must not be less than 110% of 
the fair market value as of the date of the grant of the option. The option 
price for Non-Qualified Options must equal at least 85% of the fair market 
value of the Common Stock on the date of the grant. 

   Unless terminated earlier by the option's terms, Non-Qualified Options and 
Incentive Options granted under the Employee Plan will expire ten years after 
the date they are granted, except that if Incentive Options are granted to an 
individual owning shares of the Company possessing more than 10% of the total 
combined voting power of all classes of stock of the Company on the date of 
the grant, such options will expire five years after the date they are 
granted. 

   Payment of the option price on exercise of Incentive Options and 
Non-Qualified Options may be made in cash, shares of Common Stock of the 
Company or a combination of both. Under the terms of the Employee Plan, the 
Stock Option Subcommittee could interpret the provision of the plan which 
allows payment of the option price in shares of Common Stock of the Company 
to permit the "pyramiding" of shares in successive, simultaneous exercises. 
As a result, an optionee could initially exercise an option in part, 
acquiring a small number of shares of Common Stock and immediately thereafter 
effect further exercises of the option, using the shares of Common Stock 
acquired upon earlier exercises to pay for an increasingly greater number of 

                                      6 
<PAGE>

shares received on each successive exercise. This procedure could permit an 
optionee to pay the option price by using a single share of Common Stock or a 
small number of shares of Common Stock and to acquire a number of shares of 
Common Stock having an aggregate fair market value equal to the excess of (a) 
the fair market value of all shares to which the option relates over (b) the 
aggregate exercise price under the option. 

TERMINATION OF SERVICE, DEATH AND DISABILITY 

   All unexercised options will terminate three months following the date an 
optionee ceases to be employed by the Company or any Subsidiary, other than 
by reason of disability or death (but in no event later than the expiration 
date). An optionee who ceases to be an employee because of a disability must 
exercise the option within one year after he ceases to be an employee (but in 
no event later than the expiration date). The heirs or personal 
representative of a deceased optionee who could have exercised an option 
while alive may exercise such option within one year following the optionee's 
death (but in no event later than the expiration date). No option granted 
under the Employee Plan is transferable except by the laws of descent and 
distribution in the event of death. 

FEDERAL INCOME TAX CONSEQUENCES 

   Non-Qualified Options. Generally, there will be no federal income tax 
consequences to either the optionee or the Company on the grant of a 
Non-Qualified Option. On the exercise of a Non-Qualified Option, the optionee 
(except as described below) has taxable ordinary income equal to the excess 
of the fair market value of the shares acquired on the exercise date over the 
option price of the shares. The Company will be entitled to a federal income 
tax deduction in an amount equal to such excess, provided that the Company 
(i) complies with applicable withholding rules and (ii) either the deduction 
limitation imposed by Section 162(m) of the Internal Revenue Code of 1986, as 
amended ("Code") is not exceeded or the Non-Qualified Options are excepted 
from the limitation imposed by Section 162(m) by reason of qualifying under 
the performance based compensation exception contained in Section 162(m). See 
"Section 162(m)" below. 

   Upon the sale of stock acquired by exercise of a Non-Qualified Option, 
optionees will realize long-term or short-term capital gain or loss depending 
upon their holding period for such stock. Under current law, net capital gain 
(net long term capital gain less net short term capital loss) is subject to a 
maximum tax rate of 28%. Capital losses are deductible only to the extent of 
capital gains for the year plus $3,000 for individuals. 

   An optionee who surrenders shares in payment of the exercise price of a 
Non-Qualified Option will not recognize gain or loss with respect to the 
shares so delivered unless such shares were acquired pursuant to the exercise 
of an Incentive Stock Option and the delivery of such shares is a 
disqualifying disposition. See "Incentive Stock Options" below. The optionee 
will recognize ordinary income on the exercise of the Non-Qualified Option as 
described above. Of the shares received in such an exchange, that number of 
shares equal to the number of shares surrendered will have the same tax basis 
and capital gains holding period as the shares surrendered. The balance of 
the shares received will have a tax basis equal to their fair market value on 
the date of exercise and the capital gains holding period will begin on the 
date of exercise. 

   Incentive Stock Options. Generally, under the Code, an optionee will not 
realize taxable income by reason of the grant or the exercise of an Incentive 
Option (see, however, the discussion of alternative minimum tax below). If an 
optionee exercises an Incentive Option and does not dispose of the shares 
until the later of (i) two years from the date the option was granted and 
(ii) one year from the date of exercise, the entire gain, if any, realized 
upon disposition of such shares will be taxable to the optionee as long-term 
capital gain, and the Company will not be entitled to any deduction. If an 
optionee disposes of the shares within the period of two years from the date 
of grant or one year from the date of exercise (a "disqualifying 
disposition"), the optionee generally will realize ordinary income in the 
year of disposition and the Company will receive a corresponding deduction, 
in an amount equal to the excess of (1) the lesser of (a) the amount, if any, 
realized on the disposition and (b) the fair market value of the shares on 
the date the option was exercised over (2) the option price, provided that 
the deduction limit of Section 162(m) is not exceeded or the Incentive Option 
qualifies for the performance-based compensation exception provided for in 
Section 162(m). See "Section 162(m)" below. Any additional gain realized on 
the disposition will be long-term or short-term capital gain and any loss 
will be long-term or short-term capital loss. The optionee will be considered 
to have disposed of 

                                      7 
<PAGE>

a share if he sells, exchanges, makes a gift of or transfers legal title to 
the share (except transfers, among others, by pledge, on death or to 
spouses). If the disposition is by sale or exchange, the optionee's tax basis 
will equal the amount paid for the share plus any ordinary income realized as 
a result of the disqualifying disposition. 

   The exercise of an Incentive Option may subject the optionee to the 
alternative minimum tax. The amount by which the fair market value of the 
shares purchased at the time of the exercise exceeds the option exercise 
price is an adjustment for purposes of computing the so-called alternative 
minimum tax. In the event of a disqualifying disposition of the shares in the 
same taxable year as exercise of the Incentive Option, no adjustment is then 
required for purposes of the alternative minimum tax, but regular income tax, 
as described above, may result from such disqualifying disposition. 

   An optionee who surrenders shares as payment of the exercise price of his 
Incentive Option generally will not recognize gain or loss on his surrender 
of such shares. The surrender of shares previously acquired upon exercise of 
an Incentive Option in payment of the exercise price of another Incentive 
Option, is, however, a "disposition" of such shares. If the incentive stock 
option holding period requirements described above have not been satisfied 
with respect to such shares, such disposition will be a disqualifying 
disposition that may cause the optionee to recognize ordinary income as 
discussed above. 

   Under the Code, all of the shares received by an optionee upon exercise of 
an Incentive Option by surrendering shares will be subject to the incentive 
stock option holding period requirements. Of those shares, a number of shares 
(the "Exchange Shares") equal to the number of shares surrendered by the 
optionee will have the same tax basis for capital gains purposes (increased 
by an ordinary income recognized as a result of any disqualifying disposition 
of the surrendered shares if they were incentive stock option shares) and the 
same capital gains holding period as the shares surrendered. For purposes of 
determining ordinary income upon a subsequent disqualifying disposition of 
the Exchange Shares, the amount paid for such shares will be deemed to be the 
fair market value of the shares surrendered. The balance of the shares 
received by the optionee will have a tax basis (and a deemed purchase price) 
of zero and a capital gains holding period beginning on the date of exercise. 
The Incentive Stock Option holding period for all shares will be the same as 
if the option had been exercised for cash. 

   Section 162(m). Generally, Section 162(m), denies a deduction to any 
publicly held corporation, such as the Company, for certain compensation 
exceeding $1,000,000 paid to the chief executive officer and the other four 
highest paid executive officers during any taxable year. Although ordinary 
income that is realized upon the exercise of a Non-Qualified Option or the 
disqualifying disposition of shares acquired pursuant to the exercise of an 
Incentive Option is potentially subject to the limitation imposed under 
Section 162(m), Section 162(m) and the regulations thereunder provide that 
compensation attributable to the stock options granted under the Employee 
Plan may qualify for the performance-based exclusion in Section 162(m). If 
the stock options qualify for the performance-based exclusion, the 
compensation received upon their exercise would not be subject to the 
deduction limit set forth in Section 162(m). The Company believes that, 
assuming satisfaction of certain conditions set forth in Section 162(m), the 
compensation attributable to the stock options granted under the Employee 
Plan will meet the performance-based exclusion under Section 162(m) and 
therefore the deduction limitation will be inapplicable to options to be 
issued under the Employee Plan. 

                                      8 
<PAGE>

OPTION GRANTS 

   At November 30, 1996, assuming approval of the proposed amendment, options 
to purchase a total of 3,760,700 shares of Common Stock were outstanding 
under the Employee Plan at an average exercise share price of $21.08. On 
November 13, 1996, subject to shareholder approval of the proposed amendment, 
the Stock Option Subcommittee approved the grant under the Employee Plan of 
1,063,913 options among eligible participants at an exercise price of $25.00 
per share (the "November Grant"). A determination has been made that all of 
the proposed additional 750,000 options will be allocated among eligible 
participants in the Employee Plan. 

   The following table sets forth certain information concerning options 
issued to date under the Employee Plan, including options which have been 
exercised: 

<TABLE>
<CAPTION>
                                                                                         Total 
                                                                                        Options     Weighted Average 
                         Name and Position with the Company                             Granted      Exercise Price 
- -----------------------------------------------------------------------------------    -----------   ---------------- 
<S>                                                                                    <C>           <C>
Michael R. Walker .................................................................      418,126         $11.25 
 Chairman and Chief Executive Officer 
Richard R. Howard .................................................................      327,000         $15.82 
  President, Chief Operating Officer and Director 
David C. Barr .....................................................................      277,500         $15.41 
  Executive Vice President 
George V. Hager, Jr. ..............................................................      172,500         $17.07 
 Senior Vice President and Chief Financial Officer 
Edward Romanov, Jr. ...............................................................      297,500         $13.74 
 Senior Vice President -- Development 
All Executive Officers and Directors as a Group(1) ................................    1,741,993         $15.20 
All Employees, other than Executive Officers and Directors, as a Group(1) .........    3,219,003         $20.09 
</TABLE>

- ------ 

(1) Includes the November Grant, which is subject to shareholder approval of 
the proposed amendment. 

   On January 15, 1997, the last sale price of the Company's Common Stock was 
$28.87. 

   Unless authority has been withheld, the proxy agents intend to vote FOR 
approval of the amendment to the Employee Plan. The approval of the amendment 
to the Employee Plan requires the affirmative vote of a majority of the votes 
cast by all shareholders represented and entitled to vote thereon. An 
abstention, withholding of authority to vote or broker non-vote, therefore, 
will not have the same legal effect as an "against" vote and will not be 
counted in determining whether the proposal has received the required 
shareholder vote. The Board of Directors unanimously recommends that you vote 
"FOR" approval of the amendment to the Employee Plan. 

                                      9 
<PAGE>

               EXECUTIVE COMPENSATION AND CERTAIN TRANSACTIONS 

COMPENSATION COMMITTEE REPORT 

   The Compensation Committee of the Board of Directors is comprised of 
Stephen E. Luongo, Samuel H. Howard and Alan B. Miller, who were not officers 
or employees of the Company during the fiscal year. The Committee reviews the 
compensation of executive officers, makes recommendations to the Board of 
Directors regarding executive compensation and, through its Stock Option 
Subcommittee, administers the Company's Employee Plan and incentive 
compensation program. 

   The Company's compensation policies and practices with respect to 
executive officers are designed and implemented to motivate and retain senior 
executives. In determining compensation levels the Committee considers 
compensation packages offered by similar sized companies within the 
healthcare industry. 

   The Company has employment agreements with Michael R. Walker as Chairman 
and Chief Executive Officer, Richard R. Howard as President and Chief 
Operating Officer and David C. Barr as Executive Vice President, which were 
effective as of April 1, 1994 for Mr. Walker and as of April 1, 1991 for 
Messrs. Howard and Barr. Mr. Walker's agreement currently expires on March 
31, 1997 and automatically extends for a one-year term unless notice of 
non-renewal is given at least one year prior to termination. Messrs. Howard 
and Barr's agreements were modified in April, 1994 and currently expire on 
September 30, 1997 and are automatically extended for a one year term unless 
notice of non-renewal is given at least one year prior to termination. 
Messrs. Walker, Howard and Barr have not provided notice of non-renewal and, 
therefore the term of each of their employment agreements will automatically 
renew for an additional one year. 

   Total compensation is currently divided into two primary components: base 
salary and stock options. The award and vesting of stock options serves as 
incentive for superior performance and is based upon both the performance of 
the executives and the Company. In fiscal 1996, the Company revised its 
incentive compensation program. Under the revised incentive compensation 
program, stock options issued under the Employee Plan are the sole form of 
incentive compensation to most eligible employees. See "Executive 
Compensation and Certain Transactions -- Incentive Compensation Program". 

   Compensation of the named executive officers for fiscal 1996 was 
determined in accordance with the employment agreements as previously 
described and/or the Company's compensation policies. Under the employment 
agreements base salary is reviewed annually and set by the Board based upon 
the recommendation of the Committee. 

   In the case of executive officers with whom the Company did not have 
employment agreements, compensation was set at levels consistent with the 
Company's policies and performance. The Company uses the Employee Plan as a 
long-term incentive plan for executive officers and key employees. The 
objectives of the Employee Plan are to align the long-term interests of 
executive officers and shareholders by creating a direct link between 
executive compensation and shareholder return, and to enable executives to 
develop and maintain a significant long-term equity interest in the Company. 
The Employee Plan authorizes the Compensation Committee to award stock 
options to officers and key employees. Stock option grants in fiscal 1996 
were determined by the stock option subcommittee of the Compensation 
Committee based upon recommendations of senior management. 

   Messrs. Walker, Howard and Barr's compensation for fiscal 1996 is 
commensurate with the Company's performance and their contributions thereto. 
As with the Company's other executive officers, Messrs. Walker, Howard and 
Barr's total compensation involve certain subjective judgment and are not 
based solely upon specific objective criteria. 

   Generally, Section 162(m) denies deduction to any publicly held company 
such as the Company for certain compensation exceeding $1,000,000 paid to the 
chief executive officer and the four other highest paid executive officers, 
excluding among other things certain performance-based compensation. The 
Compensation Committee will continually evaluate to what extent Section 
162(m) will apply to its other compensation programs. 

   Samuel H. Howard             Stephen E. Luongo            Alan B. Miller 

                                      10 
<PAGE>

SUMMARY COMPENSATION TABLE 

   The following table sets forth certain information regarding the 
compensation paid to the Chief Executive Officer and each of the four other 
most highly compensated executive officers of the Company for services 
rendered in all capacities for fiscal 1996, fiscal 1995 and fiscal 1994: 

<TABLE>
<CAPTION>
                                                                               Long Term         All Other 
                                               Annual Compensation           Compensation     Compensation (1) 
                                       ----------------------------------    --------------   ---------------- 
          Name and Position              Fiscal                                 Option 
           with the Company               Year     Salary (2)   Bonus (3)     Awards (3) 
- -------------------------------------   --------    ----------   ---------   -------------- 
<S>                                    <C>         <C>          <C>          <C>                  <C>
Michael R. Walker                         1996      $450,329     $      0             0           $  7,844 
   Chairman and Chief                     1995       418,773       79,000             0              5,400 
   Executive Officer                      1994       367,326      157,000       202,500              8,611 

Richard R. Howard                         1996      $307,035     $      0       100,500           $  6,875 
   President, Chief Operating             1995       286,728      151,000             0              4,500 
   Officer and Director                   1994       248,649       90,000        88,500              6,128 

David C. Barr                             1996      $256,095     $      0        79,500           $  2,200 
   Executive Vice President               1995       241,221      121,000             0              2,725 
                                          1994       210,073       80,000        70,500              3,425 

George V. Hager, Jr.                      1996      $224,994     $      0        67,500           $  3,247 
   Senior Vice President                  1995       204,583       55,000        15,000              3,679 
   and Chief Financial Officer            1994       171,294       45,000        15,000              4,011 

Edward Romanov, Jr.                       1996      $215,788     $      0       102,500           $      0 
   Senior Vice President -                1995        93,039       52,000        15,000             93,100 
   Development                            1994             0            0             0            246,750 
</TABLE>

- ------ 
(1) Represents the Company's matching contribution under the 401(k), Profit 
    Sharing Plan, Execuflex Plan and executive insurance policies. In 
    addition, other compensation for Mr. Romanov in fiscal 1995 and 1994 
    includes amounts paid to American Community Environments Corporation 
    ("ACE") for consulting services. See "Executive Compensation and Certain 
    Transactions -- Compensation Committee Interlocks and Insider 
    Transactions". 

(2) Includes compensation deferred under the Company's 401(k), Profit Sharing 
    Plan, Execuflex Plan and other arrangements with the Company; does not 
    include other payments made by the Company under the Company's 401(k), 
    Profit Sharing Plan and Execuflex Plan. 

(3) In fiscal 1996, the Company revised its former incentive compensation 
    program. Under the revised incentive compensation program, stock options 
    issued under the Employee Plan are the sole form of incentive 
    compensation to most eligible employees, including the Company's 
    executive officers. See "Executive Compensation and Certain Transactions 
    -- Incentive Compensation Program". 

EMPLOYMENT AGREEMENTS 

   In April 1994, the Company entered into a new employment agreement with 
Michael R. Walker as its Chairman and Chief Executive Officer. In April 1991, 
the Company entered into employment agreements with Richard R. Howard as its 
President and Chief Operating Officer and David C. Barr as its Executive Vice 
President which agreements were modified in April, 1994 (collectively Messrs. 
Walker, Howard and Barr are the "Executive Employees"). The agreement with 
Mr. Walker currently expires on March 31, 1997 and the agreements with 
Messrs. Howard and Barr, as modified, each currently expire on September 30, 
1997. Unless notice of non-renewal is given by either party at least one year 
prior to the expiration of the then current term, the agreement is 
automatically extended each year for an additional one year term. Messrs. 
Walker, Howard and Barr have not provided notice on non-renewal and, 
therefore, the term of each of their employment agreements automatically 
renew for an additional one year. The annual base salaries of Messrs. Walker, 
Howard and Barr currently are $462,000, $315,000 and $263,000, respectively, 
and are reviewable by the 

                                      11 
<PAGE>

Company's Board of Directors at least annually. In addition, the Executive 
Employees have received stock options to purchase shares of Common Stock. The 
agreements may be terminated by the Company at any time for Cause (as 
defined), upon the vote of not less than two-thirds of the entire membership 
of the Company's Board of Directors. The Executive Employee may terminate his 
employment agreement on 30 days' notice upon the occurrence of certain 
events, including an election by the Company not to renew the term of the 
agreement, as described above. In the event that the Company terminates the 
Executive Employee's employment agreement without Cause, or the Executive 
Employee terminates his employment agreement as described in the preceding 
sentence, the Executive Employee is entitled to severance compensation equal 
to two years of his then current base salary for Mr. Walker, and one year for 
Messrs. Howard and Barr. Each Executive Employee is entitled to certain 
insurance benefits. If an Executive Employee becomes disabled, he will 
continue to receive all of his compensation and benefits for six months, less 
any amounts received under any disability insurance provided by the Company. 
If the disability continues for more than twelve months in any 24 month 
period, the Company may terminate the Executive Employee's employment. Each 
employment agreement also contains provisions which are intended to limit the 
Executive Employee from competing with the Company throughout the term of the 
agreement and for a period of two years thereafter. 

RETIREMENT PLAN 

   On January 1, 1989, the Company adopted an employee Retirement Plan which 
consists of a 401(k) component and a profit sharing component. The Retirement 
Plan, which is intended to be qualified under Section 401(a) and (k) of the 
Code, is a cash deferred profit-sharing plan covering all of the employees of 
the Company (other than certain employees covered by a collective bargaining 
agreement) who have completed at least 1,000 hours of service and twelve 
months of employment. Under the 401(k) component, each employee may elect to 
contribute a portion of his or her current compensation up to the lesser of 
$9,500 (or the maximum then permitted by the Code) or 15% (or for more highly 
compensated employees 2%) of such employee's annual compensation. The Company 
may make a matching contribution each year as determined by the Board of 
Directors. The Board of Directors may establish this contribution at any 
level each year, or may omit such contribution entirely. 

   The Company match since January, 1995 has been based on years of service. 
An employee who has completed six years of service prior to the beginning of 
the calendar year, is entitled to receive a match of $0.75 per $1.00 of the 
employee's contribution, up to 4% of his salary. Therefore, if this employee 
contributes 4% or more of his salary, the Company contributes 3% of his 
salary. If the employee contributes less than 4%, the Company contributes 
$0.75 per $1.00 of contribution. 

   If an employee has not completed six years of service, he is matched $0.50 
per $1.00 of contribution up to 2% of his salary. Therefore, if this employee 
contributes 2% or more of his salary, the Company contributes 1% of his 
salary. If the employee contributes less than 2%, the Company contributes 
$0.50 per $1.00 of contribution 

   Under the profit sharing provisions of the Retirement Plan, the Company 
may make an additional employer contribution as determined by the Board of 
Directors each year. The Board of Directors may establish this contribution 
at any level each year, or may omit such contribution entirely. It is the 
Company's intent that employer contributions under the profit sharing 
provisions of the Retirement Plan are to be made 50% in the form of Common 
Stock and 50% in cash, and are to be made only if there are sufficient 
profits to do so. Profit sharing contributions are allocated among the 
accounts of participants in the proportion that their annual compensation 
bears to the aggregate annual compensation of all participants. All employee 
contributions to the Retirement Plan are 100% vested. Company contributions 
are vested in accordance with a schedule that generally provides for vesting 
after five years of service with the Company (any non-vested amounts that are 
forfeited by participants are used to reduce the following year's 
contribution by the Company.) Distribution of benefits normally will commence 
upon the participant's reaching age 65 (or, if earlier, upon the 
participant's death or disability). Payment of Retirement Plan benefits will 
generally be made in a lump sum unless an alternative equivalent form of 
benefit is elected. Certain special rules apply to the distribution of 
benefits to participants for whom the Retirement Plan has accepted a transfer 
of assets from another tax-qualified pension plan. 

                                      12 
<PAGE>

STOCK OPTION PLANS 

   Employee Stock Option Plan. See "Approval of Amendment to the Company's 
Employee Stock Option Plan" for a description of the Company's Employee Stock 
Option Plan. 

   Director Plan. In March 1992, the Company adopted, and in February 1993, 
the shareholders approved, the Company's 1992 Stock Option Plan for 
Non-Employee Directors (the "Director Plan"). The purpose of the Director 
Plan is to attract and retain non-employee directors and to provide 
additional incentive to them by encouraging them to invest in the Common 
Stock and acquire an increased personal interest in the Company's business. 
Payment of the exercise price for options granted under the Director Plan may 
be made in cash, shares of Common Stock or a combination of both. All options 
granted pursuant to the Director Plan are immediately exercisable and, except 
as indicated below, may not be exercised more than ten years from the date of 
grant. 

   The Director Plan is administered by the Board of Directors of the 
Company, including non-employee directors, who may modify, amend, suspend or 
terminate the Director Plan, other than the number of shares with respect to 
which options are to be granted, the option exercise price, the class of 
persons eligible to participate, or options previously granted. Pursuant to 
the Director Plan, options may be granted for an aggregate of 225,000 shares 
of Common Stock. Options granted under the Director Plan are not incentive 
stock options under Section 422 of the Code. The Director Plan terminates ten 
years after its approval by shareholders. 

   At each annual meeting of shareholders, each individual who is elected, 
re-elected or continues as a non-employee director automatically is granted 
an option to purchase 4,500 shares of Common Stock at the then fair market 
value of the Common Stock. On February 28, 1996, each non-employee director 
of the Company was granted an option to purchase 4,500 shares of Common Stock 
at an exercise price of $29.25 per share. 

OPTION GRANTS 

   The following table sets forth certain information concerning stock 
options granted under the Employee Plan during fiscal 1996 to the Chief 
Executive Officer and each of the four other most highly compensated 
executive officers of the Company: 

                      OPTION GRANTS IN LAST FISCAL YEAR 

<TABLE>
<CAPTION>
                                                                                                Potential Realizable 
                                                                                                       Values 
                                                                                                  at Assumed Annual 
                                                                                                Rates of Stock Price 
                                                                                                  Appreciation For 
                                                 Individual Grants                                   Option Term 
                           --------------------------------------------------------------  ------------------------------ 
                                       Percent of Total 
                                        Options Granted 
                            Options      to Employees      Exercise        Expiration 
          Name              Granted     In Fiscal Year       Price            Date               5%              10% 
- ------------------------   ---------    ----------------   ----------   -----------------   -------------   ------------- 
<S>                         <C>          <C>               <C>          <C>                  <C>             <C>
Michael R. Walker ......          0            0%             --                --               --              -- 
Richard R. Howard ......    100,500           10%           $29.25          2/28/06          $1,828,240      $4,652,414 
David C. Barr ..........     79,500            8%            29.25          2/28/06           1,446,220       3,680,267 
George V. Hager, Jr. ...     67,500            7%            29.25          2/28/06           1,227,922       3,124,755 
Edward Romanov, Jr. ....    102,500           10%            26.90     8/21/06 - 2/28/06      1,841,571       4,565,762 
</TABLE>

   The following table sets forth certain information concerning the shares 
acquired upon exercise of options, the number of unexercised options and the 
value of unexercised options at the end of fiscal 1996 held by the Chief 
Executive Officer and each of the four other most highly compensated 
executive officers of the Company: 

                                      13 
<PAGE>

 AGGREGATED OPTIONS EXERCISES IN LAST FISCAL YEAR AND FISCAL YEAR-END OPTION 
                                    VALUES 

<TABLE>
<CAPTION>
                                                                                          Value of Unexercised 
                                                                 Number of Unexercised        In-the-Money 
                                                                   Options at Fiscal       Options at Fiscal 
                                                                        Year-End                Year-End 
                           Shares Acquired on                         Exercisable/            Exercisable/ 
          Name                  Exercise        Value Realized       Unexercisable           Unexercisable 
- ------------------------   ------------------    --------------   ---------------------   -------------------- 
<S>                        <C>                  <C>              <C>                      <C>
Michael R. Walker ......              0           $        0         334,500/33,001       $5,217,295/$516,322 
Richard R. Howard ......         26,250              496,563         152,375/89,125         1,837,262/253,977 
David C. Barr ..........              0                    0         176,875/70,625         2,678,832/202,320 
George V. Hager, Jr. ...         22,500              522,225          93,000/57,000          1,356,279/90,750 
Edward Romanov, Jr. ....         83,250            1,868,205          38,499/79,001            93,368/210,380 
</TABLE>

INCENTIVE COMPENSATION PROGRAM 

   In fiscal 1996, the Company revised its incentive compensation program. 
Under the revised incentive compensation program, stock options issued under 
the Employee Plan are the sole form of incentive compensation granted to most 
eligible employees. Stock Options granted under the revised incentive 
compensation program will vest 25% in the fiscal year of the option grant and 
25% over each of the next three years. The awards are based upon the 
Company's performance and achievement of individual management objectives. 

   Prior to revising the incentive compensation program, all eligible 
employees could be awarded both cash bonuses and stock options. Stock options 
granted under the former incentive compensation program vested 20% each year 
over a five year period beginning one year following the date the stock 
option was granted. 

   The stock option award amounts are determined by management and approved 
by the Stock Option Subcommittee. The Stock Option Subcommittee has the 
authority to modify option awards, including changing the vesting schedule of 
stock option awards. For a description of the Company's Employee Plan see 
"Approval of Amendment to the Company's Employee Stock Option Plans". 

EXECUFLEX PLAN 

   In November 1991, the Company adopted the Execuflex Plan. All Genesis 
employees who achieve a certain salary grade and all employed physicians are 
entitled to participate in the Execuflex Plan. Pursuant to the terms of the 
Execuflex Plan, an eligible employee may authorize the Company to reduce his 
or her base compensation or bonuses and credit such amounts to a retirement 
account, education account or fixed period account. The Company contributes 
for each eligible employee an amount equal to 25% of the employee's total 
contribution, up to an employee contribution amount equal to four percent of 
the employee's base compensation. Benefits derived from employee deferral 
contributions are not subject to forfeiture for any reason. Benefits derived 
from matching contributions made by the Company are forfeited if a member of 
the Execuflex Plan separates from the Company's employ prior to completing 
five years of employment with the Company. The five year period is measured 
from the later of January l, 1989 or the date of the member's commencement of 
employment with the Company. 

COMPENSATION COMMITTEE INTERLOCKS AND INSIDE TRANSACTIONS 

   The Company currently leases real estate from GHV Associates, a 
partnership which is owned by among others, Michael R. Walker, an officer and 
director of the Company. Payments under these leases, which relate to two 
offices in New England, approximate $197,000 per year and the current term 
expires on December 31, 2004. The Company believes that the terms of these 
leases are at least as favorable to the Company as those it would have 
obtained from an unaffiliated party. 

   The Company is currently involved in certain lease transactions with 
Salisbury Medical Office Building General Partnership ("SMOBGP"). This 
partnership is owned by among others, Richard R. Howard and Michael R. 
Walker, officers and directors of the Company. The Company rents space in 
Maryland which is 

                                      14 
<PAGE>

used as a medical clinic and therapy clinic pursuant to two leases with 
SMOBGP. Payments under these leases approximate $169,000 per year. The leases 
expire on September 30, 1999. The Company believes that the terms of these 
leases are at least as favorable to the Company as those it would have 
obtained from an unaffiliated party. 

   Pursuant to an agreement dated August 19, 1992 by and among ACE, Edward B. 
Romanov, Jr. and the Company, ACE, through Edward B. Romanov, Jr., provided 
consulting services to the Company (the "ACE Consulting Agreement"). Mr. 
Romanov is Senior Vice President - Development, of the Company. The ACE 
Consulting Agreement was terminated on April 1, 1995. On that date, Mr. 
Romanov entered into an employment arrangement with the Company. For the 1995 
fiscal year ACE received $93,100 under the ACE Consulting Agreement. In 
addition, Mr. Romanov received a bonus of $52,000 in the 1995 fiscal year. 

   Stephen E. Luongo, a director and member of the Compensation Committee, is 
a partner in the law firm of Blank Rome Comisky & McCauley which serves as 
outside legal counsel for the Company. 

   On November 30, 1993, the Company paid approximately $205,000,000 to 
acquire substantially all of the assets and stock of Meridian Healthcare. 
Roger C. Lipitz, a director, is a former stockholder of Meridian Healthcare 
and served as Meridian's Chairman. As part of the Meridian Transaction, the 
Company entered into agreements to lease and operate, for ten years with a 
five year renewal option, at an aggregate cost of $6,000,000 per year, seven 
geriatric care facilities owned by seven different partnerships formed by 
certain former shareholders of Meridian, including Mr. Lipitz (the "Former 
Shareholders"). In March 1996, the Company acquired for total consideration 
approximately $31,900,000, including the payment of assumed debt, the 
remaining partnership interest owned by the Former Shareholders in five 
geriatric care facilities which were jointly owned by the Company and limited 
partnerships owned by the Former Shareholders. The Company also pays 
approximately $971,000 per year to Towson Building Associates, L.P., a 
limited partnership formed by the Former Shareholders, to lease the Company's 
regional headquarters located in Towson, Maryland. In addition, the Company 
manages a retirement center owned by Brendenwood MRC L.P., a limited 
partnership owned by the Former Shareholders. Mr. Lipitz beneficially owns 
between 20% to 26.5% of the partnership interests in the referenced 
partnerships formed and owned by the Former Shareholders. 

   On August 24, 1995, the Company loaned $330,000, at an interest rate of 
four percent, to George V. Hager, Jr., the Company's Senior Vice President 
and Chief Financial Officer. As a result of a $245,000 payment during Fiscal 
1996, the remaining balance of the note is $ 85,000. The loan is prepayable 
upon the exercise by Mr. Hager of his options to purchase the Company's stock 
and upon termination of Mr. Hager's employment with the Company. 

                                      15 
<PAGE>

STOCK PERFORMANCE GRAPH 

   The following graph shows a comparison of the cumulative total return for 
the Company's Common Stock, the Dow Jones Equity Market Index and the stock 
of a selected group of Health Care Provider companies. The graph assumes an 
investment of $100 in each on September 30, 1991 and, in the case of the 
Indexes, the reinvestment of all dividends.

                     COMPARISON OF CUMULATIVE TOTAL RETURN
Genesis Health Ventures, Inc., Dow Jones Equity Market Index, Health Care
Providers

450 |-------------------------------------------------------------------------|
    |                                                                         |
    |                                                                         |
400 |-------------------------------------------------------------------------|
    |                                                                       * |
    |                                                                         |
350 |-------------------------------------------------------------------------|
    |                                                         *               |
    |                                                                         |
300 |-------------------------------------------------------------------------|
    |                                                                         |
    |                                            *                            |
250 |-----------------------------------------------------------------------#-|
    |                                                                         |
    |                                                                         |
200 |--------------------------------------------#------------#-------------&-|
    |                            *                            &               |
    |                                                                         |
150 |-------------------------------------------------------------------------|
    |                            &#              &                            |
    |              &                                                          |
100 |*&#-----------#----------------------------------------------------------|
    |              *                                                          |
    |                                                                         |
 50 |-------------------------------------------------------------------------|
    |                                                                         |
    |                                                                         |
  0 |-------------------------------------------------------------------------|
   9/91          9/92           9/93           9/94          9/95          9/96
 

<TABLE>
<CAPTION>
                                    9/91           9/92          9/93         9/94         9/95           9/96
- ---------------------------------------------------------------------------------------------------------------
<S>                                 <C>           <C>            <C>          <C>          <C>            <C>
Genesis Health Ventures, Inc.(*)    100             89           180           263          332            391
Dow Jones Equity Market Index(&)    100            112           127           131          171            207
Health Car Providers         (#)    100             99           128           204          204            247
</TABLE>

           SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE 

   Section 16(a) of the Exchange Act requires the Company's directors and 
executive officers, and persons who own more than 10% of a registered class 
of the Company's equity securities, to file with the Commission initial 
reports of ownership and reports of changes in ownership of Common Stock and 
other equity securities of the Company. Officers, directors and greater than 
10% shareholders are required by the Commission regulation to furnish the 
Company with copies of all Section 16(a) forms they file. 

   To the Company's knowledge, based solely on review of the copies of such 
reports furnished to the Company and written representations that no other 
reports were required during the fiscal year ended September 30, 1996, all 
Section 16(a) filing requirements applicable to its executive officers, 
directors and greater than 10% beneficial owners were complied with, except 
that one report, covering one transaction each, was filed late by Michael 
Walker and Edward Romanov and the initial report was filed late by Allen 
Freedman, John DePodesta, Maryann Timon and Marc Rubinger. 

                                      16 
<PAGE>

                        INDEPENDENT PUBLIC ACCOUNTANTS 

   The accounting firm of KPMG Peat Marwick LLP acted as the Company's 
independent public accountants for the fiscal year ended September 30, 1996 
and has been selected by the Board of Directors to serve as the Company's 
independent public accountants for the fiscal year ending September 30, 1997. 
A representative of KPMG Peat Marwick LLP is expected to be present at the 
shareholders' meeting and to have the opportunity to make a statement, if he 
desires to do so, and is expected to be available to respond to appropriate 
questions. 

                                OTHER MATTERS 

   As of the date hereof, the Company knows of no other business that will be 
presented for consideration at the Annual Meeting. However, the enclosed 
proxy confers discretionary authority to vote with respect to any and all of 
the following matters that may come before the meeting: (i) matters that the 
Company's Board of Directors does not know, a reasonable time before proxy 
solicitation, are to be presented for approval at the meeting; (ii) approval 
of the minutes of a prior meeting of shareholders, if such approval does not 
constitute ratification of the action at the meeting; (iii) the election of 
any person to any office for which a bona fide nominee is unable to serve or 
for good cause will not serve; (iv) any proposal omitted from this Proxy 
Statement and the form of proxy pursuant to Rule 14a-8 under the Exchange 
Act, as amended; and (v) matters incidental to the conduct of the meeting. If 
any such matters come before the meeting, the proxy agents named in the 
accompanying proxy card will vote in accordance with their judgment. 

        SHAREHOLDER PROPOSALS FOR 1998 ANNUAL MEETING OF SHAREHOLDERS 

   Shareholder proposals intended to be presented at the 1998 Annual Meeting 
must be submitted by September 22, 1997 to receive consideration for 
inclusion in the Company's 1998 proxy materials. 

   EACH PERSON SOLICITED HEREUNDER CAN OBTAIN A COPY OF THE COMPANY'S ANNUAL 
REPORT ON FORM 10-K FOR THE YEAR ENDED SEPTEMBER 30, 1996 AS FILED WITH THE 
SECURITIES AND EXCHANGE COMMISSION, WITHOUT CHARGE EXCEPT FOR EXHIBITS TO THE 
REPORT, BY SENDING A WRITTEN REQUEST TO THE CORPORATE SECRETARY, AT 148 WEST 
STATE STREET, KENNETT SQUARE, PENNSYLVANIA 19348. 



                                            By Order of the Board of Directors





                                            /s/ Ira C. Gubernick
                                            ----------------------------------
                                            IRA C. GUBERNICK 
                                            Corporate Secretary 

                                      17 
<PAGE>


                         GENESIS HEALTH VENTURES, INC.

                      1997 ANNUAL MEETING OF SHAREHOLDERS
                                 MARCH 6, 1997

          SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS OF THE COMPANY


The undersigned hereby appoints Michael R. Walker and Richard R. Howard, and
each of them, as attorneys and proxies of the undersigned, with full power of
substitution, for and in the name, place and stead of the undersigned, to
represent the undersigned and to vote, as directed on the reverse side, all
shares of Common Stock of Genesis Health Ventures, Inc. (the "Company") held by
the undersigned as of December 20, 1996, at the Company's 1997 Annual Meeting of
Shareholders to be held on March 6, 1997 or at any postponement or adjournment
of the meeting.


                          (continued on reverse side)


                              FOLD AND DETACH HERE



<PAGE>
<TABLE>
<CAPTION>
<S>                                                                                                <C>   

                  THIS PROXY WILL BE VOTED AS DIRECTED BELOW.                                      Please mark      
UNLESS YOU DIRECT OTHERWISE, THIS PROXY WILL BE VOTED "FOR" ALL PROPOSALS.                        your votes as   X 
                                                                                                  indictated in     
                                                                                                   this example     
                                                                                                                  
                                                         
                                                         



PROPOSAL 1: The election of Stephen E. Luongo and Michael R. Walker as directors
            as described in the accompanying Proxy Statement.


               FOR           To withhold authority              To withhold authority to vote for any individual nominee(s),
                           to vote for all nominees,            clearly print his or their names in the space provided below:
                                  Check below:
                                                                ----------------------------------------------------------------


</TABLE>
<TABLE>
<CAPTION>

<S>                                                                              <C> 
PROPOSAL 2: The approval of the Amendment to the Company's 1985 Amended and      Both proxy agents  present and acting in person or 
            Restated Employee Stock Option Plan as described in the             by their substitute (or, if only one is present and 
            accompanying Proxy Statement.                                        acting,  then  that one) may  exercise  all of the 
                                                                                 powers  conferred  by  this  proxy.  DISCRETIONARY 
               FOR        AGAINST       ABSTAIN                                  AUTHORITY  IS CONFERRED BY THIS PROXY WITH RESPECT 
                                                                                 TO   CERTAIN   MATTERS,   AS   DESCRIBED   IN  THE 
                                                                                 ACCOMPANYING  PROXY  STATEMENT.   

                                                                                 The undersigned hereby acknowledges receipt of the
                                                                       ______    Company's  1996  Annual  Report  to  Shareholders,
                                                                             |   Notice of the  Company's  1997  Annual  Meeting of
                                                                             |   Shareholders  and the  Company's  Proxy  Statement
                                                                             |   dated January 21, 1997.
                                                                                                                             
                                                                                                                                    
                                                                                 Date: ____________________________________________ 
                                                                                              (please date this proxy)              
                                                                                                                                    
                                                                                 __________________________________________________ 
                                                                                                                                    
                                                                                                                                    
                                                                                 __________________________________________________ 
                                                                                                     Signature(s)                   
                                                                                                                                    
                                                                                 Please sign your name  exactly as it is printed on
                                                                                 this   proxy,   indicating   any  title  or  other
                                                                                 representative  capacity. If more than one name is
                                                                                 printed on this proxy, then all must sign.
                                                                                                                                    
                                                                                 PLEASE  DATE  AND SIGN  THIS  PROXY  AND  PROMPTLY 
                                                                                 RETURN IT IN THE ENCLOSED POSTAGE-PAID ENVELOPE.   
                                                                                                                                    
</TABLE>
                                                                            
                              FOLD AND DETACH HERE



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