SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                          -----------------------------
                                   SCHEDULE TO


            TENDER OFFER STATEMENT UNDER SECTION 14(d)(1) OR 13(e)(1)
                     OF THE SECURITIES EXCHANGE ACT OF 1934
                                (Amendment No. 1)


                          Genesis Health Ventures, Inc.
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                       (Name of Subject Company (Issuer))

                         Genesis Health Ventures, Inc.
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                        (Name of Filing Persons (Issuer))

       Options under the 2001 Stock Option Plan to Purchase Common Stock,
                            Par Value $.02 Per Share
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                         (Title of Class of Securities)

                                 Not Applicable*
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                      (CUSIP Number of Class of Securities)

                              George V. Hager, Jr.
              Executive Vice President and Chief Financial Officer
                          Genesis Health Ventures, Inc.
                              101 East State Street
                            Kennett Square, PA 19348
                                 (610) 444-6350
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       (Name, address and telephone number of person authorized to receive
             notices and communications on behalf of filing persons)

                                    Copy To:

                            Richard J. McMahon, Esq.
                                 Blank Rome LLP
                                One Logan Square
                             Philadelphia, PA 19103
                            Telephone: (215) 569-5500

                            CALCULATION OF FILING FEE
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Transaction Valuation (1)                              Amount of Filing Fee(2)
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      $17,461,675                                              $1,412.65
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(1)      Calculated solely for purposes of determining the filing fee. This
         amount assumes that options to purchase 1,077,500 shares of Common
         Stock of Genesis Health Ventures, Inc. having an aggregate value of
         $16,022,425 as of March 31, 2003, will be tendered and cancelled
         pursuant to this offer in exchange for which the holders thereof will
         have acceleration of vesting of all of their restricted stock awards.
         The transaction valuation also includes cash consideration to be paid
         by Genesis Health Ventures, Inc., in the amount of $2.00 per option for
         up to an aggregate of 654,000 options and cash consideration to be paid
         by Genesis Health Ventures, Inc. in the amount of $2.50 per option for
         up to an aggregate of 52,500 options.

(2)      Previously paid. The amount of the filing fee, calculated in accordance
         with Rule 0-11 of the Securities Exchange Act of 1934, as amended,
         equals $80.90 per $1,000,000 of transaction valuation.






|X|      Check box if any part of the fee is offset as provided by Rule
         0-ll(a)(2) and identify the filing with which the offsetting fee was
         previously paid. Identify the previous filing by registration statement
         number, or the Form or Schedule and the date of its filing.

|_|      Check the box if the filing relates solely to preliminary
         communications made before the commencement of a tender offer.

         Check the appropriate boxes below to designate any transactions to
         which the statement relates:

         |_|      third-party tender offer subject to Rule 14d-1.
         |X|      issuer tender offer subject to Rule 13e-4.
         |_|      going-private transaction subject to Rule 13e-3.
         |_|      amendment to Schedule 13D under Rule 13d-2.

         Check the following box if the filing is a final amendment reporting
         the results of the tender offer: |_|

         *There is no trading market or CUSIP Number for the options. The CUSIP
         Number for the Common Stock underlying the options is 37183F-10-7.







         This Amendment No. 1 amends and supplements the Tender Offer Statement
on Schedule TO (the "Schedule TO") filed initially with the Securities and
Exchange Commission on April 1, 2003, relating to an offer by Genesis Health
Ventures, Inc., (the "Company"), to its employees (which includes employees of
the majority-owned or wholly-owned subsidiaries of the Company) to tender all
options (the "Options") to purchase shares of its common stock, par value $.02
per share ("Common Stock") outstanding under the Company's 2001 Stock Option
Plan (the "2001 Stock Option Plan"), for the following consideration: (a) for
those holders of Options who have received awards of more than 2,000 restricted
shares of Common Stock under the 2001 Stock Incentive Plan, the acceleration of
vesting of all such restricted shares (the "Restricted Share Acceleration") plus
a cash payment of $2.50 per share subject to the Option for Options having an
exercise price below $20.00 per share, and (b) with respect to those holders of
Options who have not received awards of more than 2,000 restricted shares, (i)
for those Options having an exercise price of at least $20.00 per share, a cash
payment of $2.00 per share subject to the Option, and (ii) for those Options
having an exercise price below $20.00 per share, a cash payment of $2.50 per
share subject to the Option, on the terms and subject to the conditions set
forth in the Offer to Acquire, dated April 1, 2003 ("Offer to Acquire"), that
was filed as Exhibit (a)(1) to the Schedule TO, and which is amended as of April
18, 2003. A copy of the Offer to Acquire, as amended, is attached hereto as
Exhibit (a)(1) and is incorporated herein by reference.

         The amendments and supplements to the Offer to Acquire, the Form of
Letter of Acceptance ("Letter of Acceptance") filed as Exhibit (a)(3) to the
Schedule TO, and the Form of Notice of Withdrawal from the Offer ("Notice of
Withdrawal") filed as Exhibit (a)(4) to the Schedule TO, are described in the
Memorandum from Robert H. Fish, Chairman of the Board and Chief Executive
Officer of the Company, dated April 18, 2003, filed as Exhibit (a)(9) and
incorporated herein by reference.

Items 1-9, 11 AND 13

         Items 1-9 and Items 11 and 13 of the Schedule TO are hereby amended by
the following amendments to the Offer to Purchase, Letter of Acceptance and
Notice of Withdrawal:

(i) The Cover Page, Introduction, Q&A numbers 4, 6 and 7 of the Summary Term
Sheet and Sections 2 and 6 of the Offer to Acquire as well as each of the Letter
of Acceptance and Notice of Withdrawal are amended to indicate that the offer
and withdrawal rights will expire at 12:00 midnight Philadelphia time on April
28, 2003, subject to further extension of the Expiration Date by the Company;

(ii) The Introduction, Q&A numbers 6 and 7 of the Summary Term Sheet and Section
6 of the Offer to Acquire are amended to indicate that the validly tendered
Options will be acquired and cancelled by the Company as of the Cancellation
Date which will be "promptly" after the Expiration Date;

(iii) Q&A number 14 of the Summary Term Sheet of the Offer to Acquire is amended
to clarify that the offer is subject to the conditions which are described in
Section 7 of the Offer to Acquire;





(iv) Section 4 of the Offer to Acquire is amended to clarify that in the event
that the Company waives a condition of the offer, such waiver will apply to all
holders of Options eligible for tender in the offer;

(v) Section 5 is amended to clarify that the holders who have tendered Options
in the offer may withdraw such Options which have not been accepted for
cancellation by the Company at any time after May 27, 2003;

(vi) Section 7 of the Offer to Acquire is amended as follows:

o        to remove the reference to "any action or omission by the Company" in
         connection with the occurrence of any events constituting a condition
         to the offer making it inadvisable for the Company to proceed with the
         offer or with acceptance and cancellation of the tendered Options;

o        to remove the qualifying term "could" and replace it with "would" in
         the first bullet paragraph;

o        to remove the qualifying phrase "or might" from the second bullet
         paragraph;

o        to remove the qualifying phrase "or may be" from the final bullet
         paragraph;

o        to remove the phrase "the contemplated future conduct of our business
         or the business of any of our majority owned or wholly-owned
         subsidiaries" from each of the first bullet paragraph and subsection
         (iv) of the second bullet paragraph and replace it with the phrase
         "Genesis's ability to consummate the spin-off or Genesis's or any of
         its majority-owned or wholly-owned subsidiaries' ability to conduct
         business after the spin-off";

o        to strike the phrase "materially impair the contemplated benefits of
         the offer to us" from each of the first bullet paragraph and subsection
         (iv) under the second bullet paragraph;

o        to clarify in subsection (ii) of the third bullet paragraph that the
         occurrence of a 25% or more increase or decrease in the market price of
         Genesis's Common Stock would constitute a condition of the offer
         allowing for termination of the offer by Genesis;

o        to clarify in the final bullet paragraph that any change in the
         business, condition (financial or other), assets, income, operation,
         prospects or stock ownership of Genesis or its majority-owned or
         wholly-owned subsidiaries materially adversely affecting Genesis or its
         majority-owned or wholly-owned subsidiaries shall be deemed a condition
         allowing for the termination of the offer by Genesis;

(vii) Section 13 is amended to include the aggregate number of Options
beneficially owned by the non-employee directors of Genesis and to remove the
incorporation by reference of the indicated pages of the Genesis proxy statement
from the Offer to Acquire;

(viii) Section 17 is amended to remove the reference to Genesis being able to
provide oral notice of its termination of the offer or its amendment of the
offer and the postponement of its acceptance and cancellation of Options elected
for tender;





(ix) The Letter of Acceptance is amended in the paragraph on page 3 thereof
immediately preceding the table entitled "Description of Options Tendered," by
eliminating the language in the first sentence from "read, understands, and
agrees to all of the terms of the Offer" and replacing such language with
"received the documents constituting the Offer."

(x) The Notice of Withdrawal is amended by eliminating the penultimate sentence
of the first paragraph of the document.

Item 12.      Exhibits.

         (a)      (1) Offer to Acquire, as amended.

                  (2)      Memoranda from Robert H. Fish, Chairman of the Board
                           and Chief Executive Officer of Genesis Health
                           Ventures, Inc., dated April 1, 2003.*

                  (3)      Form of Letter of Acceptance.*

                  (4)      Form of Notice of Withdrawal from the Offer.*

                  (5)      Intentionally left blank.

                  (6)      Genesis Health Ventures, Inc. Annual Report on Form
                           10-K for the year ended September 30, 2002, filed
                           with the SEC on December 30, 2002 (incorporated
                           herein by reference).

                  (7)      Genesis Health Ventures, Inc. Quarterly Report on
                           Form 10-Q for the quarter ended December 31, 2002,
                           filed with the SEC on February 12, 2003 (incorporated
                           herein by reference).

                  (8)      Memorandum from Robert H. Fish, Chairman of the Board
                           and Chief Executive Officer of Genesis Health
                           Ventures, Inc., dated April 18, 2003.

         (b)      Not applicable.

         (d)      (1)      Genesis Health Ventures, Inc. 2001 Stock Option
                           Plan (incorporated herein by reference to the
                           applicable exhibit filed with the Company's
                           Registration Statement on Form S-8 (File No.
                           333-82200), filed with the SEC on February 5, 2002).

                  (2)      Genesis Health Ventures, Inc. 2001 Stock Incentive
                           Plan (incorporated herein by reference to the
                           applicable exhibit filed with the Company's
                           Registration Statement on Form S-8 (File No.
                           333-83430), filed with the SEC on February 26, 2002)

         (g) Not applicable.

         (h) Not applicable.


______________________

* Previously filed.






                                    SIGNATURE

                  After due inquiry and to the best of my knowledge and belief,
I certify that the information set forth in this Amendment No. 1 to the Schedule
TO is true, complete and correct.


                         GENESIS HEALTH VENTURES, INC.

                         /s/George V. Hager, Jr.
                         ----------------------------------------------------
                         George V. Hager, Jr.
                         Executive Vice President and Chief Financial Officer

Date:    April 18,  2003





                                INDEX TO EXHIBITS



Exhibit Number                                                    Description

(a)           (1)         Offer to Acquire, as amended.

              (2)         Memoranda from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 1, 2003.*

              (3)         Form of Letter of Acceptance.*

              (4)         Form of Notice of Withdrawal from the Offer.*

              (5)         Intentionally left blank.

              (6)         Genesis Health Ventures, Inc. Annual Report on Form
                          10-K for the year ended September 30, 2002, filed with
                          the SEC on December 30, 2002 (incorporated herein by
                          reference).

              (7)         Genesis Health Ventures, Inc. Quarterly Report on Form
                          10-Q for the quarter ended December 31, 2002, filed
                          with the SEC on February 12, 2003 (incorporated herein
                          by reference).

              (8)         Memorandum from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 18, 2003.

(b)           Not applicable.

(d)           (1)        Genesis Health Ventures, Inc. 2001 Stock Option Plan
                         (incorporated herein by reference to the applicable
                         exhibit filed with the Company's Registration Statement
                         on Form S-8 (File No. 333-82200), filed with the SEC
                         on February 5, 2002).

              (2)        Genesis Health Ventures, Inc. 2001 Stock Incentive Plan
                         (incorporated herein by reference to the applicable
                         exhibit filed with the Company's Registration Statement
                         on Form S-8 (File No. 333-83430), filed with the SEC on
                         February 26, 2002).

(g)           Not applicable.

(h)           Not applicable.

________________________
* Previously filed.