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. 3)

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

                          Genesis Health Ventures, Inc.
                         --------------------------------
                        (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. 3 is the final amendment to the Tender Offer
Statement on Schedule TO filed initially with the Securities and Exchange
Commission on April 1, 2003, as amended and supplemented by Amendment No. 1 to
the Tender Offer Statement on Schedule TO filed with the Securities and Exchange
Commission on April 18, 2003 and Amendment No. 2 to the Tender Offer Statement
on Schedule TO filed on April 28, 2003 (the "Schedule TO"), 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, 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 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
and is amended and restated as of April 28, 2003. This Amendment No. 3 reports
the results of the offer.

Item 4

         Item 4 of the Schedule TO is hereby amended and supplemented to include
the following sentences:

The offer expired at 12:00 Midnight, Philadelphia time, on May 12, 2003. The
Company has accepted for exchange and cancellation options to purchase 1,724,000
shares of the Common Stock, which represents all eligible outstanding options
properly tendered for exchange by eligible options holders.

Item 12.      Exhibits.

         (a) (1) Offer to Acquire, as amended and restated.*

             (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.*

             (9) Memorandum from Robert H. Fish, Chairman of the Board and Chief
                 Executive Officer of Genesis Health Ventures, Inc., dated April
                 28, 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. 3 to the Schedule
TO is true, complete and correct.


                                           GENESIS HEALTH VENTURES, INC.


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

Date:    May 14, 2003




                                INDEX TO EXHIBITS



   Exhibit Number                         Description
------------------        ------------------------------------------------------
(a)           (1)         Offer to Acquire, as amended and restated.*

              (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.*

              (9)         Memorandum from Robert H. Fish, Chairman of the Board
                          and Chief Executive Officer of Genesis Health
                          Ventures, Inc., dated April 28, 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.
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* Previously filed.