UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington D.C. 20549



                                    FORM 11-K

(Mark One)

[X] Annual Report Pursuant to Section 15(d) of the Securities Exchange Act of
    1934 [fee required]

                    For the fiscal year end December 31, 2002

                                       OR

[  ]  Transition Report Pursuant to Section 15(d) of the Securities Exchange Act
      of 1934 [no fee required]

For the transition period from _________   to ____________    Commission file
number _________

A. Full title of the plan and address of the plan, if different from that of the
issuer named below:

                  Genesis Health Ventures, Inc. 401(k) Plan for
                      Collective Bargaining Unit Employees

B. Name of issuer of the securities held pursuant to the plan and the address of
its principal executive office:

                          Genesis Health Ventures, Inc.
                              101 East State Street
                            Kennett Square, PA 19348
                                 (610) 444-6350

Genesis Health Ventures, Inc. 401(k) Plan for Collective Bargaining Unit
Employees Financial Statements, Supplemental Schedule and Exhibits as of
December 31, 2002 and 2001 and for the year ended December 31, 2002.

The following plan financial statements, schedules and reports, have been
prepared in accordance with the financial reporting requirements of ERISA.











Items 1 - 3:      Not applicable under ERISA filing.

Item 4:           Financial Statements and Exhibits.


























                          GENESIS HEALTH VENTURES, INC.
              401(k) Plan for collective bargaining unit employees

                 Financial Statements and Supplemental Schedule

                                December 31, 2002

                   (With Independent Auditors' Report Thereon)













                          GENESIS HEALTH VENTURES, INC.
              401(k) Plan for collective bargaining unit employees



                                Table of Contents





                                                                                                                     Page

                                                                                                                   
Independent Auditors' Report                                                                                          1

Statement of Net Assets Available for Benefits, December 31, 2002                                                     2

Statement of Changes in Net Assets Available for Benefits, Period from July 1, 2002
 (inception of plan) through  December 31, 2002                                                                       3

Notes to Financial Statements                                                                                         4

Schedule:

1    Schedule H, Line 4i - Schedule of Assets (Held at End of Year), December 31, 2002                                9






                          Independent Auditors' Report



The Pension Committee and the Participants
Genesis Health Ventures, Inc. 401(k) Plan for
Collective Bargaining Unit Employees:


We were engaged to audit the accompanying statement of net assets available for
benefits of the Genesis Health Ventures, Inc. 401(k) Plan for Collective
Bargaining Unit Employees as of December 31, 2002, and the related statement of
changes in net assets available for benefits for the period from July 1, 2002
(inception of plan) through December 31, 2002. These financial statements are
the responsibility of the Plan's management. Our responsibility is to express an
opinion on these financial statements based on our audit.

We conducted our audit in accordance with auditing standards generally accepted
in the United States of America. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial
statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that out audit provides a
reasonable basis for our opinion.

In our opinion, the financial statements, referred to above present fairly, in
all material respects, the net assets available for benefits of the Plan as of
December 31, 2002, and the changes in net assets available for benefits for the
period from July 1, 2002 (inception of plan) through December 31, 2002, in
conformity with accounting principles generally accepted in the United States of
America.

Our audit was performed for the purpose of forming an opinion on the financial
statements taken as a whole. The supplemental schedule of assets (held at end of
year) is presented for the purpose of additional analysis and is not a required
part of the basic financial statements, but is supplementary information
required by the Department of Labor's Rules and Regulations for Reporting and
Disclosure Under the Employee Retirement Income Security Act of 1974. This
supplemental schedule is the responsibility of the Plan's management. The
supplemental schedule has been subjected to the auditing procedures applied in
the audit of the basic financial statements and, in our opinion, is fairly
stated in all material respects in relation to the basic financial statements
taken as a whole.








June 12, 2003


                                       1






                          GENESIS HEALTH VENTURES, INC.
              401(k) PLAN FOR COLLECTIVE BARGAINING UNIT EMPLOYEES

                 Statement of Net Assets Available for Benefits

                                December 31, 2002



Investments, at fair value                                           $ 552,043
Participant loans                                                       19,021
Employer contributions receivable                                       20,398
Participant contributions receivable                                    12,071
                                                                     ---------
                 Total assets                                          603,533
                                                                     ---------
Net assets available for benefits                                    $ 603,533
                                                                     =========
See accompanying notes to financial statements.






                                       2







                          GENESIS HEALTH VENTURES, INC.

              401(k) PLAN FOR COLLECTIVE BARGAINING UNIT EMPLOYEES

            Statement of Changes in Net Assets Available for Benefits

Period from July 1, 2002 (inception of plan) through December 31, 2002





Additions to net assets attributed to:
                                                                                      
     Investment income:
        Interest and dividends                                                            $   5,150
     Contributions:
        Employer                                                                             20,398
        Participants                                                                         96,124
     Net appreciation in fair value of investments                                            4,246
     Transfers from affiliated plans                                                        500,148
                                                                                          ---------
                 Total additions                                                            626,066
                                                                                          ---------
Deductions from net assets attributed to:
     Benefit payments                                                                        21,923
     Administrative expenses                                                                    610
                                                                                          ---------
                 Total deductions                                                            22,533
                                                                                          ---------
                 Net increase                                                               603,533

Net assets available for benefits:
     Beginning of period                                                                        --
                                                                                          ---------
     End of period                                                                        $ 603,533
                                                                                          =========



See accompanying notes to financial statements.






                                       3




                          Genesis Health Ventures, Inc.
              401(k) Plan for Collective Bargaining Unit Employees

                          Notes to Financial Statements

                                December 31, 2002

(1)    Description of the Plan

       The following description of the Genesis Health Ventures, Inc. 401(k)
       Plan for Collective Bargaining Unit Employees (the Plan) provides only
       general information. Participants should refer to the Plan document for
       more complete information.

       (a)    General

              The Plan is a defined contribution savings plan that permits
              voluntary employee contributions that are matched, in part, by
              Genesis Health Ventures, Inc. (the Company). The Plan commenced on
              July 1, 2002 at which time assets of affiliated plans in the
              amount of $500,148 were transferred to the Plan. Employees of the
              Company covered by collective bargaining agreements that call for
              participation in the Plan are eligible for participation when they
              have completed 6 consecutive months during which they have been
              credited with at least 500 hours of service in their first six
              months or if initial eligibility is not met, employees who
              complete 12 consecutive months of service during which they have
              been credited with at least 1,000 hours of service in their first
              year or any calendar year thereafter. The Plan is subject to the
              Employee Retirement Income Security Act of 1974 (ERISA).

       (b)    Contributions

              Each eligible employee may elect to participate in the Plan and
              make contributions to the Plan through salary deductions in an
              amount not less than 1% and not in excess of 50% of such
              participant's compensation, as defined in the Plan, in any
              calendar year. The Company matches 50% of the participant's
              pre-tax contributions up to 1.5% of such participant's
              compensation.

              Notwithstanding any other provision of the Plan, the total pre-tax
              contribution made to the Plan by any participant may not exceed
              $11,000 for 2002. In addition, effective in 2002, each eligible
              participant who has attained age 50 before the close of the Plan
              year is eligible to make catch-up contributions in accordance
              with, and subject to the limitations of, Section 414(v) of the
              Internal Revenue Code. For 2002, the catch-up contribution
              limitation is $1,000.

       (c)    Participant Accounts

              Although Plan assets are collectively invested, records are
              maintained for each participant's individual account. Each
              participant's account is credited with the participant's
              contribution and allocation of the Company's contribution and Plan
              earnings (losses). Allocations are based on participant earnings
              or account balances, as defined. The benefit to which a
              participant is entitled is the benefit that can be provided from
              the participant's account.

       (d)    Vesting

              Participants are immediately vested in their pre-tax contributions
              plus actual earnings and losses thereon. Vesting in the Company's
              matching contributions and earnings and losses thereon is based
              upon years of continuous service as follows:

                                       4


                          Genesis Health Ventures, Inc.
              401(k) Plan for Collective Bargaining Unit Employees

                          Notes to Financial Statements

                                December 31, 2002



                                                             Percentage
             Years of service                                  vested
             ------------------                              -----------
             Less than 2                                          0%
             2 but less than 3                                   20%
             3 but less than 4                                   40%
             4 but less than 5                                   60%
             5 but less than 6                                   80%
             6 or more                                          100%

              Years of service for participants is based on date of hire with
              the Company.

       (e)    Payment of Benefits

              Normal and deferred retirement benefits, disability benefits, and
              vested benefits are distributed as lump-sum or in approximately
              equal installments over a period of years not to exceed the life
              expectancy of the participant and their designated beneficiary.

              Death benefits are paid as a single-sum or in installments over a
              period not to exceed five years, pursuant to the participant's
              written election on forms provided by the Company.

              Nonvested benefits that are subsequently forfeited may be used by
              the Company to reduce future matching contributions.

       (f)    Participant Loans

              Employees may borrow a minimum of $1,000 and a maximum of 50% of
              their vested balance in the Plan, up to a maximum of $50,000. Such
              loans, upon approval by the Company, are generally repaid through
              payroll deductions over a period not to exceed five years and bear
              interest at a market rate at the date of the loan. Interest rates
              range from 4.25% to 9.50% as of December 31, 2002.

(2)    Summary of Significant Accounting Policies

       (a)    Basis of Financial Statement Preparation

              The Plan's financial statements are prepared on the accrual basis
              of accounting.

       (b)    Investments

              Plan investments are stated at fair value based on their quoted
              net asset value. Participant loans are valued at cost which
              approximates fair value. Purchases and sales of securities are
              recorded on a trade-date basis.

       (c)    Plan Expenses

              Company personnel perform various administrative services for the
              Plan, including maintenance of participant records. All Plan
              expenses are paid by the Company, on a noncompensatory basis, with
              the exception of trustee fees, which are paid for by the Plan.

                                       5


                          Genesis Health Ventures, Inc.
              401(k) Plan for Collective Bargaining Unit Employees

                          Notes to Financial Statements

                                December 31, 2002


       (d)    Benefits to Participants

              Benefit payments to participants are recorded upon distribution.

       (e)    Forfeitures

              Forfeitures of nonvested Company contributions are used to offset
              such future contributions.

(3)    Forfeitures

       As of December 31, 2002, there are no forfeiture amounts available for
       the reduction of future employer contributions and no nonvested
       forfeiture accounts used to reduce employer contributions for 2002.

(4)    Plan Termination

       Although it has not expressed any intent to do so, the Company has the
       right to terminate the Plan subject to the provisions of ERISA. In the
       event of Plan termination, all participants become fully vested in the
       Company's matching contributions.

(5)    Investments

       A participant may direct contributions in any of the following investment
       options in increments of 1%:

       Federated Capital Preservation Fund invests primarily in guaranteed
       investment contracts.

       Janus Fund invests primarily in large-cap equity funds.

       Janus Adviser Worldwide Fund invests primarily in common stocks of
       foreign and domestic companies.

       Wachovia Diversified Bond Group Trust Fund invests in full maturity
       bonds.

       Wachovia Enhanced Stock Market Fund invests in large-cap equity index
       funds.

       Vanguard Wellington Fund invests in a balance of equities and fixed
       income securities.

       MFS Capital Opportunities Fund invests in large and mid-cap equity funds.

       MFS New Discovery Fund invests in small-cap equity funds.

       Dreyfus Mid Cap Index Fund invests in mid-cap equity funds.

       AIM Basic Value Fund seeks long-term capital appreciation and invests in
       large value funds.

       Genesis Health Ventures Stock Fund invests primarily in Company common
       stock.



                                       6



                          Genesis Health Ventures, Inc.
              401(k) Plan for Collective Bargaining Unit Employees

                          Notes to Financial Statements

                                December 31, 2002


     Plan investments as of December 31, 2002 were as follows:
                                                                  December 31,
                                                                     2002
                                                                  ------------
     Federated Capital Preservation Fund                          $ 106,710  *
     Janus Fund                                                      39,717  *
     Janus Worldwide Fund                                            17,158
     Wachovia Diversified Bond Group Trust                           54,150  *
     Wachovia Enhanced Stock Market Fund                             22,981
     Vanguard Wellington Fund                                       283,943  *
     MFS Capital Opportunities Fund                                  26,705
     MFS New Discovery Fund                                             168
     AIM Basic Value Fund                                                45
     Genesis Health Ventures, Inc. Stock Fund                           466
                                                                  ---------
                                                                  $ 552,043
                                                                  =========
       *Represents 5% or more of the net assets of the Plan.

       During the period from July 1, 2002 through December 31, 2002, the Plan's
       investments in Funds and the Genesis Health Ventures, Inc. Stock Fund
       (including gains and losses on investments bought and sold, as well as
       held during the year) appreciated in value by $4,244 and $2,
       respectively.

(6)    Income Taxes

       A determination letter has not been received for the Plan. The Company
       believes that the Plan is designed and being operated in compliance with
       the applicable requirements of the Code. Therefore, they believe that the
       Plan is qualified and the related trust is tax exempt as of the financial
       statement date.

(7)    Party-in-Interest Transactions

       Plan investments in the Wachovia Diversified Bond Group Trust Fund and
       the Wachovia Enhanced Stock Market Fund are shares of funds managed by
       Wachovia, the trustee. These transactions qualify as party-in-interest
       transactions.

       The Plan incurred $610 of administrative fees for Wachovia's trustee and
       record-keeping services. These transactions qualify as party-in-interest
       transactions.

       Plan investments in the Genesis Health Ventures, Inc. Stock Fund
       primarily include shares of the plan sponsor's publicly traded common
       stock. These transactions qualify as party-in-interest transactions.


                                       7


                          Genesis Health Ventures, Inc.
              401(k) Plan for Collective Bargaining Unit Employees

                          Notes to Financial Statements

                                December 31, 2002

(8)    Reconciliation of Financial Statements to Form 5500

       The following is a reconciliation of net assets available for benefits as
       of December 31, 2002, from the financial statements to the Form 5500:


                                                                      
       Net assets available for benefits per the financial statements    $ 603,533
       Employer and participant receivables                                (32,469)
                                                                         ---------
       Net assets available for benefits per the Form 5500               $ 571,064
                                                                         =========










                                       8




                                                                      Schedule 1
                          GENESIS HEALTH VENTURES, INC.
              401(k) PLAN FOR COLLECTIVE BARGAINING UNIT EMPLOYEES

         Schedule H, Line 4i - Schedule of Assets (Held at End of Year)

                                December 31, 2002



                                                              Description of           Shares or              Current
                   Identity of issue                           investments            face amount              value
--------------------------------------------------------   ---------------------   -------------------   -------------------
                                                                                                        
Federated Capital Preservation Fund                        Fund                             99,841            $106,710
Janus Fund                                                 Fund                             75,834              39,717
Janus Worldwide Fund                                       Fund                             23,472              17,158
Wachovia Diversified Bond Group Trust *                    Fund                             47,541              54,150
Wachovia Enhanced Stock Market Fund *                      Fund                             33,831              22,981
Vanguard Wellington Fund                                   Fund                            311,101             283,943
MFS Capital Opportunities Fund                             Fund                             36,968              26,705
MFS New Discovery Fund                                     Fund                                208                 168
AIM Basic Value Fund                                       Fund                                 97                  45
Genesis Health Ventures, Inc. Stock Fund*                  Stock Fund                          485                 466
Participant Loans (interest rates range
     from 4.25% to 9.5%)*                                                                                       19,021
                                                                                                              --------
                                                                                                              $571,064
                                                                                                              ========


*Party-in-interest transactions.

See accompanying independent auditors' report.






                                       9





                                   SIGNATURES



The Plan: Pursuant to the requirements of the Securities Exchange Act of 1934,
the trustees (or other person who administer the employee benefit plan) have
duly caused this annual report to be signed on its behalf by the undersigned
hereto duly authorized.



GENESIS HEALTH VENTURES, INC. 401(k) PLAN FOR COLLECTIVE BARGAINING UNIT
EMPLOYEES

                                                                  (Name of Plan)







                                           By:  /s/ James W. Tabak
                                               -------------------------------
                                           James W. Tabak, Sr. Vice President,
                                           Human Resources



Date:  June 30, 2003


                                       10



                                  EXHIBIT INDEX

Item
----

23       Consent of Independent Auditors

99       Certificate of James W. Tabak, Senior Vice President, Human Resources
         of the Company dated June 30, 2003 pursuant to 18 U.S.C. Section 1350.






                                       11