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

                                     FORM 4

                  STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

    Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
       Section 17(a) of the Public Utility Holding Company Act of 1935 or
               Section 30(h) of the Investment Company Act of 1940

[   ] Check this box if no longer subject to Section 16. Form 4 or Form 5
     obligations may continue. See Instruction 1(b).
================================================================================
1. Name and Address of Reporting Person*

    The Goldman Sachs Group, Inc.
--------------------------------------------------------------------------------
   (Last)                           (First)             (Middle)

    85 Broad Street
--------------------------------------------------------------------------------
                                    (Street)

    New York,                        New York             10004
--------------------------------------------------------------------------------
   (City)                           (State)              (Zip)


================================================================================
2. Issuer Name and Ticker or Trading Symbol

    Genesis Health Ventures, Inc.
    (GHVI)
================================================================================
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)

================================================================================
4. Statement for Month/Day/Year

    March 25, 2003
================================================================================
5. If Amendment, Date of Original (Month/Day/Year)

================================================================================
6. Relationship of Reporting Person(s) to Issuer
   (Check all applicable)

   [   ]   Director                             [ X ]   10% Owner
   [   ]   Officer (give title below)           [   ]   Other (specify below)


               -------------------------------------------

================================================================================
7. Individual or Joint/Group Filing (Check Applicable Line)

   [   ] Form filed by One Reporting Person
   [ X ] Form filed by More than One Reporting Person

================================================================================



====================================================================================================================================
                              Table I -- Non-Derivative Securities Acquired, Disposed of,                                          |
                                                 or Beneficially Owned                                                             |
====================================================================================================================================
                          |            |          |           |                                |5.            |6.       |          |
                          |            |          |           | 4.                             |Amount of     |Owner-   |          |
                          |            |          |           | Securities Acquired (A) or     |Securities    |ship     |          |
                          |            |2A.       |3.         | Disposed of (D)                |Beneficially  |Form:    |7.        |
                          |2.          |Deemed    |Transaction| (Instr. 3, 4 and 5)            |Owned         |Direct   |Nature of |
                          |Transaction |Execution |Code       | -------------------------------|Following     |(D) or   |Indirect  |
1.                        |Date        |Date, if  |(Instr. 8) |               | (A) |          |Reported      |Indirect |Beneficial|
Title of Security         |(Month/Day/ |any(Month/|-----------|     Amount    | or  |  Price   |Transactions  |(I)      |Ownership |
(Instr. 3)                |Year)       |Day/Year) | Code  | V |               | (D) |          |(Instr. 3 & 4)|(Instr.4)|(Instr. 4)|
-----------------------------------------------------------------------------------------------------------------------------------|
                                                                                          
                          |            |          |       |   |               |     |          |              |         |          |
Common Stock              |  03/25/03  |          |   S   |   |   1,000,000   |  D  |  $15.00  |   5,220,613  |   01    |    01    |
====================================================================================================================================

Reminder: Report on a separate line for each class of securities beneficially
          owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction
  4(b)(v).

FORM 4 (continued)


====================================================================================================================================
                    Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned                                 |
                            (e.g., puts, calls, warrants, options, convertible securities)                                         |
====================================================================================================================================
               |      |        |    |      |            |                 |                       |        |9.       |10.   |      |
               |2.    |        |    |      |            |                 |                       |        |Number   |Owner-|      |
               |Con-  |        |    |      |            |                 |                       |        |of       |ship  |      |
               |ver-  |        |3A. |      |            |                 |                       |        |Deriv-   |of    |      |
               |sion  |        |De- |      |5.          |                 |7.                     |        |ative    |Deriv-|11.   |
               |or    |        |emed|      |Number of   |                 |Title and Amount       |        |Secur-   |ative |Nature|
               |Exer- |        |Exe-|      |Derivative  |6.               |of Underlying          |8.      |ities    |Secur-|of    |
               |cise  |        |cu- |4.    |Securities  |Date             |Securities             |Price   |Bene-    |ity:  |In-   |
               |Price |3.      |tion|Trans-|Acquired (A)|Exercisable and  |(Instr. 3 and 4)       |of      |ficially |Direct|direct|
               |of    |Trans-  |Date|action|or Disposed |Expiration Date  |-----------------------|Deriv-  |Owned    |(D) or|Bene- |
1.             |Der-  |action  |if  |Code  |of (D)      |(Month/Day/Year) |             |Amount   |ative   |Following|In-   |ficial|
Title of       |iva-  |Date    |any,|(Instr|(Instr. 3,  |-----------------|             |or       |Secur-  |Reported |direct|Owner-|
Derivative     |tive  |(Month/ |(MM/|8)    |4 and 5)    |Date    |Expira- |             |Number   |ity     |Trans-   |(I)   |ship  |
Security       |Secu- |Day/    |DD/ |------|------------|Exer-   |tion    |             |of       |(Instr. |action(s)|(Instr|(Instr|
(Instr. 3)     |rity  |Year)   |YY) |Code|V| (A)  | (D) |cisable |Date    |Title        |Shares   |5)      |(Instr.4)|4)    |4)    |
-----------------------------------------------------------------------------------------------------------------------------------|
                                                                                  
Stock Option   |      |        |     |   | |      |     |        |        |             |         |        |         |      |      |
(right to buy) |$16.80|        |     |   | |      |     | Immed. |10/02/12|Common Stock |    2,500|        |    2,500|  02  |  02  |
-----------------------------------------------------------------------------------------------------------------------------------|
Stock Option   |      |        |     |   | |      |     |        |        |             |         |        |         |      |      |
(right to buy) |$20.33|        |     |   | |      |     | Immed. |10/02/11|Common Stock |   25,000|        |   25,000|  02  |  02  |
-----------------------------------------------------------------------------------------------------------------------------------|
Series A       |      |        |     |   | |      |     |        |        |             |         |        |         |      |      |
Convertible    |      |        |     |   | |      |     |        |        |             |         |        |         |      |      |
Preferred      |      |        |     |   | |      |     |        |        |             |         |        |         |      |      |
Stock          |$20.33|        |     |   | |      |     | Immed. |   03   |Common Stock |  353,167|        |   71,799|  03  |  03  |
====================================================================================================================================

Instruction 4(b)(v) list of other Reporting Persons:

This statement is being filed by Goldman,  Sachs & Co. ("Goldman Sachs") and The
Goldman Sachs Group,  Inc. ("GS Group" and,  together  with Goldman  Sachs,  the
"Reporting  Persons").  The principal  business address of each of Goldman Sachs
and GS Group is 85 Broad Street, New York, New York, 10004.

Explanation of Responses:

01:  Goldman  Sachs  beneficially  owns  directly  and GS Group may be deemed to
beneficially  own indirectly  5,220,613 shares of common stock of Genesis Health
Ventures, Inc.

02: These options were granted  pursuant to the Genesis  Health  Ventures,  Inc.
2001 Stock Option Plan to a managing  director of Goldman Sachs, in his capacity
as a director of the Issuer (the "Director").  The Director has an understanding
with GS Group  pursuant  to which he holds such  options  for the  benefit of GS
Group. Goldman Sachs is an indirect wholly-owned subsidiary of GS Group.

03:  Goldman  Sachs  beneficially  owns  directly  and GS Group may be deemed to
beneficially  own  indirectly  71,799 shares of Series A  convertible  preferred
stock of Genesis Health Ventures, Inc. ("Series A Preferred").  Goldman Sachs is
an indirect  wholly-owned  subsidiary of GS Group. The conversion rate is $20.33
of liquidation preference for each share of common stock. The Series A Preferred
has a liquidation  preference of $42,600,000 and accrues dividends at the annual
rate of 6%  payable in  additional  shares of Series A  Preferred.  The Series A
Preferred are subject to mandatory redemption on October 2, 2010.


**SIGNATURE OF REPORTING PERSONS:

GOLDMAN, SACHS & CO.


By:     s/ Roger S. Begelman
        -------------------------
        Name:   Roger S. Begelman
        Title:  Attorney-in-fact


THE GOLDMAN SACHS GROUP, INC.



By:     s/ Roger S. Begelman
        -------------------------
        Name:   Roger S. Begelman
        Title:  Attorney-in-fact

Date:   March 27, 2003



**     Intentional misstatements or omissions of facts constitute Federal
       Criminal Violations.

       See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:  File three copies of this Form, one of which must be manually signed.
       If space provided is insufficient, see Instruction 6 for procedures.


       Alternatively,   this  Form  is  permitted  to  be  submitted  to  the
       Commission in electronic  format at the option of the reporting person
       pursuant to Rule 101(b)(4) of Regulation S-T.