<PAGE>

                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, DC 20549

                                    FORM 10-Q

(X) QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE
    ACT OF 1934

                For the quarterly period ended December 31, 1999

                                       or

( ) TRANSITION REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE
    ACT OF 1934

    For the transition period from ___________________ to ___________________

                        Commission File Number: 34-22090

                          THE MULTICARE COMPANIES, INC.
             (Exact name of registrant as specified in its charter)

                Delaware                                22-3152527
     (State or other jurisdiction of        (I.R.S. Employer Identification No.)
      incorporation or organization)

                              101 East State Street
                       Kennett Square, Pennsylvania 19348
          (Address, including zip code, of principal executive offices)

                                 (610) 444-6350
               (Registrant's telephone number including area code)

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days:

                                 YES [x]     NO [ ]

Indicate the number of shares outstanding of each of the issuer's classes of
Common Stock, as of the latest practicable date.

              Class                          Outstanding at February 11, 2000
-----------------------------------      ---------------------------------------
  Common Stock ($.01 Par Value)                          100

<PAGE>

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

                                Table of Contents
                                -----------------

CAUTIONARY STATEMENT REGARDING FORWARD LOOKING STATEMENTS...............     1

Part I:  FINANCIAL INFORMATION

         Item 1. Financial Statements

                 Condensed Consolidated Balance Sheets
                 December 31, 1999 (Unaudited) and September 30, 1999...     2

                 Condensed Consolidated Statements of Operations
                 Three months ended December 31, 1999 and 1998
                 (Unaudited) ...........................................     3

                 Condensed Consolidated Statements of Cash Flows
                 Three months ended December 31, 1999 and 1998
                 (Unaudited) ...........................................     4

                 Notes to Condensed Consolidated Financial Statements ..   5-8

         Item 2. Management's Discussion and Analysis of
                 Financial Condition and Results of Operations..........  9-15

         Item 3. Quantitative and Qualitative Disclosures about
                 Market Risk............................................    16

Part II: OTHER INFORMATION..............................................    17

         SIGNATURES.....................................................    18


<PAGE>

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

            CAUTIONARY STATEMENT REGARDING FORWARD LOOKING STATEMENTS

Statements made in this report, and in our other public filings and releases,
which are not historical facts contain "forward-looking" statements (as defined
in the Private Securities Litigation Reform Act of 1995) that involve risks and
uncertainties and are subject to change at any time. These forward-looking
statements may include, but are not limited to statements as to:

o  certain statements in "Management's Discussion and Analysis of Financial
   Condition and Results of Operations", such as our ability to meet our
   liquidity needs, scheduled debt and interest payments and expected future
   capital expenditure requirements, and to control costs; and the expected
   effects of government regulation on reimbursement for services provided and
   on the costs of doing business.


The forward-looking statements involve known and unknown risks, uncertainties
and other factors that are, in some cases, beyond our control. You are cautioned
that any statements are not guarantees of future performance and that actual
results and trends in the future may differ materially.

Factors that could cause actual results to differ materially include, but are
not limited to the following:

o  our substantial indebtedness and significant debt service obligations;

o  the affect of planned dispositions of assets;

o  our ability or inability to secure the capital and the related cost of the
   capital necessary to fund future operations;

o  the impact of health care reform, including the Medicare Prospective Payment
   System ("PPS"), the Balanced Budget Refinement Act ("BBRA"), and the adoption
   of cost containment measures by the federal and state governments;

o  the adoption of cost containment measures by other third party payors;

o  the impact of government regulation, including our ability to operate in a
   heavily regulated environment and to satisfy regulatory authorities;

o  the occurrence of changes in the mix of payment sources utilized by our
   patients to pay for our services;

o  competition in our industry;

o  our ability to consummate or complete development projects or to profitably
   operate or successfully integrate enterprises into our other operations; and

o  changes in general economic conditions.

These and other factors have been discussed in more detail in the Company's
periodic reports, including its Annual Report on Form 10-K for the fiscal year
ended September 30, 1999.

<PAGE>

                          PART I: FINANCIAL INFORMATION

                          Item 1. Financial Statements

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

                      Condensed Consolidated Balance Sheets


                 (In thousands, except share and per share data)
<TABLE>
<CAPTION>
                                                                     December 31,     September 30,
                                                                         1999              1999
                                                                         ----              ----
                                                                      (Unaudited)
<S>                                                                   <C>              <C>
                              Assets
Current Assets:
       Cash and cash equivalents                                    $    4,177        $    3,967
       Accounts receivable, net                                        116,080           113,586
       Prepaid expenses and other current assets                        12,021            13,130
       Deferred taxes - current portion                                  2,027             2,027
                                                                    ----------        ----------
                Total current assets                                   134,305           132,710
                                                                    ----------        ----------

Property, plant and equipment, net                                     618,472           621,371

Goodwill, net                                                          477,492           480,809
Other assets                                                            62,468            67,474
                                                                    ----------        ----------
                                                                    $1,292,737        $1,302,364
                                                                    ==========        ==========

               Liabilities and Stockholders' Equity

Current Liabilities:
       Accounts payable and accrued liabilities                     $  105,476        $   97,205
       Current portion of long-term debt                                35,734            34,700
                                                                    ----------        ----------
                Total current liabilities                              141,210           131,905
                                                                    ----------        ----------

Long-term debt                                                         738,725           741,256
Deferred taxes                                                          70,071
                                                                                          76,007
Due to Genesis Health Ventures, Inc. and other liabilities              30,478            27,285

Stockholders' Equity:
       Common stock, par value $.01, 100 shares authorized
         100 shares issued and outstanding                                 ---               ---
       Additional paid-in-capital                                      733,000           733,000
       Retained deficit                                               (420,747)         (407,089)
                                                                     ---------        ----------
                Total stockholders' equity                             312,253           325,911
                                                                     ---------        ----------
                                                                    $1,292,737        $1,302,364
                                                                    ==========        ==========
</TABLE>
     See accompanying notes to condensed consolidated financial statements.

                                       2

<PAGE>

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

                 Condensed Consolidated Statements of Operations

                                   (Unaudited)

                                 (In thousands)
<TABLE>
<CAPTION>
                                                                Three Months Ended
                                                                   December 31,
                                                                   ------------
                                                                1999              1998
                                                                ----              ----
<S>                                                             <C>               <C>
Net revenues                                                  $160,361          $168,484

Expenses:
    Operating expense                                          133,168           129,812
    Management fee                                               9,624            10,051
    Depreciation and amortization expense                        9,558            11,281
    Lease expense                                                3,251             3,124
    Interest expense, net                                       18,329            16,185
                                                              --------          --------
      Total expenses                                           173,390           170,453
                                                              --------          --------

      Loss before income taxes, equity in loss of
      unconsolidated affiliates, and cumulative effect of
      accounting change                                        (13,569)           (1,969)

Income tax (benefit) provision                                  (3,985)              609
                                                              --------          --------

Loss before equity in loss of unconsolidated affiliates
and cumulative effect of accounting change                      (9,584)           (2,578)

Equity in loss of unconsolidated affiliates                        451               ---
                                                              --------          --------

Loss before cumulative effect of accounting change             (10,035)           (2,578)

Cumulative effect of accounting change, net of tax               3,623               ---
                                                              --------          --------

      Net loss                                                $(13,658)         $ (2,578)
                                                              ========          ========
</TABLE>
     See accompanying notes to condensed consolidated financial statements.

                                       3

<PAGE>

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

                 Condensed Consolidated Statements of Cash Flows

                                   (Unaudited)

                                 (In thousands)
<TABLE>
<CAPTION>
                                                                      Three months ended
                                                                          December 31,
                                                                          ------------
                                                                    1999                 1998
                                                                    ----                 ----
<S>                                                               <C>                 <C>
Cash flows from operating activities:
   Net loss                                                       $(13,658)           $(2,578)
   Adjustments to reconcile net income to net cash provided
   by (used in) operating activities:
     Cumulative effect of accounting change, net of tax              3,623                ---
     Depreciation and amortization                                   9,558             11,281
       Deferred taxes                                               (3,985)               ---
     Changes in assets and liabilities:
       Accounts receivable                                          (2,494)           (15,716)
       Prepaid expenses and other current assets                     1,109             (2,940)
       Accounts payable and accrued liabilities                      8,272                614
                                                                  --------            -------
         Net cash provided by (used in) operating activities         2,425             (9,339)
                                                                  --------            -------

Cash flows from investing activities:
     Capital expenditures                                           (2,542)            (5,261)
     Other assets and liabilities                                    1,824              2,285
                                                                  --------            -------
         Net cash used in investing activities                        (718)            (2,976)
                                                                  --------            -------

Cash flows from financing activities:
     Proceeds from long-term debt                                   17,534             83,705
     Repayments of long-term debt                                  (19,031)           (72,350)
                                                                  --------            -------
         Net cash (used in) provided by financing activities        (1,497)            11,355
                                                                  --------            -------

         Increase (Decrease) in cash and cash equivalents              210               (960)

Cash and cash equivalents at beginning of period                     3,967             11,344
                                                                  --------            -------
Cash and cash equivalents at end of period                        $  4,177            $10,384
                                                                  ========            =======
</TABLE>
     See accompanying notes to condensed consolidated financial statements.

                                       4

<PAGE>

                          THE MULTICARE COMPANIES, INC.
                                AND SUBSIDIARIES

              Notes to Condensed Consolidated Financial Statements

                                December 31, 1999

                                   (Unaudited)

                 (In thousands except share and per share data)

(1) Organization and Basis of Presentation

    The Multicare Companies, Inc. and Subsidiaries ("Multicare" or the
    "Company") own, operate and manage skilled eldercare and assisted living
    facilities which provide long-term care and specialty medical services in
    selected geographic regions within the eastern and midwestern United States.
    As a result of the Merger (as defined below) of Genesis ElderCare
    Acquisition Corp. with the Company, Genesis Health Ventures, Inc.
    ("Genesis") owns approximately 44% of Genesis ElderCare Corp., which owns
    100% of the outstanding capital stock of the Company. The Company and
    Genesis have entered into a management agreement pursuant to which Genesis
    manages the Company's operations.

    Multicare operates predominantly in one industry segment, operating skilled
    eldercare centers, which represents over 95% of consolidated revenues.

    The financial information as of December 31, 1999, and for the three months
    ended December 31, 1999 and 1998, is unaudited and has been prepared in
    conformity with the accounting principles and practices as reflected in the
    Company's audited annual financial statements. The unaudited financial
    statements contain all adjustments, consisting only of normal recurring
    adjustments, necessary to present fairly the financial position as of
    December 31, 1999 and the operating results for the three months ended
    December 31, 1999 and 1998 and the cash flows for the three months ended
    December 31, 1999 and 1998. Results for interim periods are not necessarily
    indicative of those to be expected for the year.

    The preparation of financial statements in conformity with generally
    accepted accounting principles requires management to make estimates and
    assumptions that affect the reported amounts of assets and liabilities and
    disclosure of contingent assets and liabilities at the date of the financial
    statements and the reported amounts of revenues and expenses during the
    reporting period. Actual results could differ from these estimates.

    Certain information and footnote disclosures normally included in financial
    statements prepared in accordance with generally accepted accounting
    principles have been condensed or omitted. It is suggested that these
    consolidated financial statements be read in conjunction with the
    consolidated financial statements and notes thereto incorporated in the
    Company's Annual Report on Form 10-K for the fiscal year ended September 30,
    1999.

    Certain prior year balances have been reclassified to conform with current
    year presentation.

(2) Certain Significant Risks and Uncertainties

    The following information is provided in accordance with the AICPA Statement
    of Position No. 94-6, "Disclosure of Certain Significant Risks and
    Uncertainties."

    We have substantial indebtedness and, as a result, significant debt service
    obligations. As of December 31, 1999, we had approximately $738,725 of
    long-term indebtedness (excluding current portion of $35,734) which
    represented 70% of our total capitalization. We also have significant
    long-term operating lease obligations with respect to certain of our
    eldercare centers. The degree to which we are leveraged could have important
    consequences, including, but not limited to the following:

                                       5

<PAGE>

    o the Company's ability to obtain additional financing in the future for
      working capital, capital expenditures, or other purposes may be limited or
      impaired;

    o a substantial portion of the Company's cash flow from operations will be
      dedicated to the payment of principal and interest on the Company's
      indebtedness, thereby reducing the funds available to us for our
      operations;

    o the Company's operating flexibility is limited by restrictions contained
      in some of the Company's debt agreements which set forth minimum net worth
      requirements and/or limit the Company's ability to incur additional
      indebtedness, to enter into other financial transactions, to pay
      dividends, or to sell assets;

    o the Company's degree of leverage may make it more vulnerable to economic
      downturns and less competitive, may reduce the Company's flexibility in
      responding to changing business and economic conditions and may limit the
      Company's ability to pursue other business opportunities, to finance the
      Company's future operations or capital needs, and to implement its
      business strategy; and

    o certain of the Company's borrowings are and will continue to be at
      variable rates of interest, which exposes the Company to the risk of
      greater interest rates.

    The Company expects to finance required payments of principal and interest
    on our indebtedness from its cash flow from operations and from the
    anticipated sale of certain assets in Illinois, Wisconsin and Ohio.
    Management is currently engaged in discussions for the asset sales, however,
    the Company has no firm commitments from potential purchasers for these
    assets. The Company's ability to make scheduled payments of the principal or
    interest on, or to refinance indebtedness, depends on the future performance
    of the Company business, which is in turn subject to financial, business,
    economic and other factors affecting the Company's business and operations,
    including factors beyond its control, such as prevailing economic
    conditions. There can be no assurances that the anticipated sales will be
    consummated and that cash flow from operations will be sufficient to enable
    the Company's to service its debt and meet other obligations. If such cash
    flow is insufficient, the Company may be required to refinance and/or
    restructure all or a portion of its existing debt, to sell additional assets
    or to obtain additional financing. There can be no assurance that any such
    refinancing or restructuring would be possible or that any such additional
    sales of assets or additional financing could be achieved.


    The Company receives revenues from Medicare, Medicaid, private insurance,
    self-pay residents, and other third party payors. The health care industry
    is experiencing a strong trend toward cost containment, as government and
    other third party payors seek to impose lower reimbursement and utilization
    rates and negotiate reduced payment schedules with providers. These cost
    containment measures, combined with the increasing influence of managed care
    payors and competition for patients, generally have resulted in reduced
    rates of reimbursement for services to be provided by the Company.

    In recent years, several significant actions have been taken with respect to
    Medicare and Medicaid reimbursement, including the following:

    o the adoption of the Medicare Prospective Payment System ("PPS") pursuant
      to the Balanced Budget Act of 1997, as modified by the Medicare Balanced
      Budget Refinement Act; and

    o the repeal of the "Boren Amendment" federal payment standard for Medicaid
      payments to nursing facilities.

    While the Company has prepared certain estimates of the impact of the above
    changes, it is not possible to fully quantify the effect of recent
    legislation, the interpretation or administration of such legislation or any
    other governmental initiatives on its business. Accordingly, there can be no
    assurance that the impact of these changes will not be greater than
    estimated or that these legislative changes or any future healthcare
    legislation will not adversely affect the Company's business. There can be
    no assurance that payments under governmental and private third party payor
    programs will be timely, will remain at levels comparable to present levels
    or will, in the future, be sufficient to cover the costs allocable to
    patients eligible for reimbursement pursuant to such programs. The Company's
    financial condition and results of operations may be affected by the revenue
    reimbursement process, which in the Company's industry is complex and can
    involve lengthy delays between the time that revenue is recognized and the
    time that reimbursement amounts are settled.


                                       6

<PAGE>


(3) Tender Offer and Merger and its Restructuring

    In October 1997, Genesis, The Cypress Group (together with its affiliates,
    "Cypress"), TPG Partners II, L.P., (together with its affiliates, "TPG") and
    Nazem, Inc. ("Nazem") acquired all of the issued and outstanding common
    stock of Genesis ElderCare Corp., a Delaware corporation. Cypress, TPG and
    Nazem purchased 210,000, 199,500 and 10,500 shares of Genesis ElderCare
    Corp. common stock, respectively, representing in the aggregate
    approximately 56.4% of the issued and outstanding common stock of Genesis
    ElderCare Corp., for an aggregate purchase price of $420,000. Genesis
    purchased 325,000 shares of Genesis ElderCare Corp. common stock,
    representing approximately 43.6% of the issued and outstanding common stock
    of Genesis ElderCare Corp., for an aggregate purchase price of $325,000.
    Cypress, TPG and Nazem are sometimes collectively referred to herein as the
    "Sponsors."

    In October 1997, as a result of a tender offer and a merger transaction,
    Genesis ElderCare Corp. acquired 100% of the outstanding shares of common
    stock of Multicare, making Multicare a wholly-owned subsidiary of Genesis
    ElderCare Corp. In connection with their investments in the common stock of
    Genesis ElderCare Corp., Genesis, Cypress, TPG and Nazem entered into a
    stockholders agreement dated as of October 9, 1997 (the "Multicare
    Stockholders Agreement"), and Genesis, Cypress, TPG and Nazem entered into a
    put/call agreement, dated as of October 9, 1997 (the "Put/Call Agreement")
    relating to their respective ownership interests in Genesis ElderCare Corp.

    On October 9, 1997, Genesis ElderCare Corp. and Genesis ElderCare Network
    Services, Inc., a wholly-owned subsidiary of Genesis, entered into a
    management agreement (the "Management Agreement") pursuant to which Genesis
    ElderCare Network Services manages Multicare's operations.

    Restructuring

    On October 8, 1999, Genesis entered into a restructuring agreement with
    Cypress, TPG and Nazem (the "Restructuring Agreement") to restructure their
    joint investment in Genesis ElderCare Corp., the parent company of
    Multicare.

    Amendment to Put/Call Agreement

    Pursuant to the Restructuring Agreement, the Put under the Put/Call
    Agreement was terminated in exchange for shares of Genesis preferred stock.
    In addition, the Call under the Put/Call Agreement was amended to provide
    Genesis with the right to purchase all of the shares of common stock of
    Genesis ElderCare Corp. not owned by Genesis for $2,000 in cash at any time
    prior to the 10th anniversary of the closing date of the restructuring
    transaction.

    Amendment to Stockholders Agreement

    On November 15, 1999, the Multicare Stockholders Agreement was amended to:

    o provide that all shareholders will grant to Genesis an irrevocable proxy
      to vote their shares of common stock of Genesis ElderCare Corp. on all
      matters to be voted on by shareholders, including the election of
      directors;

    o provide that Genesis may appoint two-thirds of the members of the Genesis
      ElderCare Corp. board of directors;

    o omit the requirement that specified significant actions receive the
      approval of at least one designee of each of Cypress, TPG and Genesis;

                                       7

<PAGE>

    o permit Cypress, TPG and Nazem and their affiliates to sell their Genesis
      ElderCare Corp. stock, subject to certain limitations;

    o provide that Genesis may appoint 100% of the members of the operating
      committee of the board of directors of Genesis ElderCare Corp.; and

    o eliminate all pre-emptive rights.

(4) Cumulative effect of accounting change

    Effective October 1, 1999, the Company adopted the provisions of the AICPA's
    Position 98-5, "Reporting on the Costs of Start-up Activities," (SOP 98-5)
    which requires the costs of start-up activities to be expensed as incurred,
    rather than capitalizing and subsequently amortizing such costs. The change
    in accounting principle resulted in the write-off of costs capitalized in
    connection with six start-up facilities as of October 1, 1999. The
    cumulative effect of $3,623, net of tax is reflected in the cumulative
    effect of accounting change.

                                       8

<PAGE>

Item 2. Management's Discussion and Analysis of Financial Condition and Results
of Operations

General

Upon consummation of the Merger, the Company and Genesis entered into the
Management Agreement pursuant to which Genesis manages the Company's operations.
Under Genesis' management, the Company's strategy is to integrate the talents of
case managers, comprehensive discharge planning and, to provide cost effective
care management to achieve superior outcomes and return the Company's customers
to the community. Genesis' management believes that achieving improved customer
outcomes will result in increased utilization of specialty medical services and
a broader base of repeat customers in the Company's network. Moreover, the
Company believes that this strategy will lead to a high quality payor mix and
continued high levels of occupancy. It is contemplated that the Company will do
little, if any, new acquisitions or new construction after the Merger;
accordingly, capital expenditures after the Merger have decreased significantly
from historical levels.

The Tender Offer and Merger and its Restructuring

In October 1997, Genesis, affiliates of Cypress, TPG and certain of its
affiliates and an affiliate of Nazem, acquired all of the issued and outstanding
common stock of Genesis ElderCare Corp., a Delaware corporation. Cypress, TPG
and Nazem purchased 210,000, 199,500 and 10,500 shares of Genesis ElderCare
Corp. common stock, respectively, representing in the aggregate approximately
56.4% of the issued and outstanding common stock of Genesis ElderCare Corp., for
an aggregate purchase price of $420,000,000. Genesis purchased 325,000 shares of
Genesis ElderCare Corp. common stock, representing approximately 43.6% of the
issued and outstanding common stock of Genesis ElderCare Corp., for an aggregate
purchase price of $325,000,000. Cypress, TPG and Nazem are sometimes
collectively referred to herein as the "Sponsors."

In October 1997, as a result of a tender offer and a merger transaction, Genesis
ElderCare Corp. acquired 100% of the outstanding shares of common stock of
Multicare, making Multicare a wholly-owned subsidiary of Genesis ElderCare Corp.
In connection with their investments in the common stock of Genesis ElderCare
Corp., Genesis, Cypress, TPG and Nazem entered into a stockholders agreement
dated as of October 9, 1997 (the "Multicare Stockholders Agreement"), and
Genesis, Cypress, TPG and Nazem entered into a put/call agreement, dated as of
October 9, 1997 (the "Put/Call Agreement") relating to their respective
ownership interests in Genesis ElderCare Corp.

On October 9, 1997, Genesis ElderCare Corp. and Genesis ElderCare Network
Services, Inc., a wholly-owned subsidiary of Genesis, entered into a management
agreement (the "Management Agreement") pursuant to which Genesis ElderCare
Network Services manages Multicare's operations.

Restructuring

On October 8, 1999, Genesis entered into a restructuring agreement with Cypress,
TPG and Nazem (the "Restructuring Agreement") to restructure their joint
investment in Genesis ElderCare Corp., the parent company of Multicare.

Amendment to Put/Call Agreement

Pursuant to the Restructuring Agreement, the Put under the Put/Call Agreement
was terminated in exchange for shares of Genesis preferred stock. In addition,
the Call under the Put/Call Agreement was amended to provide Genesis with the
right to purchase all of the shares of common stock of Genesis ElderCare Corp.
not owned by Genesis for $2,000,000 in cash at any time prior to the 10th
anniversary of the closing date of the restructuring transaction.

                                       9

<PAGE>

Amendment to Stockholders Agreement

On November 15, 1999, the Multicare Stockholders Agreement was amended to:

o provide that all shareholders will grant to Genesis an irrevocable proxy to
  vote their shares of common stock of Genesis ElderCare Corp. on all matters to
  be voted on by shareholders, including the election of directors;

o provide that Genesis may appoint two-thirds of the members of the Genesis
  ElderCare Corp. board of directors;

o omit the requirement that specified significant actions receive the approval
  of at least one designee of each of Cypress, TPG and Genesis;

o permit Cypress, TPG and Nazem and their affiliates to sell their Genesis
  ElderCare Corp. stock, subject to certain limitations;

o provide that Genesis may appoint 100% of the members of the operating
  committee of the board of directors of Genesis ElderCare Corp.; and

o eliminate all pre-emptive rights.

Results of Operations

Net revenues. Net revenues for the three months ended December 31, 1999
decreased $8.1 million or 4.8% from the same period last year to $160.4 million.
In the quarter ended December 31, 1999, net revenues decreased $10.8 due to
Medicare rate dilution as a result of the Medicare Prospective Pay System
implemented on January 1, 1999. The offsetting increase is primarily due to
changes in payor mix with increased Medicare patient days. (Medicare patient
days increased by 18,128 days, Medicaid patient days increased by 20,197 days
while private and other patient days decreased by 39,483 days).

The Company's quality mix of private, Medicare and insurance patient days was
39.4% of patient days for the three months ended December 31, 1999 compared to
41.4% in the similar periods of last year. Occupancy rates were 90.5% for the
three months ended December 31, 1999 compared to 91.1% in the similar periods of
last year.

Operating Expense. Operating expenses for the three months ended December 31,
1999 increased $3.4 million or 2.6% from the comparable period last year to
$133.2 million. Of this increase, approximately $1.6 million was due to the
impact of a change in accounting principle which requires expensing start-up
costs that were previously capitalized. The remaining increase resulted
primarily from higher salaries, wages and benefits and overtime due to more
competitive labor markets. Facility operating margins were 17.0% and 23.0% for
the three months ended December 31, 1999 and 1998, respectively.

Management Fee. In connection with the Management Agreement, Genesis manages
Multicare's operations for a fee of approximately six percent of Multicare's
non-extraordinary (as defined by the Management Agreement) sales and is
responsible for Multicare's corporate general and administrative expenses other
than certain specified third party expenses. Management fees decreased by $0.4
million or 4.2% to $9.6 million due to the decline in net revenues.

Lease Expense. Lease expense of $3.3 million and $3.1 million for the three
months ended December 31, 1999 and 1998, respectively, was relatively unchanged
as the same number of eldercare centers were leased in 1999 and 1998.

Depreciation and Amortization. Depreciation and amortization expense for the
three months ended December 31, 1999 decreased $1.7 million or 15.3% from the

                                       10

<PAGE>

prior period to $9.6 million. Effective September 30, 1999, the company
wrote-down impaired long-lived assets of $397.3 million. Due to this write-down
of long-lived assets, amortization of goodwill decreased by approximately $1.7
million for the three months ended December 31, 1999. Decreases in depreciation
due to the write-down of long lived assets were offset by increases due to
capital expenditures for routine maintenance and renovation. The Company has not
completed any acquisitions and has begun little new construction since the
Merger.

Interest Expense, net. Interest expense, net for the three months ended December
31, 1999 increased $2.1 million or 13.2% to $18.3 million from the same period
in the prior year. The increase is principally due to an increase in the
effective borrowing rate of approximately 1.0% to 9.4% for the three months
ended December 31, 1999. The primary reason for the borrowing rate increase was
due to senior bank debt amendments.

Cumulative effect of accounting change, net of tax. Effective October 1, 1999,
the Company adopted the provisions of the AICPA's Statement of Position No.
98-5, "Reporting on the Costs of Start-up Activities," (SOP 98-5) which requires
the costs of start-up activities to be expensed as incurred. The initial
application of SOP 98-5 resulted in a charge of $3.6 million, net of tax for the
cumulative effect of this accounting change.

Income Tax Provision (Benefit). The provision for income taxes decreased by $4.6
million to a benefit of $4.0 million for the three months ended December 31,
1999. Of the decrease $2.0 million relates to the tax benefit related to the
cumulative effect of accounting change. The remainder of the decrease relates to
the increase in loss before the cumulative effect of accounting change offset by
lower non-deductible goodwill amortization.

Liquidity and Capital Resources

General

We have substantial indebtedness and, as a result, significant debt service
obligations. As of December 31, 1999, we had approximately $738,725,000
(excluding current portion of $35,734,000) of long-term indebtedness which
represented 70% of our total capitalization. We also have significant long-term
operating lease obligations with respect to certain of our eldercare centers.
The degree to which we are leveraged could have important consequences,
including, but not limited to the following:

o our ability to obtain additional financing in the future for working capital,
  capital expenditures, acquisitions or other purposes may be limited or
  impaired;

o a substantial portion of our cash flow from operations will be dedicated to
  the payment of principal and interest on indebtedness, thereby reducing the
  funds available to us for our operations;

o our operating flexibility is limited by restrictions contained in some of our
  debt agreements which limit our ability to incur additional indebtedness and
  enter into other financial transactions, to pay dividends, or sell assets and
  set forth minimum net worth requirements;

o our degree of leverage may make us more vulnerable to economic downturns and
  less competitive, may reduce our flexibility in responding to changing
  business and economic conditions and may limit our ability to pursue other
  business opportunities, to finance our future operations or capital needs, and
  to implement our business strategy; and

o certain of our borrowings are and will continue to be at variable rates of
  interest, which exposes us to the risk of higher interest rates.

Required payments of principal and interest on our indebtedness is expected to
be financed from our cash flow from operations and from the anticipated sale of
certain assets in Illinois, Wisconsin and Ohio. Our ability to make scheduled
payments of the principal of, to pay interest thereon, or to refinance our
indebtedness, depends on the future performance of our business, which will in
turn be subject to financial, business, economic and other factors affecting our
business and operations, including factors beyond our control, such as
prevailing economic conditions. Our ability to make scheduled payments of the
principal or interest depends on our ability to complete the sale of assets in

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Illinois, Wisconsin and Ohio. Management is currently engaged in discussions for
the assets sales, however, we have no firm commitments from potential purchases
for these assets. There can be no assurances that the anticipated sales will be
consummated and that cash flow from operations will be sufficient to enable us
to service our debt and meet our other obligations. If such cash flow is
insufficient, we may be required to refinance and/or restructure all or a
portion of our existing debt, to sell additional assets or to obtain additional
financing. There can be no assurance that any such refinancing or restructuring
would be possible or that any such additional sales of assets or additional
financing could be achieved. We also have significant long-term operating lease
obligations with respect to certain of our sites of service, including eldercare
centers.

Operating cash flow will depend upon our ability to effect cost reduction
initiatives and to continue to reduce our investment in working capital. We
believe that operating cash flow which is expected to be augmented by planned
asset sales and refinancing transactions, will be sufficient to meet our future
obligations. However, there can be no assurances that the cash flow from our
operations will be sufficient to enable us to service our substantial
indebtedness and meet our other obligations. At December 31, 1999 we had working
capital deficit of $6.9 million. As of September 30, 1999 we had working capital
of $0.8 million.

Cash flow provided by operations was $2.4 million for the three months ended
December 31, 1999 compared to cash flow used in operations of $9.3 million in
the comparable period of 1998. Operating cash flows increased as a result of the
decline of receivable growth of $13.2 million. Offsetting cash flows decline of
$11.1 million relates to the decline in earnings primarily as a result of the
implementation of PPS. Net accounts receivable were $116.1 million and $113.6
million at December 31, and September 30, 1999, respectively. Legislative and
regulatory action and government budgetary constraints could change the timing
of payments and reimbursement rates of the Medicare and Medicaid programs in the
future. These changes have had a material adverse effect on the Company's future
operating results and cash flows. In addition growth of accounts payable and
accrued liabilities resulted in increased cash flow of $7.6 million primarily as
a result of increased amounts owed Genesis. Genesis is the primary provider of
pharmacy and rehabilitation services.

Cash flows used in investing activities in fiscal year 1999 includes the
deferred management fees due to Genesis of $3.2 million as a source of cash.
Capital expenditures of $2.5 million are principally for routine maintenance and
renovation. The Company has not completed any new acquisitions and has begun
little new construction since the Merger.

Credit Facility and Other Debt

In connection with the Merger, Multicare entered into three term loans and a
revolving credit facility of up to $525 million, in the aggregate (collectively,
the "Credit Facility"), provided by a syndicate of banks and other financial
institutions (collectively, the "Lenders") led by Mellon Bank, N.A., as
administrative agents (the "Administrative Agent"), pursuant to a certain credit
agreement (the "Long Term Credit Agreement") dated as of October 14, 1997, as
amended from time to time.

Multicare entered into a fourth amended and restated credit agreement on August
20, 1999 which made the financial covenants for certain periods less
restrictive, permitted a portion of the proceeds of assets sales to repay
indebtedness under the Tranche A Term Facility and Revolving Facility (defined
below), permitted the restructuring of the Put / Call Agreement, as defined, and
increased the interest rates applying to the Term Loans (defined below) and the
Revolving Facility and increased the level of management fees Multicare may
defer from 2% to up to 4% of net revenues (on an annualized basis) in any fiscal
year.

The Credit Facilities consist of three term loans with an aggregate original
balance of $400 million (collectively, the "Term Loans"), and a $125 million
revolving credit loan (the "Revolving Facility") The Term Loans amortize in
quarterly installments through 2005. The loans consist of:

o an original six year term loan maturing in September 2003 with an outstanding
  balance of $140 million at December 31, 1999 (the "Tranche A Term Facility");

o an original seven year term loan maturing in September 2004 with an
  outstanding balance of $147 million at December 31, 1999 (the "Tranche B Term
  Facility"); and

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<PAGE>

o an original eight year term loan maturing in June 2005 with an outstanding
  balance of $49 million at December 31, 1999 (the "Tranche C Term Facility").

o The Revolving Facility, with an outstanding balance of $124 million at
  December 31, 1999, becomes payable in full on September 30, 2003.

At January 31, 1999, approximately $460.4 million was outstanding under the
Senior facilities, and there was no availability under the credit facilities
after giving effect to approximately $1.5 million in outstanding letters of
credit issued under the credit facilities.

The Credit Facility (as amended) is secured by first priority security interests
(subject to certain exceptions) in all personal property, including inventory,
accounts receivable, equipment and general intangibles. Mortgages on certain of
Multicare's subsidiaries' real property were also granted. Loans under the
Credit Facility bear, at Multicare's option, interest at the per annum Prime
Rate as announced by the administrative agent, or the applicable Adjusted LIBO
Rate plus, in either event, a margin (the "Annual Applicable Margin") that is
dependent upon a certain financial ratio test.

Effective with the Amendment on August 20, 1999, loans under the Tranche A Term
Facility bear interest at a rate equal to LIBO Rate plus a margin up to 3.75%;
loans under the Tranche B Term Facility bear interest at a rate equal to LIBO
Rate plus a margin up to 4.0%; loans under the Tranche C Term Facility bear
interest at a rate equal to LIBO Rate plus a margin up to 4.25%; loans under the
Revolving Credit Facility bear interest at a rate equal to LIBO Rate plus a
margin up to 3.75%. Subject to meeting certain financial covenants, the
above-referenced interest rates will be reduced.

The Company continues to actively pursue sales of assets in Ohio, Illinois and
Wisconsin. All net proceeds of the disposition of certain assets located in Ohio
not in excess of $55 million shall be applied against the Revolving Facility at
the time outstanding on a pro rata basis in accordance with the relative
aggregate principal amount thereof held be each applicable lender.

All net proceeds of the disposition of certain assets located in Illinois and
Wisconsin shall be applied first against the Tranche A Term Loan, on a pro rata
basis in accordance with the relative aggregate principal amounts held by each
applicable lender.

The Company has no firm commitments from potential purchasers for these assets.
There can be no assurance that any such sales of assets or additional financing
could be achieved.

The Credit Facility contains a number of covenants that, among other things,
restrict the ability of Multicare and its subsidiaries to dispose of assets,
incur additional indebtedness, make loans and investments, pay dividends, engage
in mergers or consolidations, engage in certain transactions with affiliates and
change control of capital stock, and to make capital expenditures; prohibit the
ability of Multicare and its subsidiaries to prepay debt to other persons, make
material changes in accounting and reporting practices, create liens on assets,
give a negative pledge on assets, make acquisitions and amend or modify
documents; causes Multicare and its affiliates to maintain certain agreements
including the Management Agreement and the Put/Call Agreement (as amended), and
to maintain corporate separateness; and cause Multicare to comply with the terms
of other material agreements, as well as to comply with usual and customary
covenants for transactions of this nature.

On August 11, 1997, Genesis ElderCare Acquisition Corp. sold $250 million
principal amount of 9% Senior Subordinated Notes due 2007 ("the 9% Notes").
Interest on the 9% Notes is payable semiannually on February 1 and August 1 of
each year.

The 9% Notes are unsecured, general obligations of the issuer, subordinated in
right of payment to all existing and future Senior Indebtedness, as defined in
the Indenture, of the issuer, including indebtedness under the Senior
Facilities. The 9% Notes rank pari passu in right of payment with any future
senior subordinated indebtedness of the issuer and are senior in right of
payment to all future subordinated indebtedness of the issuer. The 9% Notes are
redeemable at the option of the issuer, in whole or in part, at any time on or
after August 1, 2002, initially at 104.5% of their principal amount, plus
accrued interest, declining ratably to 100% of their principal amount, plus
accrued interest, on or after August 1, 2004. The 9% Notes are subject to
mandatory redemption at 101%. Upon a Change in Control, as defined in the
Indenture, the issuer is required to make an offer to purchase the 9% Notes at a
purchase price equal to 101% of their principal amount, plus accrued interest.
The Indenture contains a number of covenants that, among other things, restrict
the ability of the issuer of the 9% Notes to incur additional indebtedness, pay

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<PAGE>

dividends, redeem capital stock, make certain investments, issue the capital
stock of its subsidiaries, engage in mergers or consolidations or asset sales,
engage in certain transactions with affiliates, and other restrictions affecting
its subsidiaries.

Merger and Other Transactions

Upon the consummation of the Merger, Multicare assumed all obligations of
Acquisition Corp. with respect to and under the 9% Notes and the related
Indenture.

On October 9, 1997, Multicare, Genesis and Genesis ElderCare Network Services,
Inc., a wholly-owned subsidiary of Genesis, entered into a management agreement
(the "Management Agreement") pursuant to which Genesis manages Multicare's
operations. The Management Agreement has a term of five years with automatic
renewals for two years unless either party terminates the Management Agreement.
Effective with the Amendment on August 20, 1999, Multicare may not pay
management fees under the Management agreement in excess of 6% of consolidated
net revenue. The Company may defer not more than 4% (on an annualized basis) of
the management fees due in any fiscal year. At December 31, 1999 $30.1 million
is subordinated and due to Genesis Health Ventures, Inc. Under the Management
Agreement, Genesis is responsible for Multicare's non-extraordinary sales,
general and administrative expenses (other than certain specified third-party
expenses), and all other expenses of Multicare are paid by Multicare.

In February 1998 ElderTrust ("ETT"), a Maryland real estate investment trust
sponsored by Genesis, made term loans to subsidiaries of the Company with
respect to the lease-up of three assisted living facilities. The loans have a
fixed annual rate of interest of 10.5% and mature three years from the date of
the loans, subject to the right of the Company to extend the term for up to
three one-year extension periods in the event the facility has not reached
"stabilized occupancy" (as defined) as of the third anniversary of the loan (or
at the end of any extension period, if applicable).

ETT is obligated to purchase and leaseback the three facilities that secure the
term and construction loans being made to the Company, upon the earlier of the
facility reaching stabilized occupancy or the maturity of the loan secured by
the facility provided, however, that the Company will not be obligated to sell
any facility if the purchase price for the facility would be less than the
applicable loan amount. The purchase agreements provide for a cash purchase
price in an amount which will result in an annual yield of 10.5% to ETT. If
acquired by ETT, these facilities would be leased to the Company under minimum
rent leases. The initial term of any minimum rent lease will be ten years, and
the Company will have the option to extend the term for up to two five-year
extension periods upon 12 months notice to ETT. Minimum rent for the first lease
year under any minimum rent lease will be established by multiplying the
purchase price for the applicable facility times 10.5%, and the increase each
year by an amount equal to the lesser of (i) 5% of the increase in the gross
revenues for such facility (excluding any revenues derived from ancillary
healthcare services provided by Genesis or its affiliates to residents of the
applicable facility) during the immediately preceding year or (ii) one-half of
the increase in the Consumer Price Index during the immediately preceding year.
During the last four years of the term (as extended, if applicable), the Company
is required to make minimum capital expenditures equal to $3,000 per residential
unit in each assisted living facility covered by a minimum rent lease.


Legislative and Regulatory Issues

Legislative and regulatory action, including but not limited to the 1997 Act and
the Refinement Act, has resulted in continuing change in the Medicare and
Medicaid reimbursement programs which has adversely impacted us. The changes
have limited, and are expected to continue to limit, payment increases under

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<PAGE>

these programs. Also, the timing of payments made under the Medicare and
Medicaid programs is subject to regulatory action and governmental budgetary
constraints; in recent years, the time period between submission of claims and
payment has increased. Within the statutory framework of the Medicare and
Medicaid programs, there are substantial areas subject to administrative rulings
and interpretations which may further affect payments made under those programs.
Further, the federal and state governments may reduce the funds available under
those programs in the future or require more stringent utilization and quality
reviews of eldercare centers or other providers. There can be no assurances that
adjustments from Medicare or Medicaid audits will not have a material adverse
effect on us.

See "Cautionary Statements Regarding Forward Looking Statements."

Anticipated Impact of Healthcare Reform

The majority of the Multicare eldercare centers began implementation of PPS on
January 1, 1999. The actual impact of PPS on our earnings in future periods will
depend on many variables which can not be quantified at this time, including the
effect of the Balanced Budget Refinement Act, regulatory changes, patient
acuity, patient length of stay, Medicare census, referral patterns, ability to
reduce costs and growth of ancillary business. PPS and other existing and future
legislation and regulation may also adversely affect our pharmacy and medical
supply revenue, and other specialty medial services.


As a result of the Balanced Budget Refinement Act, the Company transitioned 23
eldercare centers to the full federal rate effective January 1, 2000. The
Company believes this transaction will result in incremental annualized revenue
of approximately $2.2 million, which will in part be offset by the continued
phase in of PPS.

Year 2000 Compliance

The Company did not experience any material interruptions of business as a
result of the Year 2000 computer problem.

Seasonality

The Company's earnings generally fluctuate from quarter to quarter. This
seasonality is related to a combination of factors which include the timing of
Medicaid rate increases, seasonal census cycles, and the number of calendar days
in a given quarter.

Impact of Inflation

The healthcare industry is labor intensive. Wages and other labor costs are
especially sensitive to inflation and marketplace labor shortages. To date, the
Company has offset its increased operating costs by increasing charges for its
services and expanding its services. The Company has also implemented cost
control measures to limit increases in operating costs and expenses but cannot
predict its ability to control such operating cost increases in the future.

New Accounting Pronouncements

In June 1998, the FASB issued Statement of Financial Accounting Standards No.
133, Accounting for Derivative Instruments and Hedging Activities ("Statement
133"). Statement 133 establishes accounting and reporting standards for
derivative instruments, including certain derivative instruments embedded in
other contracts, and for hedging activities. Statement 133 requires that an
entity recognize all derivatives as either assets or liabilities in the
statement of financial position and measure the instrument at fair value. The
accounting changes in the fair value of a derivative depends on the intended use
of the derivative and the resulting designation. This Statement is effective for
all fiscal quarters of fiscal years beginning after June 15, 2000. The Company
intends to adopt this accounting standard as required. The adoption of this
standard is not expected to have a material impact on the Company's earnings or
financial position.

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Item 3. Quantitative and Qualitative Disclosures about Market Risk

        The Company is exposed to the impact of interest rate changes. In the
        normal course of business, the Company employs established policies and
        procedures to manage its exposure to changes in interest rates. The
        Company's objective in managing its exposure to interest rate changes is
        to limit the impact of such changes on earnings and cash flows and to
        lower its overall borrowing costs. To achieve its objectives, the
        Company primarily uses interest rate swaps to manage net exposure to
        interest rate changes related to its portfolio of borrowings. Notional
        amounts of interest rate swap agreements are used to measure interest to
        be paid or received relating to such agreements and do not represent an
        amount of exposure to credit loss. The fair value of interest rate swap
        agreements is the estimated amount the Company would receive or pay to
        terminate the swap agreement at the reporting date, taking into account
        current interest rates. The estimated amount the Company would pay to
        terminate its interest rate swap agreements outstanding at September 30,
        1999 is approximately $1 million.

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                           PART II: OTHER INFORMATION

Item 1.  Legal Proceedings.  Not Applicable.

Item 2.  Changes in Securities and Use of Proceeds.  Not Applicable.

Item 3.  Defaults Upon Senior Securities.  Not Applicable.

Item 4.  Submission of Matters to a Vote of Security Holders.  Not Applicable.

Item 5.  Other Information.  Not Applicable.

Item 6.  Exhibits and Reports on Form 8-K.

         (a)    Exhibits

                Exhibit No.            Description
                -----------            -----------

                  27                   Financial Data Schedule.

         (b)    Reports on Form 8-K.  Not Applicable.

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                                   SIGNATURES

         Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this Report to be signed on its behalf by the
undersigned, thereunto duly authorized.


                               THE MULTICARE COMPANIES, INC.

Date: February 11, 2000        /S/ George V. Hager, Jr.
                               ----------------------------
                               George V. Hager, Jr.
                               Executive Vice President and
                               Chief Financial Officer

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