Exhibit 10.46 AMENDED AND RESTATED PARTICIPATION AGREEMENT Dated as of October 7, 1996Participation Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Pennsylvania
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
Exhibit 10.45 AMENDED AND RESTATED LEASE AND AGREEMENT Dated as of October 7, 1996Lease Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Pennsylvania
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
by and amongCredit Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Pennsylvania
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
GUARANTY AND AGREEMENT OF SURETYSHIP REGARDING OBLIGATIONSGuaranty and Agreement of Suretyship • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Pennsylvania
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
Exhibit 10.49 WORKING CAPITAL LOAN AND SECURITY AGREEMENT Dated as of August 31, 1996Working Capital Loan and Security Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Florida
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
BACKGROUNDManagement and Affiliation Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Florida
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction
Exhibit 10.48 ACQUISITION LOAN AND SECURITY AGREEMENT Dated as of August 31, 1996Acquisition Loan and Security Agreement • December 30th, 1996 • Genesis Health Ventures Inc /Pa • Services-skilled nursing care facilities • Florida
Contract Type FiledDecember 30th, 1996 Company Industry Jurisdiction