X0201 4 2003-10-01 0 0000874265 GENESIS HEALTH VENTURES INC /PA GHVI 0001133713 BLOEM JAMES H C/O HUMANA, INC. 500 W. MAIN ST. LOUISVILLE KY 40202 1 0 0 0 Common Stock (Right to Buy) 24.21 2003-10-01 4 A 0 2500 24.21 A 2003-10-01 2013-10-01 Common Stock 2500 30000 D James H. Bloem 2003-10-03