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RENAL CARE GROUP REPORTS FOURTH QUARTER EARNINGS GROWTH OF 25%

NASHVILLE, Tenn.--(BUSINESS WIRE)--Feb. 25, 2003--Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the fourth quarter and year ended December 31, 2002.

Mr. Sam Brooks, chairman, president and chief executive officer of Renal Care Group, said, "During 2002, Renal Care Group met or exceeded each of the financial goals we had set for the year and our balance sheet and liquidity position remain strong. We have to give credit to our over 6,500 associates and to our affiliated physicians, all of whom steadfastly focus on providing optimal care for our patients every day."

For the fourth quarter ended December 31, 2002, Renal Care Group's revenues increased 19.3% to $243.0 million compared with revenues of $203.7 million for the same period in 2001. Net income rose 20.7% to $24.9 million from $20.6 million in the same period last year. Net income per share increased 25.0% to $0.50 compared with net income per share of $0.40 in the same quarter of last year. For the quarter ended December 31, 2002, same-market treatment growth was 5.6% and same-market revenue growth was 12.5%.

For the year ended December 31, 2002, revenues increased 19.6% to $903.4 million compared with revenues of $755.1 million for the same period in 2001. Net income rose 20.7% to $92.5 million from $76.6 million in the year 2001. Net income per share increased 19.7% to $1.82 compared with net income per share of $1.52 in the year 2001. For the year ended December 31, 2002, same-market treatment growth was 5.8% and same-market revenue growth was 12.7%.

Renal Care Group will hold a conference call to discuss this press release on Wednesday, February 26, 2003, at 10:00 a.m. Central Time. A listen-only simulcast, as well as a 30-day replay, of the conference call to discuss this press release will be available online at the Company's website at www.renalcaregroup.com or www.companyboardroom.com.

Renal Care Group, Inc. is a specialized dialysis services company that provides care to patients with kidney disease. The Company currently treats more than 20,500 patients at 268 owned outpatient dialysis facilities, in addition to providing acute dialysis services at approximately 120 hospitals. Over 6,500 associates provide services across the Company's 27-state network. More information about Renal Care Group, Inc. may be found at www.renalcaregroup.com.

Certain statements in this press release, particularly those of Mr. Brooks constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are usually preceded by words like expect, plan, intend, will and the like. These forward-looking statements reflect management's expectations and are based upon currently available information. These forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of Renal Care Group to differ materially from those expressed in or implied by the forward-looking statements, including risks related to: executive succession and dependence on executive officers; compliance with health care and other applicable laws; the integration of acquired companies; changes in the Medicare and Medicaid programs; risks related to the drug Epogen (EPO); payment reductions by private insurers, hospitals or managed care organizations; and changes in the health care delivery, financing or reimbursement systems. These and other factors affecting the Company are discussed in more detail in Renal Care Group's reports filed with the Securities and Exchange Commission, including without limitation Renal Care Group's annual report on Form 10-K for the year ended December 31, 2001 and its quarterly reports on Form 10-Q for the quarters ended March 31, 2002, June 30, 2002 and September 30, 2002. Copies of these filings are available from Renal Care Group upon request.

                        RENAL CARE GROUP, INC.
               Condensed Consolidated Income Statements
       (In thousands, except per share data and operating data)

                           Three Months Ended        Year Ended
                               December 31,          December 31,
                           ------------------    --------------------
                             2002      2001        2002        2001
                           --------  --------    --------    --------
Net revenue                $242,998  $203,700    $903,387    $755,082
Operating costs and
 expenses:
     Patient care costs     157,512   132,105     589,696     489,271
     General and
      administrative
      expenses               22,046    17,308      78,079      64,530
     Provision for doubtful
      accounts                6,273     5,405      23,501      20,290
     Depreciation and
      amortization           10,735    10,824      40,432      38,945
                           --------  --------    --------    --------
       Total cost and
        expenses            196,566   165,642     731,708     613,036

Income from operations       46,432    38,058     171,679     142,046

Interest expense, net           260       166       1,140       2,636
                           --------  --------    --------    --------
Income before minority
 interest and
      income taxes           46,172    37,892     170,539     139,410

Minority interest             6,029     4,522      21,410      15,478

Income before income taxes   40,143    33,370     149,129     123,932

Provision for income taxes   15,248    12,740      56,669      47,331
                           --------  --------    --------    --------
Net income                 $ 24,895  $ 20,630   $  92,460   $  76,601
                           ========  ========    ========    ========
Diluted net income per
 share                     $   0.50  $   0.40   $    1.82   $    1.52
                           ========  ========    ========    ========
Weighted average shares
 outstanding                 49,960    51,170      50,767      50,433
                           ========  ========    ========    ========
Patients                     20,568    18,763      20,568      18,763
Treatments                  792,445   709,586   3,019,675   2,686,181

Same-market treatment
 growth                         5.6%      5.4%        5.8%        5.4%
Same-market revenue growth     12.5%     14.6%       12.7%       13.7%

Patient revenue per
 treatment                 $    305  $    285   $     297   $     278




                        RENAL CARE GROUP, INC.
                 Condensed Consolidated Balance Sheets
                 (In thousands, except per share data)

                                            December 31, December 31,
                                                2002       2001
                                            ------------ ------------
ASSETS:
Current assets:
     Cash and cash equivalents                $ 38,359  $ 27,423
     Accounts receivable, net                  152,440   127,056
     Other current assets                       55,062    58,828
                                              --------  --------
       Total current assets                    245,861   213,307

Property, plant and equipment, net             202,972   175,925
Intangibles and other assets, net              291,290   261,817
                                              --------  --------
       TOTAL ASSETS                           $740,123  $651,049
                                              ========  ========
LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                     $135,380  $109,260
Long-term debt                                  10,161     3,776
Other liabilities                               50,694    27,762
                                              --------  --------
       Total liabilities                       196,235   140,798
                                              --------  --------
Stockholders' equity:
     Common stock, $0.01 par value per share,
      90,000 shares authorized,
       51,176 and 49,597 shares issued,
        respectively                               512       496
     Treasury stock, 2,983 and 100 shares,
      respectively                             (93,953)   (3,059)
     Additional paid-in capital                309,355   277,300
     Retained earnings                         327,974   235,514
                                              --------  --------
       Total stockholders' equity              543,888   510,251
                                              --------  --------
       TOTAL LIABILITIES AND
          STOCKHOLDERS' EQUITY                $740,123  $651,049
                                              ========  ========




--------------------------------------------------------------------------------
Contact: 
     Renal Care Group, Inc.
     R. Dirk Allison, 615/345-5500




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