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Renal Care Group Reports Second Quarter Net Income Per Share Growth of 18%

NASHVILLE, Tenn.--(BUSINESS WIRE)--July 29, 2003--Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the second quarter and six months ended June 30, 2003.

Gary Brukardt, president and chief executive officer of Renal Care Group, Inc., commented, "We are pleased with our operating performance, which generated excellent financial results in the second quarter. Renal Care Group continues to set a high standard in providing optimal care to our patients, and the result is improved quality of life for our patients and added value for our shareholders."

For the second quarter ended June 30, 2003, Renal Care Group's revenues increased 11.2% to $247.1 million compared with revenues of $222.2 million for the same period in 2002. Net income for the second quarter of 2003 rose 14.0% to $25.8 million compared with net income of $22.6 million in the same period in 2002. Net income per share for the second quarter of 2002 increased 18.2% to $0.52 compared with net income per share of $0.44 in the same quarter of last year. For the quarter ended June 30, 2003, same-market treatment growth was 5.3% and same-market revenue growth was 8.0%.

For the six months ended June 30, 2003, Renal Care Group's revenues increased 14.1% to $489.2 million compared with revenues of $428.8 million for the same period in 2002. After giving effect to the retirement package for former chairman and founder, Mr. Sam Brooks, described below, GAAP net income was $47.6 million and GAAP net income per share was $0.96 for the six-month period ended June 30, 2003. For the six months ended June 30, 2003, same-market treatment growth was 5.4% and same-market revenue growth was 9.0%.

In the first quarter of 2003, Renal Care Group recorded a non-recurring, after-tax charge of $3.4 million, or $0.07 per share, for a retirement package for Mr. Brooks. Prior to giving effect to the retirement package for Mr. Brooks, non-GAAP net income for the six months ended June 30, 2003, rose 15.4% to $50.9 million compared with GAAP net income of $44.1 million in the first half of 2002. Prior to giving effect to the retirement package for Mr. Brooks, non-GAAP net income per share for the six-month period ended June 30, 2003, increased 19.8% to $1.03 compared with GAAP net income per share of $0.86 in the first half of 2002. The Company has decided to present non-GAAP net income and net income per share information to give investors a means of comparing the Company's operational performance for the six months ended June 30, 2003, to its performance in the same period in 2002, before giving effect to the impact of the non-recurring charge related to the retirement package for Mr. Brooks. A reconciliation between the non-GAAP results discussed in this paragraph and the Company's GAAP results is included in the Unaudited Condensed Consolidated Income Statements accompanying this press release.

Mr. Dirk Allison, executive vice president and chief financial officer, said, "Our de novo development program is progressing as planned. To date in 2003, we have added eight facilities. In addition, we are confident that we will achieve our goal of adding 1,000 patients in 2003 through selective acquisitions. During the first six months of 2003, we have already added a total of 625 patients through acquisitions."

Renal Care Group will hold a conference call to discuss this press release on Wednesday, July 30, 2003, at 11:00 a.m. Eastern Time. A listen-only simulcast, as well as a 12-month replay, of the conference call to discuss this press release will be available online at the Company's website at www.renalcaregroup.com.

Renal Care Group, Inc. is a specialized dialysis services company that provides care to patients with kidney disease. The Company treats over 21,100 patients at more than 270 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. Brukardt and Mr. Allison, constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements, which are usually preceded by words like expect, plan, intend, will and the like, include statements regarding our financial outlook for 2003 and any other statements that necessarily depend on future events. 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: compliance with health care and other applicable laws; changes in the Medicare and Medicaid programs; risks related to the drug Epogen (EPO); payment reductions by private insurers, hospitals or managed care organizations; the integration of acquired companies; executive succession and dependence on executive officers; 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 most recent annual report on Form 10-K and any quarterly reports on Form 10-Q filed after that annual report. Copies of these filings are available from Renal Care Group upon request.

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

                                                   Three Months Ended
                                                        June 30,
                                                  -------------------
                                                    2003       2002
                                                  --------   --------
                                                  GAAP (1)   GAAP (1)
                                                  --------   --------
Net revenue                                       $247,061   $222,169
Operating costs and expenses:
 Patient care costs                                159,998    145,750
 General and administrative
  expenses                                          21,187     18,787
 Provision for doubtful accounts                     6,468      5,736
 Depreciation and amortization                      11,579      9,933
                                                  --------   --------
  Total cost and expenses                          199,232    180,206

Income from operations                              47,829     41,963
Interest expense, net                                  165        138
                                                  --------   --------

Income before minority
 interest and income taxes                          47,664     41,825
Minority interest                                    6,029      5,307
                                                  --------   --------

Income before income taxes                          41,635     36,518
Provision for income taxes                          15,822     13,876
                                                  --------   --------

Net income                                         $25,813    $22,642
                                                  ========   ========

Diluted net income per share                         $0.52      $0.44
                                                  ========   ========

Weighted average
 shares outstanding                                 49,931     51,369
                                                  ========   ========

Operating Data:
Patients                                            21,197     19,704
Treatments                                         809,413    746,490

Same-market treatment growth                           5.3%       5.9%
Same-market revenue growth                             8.0%      12.2%

Patient revenue per treatment                         $304       $296

EBITDA (3)                                         $59,408    $51,896


                                         Six Months Ended
                                             June 30,
                            -----------------------------------------
                                         2003                  2002
                            -------------------------------  --------
                                                     Non-
                             GAAP (1)  Difference  GAAP (2)   GAAP (1)
                            ---------  ---------  ---------  --------
Net revenue                  $489,204      $--     $489,204  $428,847
Operating costs
 and expenses:
 Patient care costs           317,475       --      317,475   280,462
 General and
  administrative expenses      47,475     (5,430)    42,045    36,347
 Provision for
  doubtful accounts            12,880       --       12,880    11,220
 Depreciation and
  amortization                 21,877       --       21,877    19,295
                            ---------  ---------  ---------  --------
  Total cost and expenses     399,707     (5,430)   394,277   347,324

Income from operations         89,497      5,430     94,927    81,523
Interest expense, net             450       --          450       311
                            ---------  ---------  ---------  --------

Income before minority
 interest and income taxes     89,047      5,430     94,477    81,212
Minority interest              12,337       --       12,337    10,017
                            ---------  ---------  ---------  --------

Income before income taxes     76,710      5,430     82,140    71,195
Provision for income taxes     29,145      2,063     31,208    27,060
                            ---------  ---------  ---------  --------

Net income                    $47,565     $3,367    $50,932   $44,135
                            =========  =========  =========  ========

Diluted net income
 per share                      $0.96      $0.07      $1.03     $0.86
                            =========  =========  =========  ========

Weighted average
 shares outstanding            49,681     49,681     49,681    51,296
                            =========  =========  =========  ========

Operating Data:
Patients                       21,197                21,197    19,704
Treatments                  1,593,254             1,593,254 1,453,973

Same-market
 treatment growth                 5.4%                  5.4%      5.8%
Same-market revenue growth        9.0%                  9.0%     13.0%

Patient revenue
 per treatment                   $306                  $306      $293

EBITDA (3)                   $111,374     $5,430   $116,804  $100,818


(1)  Reflects operating results based on U.S. Generally Accepted
     Accounting Principles (GAAP).
(2)  Non-GAAP amounts exclude a Board-approved retirement
     package  for Sam  Brooks  in the  first  quarter  of 2003 and the
     related tax effect.
(3)  When we refer to EBITDA, we mean net earnings or loss before
     minority interest, interest expense (net), income taxes,
     depreciation, amortization and all non-cash charges. We have
     included EBITDA because we generally consider it to be a good
     indicator of our ability to generate cash flow in order to
     liquidate our liabilities and reinvest in our company. EBITDA is
     not a measurement of financial performance under accounting
     principles generally accepted in the U.S. and should not be
     considered a substitute for net income or loss as a measure of
     performance, or to cash flow as a measure of liquidity. A
     reconciliation of net income under generally accepted accounting
     principles to EBITDA is as follows:


                                                   Three Months Ended
                                                        June 30,
                                                  -------------------
                                                    2003       2002
                                                  --------   --------
                                                  GAAP (1)   GAAP (1)
                                                  --------   --------
Net income                                          $25,813   $22,642
Depreciation and
 amortization                                        11,579     9,933
Interest expense, net                                   165       138
Minority interest                                     6,029     5,307
Provision for income taxes                           15,822    13,876
                                                    -------   -------
EBITDA                                              $59,408   $51,896
                                                    =======   =======

                                         Six Months Ended
                                             June 30,
                            -----------------------------------------
                                         2003                  2002
                            -------------------------------  --------
                                                     Non-
                             GAAP (1)  Difference  GAAP (2)   GAAP (1)
                            ---------  ---------  ---------  --------
Net income                    $47,565     $3,367    $50,932   $44,135
Depreciation and
 amortization                  21,877       --       21,877    19,295
Interest expense, net             450       --          450       311
Minority interest              12,337       --       12,337    10,017
Provision for income taxes     29,145      2,063     31,208    27,060
                            ---------  ---------  ---------  --------
EBITDA                       $111,374     $5,430   $116,804  $100,818
                            =========  =========  =========  ========


                        RENAL CARE GROUP, INC.
                 Condensed Consolidated Balance Sheets
                            (in thousands)

                                                  June 30,   Dec. 31,
                                                    2003       2002
                                                 ---------   --------
ASSETS:                                         (unaudited)
Current assets:
 Cash and cash equivalents                         $83,344    $38,359
 Accounts receivable, net                          162,994    152,440
 Other current assets                               48,528     55,062
                                                  --------   --------
  Total current assets                             294,866    245,861

Property, plant and equipment, net                 215,519    202,972
Goodwill, intangibles and other assets, net        295,452    291,290
                                                  --------   --------

  TOTAL ASSETS                                    $805,837   $740,123
                                                  ========   ========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                         $133,970   $135,380
Long-term debt                                       2,697     10,161
Other liabilities                                   55,717     50,694
                                                  --------   --------
  Total liabilities                                192,384    196,235
                                                  --------   --------

Stockholders' equity:
 Common stock, $.01 par value, 90,000
  shares authorized, 52,201 and 51,176
  shares issued, respectively                          522        512
 Treasury stock, 3,135 and
  2,983 shares, respectively                       (98,333)   (93,953)
 Additional paid-in capital                        335,725    309,355
 Retained earnings                                 375,539    327,974
                                                  --------   --------

  Total stockholders' equity                       613,453    543,888
                                                  --------   --------

       TOTAL LIABILITIES AND
          STOCKHOLDERS' EQUITY                    $805,837   $740,123
                                                  ========   ========

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

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