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Renal Care Group Reports Third Quarter Net Income Per Share of $0.53

Board of Directors Increases Authorization under Stock Repurchase Program to $450 Million

Company Provides 2004 Corporate Objectives

NASHVILLE, Tenn.--(BUSINESS WIRE)--Oct. 28, 2003-- Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the third quarter and nine months ended September 30, 2003, and announced a $200 million increase in the Company's stock repurchase program.

For the third quarter ended September 30, 2003, Renal Care Group's net revenues increased 9.6% to $253.8 million compared with net revenues of $231.5 million for the same period in 2002. Net income for the third quarter of 2003 rose 13.3% to $26.5 million compared with net income of $23.4 million in the same period in 2002. Net income per share for the third quarter of 2003 increased 15.2% to $0.53 compared with net income per share of $0.46 in the same quarter of last year. For the third quarter ended September 30, 2003, same-market treatment growth was 5.0% and same-market revenue growth was 7.2%.

Gary Brukardt, the Company's president and chief executive officer, commented, "Renal Care Group's third quarter and year-to-date results reflect the continued strong performance of our operations. In an increasingly challenging operating environment, we are growing our business by providing patients with the high quality of treatment and service that they deserve. Our ability to improve both our quality of care and our revenue base while employing strict financial discipline at both the corporate and facility levels is a critical element in our profitability."

For the nine months ended September 30, 2003, Renal Care Group's net revenues increased 12.5% to $743.0 million compared with net revenues of $660.4 million for the same period in 2002. After giving effect to the previously disclosed retirement package for former chairman and founder, Sam Brooks, described below, GAAP net income was $74.1 million, and GAAP net income per share was $1.48 for the nine-month period ended September 30, 2003. For the nine months ended September 30, 2003, same-market treatment growth was 5.3% and same-market revenue growth was 8.4%.

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, related to the retirement package for Mr. Brooks. Excluding the effect of the retirement package, non-GAAP net income for the nine months ended September 30, 2003, rose 14.7% to $77.5 million compared with GAAP net income of $67.6 million in the nine months ended September 30, 2002. Excluding the effect of the retirement package, non-GAAP net income per share for the nine-month period ended September 30, 2003, increased 17.4% to $1.55 compared with GAAP net income per share of $1.32 in the nine months ended September 30, 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 nine months ended September 30, 2003, to its performance in the same period in 2002, before giving effect to the impact of the non-recurring charge related to Mr. Brooks' retirement package. A reconciliation of 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.

Increase in Share Repurchase Program

Renal Care Group's Board of Directors has authorized a $200 million increase in the Company's existing stock repurchase program, bringing the total amount authorized under the program to $450 million. Through October 24, 2003, the Company had repurchased approximately $129 million of its common stock under the repurchase program, leaving approximately $321 million available for repurchases through December 2004. Subject to obtaining approval of its lenders and compliance with applicable volume and other legal restrictions, Renal Care Group intends to acquire an additional $250 million of its common stock before the end of the first quarter of 2004.

Dirk Allison, executive vice president and chief financial officer, said, "Renal Care Group has been built upon our Company's commitment to providing optimal care for our patients and increasing value for our shareholders. We view the Company's ability to use its exceptionally strong balance sheet to expand the share repurchase program as an important measure to enhance shareholder value and achieve our financial objectives."

The Company intends to repurchase its stock from time to time at prices prevailing in the open market or in privately negotiated transactions on conditions acceptable to the Company. The actual number of shares repurchased, the timing of purchases and the price paid will be at the Company's discretion and will depend on market conditions and other relevant factors. Repurchased shares are held in Renal Care Group's treasury and will be available for resale and for general corporate purposes. As of October 24, 2003, the Company had approximately 48.9 million common shares issued and outstanding, excluding approximately 4.0 million shares held in treasury.

2004 Corporate Objectives

Mr. Allison outlined the Company's clinical and financial objectives for 2004 saying, "As we have done in the past, we are disclosing our key clinical and financial performance objectives for 2004. Should there be any material changes to these objectives, we will make an announcement to that effect."

Fiscal 2004 Corporate Objectives:

Hematocrit Level 75% of patients over 33%
Kt/V 85% of patients over 1.4
Revenues $1.1 - $1.2 billion
Earnings per Share $2.20 - $2.30
Same-Market Treatment Growth 5% - 6%
Same-Market Revenue Growth 5% - 7%
Patients 25,000 - 26,000
Treatments 3.5 - 3.7 million
Capital Expenditures $70 - $80 million
Acquisition Target1,500 - 2,000 patients

Mr. Allison continued, "In the coming year, we expect to face lower reimbursement rates from at least two states' Medicaid programs and pricing pressure from managed care payors. Without assuming any share repurchases, we believe these factors will limit our earnings per share percentage growth to the mid to high single digits over 2003 levels. Assuming we meet our objective to repurchase a total of $250 million of common stock by March 31, 2004, our earnings per share should be between $2.40 and $2.50. As the healthcare industry experiences additional pricing pressure, our management team will continue its efforts to identify and pursue attractive new growth opportunities."

Renal Care Group will hold a conference call to discuss this press release on Wednesday, October 29, 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 is a specialized dialysis services company that provides care to patients with kidney disease. The Company treats over 21,300 patients at more than 280 owned outpatient dialysis facilities, in addition to providing acute dialysis services at more than 120 hospitals. Over 6,500 associates provide services across the Company's 27-state network. More information about Renal Care Group, Inc. can 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 clinical and financial objectives for 2004, our plans for repurchases of common stock under our stock repurchase program 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: changes in the Medicare and Medicaid programs; payment reductions by private insurers, hospitals or managed care organizations; changes in the health care delivery, financing or reimbursement systems; risks related to the drug Epogen (EPO); compliance with health care and other applicable laws; the integration of acquired companies; and dependence on executive officers. 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 data)

                                                   Three Months Ended
                                                      September 30,
                                                   ------------------
                                                     2003      2002
                                                   --------  --------

                                                   GAAP (1)  GAAP (1)
                                                   --------  --------
Net revenue                                        $253,835  $231,542

Operating costs and expenses:
 Patient care costs                                 164,962   151,722
 General and administrative
  expenses                                           21,225    19,686
 Provision for
  doubtful accounts                                   6,556     6,008
 Depreciation and
  amortization                                       11,365    10,402
                                                   --------  --------
   Total operating cost
    and expenses                                    204,108   187,818

Income from operations                               49,727    43,724

Interest expense, net                                    76       569
                                                   --------  --------

Income before minority
 interest and income taxes                           49,651    43,155

Minority interest                                     6,837     5,364
                                                   --------  --------

Income before income taxes                           42,814    37,791

Provision for income taxes                           16,269    14,361
                                                   --------  --------

Net income                                          $26,545   $23,430
                                                   ========  ========


Diluted net income per share                          $0.53     $0.46
                                                   ========  ========


Weighted average
 shares outstanding                                  50,417    50,518
                                                   ========  ========

                                          Nine Months Ended
                                            September 30,
                               --------------------------------------
                                          2003                2002
                               ---------------------------  --------
                                                     Non-
                               GAAP (1) Difference GAAP (2)  GAAP (1)
                               --------  --------  --------  --------
Net revenue                    $743,039  $   --    $743,039  $660,389

Operating costs and expenses:
 Patient care costs             482,437      --     482,437   432,184
 General and administrative
  expenses                       68,700    (5,430)   63,270    56,033
 Provision for
  doubtful accounts              19,436      --      19,436    17,228
 Depreciation and
  amortization                   33,242      --      33,242    29,697
                               --------  --------  --------  --------
   Total operating cost
    and expenses                603,815    (5,430)  598,385   535,142

Income from operations          139,224     5,430   144,654   125,247

Interest expense, net               526      --         526       880
                               --------  --------  --------  --------

Income before minority
 interest and income taxes      138,698     5,430   144,128   124,367

Minority interest                19,174      --      19,174    15,381
                               --------  --------  --------  --------

Income before income taxes      119,524     5,430   124,954   108,986

Provision for income taxes       45,414     2,063    47,477    41,421
                               --------  --------  --------  --------

Net income                      $74,110    $3,367   $77,477   $67,565
                               ========  ========  ========  ========


Diluted net income per share      $1.48     $0.07     $1.55     $1.32
                               ========  ========  ========  ========


Weighted average
 shares outstanding              49,926    49,926    49,926    51,036
                               ========  ========  ========  ========

(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.


                        RENAL CARE GROUP, INC.
Supplemental Operating Data and Reconciliation of Net Income to EBITDA
           (dollars in thousands, except per treatment data)

                                                   Three Months Ended
                                                      September 30,
                                                   ------------------
                                                     2003      2002
                                                   --------  --------

                                                   GAAP (1)  GAAP (1)
                                                   --------  --------

Operating Data:
Patients                                             21,301    19,955
Treatments                                          822,551   773,257

Same-market treatment growth                            5.0%      5.9%

Same-market revenue growth                              7.2%     12.3%

Patient revenue per treatment                          $308      $298

EBITDA (3)                                          $61,092   $54,126

Reconciliation of Net Income
   to EBITDA:
Net income                                          $26,545   $23,430
Depreciation and amortization                        11,365    10,402
Interest expense, net                                    76       569
Minority interest                                     6,837     5,364
Provision for income taxes                           16,269    14,361
                                                   -------- ---------
EBITDA                                              $61,092   $54,126
                                                   ========  ========


                                           Nine Months Ended
                                             September 30,
                               --------------------------------------
                                           2003               2002
                               ----------------------------  --------
                                                   Non-
                               GAAP (1) Difference GAAP (2)  GAAP (1)
                               --------  --------  --------  --------

Operating Data:
Patients                         21,301              21,301    19,955
Treatments                    2,415,805           2,415,805 2,227,230

Same-market treatment growth        5.3%                5.3%      5.8%

Same-market revenue growth          8.4%                8.4%     12.8%

Patient revenue per treatment      $307                $307      $294

EBITDA (3)                     $172,466    $5,430  $177,896  $154,944

Reconciliation of Net Income
   to EBITDA:
Net income                      $74,110    $3,367   $77,477   $67,565
Depreciation and amortization    33,242      --      33,242    29,697
Interest expense, net               526      --         526       880
Minority interest                19,174      --      19,174    15,381
Provision for income taxes       45,414     2,063    47,477    41,421
                               --------  --------  --------  --------
EBITDA                         $172,466    $5,430  $177,896  $154,944
                               ========  ========  ========  ========

(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)  The Company defines EBITDA as net earnings or loss before
     minority interest, interest expense (net), provision for income
     taxes, depreciation and amortization and all non-cash charges.
     The Company includes EBITDA because it generally considers EBITDA
     to be a good indicator of the Company's ability to generate cash
     flow in order to fund liabilities and reinvest in the Company and
     its business. 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.

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

                                                   Sept. 30,  Dec. 31,
                                                     2003      2002
                                                   --------  --------
ASSETS:                                          (Unaudited)
Current assets:
 Cash and cash equivalents                         $121,128   $38,359
 Accounts receivable, net                           157,218   152,440
 Other current assets                                41,310    55,062
                                                   --------  --------
  Total current assets                              319,656   245,861

Property, plant and equipment, net                  214,858   202,972
Goodwill, intangibles and other assets, net         304,652   291,290
                                                   --------  --------

  TOTAL ASSETS                                     $839,166  $740,123
                                                   ========  ========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                          $149,715  $135,380
Long-term debt                                        2,673    10,161
Other liabilities                                    58,001    50,694
                                                   --------  --------
  Total liabilities                                 210,389   196,235
                                                   --------  --------

Stockholders' equity:
 Common stock, $.01 par value, 90,000
  shares authorized, 52,882 and 51,176 shares
  issued, respectively                                  529       512
 Treasury stock, 3,998 and 2,983
  shares, respectively                             (129,195)  (93,953)
 Additional paid-in capital                         355,359   309,355
 Retained earnings                                  402,084   327,974
                                                   --------  --------

  Total stockholders' equity                        628,777   543,888
                                                   --------  --------

  TOTAL LIABILITIES AND
   STOCKHOLDERS' EQUITY                            $839,166  $740,123
                                                   ========  ========


                        RENAL CARE GROUP, INC.
       Unaudited Condensed Consolidated Statements of Cash Flows
                            (in thousands)

                                                    Nine Months Ended
                                                      September 30,
                                                     2003      2002
                                                   --------  --------

Operating Activities:
 Net income                                         $74,110   $67,565
 Adjustments to reconcile net income to
  net cash provided by operating activities:
   Depreciation and amortization                     33,242    29,697
   Loss on disposal of property and equipment           443      --
   Income applicable to minority interest            19,174    15,381
   Distributions to minority shareholders           (16,819)   (5,461)
   Deferred income taxes                              7,950      --
   Changes in operating assets and liabilities,
    net of effects from acquisitions                 30,163    20,183
                                                   --------  --------
       Net cash provided by operating activities    148,263   127,365


In vesting Activities:
 Purchases of property and equipment                (44,043)  (49,413)
 Cash paid for acquisitions                         (14,154)  (19,904)
 Change in other assets                              (1,968)     (843)
                                                   --------  --------
       Net cash used in investing activities        (60,165)  (70,160)
                                                   --------  --------

Financing Activities:
 Net repayment of debt                               (7,208)   (1,574)
 Repurchase of treasury shares                      (35,242)  (62,696)
 Net proceeds from issuance of common stock          37,121    16,548
 Investment by joint venture partner                   --       2,896
                                                   --------  --------
       Net cash used in financing activities         (5,329)  (44,826)
                                                   --------  --------

Increase in cash and cash equivalents                82,769    12,379
Cash and cash equivalents, at beginning of period    38,359    27,423
                                                   --------  --------

Cash and cash equivalents, at end of period        $121,128   $39,802
                                                   ========  ========

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

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