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Renal Care Group Announces First Quarter Results and Increases EPS Objective for 2004

Company Declares Three-For-Two Stock Split

NASHVILLE, Tenn.--(BUSINESS WIRE)--April 27, 2004--Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the quarter ended March 31, 2004, and increased its EPS objective for fiscal year 2004. The Company also announced a three-for-two stock split.

Gary Brukardt, the Company's president and chief executive officer, commented, "We successfully completed the acquisition of National Nephrology Associates ("NNA") in early April. Immediately after we announced the acquisition agreement in February, associates from various clinical and operational disciplines of both companies came together to identify and implement best demonstrated practices. We believe we can achieve better results for our patients by implementing these best practices. I thank all 8,000 associates of the combined company for their hard work, flexibility and dedication to delivering optimal care as we continue to execute the transition and integration of NNA's operations into Renal Care Group."

For the first quarter ended March 31, 2004, Renal Care Group's net revenues increased 14.8% to $278.0 million compared with net revenues of $242.1 million for the same period in 2003. Net income for the first quarter of 2004 rose 38.3% to $30.1 million, or $0.63 per diluted share, compared with net income of $21.8 million, or $0.44 per diluted share, in the first quarter of 2003.

David Dill, executive vice president and chief financial officer of Renal Care Group, said, "We are pleased to report excellent results for the first quarter of 2004. Net income for the period was positively impacted by favorable resolutions of contractual issues with certain payors, which contributed approximately $0.06 per diluted share to net income in the first quarter. Excluding the impact of these resolutions, our non-GAAP earnings per share grew approximately 11.8% compared with non-GAAP earnings per share for the first quarter of 2003."

Mr. Dill added, "In light of the progress we have made with the NNA integration and our first quarter results, we expect to achieve earnings per share of between $2.54 and $2.64 for 2004. This revised EPS objective takes into account the substantial completion of the share repurchase plan we announced in late October 2003 and the favorable resolutions of these payor issues."

The Company also announced that its Board of Directors has approved a three-for-two stock split to be effected in the form of a stock dividend. One additional share of common stock will be issued for every two shares held by shareholders of record as of the close of business on May 7, 2004. The additional shares will be distributed on or about May 24, 2004. Renal Care Group currently has approximately 44.5 million shares of common stock outstanding and approximately 9.7 million treasury shares.

Mr. Brukardt said, "The Board's decision to approve a three-for-two stock split was based on the strong financial outlook for the Company coupled with our goals to broaden our shareholder base and provide greater market liquidity."

GAAP results for the quarter ended March 31, 2004, give effect to resolutions of contractual issues with payors that were unusual in amount and timing, which favorably impacted earnings per share by $0.06 per diluted share. Excluding the effect of these resolutions, non-GAAP net income for the quarter ended March 31, 2004, was $27.2 million, or $0.57 per diluted share. GAAP results for the quarter ended March 31, 2003, give effect to a non-recurring, after-tax charge of $0.07 per diluted share, related to a retirement package for the Company's former chairman and founder. Excluding the effect of the retirement package, non-GAAP net income for the quarter ended March 31, 2003, was $25.1 million, or $0.51 per diluted share. Renal Care Group has decided to present the non-GAAP information to give investors a means of comparing the Company's normalized operational performance in the quarter ended March 31, 2004, with its operational performance in the same period in 2003 before the impact of the resolutions of the payor contract issues and the one-time charge related to the retirement package. A reconciliation between the non-GAAP results and the Company's GAAP results accompanies this press release.

Renal Care Group will hold a conference call to discuss this press release on Wednesday, April 28, 2004, 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 currently treats over 28,000 patients at more than 390 owned outpatient dialysis facilities, in addition to providing acute dialysis services at more than 190 hospitals. Over 8,000 associates provide services across the Company's 30-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. Dill, 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, believe, will and the like, include 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 annual report on Form 10-K for the year ended December 31, 2003, as amended, its current report on Form 8-K as filed with the SEC on April 19, 2004; 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
                                                        March 31,
                                                  --------------------
                                                    2004       2003
                                                  ---------  ---------

Net revenue                                      $ 278,028  $ 242,143

Operating costs and expenses:
  Patient care costs                               179,372    157,477
  General and administrative expenses               22,676     26,288
  Provision for doubtful accounts                    7,110      6,412
  Depreciation and amortization                     12,163     10,298
                                                  ---------  ---------
     Total operating costs and expenses            221,321    200,475

Income from operations                              56,707     41,668

Interest expense, net                                  965        285
                                                  ---------  ---------

Income before minority interest and income taxes    55,742     41,383

Minority interest                                    7,214      6,308
                                                  ---------  ---------

Income before income taxes                          48,528     35,075

Provision for income taxes                          18,441     13,323
                                                  ---------  ---------

Net income                                       $  30,087  $  21,752
                                                  =========  =========

Diluted net income per share                     $    0.63  $    0.44
                                                  =========  =========

Diluted weighted average shares outstanding         47,482     49,430
                                                  =========  =========



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

                                                March 31, December 31,
                                                  2004        2003
                                               ----------  -----------
                                              (unaudited)
ASSETS:
Current assets:
  Cash and cash equivalents                   $   37,606  $    50,295
  Accounts receivable, net                       188,729      173,679
  Other current assets                            47,089       68,130
                                               ----------  -----------
     Total current assets                        273,424      292,104

Property, plant and equipment, net               236,008      224,397
Goodwill, intangible assets and other assets,
 net                                             354,470      303,372
                                               ----------  -----------

     TOTAL ASSETS                             $  863,902  $   819,873
                                               ==========  ===========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                     $  161,220  $   169,437
Long-term debt, net of current portion           143,171        2,652
Other long-term liabilities                       80,787       76,939
                                               ----------  -----------
     Total liabilities                           385,178      249,028
                                               ----------  -----------

Stockholders' equity:

  Common stock, $0.01 par value, 90,000
   shares authorized, 54,136 and 53,643
   shares issued, respectively                       541          536
  Treasury stock, 9,628 and 6,641 shares,
   respectively                                 (370,040)    (234,404)
  Additional paid-in capital                     388,106      374,683
  Retained earnings                              460,117      430,030
                                               ----------  -----------

     Total stockholders' equity                  478,724      570,845
                                               ----------  -----------

     TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY                  $  863,902  $   819,873
                                               ==========  ===========




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

                                                   Three Months Ended
                                                        March 31,
                                                   -------------------
                                                     2004      2003
                                                   ---------  --------

Operating Activities:
  Net income                                      $  30,087  $ 21,752
  Adjustments to reconcile net income to
    net cash provided by operating activities:
       Depreciation and amortization                 12,163    10,298
       Loss on sale of property and equipment           154       136
       Income applicable to minority interest         7,214     6,308
       Distributions to minority shareholders        (3,561)   (9,620)
       Changes in operating assets and
        liabilities, net of effects from
        acquisitions                                   (600)    3,306
                                                   ---------  --------
            Net cash provided by operating
             activities                              45,457    32,180
                                                   ---------  --------

Investing Activities:
  Purchases of property and equipment, net          (19,118)  (17,896)
  Cash paid for acquisitions, net of cash
   acquired                                         (55,768)        -
  Change in other assets                             (3,173)      225
                                                   ---------  --------
            Net cash used in investing activities   (78,059)  (17,671)
                                                   ---------  --------

Financing Activities:
  Net borrowings (payments) under line of credit
   and capital leases                                25,921    (7,420)
  Net proceeds from issuance of long-term debt      120,000         -
  Net proceeds from issuance of common stock          9,628     3,047
  Repurchase of treasury shares                    (135,636)   (4,380)
                                                   ---------  --------
            Net cash provided by (used in)
             financing activities                    19,913    (8,753)
                                                   ---------  --------

(Decrease) increase in cash and cash equivalents    (12,689)    5,756

Cash and cash equivalents, at beginning of year      50,295    38,359
                                                   ---------  --------

Cash and cash equivalents, at end of year         $  37,606  $ 44,115
                                                   =========  ========




                        RENAL CARE GROUP, INC.
             Supplemental GAAP to Non-GAAP Reconciliation
           (unaudited, in thousands, except per share data)

                                  Three Months Ended
                                      March 31,
              --------------------------------------------------------
                         2004                         2003
              ---------------------------- ---------------------------
                        Diff-        Non-            Diff-       Non-
               GAAP(1)  erence    GAAP(2)   GAAP(1)  erence   GAAP(3)
              --------- -------- --------- --------- ------- ---------

Net revenue   $278,028  $(4,700) $273,328  $242,143  $    -  $242,143

Operating
 costs and
 expenses:
  Patient
   care costs  179,372        -   179,372   157,477       -   157,477
  General and
   adminis-
   trative
   expenses     22,676        -    22,676    26,288  (5,430)   20,858
  Provision
   for
   doubtful
   accounts      7,110        -     7,110     6,412       -     6,412
  Depreci-
   ation and
   amorti-
   zation       12,163        -    12,163    10,298       -    10,298
              --------- -------- --------- --------- ------- ---------
   Total
    operating
    costs and
    expenses   221,321        -   221,321   200,475  (5,430)  195,045

Income from
 operations     56,707   (4,700)   52,007    41,668   5,430    47,098

Interest
 expense, net      965        -       965       285       -       285
              --------- -------- --------- --------- ------- ---------


Income before
 minority
 interest and
 income taxes   55,742   (4,700)   51,042    41,383   5,430    46,813

Minority
 interest        7,214        -     7,214     6,308       -     6,308
              --------- -------- --------- --------- ------- ---------

Income before
 income taxes   48,528   (4,700)   43,828    35,075   5,430    40,505

Provision for
 income taxes   18,441   (1,786)   16,655    13,323   2,063    15,386
              --------- -------- --------- --------- ------- ---------

Net income     $30,087  $(2,914)  $27,173   $21,752  $3,367   $25,119
              ========= ======== ========= ========= ======= =========

Diluted net
 income per
 share           $0.63   $(0.06)    $0.57     $0.44   $0.07     $0.51
              ========= ======== ========= ========= ======= =========

Weighted
 average
 shares
 outstanding    47,482   47,482    47,482    49,430  49,430    49,430
              ========= ======== ========= ========= ======= =========


(1) Reflects operating results based on accounting principles
    generally accepted in the United States (GAAP).
(2) Non-GAAP amounts exclude resolutions of payor contract issues that
    were unusual in amount and timing.
(3) Non-GAAP amounts exclude a Board-approved retirement package
    recorded 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(1)
     (unaudited, dollars in thousands, except per treatment data)

                                                  Three Months Ended
                                                       March 31,
                                                ----------------------
                                                   2004        2003
                                                ----------  ----------
Operating Data:
Patients                                           22,619      20,683
Treatments                                        860,249     783,841
Same-market treatment growth                          3.5%        5.5%
Same-market revenue growth                            8.3%       10.2%
Patient revenue per treatment                  $      323  $      308

Reconciliation of Net Income to EBITDA(1):
Net income                                     $   30,087  $   21,752
Non-recurring retirement charge                         -       5,430
Depreciation and amortization                      12,163      10,298
Interest expense, net                                 965         285
Minority interest                                   7,214       6,308
Provision for income taxes                         18,441      13,323
                                                ----------  ----------
EBITDA(1)                                      $   68,870  $   57,396
                                                ==========  ==========

(1) 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, such as
    the non-recurring charge for the retirement package for our former
    chairman and founder recorded in the first quarter of 2003. 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 GAAP 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.

Contact:
Renal Care Group, Inc., Nashville
Terry L. Proveaux, 615-345-5577

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