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Renal Care Group 2003 Revenues Surpass
$1 Billion

NASHVILLE, Tenn.--(BUSINESS WIRE)--Feb. 24, 2004--Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the fourth quarter and year ended December 31, 2003.

For the fourth quarter ended December 31, 2003, Renal Care Group's net revenues increased 7.9% to $262.3 million compared with net revenues of $243.0 million for the same period in 2002. Net income for the fourth quarter of 2003 rose 12.3% to $27.9 million compared with net income of $24.9 million in the same period in 2002. Net income per share for the fourth quarter of 2003 increased 12.0% to $0.56 compared with net income per share of $0.50 in the same quarter of last year.

Gary Brukardt, the Company's president and chief executive officer, commented, "Our 2003 results reflect the strength of our operations, as well as the overall effectiveness of our strategy. We remain focused on our primary objective of providing optimal care for our patients, which ultimately leads to excellent financial results for our shareholders. We are pleased to surpass $1 billion in revenues for the year."

For the year ended December 31, 2003, Renal Care Group's net revenues increased 11.3% to $1,005.3 million compared with net revenues of $903.4 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 $102.1 million and GAAP net income per share was $2.05 for the year ended December 31, 2003.

During the first quarter of 2003, the Company recorded a non-recurring, after-tax charge of $3.4 million, or $0.07 per share, related to a retirement package for Mr. Brooks. Excluding the effect of the retirement package, non-GAAP net income for the year ended December 31, 2003, rose 14.0% to $105.4 million, or $2.12 net income per share, compared with GAAP net income of $92.5 million in 2002, or $1.82 net income per share. A reconciliation of non-GAAP results discussed in this paragraph and the Company's GAAP results is included in the Supplemental GAAP to Non-GAAP Reconciliation accompanying this press release.

Renal Care Group also confirmed that it has completed the recently announced acquisition of Midwest Kidney Centers and affiliated companies, adding 13 dialysis centers in and around Peoria, Illinois.

Renal Care Group will hold a conference call to discuss this press release on Wednesday, February 25, 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 is a specialized dialysis services company that provides care to patients with kidney disease. The Company treats over 22,300 patients at more than 295 owned outpatient dialysis facilities, in addition to providing acute dialysis services at more than 140 hospitals. Over 6,700 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, 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 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.
               Condensed Consolidated Income Statements
                 (in thousands, except per share data)

                             Three Months Ended       Year Ended
                                December 31,         December 31,
                             ------------------  --------------------
                               2003      2002       2003        2002
                             --------  --------  ----------  --------
                                 (unaudited)     (unaudited)

Net revenue                  $262,280  $242,998  $1,005,319  $903,387

Operating costs and
 expenses:
  Patient care costs          170,870   157,512     653,307   589,696
  General and administrative
   expenses                    21,549    22,046      90,249    78,079
  Provision for doubtful
   accounts                     6,764     6,273      26,200    23,501
  Depreciation and
   amortization                11,663    10,735      44,905    40,432
                             --------  --------  ----------  --------
     Total operating costs
      and expenses            210,846   196,566     814,661   731,708

Income from operations         51,434    46,432     190,658   171,679

Interest expense, net             103       260         629     1,140
                             --------  --------  ----------  --------

Income before minority
 interest and income taxes     51,331    46,172     190,029   170,539

Minority interest               6,257     6,029      25,431    21,410
                             --------  --------  ----------  --------

Income before income taxes     45,074    40,143     164,598   149,129

Provision for income taxes     17,128    15,248      62,542    56,669
                             --------  --------  ----------  --------

Net income                   $ 27,946  $ 24,895  $  102,056  $ 92,460
                             ========  ========  ==========  ========
Diluted net income per share $   0.56  $   0.50  $     2.05  $   1.82
                             ========  ========  ==========  ========
Weighted average shares
 outstanding                   49,560    49,960      49,835    50,767
                             ========  ========  ==========  ========



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

                                                      December 31,
                                                  -------------------
                                                    2003       2002
                                                  ---------  --------
                                                 (unaudited)
ASSETS:
Current assets:
  Cash and cash equivalents                       $  50,295  $ 38,359
  Accounts receivable, net                          173,679   152,440
  Other current assets                               68,130    55,062
                                                  ---------  --------
       Total current assets                         292,104   245,861

Property, plant and equipment, net                  224,397   202,972
Goodwill, intangible assets and other assets, net   303,372   291,290
                                                  ---------  --------

       TOTAL ASSETS                               $ 819,873  $740,123
                                                  =========  ========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                         $ 169,437  $135,380
Long-term debt, net of current portion                2,652    10,161
Other liabilities                                    76,939    50,694
                                                  ---------  --------
       Total liabilities                            249,028   196,235
                                                  ---------  --------

Stockholders' equity:
  Common stock, $0.01 par value, 90,000 shares
   authorized, 53,643 and 51,176 shares issued,
   respectively                                         536       512
  Treasury stock, 6,641 and 2,983 shares,
   respectively                                    (234,404)  (93,953)
  Additional paid-in capital                        374,683   309,355
  Retained earnings                                 430,030   327,974
                                                  ---------  --------

       Total stockholders' equity                   570,845   543,888
                                                  ---------  --------

       TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY                      $ 819,873  $740,123
                                                  =========  ========



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

                                                       Year Ended
                                                      December 31,
                                                  -------------------
                                                    2003       2002
                                                  ---------  --------
                                                 (unaudited)
Operating Activities:
  Net income                                      $ 102,056  $ 92,460
  Adjustments to reconcile net income to
   net cash provided by operating activities:
       Depreciation and amortization                 44,905    40,432
       Loss on sale of property and equipment           886     1,167
       Income applicable to minority interest        25,431    21,410
       Distributions to minority shareholders       (24,634)   (7,934)
       Deferred income taxes                         19,517    11,214
       Changes in operating assets and
        liabilities, net of effects from
        acquisitions                                 18,388     9,874
                                                  ---------  --------
            Net cash provided by operating
             activities                             186,549   168,623
                                                  ---------  --------

Investing Activities:
  Proceeds from sale of property and equipment        2,270       218
  Purchases of property and equipment               (63,762)  (61,551)
  Cash paid for acquisitions, net of cash
   acquired                                         (14,154)  (40,495)
  Change in other assets                             (2,858)    4,408
                                                  ---------  --------
            Net cash used in investing activities   (78,504)  (97,420)
                                                  ---------  --------

Financing Activities:
  Net (payments) borrowings under line of credit
   and long-term debt                                (7,460)    5,510
  Net proceeds from issuance of common stock         51,802    22,221
  Repurchase of treasury shares                    (140,451)  (90,894)
  Proceeds from sale of minority interest
   investment                                             -     2,896
                                                  ---------  --------
            Net cash used in financing activities   (96,109)  (60,267)
                                                  ---------  --------

Increase in cash and cash equivalents                11,936    10,936

Cash and cash equivalents, at beginning of year      38,359    27,423
                                                  ---------  --------

Cash and cash equivalents, at end of year         $  50,295  $ 38,359
                                                  =========  ========



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

                                                 Year Ended
                                              December 31, 2003
                                      --------------------------------
                                                              Non-
                                       GAAP (1)  Difference  GAAP (2)
                                      ---------- ---------- ----------

Net revenue                           $1,005,319  $     -   $1,005,319

Operating costs and expenses:
  Patient care costs                     653,307        -      653,307
  General and administrative expenses     90,249   (5,430)      84,819
  Provision for doubtful accounts         26,200        -       26,200
  Depreciation and amortization           44,905        -       44,905
                                      ---------- ---------- ----------
     Total operating costs and
      expenses                           814,661   (5,430)     809,231

Income from operations                   190,658    5,430      196,088

Interest expense, net                        629        -          629
                                      ---------- ---------- ----------

Income before minority interest and
 income taxes                            190,029    5,430      195,459

Minority interest                         25,431        -       25,431
                                      ---------- ---------- ----------

Income before income taxes               164,598    5,430      170,028

Provision for income taxes                62,542    2,063       64,605
                                      ---------- ---------- ----------

Net income                            $  102,056  $ 3,367   $  105,423
                                      ========== ========== ==========

Diluted net income per share          $     2.05  $  0.07   $     2.12
                                      ========== ========== ==========

Weighted average shares outstanding       49,835   49,835       49,835
                                      ========== ========== ==========

    (1) Reflects operating results based on accounting principles
        generally accepted in the United States (GAAP).
    (2) Non-GAAP amounts exclude a Board-approved retirement package
        for Sam Brooks 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        Year Ended
                               December 31,          December 31,
                           ------------------  ----------------------
                             2003      2002       2003         2002
                           --------  --------  ----------  ----------
Operating Data:
Patients                     21,472    20,568      21,472      20,568
Treatments                  838,642   792,445   3,254,447   3,019,675
Same-market treatment
 growth                         3.4%      5.6%        4.7%        5.8%
Same-market revenue growth      5.2%     12.5%        7.5%       12.7%
Patient revenue per
 treatment                 $    310  $    305  $      308  $      297

Reconciliation of Net
 Income to EBITDA (1):
Net income                 $ 27,946  $ 24,895  $  102,056  $   92,460
Non-recurring retirement
 charge                           -         -       5,430           -
Depreciation and
 amortization                11,663    10,735      44,905      40,432
Interest expense, net           103       260         629       1,140
Minority interest             6,257     6,029      25,431      21,410
Provision for income taxes   17,128    15,248      62,542      56,669
                           --------  --------  ----------  ----------
EBITDA (1)                 $ 63,097  $ 57,167  $  240,993  $  212,111
                           ========  ========  ==========  ==========

(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 in the first quarter
    of 2003 for the retirement package for Mr. Brooks. 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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