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Renal Care Group Announces Second Quarter Growth of 24% in Diluted Net Income Per Share

Acquires Dialysis Program in Nevada

NASHVILLE, Tenn.--(BUSINESS WIRE)--July 27, 2004--Renal Care Group, Inc. (NYSE:RCI) today announced results for the second quarter and six months ended June 30, 2004. The Company also announced that it has entered into a definitive agreement to acquire a dialysis program serving more than 525 patients in Las Vegas, Nevada.

For the three months ended June 30, 2004, Renal Care Group's net revenues increased 38.0% to $340.9 million compared with net revenues of $247.1 million for the same period in 2003. Net income for the second quarter of 2004 rose 13.1% to $29.2 million compared with net income of $25.8 million in the second quarter of 2003. Diluted net income per share for the second quarter of 2004 increased 23.5% to $0.42 compared with diluted net income per share of $0.34 in the same quarter of 2003.

Gary A. Brukardt, the Company's president and chief executive officer, commented, "We are pleased to report solid second quarter results, and we continue to execute our business plan. The integration of National Nephrology Associates is nearing completion. We remain focused on making selective acquisitions using our customary disciplined approach, and we have been actively developing de novo facilities to grow the Company. The credit for another successful quarter goes to our 8,500 associates working in concert with our dedicated affiliated nephrologists on the front lines to deliver optimal care to our patients. We hope that recently introduced legislation will bolster the industry's efforts to address some of the most pressing issues facing those who suffer from ESRD."

For the six months ended June 30, 2004, Renal Care Group's net revenues increased 26.5% to $618.9 million compared with net revenues of $489.2 million for the same period in 2003. Net income for the first half of 2004 rose 24.6% to $59.3 million, compared with net income of $47.6 million in the same period of 2003. Diluted net income per share for the six months ended June 30, 2004, increased 31.3% to $0.84 compared with diluted net income per share of $0.64 for the same period in 2003.

GAAP results for the six months ended June 30, 2004, give effect to resolutions of contractual issues with payors that were unusual in amount and timing, which favorably impacted earnings per share by $0.04 per diluted share. Excluding the effect of these resolutions, non-GAAP net income for the six months ended June 30, 2004, was $56.4 million, or $0.80 per diluted share. GAAP results for the six months ended June 30, 2003, give effect to a non-recurring, after-tax charge of $0.05 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 six months ended June 30, 2003, was $50.9 million, or $0.68 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 for the first half of 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.

David M. Dill, Renal Care Group's executive vice president and chief financial officer, commented, "This quarter is the first to include the operations of NNA in our combined results. We are pleased with the contribution that the transaction has made, and we remain confident in our future outlook."

Commenting on the Nevada dialysis program acquisition, Mr. Brukardt said, "Las Vegas is a new market for us, and Nevada represents our 32nd state. We believe it will offer excellent opportunities for growth and development leveraging our existing regional infrastructure. We are proud to affiliate with Renal Dialysis of Las Vegas, which will serve as medical director for the facilities."

The Nevada dialysis program provides care to more than 525 patients at three outpatient dialysis facilities, as well as providing acute dialysis services to seven hospitals. The agreement is subject to customary closing conditions, and the Company expects the transaction to be completed within the next several weeks. The Company did not disclose terms of the transaction.

Renal Care Group will hold a conference call to discuss this press release on Wednesday, July 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 28,700 patients at more than 395 owned outpatient dialysis facilities in addition to providing acute dialysis services at more than 200 hospitals. Over 8,500 associates provide services across the Company's 31-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; and the integration of acquired companies. 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   Six Months Ended
                                     June 30,            June 30,
                                ------------------  ------------------
                                  2004      2003      2004      2003
                                --------  --------  --------  --------

Net revenue                    $340,854  $247,061  $618,882  $489,204


Operating costs and expenses:
  Patient care costs            229,849   159,998   409,221   317,475
  General and administrative
   expenses                      27,341    21,187    50,017    47,475
  Provision for doubtful
   accounts                       8,049     6,468    15,159    12,880
  Depreciation and
   amortization                  14,900    11,579    27,063    21,877
                                --------  --------  --------  --------
     Total operating costs and
      expenses                  280,139   199,232   501,460   399,707

Income from operations           60,715    47,829   117,422    89,497

Interest expense, net             5,765       165     6,730       450
                                --------  --------  --------  --------

Income before minority
 interest and income taxes       54,950    47,664   110,692    89,047

Minority interest                 7,690     6,029    14,904    12,337
                                --------  --------  --------  --------

Income before income taxes       47,260    41,635    95,788    76,710

Provision for income taxes       18,077    15,822    36,518    29,145
                                --------  --------  --------  --------

Net income                     $ 29,183  $ 25,813  $ 59,270  $ 47,565
                                ========  ========  ========  ========

Diluted net income per share   $   0.42  $   0.34  $   0.84  $   0.64
                                ========  ========  ========  ========

Diluted weighted average
 shares outstanding              69,227    74,897    70,225    74,522
                                ========  ========  ========  ========




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

                                             June 30,     December 31,
                                               2004           2003
                                            ----------    ------------
                                            (unaudited)
ASSETS:
Current assets:
  Cash and cash equivalents                $   44,182      $   50,295
  Accounts receivable, net                    231,629         173,679
  Other current assets                         81,021          68,130
                                            ----------      ----------
     Total current assets                     356,832         292,104

Property, plant and equipment, net            289,427         224,397
Goodwill, intangible assets and other
 assets, net                                  664,825         303,372
                                            ----------      ----------

     TOTAL ASSETS                          $1,311,084      $  819,873
                                            ==========      ==========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                  $  218,553      $  169,437
Long-term debt, net of current portion        490,635           2,652
Other long-term liabilities                    89,252          76,939
                                            ----------      ----------
     Total liabilities                        798,440         249,028
                                            ----------      ----------

Stockholders' equity:
  Common stock, $0.01 par value, 150,000
   and 90,000 shares authorized,
   81,572 and 80,465 shares issued,
   respectively                                   816             805
  Treasury stock, 14,514 and 9,961 shares,
   respectively                              (372,249)       (234,404)
  Additional paid-in capital                  394,777         374,414
  Retained earnings                           489,300         430,030
                                            ----------      ----------

     Total stockholders' equity               512,644         570,845
                                            ----------      ----------

     TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY               $1,311,084      $  819,873
                                            ==========      ==========




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

                                                     Six Months Ended
                                                         June 30,
                                                    ------------------
                                                      2004      2003
                                                    --------- --------

Operating Activities:
  Net income                                       $  59,270 $ 47,565
  Adjustments to reconcile net income to
    net cash provided by operating activities:
       Depreciation and amortization                  27,063   21,877
       Loss on disposal of property and equipment        564      312
       Income applicable to minority interest         14,904   12,337
       Distributions to minority shareholders         (9,906) (12,381)
       Deferred income taxes                           7,889        -
       Changes in operating assets and
        liabilities, net of effects from
        acquisitions                                 (18,605)   5,404
                                                    --------- --------
            Net cash provided by operating
             activities                               81,179   75,114
                                                    --------- --------

Investing Activities:
  Cash paid for acquisitions, net of cash acquired  (230,746)  (5,492)
  Purchases of property and equipment, net           (45,031) (34,517)
  Change in other assets                              (5,299)    (780)
                                                    --------- --------
            Net cash used in investing activities   (281,076) (40,789)
                                                    --------- --------

Financing Activities:
  Net proceeds from issuance of long-term debt       325,000        -
  Payments on long-term debt                          (4,063)       -
  Net payments under line of credit and capital
   leases                                             (2,101)  (7,240)
  Net proceeds from issuance of common stock          12,793   22,280
  Repurchase of treasury shares                     (137,845)  (4,380)
                                                    --------- --------
            Net cash provided by financing
             activities                              193,784   10,660
                                                    --------- --------

(Decrease) increase in cash and cash equivalents      (6,113)  44,985

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

Cash and cash equivalents, at end of period        $  44,182 $ 83,344
                                                    ========= ========




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

                                         Six Months Ended June 30,
                                   -----------------------------------
                                                  2004
                                   -----------------------------------
                                                               Non-
                                      GAAP(1)   Difference    GAAP(2)
                                   ----------- ----------- -----------
Net revenue                          $618,882     $(4,700)   $614,182

Operating costs and expenses:
  Patient care costs                  409,221           -     409,221
  General and administrative
   expenses                            50,017           -      50,017
  Provision for doubtful accounts      15,159           -      15,159
  Depreciation and amortization        27,063           -      27,063
                                   ----------- ----------- -----------
     Total operating costs and
      expenses                        501,460           -     501,460

Income from operations                117,422      (4,700)    112,722
Interest expense, net                   6,730           -       6,730
                                   ----------- ----------- -----------

Income before minority interest
  and income taxes                    110,692      (4,700)    105,992
Minority interest                      14,904           -      14,904
                                   ----------- ----------- -----------

Income before income taxes             95,788      (4,700)     91,088
Provision for income taxes             36,518      (1,786)     34,732
                                   ----------- ----------- -----------

Net income                           $ 59,270     $(2,914)   $ 56,356
                                   =========== =========== ===========
Diluted net income per share         $   0.84     $ (0.04)   $   0.80
                                   =========== =========== ===========
Weighted average shares
 outstanding                           70,225      70,225      70,225
                                   =========== =========== ===========


                                         Six Months Ended June 30,
                                   -----------------------------------
                                                  2003
                                   -----------------------------------
                                                              Non-
                                      GAAP(1)  Difference    GAAP(3)
                                   ----------- ----------- -----------
Net revenue                           $489,204    $     -    $489,204

Operating costs and expenses:
  Patient care costs                   317,475          -     317,475
  General and administrative
   expenses                             47,475     (5,430)     42,045
  Provision for doubtful accounts       12,880          -      12,880
  Depreciation and amortization         21,877          -      21,877
                                   ----------- ----------- -----------
     Total operating costs and
      expenses                         399,707     (5,430)    394,277

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

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

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

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

Diluted net income per share          $   0.64    $  0.05    $   0.68
                                   =========== =========== ===========

Weighted average shares outstanding     74,522     74,522      74,522
                                   =========== =========== ===========

(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      Six Months Ended
                                June 30,               June 30,
                          --------------------  ----------------------
                             2004       2003       2004        2003
                          ----------  --------  ----------  ----------

Operating Data:
Patients                     28,748    21,197      28,748      21,197
Treatments                1,095,250   809,413   1,955,499   1,593,254
Same-market treatment
 growth                         3.7%      5.3%        3.6%        5.4%
Same-market revenue
 growth                         7.0%      8.0%        7.6%        9.0%
Patient revenue per
 treatment               $      311  $    304  $      316  $      306

Reconciliation of Net
 Income to EBITDA(1):
Net income               $   29,183  $ 25,813  $   59,270  $   47,565
Non-recurring retirement
 charge                           -         -           -       5,430
Depreciation and
 amortization                14,900    11,579      27,063      21,877
Interest expense, net         5,765       165       6,730         450
Minority interest             7,690     6,029      14,904      12,337
Provision for income
 taxes                       18,077    15,822      36,518      29,145
                          ----------  --------  ----------  ----------
EBITDA(1)                $   75,615  $ 59,408  $  144,485  $  116,804
                          ==========  ========  ==========  ==========

(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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