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Renal Care Group Announces Third Quarter Growth of 26% in Diluted Net Income Per Share

Company Provides 2005 Corporate Objectives

NASHVILLE, Tenn.--(BUSINESS WIRE)--Oct. 26, 2004--Renal Care Group, Inc. (NYSE:RCI - News) today announced results for the third quarter and nine months ended September 30, 2004.

For the three months ended September 30, 2004, Renal Care Group's net revenues increased 40.3% to $356.1 million compared with net revenues of $253.8 million for the same period in 2003. Net income for the third quarter of 2004 rose 14.8% to $30.5 million compared with net income of $26.5 million in the third quarter of 2003. Diluted net income per share for the third quarter of 2004 increased 25.7% to $0.44 compared with diluted net income per share of $0.35 in the same quarter of 2003.

Gary A. Brukardt, Renal Care Group's president and chief executive officer, commented, "During third quarter 2004, we faced significant weather-related challenges along the Gulf Coast, but we remained focused on delivering optimal care to all of our patients. Associates placed the needs of our patients ahead of their own personal interests throughout the crisis. Looking ahead, our dynamic culture and the strong commitment of our 8,800 associates enables us to set aggressive, but achievable, clinical and financial objectives for 2005, reaffirming our goal of achieving, on average, 15% growth in earnings per share."

For the nine months ended September 30, 2004, Renal Care Group's net revenues increased 31.2% to $975.0 million compared with net revenues of $743.0 million for the same period in 2003. Net income for the nine months ended September 30, 2004, rose 21.1% to $89.7 million, compared with net income of $74.1 million in the same period of 2003. Diluted net income per share for the nine months ended September 30, 2004, increased 29.3% to $1.28 compared with diluted net income per share of $0.99 for the same period in 2003.

GAAP results for the nine months ended September 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 nine months ended September 30, 2004, was $86.8 million, or $1.24 per diluted share. GAAP results for the nine months ended September 30, 2003, give effect to a non-recurring, after-tax charge of $0.04 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 nine months ended September 30, 2003, was $77.5 million, or $1.03 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 nine months ended September 30, 2004, with its operational performance in the same period in 2003, before the impact of the one-time benefit related to resolutions of the payor contract issues and the one-time charge for 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, "In the third quarter, we experienced modest organic volume growth, but we believe we can achieve 3-5% same-market treatment growth over the long-term. We are extremely pleased with the contribution of NNA reflected in our operating results. We are disclosing our key clinical and financial objectives for 2005."

Fiscal 2005 Corporate Objectives:
     Hematocrit Level                   75% of patients over 33%
     Kt/V                               85% of patients over 1.4
     Revenues                           $1.5 - $1.6 billion
     Earnings per Share                 $1.95 - $2.05
     Same-Market Treatment Growth       3% - 5%
     Same-Market Revenue Growth         5% - 8%
     Patients                           32,500 - 33,500
     Treatments                         4.7- 4.9 million
     Capital Expenditures               $90 - $100 million
     Acquisition Target                 1,000 -1,500 patients

Renal Care Group will hold a conference call to discuss this press release on Wednesday, October 27, 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 serves over 29,700 patients at more than 410 owned outpatient dialysis facilities in addition to providing acute dialysis services at more than 200 hospitals. Over 8,800 associates provide services across the Company's 33-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 and the fiscal 2005 corporate objectives, 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: payment reductions by private insurers, hospitals or managed care organizations; changes in the Medicare and Medicaid programs; 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 its quarterly reports on Form 10-Q for the quarters ended March 31, 2004 and June 30, 2004. 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   Nine Months Ended
                                  September 30,        September 30,
                               ------------------  ------------------
                                 2004      2003      2004       2003
                               --------  --------  --------  --------
Net revenue                    $356,111  $253,835  $974,993  $743,039

Operating costs and expenses:
  Patient care costs            239,400   164,962   648,621   482,437
  General and administrative
   expenses                      26,336    21,225    76,353    68,700
  Provision for doubtful
   accounts                       8,464     6,556    23,623    19,436
  Depreciation and
   amortization                  15,344    11,365    42,407    33,242
                                --------  --------  --------  --------
  Total operating costs and
   expenses                     289,544   204,108   791,004   603,815

Income from operations           66,567    49,727   183,989   139,224

Interest expense, net             6,869        76    13,599       526
                                --------  --------  --------  --------

Income before minority
 interest and income taxes       59,698    49,651   170,390   138,698

Minority interest                10,158     6,837    25,062    19,174
                                --------  --------  --------  --------
Income before income taxes       49,540    42,814   145,328   119,524

Provision for income taxes       19,072    16,269    55,590    45,414
                                --------  --------  --------  --------

Net income                     $ 30,468  $ 26,545  $ 89,738  $ 74,110
                                ========  ========  ========  ========

Diluted net income per share   $   0.44  $   0.35  $   1.28  $   0.99
                                ========  ========  ========  ========

Diluted weighted average
 shares outstanding              69,339    75,626    69,930    74,889
                                ========  ========  ========  ========


                        RENAL CARE GROUP, INC.
                 Condensed Consolidated Balance Sheets
                            (in thousands)
                                            September 30, December 31,
                                                  2004        2003
                                                ----------  ---------
                                               (unaudited)
ASSETS:
Current assets:
  Cash and cash equivalents                     $   41,953  $  50,295
  Accounts receivable, net                         253,157    173,679
  Other current assets                              82,557     68,130
                                                 ----------  ---------
     Total current assets                          377,667    292,104

Property, plant and equipment, net                 302,704    224,397
Goodwill, intangible assets and other assets, net  709,108    303,372
                                                 ----------  ---------

     TOTAL ASSETS                               $1,389,479  $ 819,873
                                                 ==========  =========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                       $  239,540  $ 169,437
Long-term debt, net of current portion             493,921      2,652
Other long-term liabilities                        106,945     76,939
                                                 ----------  ---------
     Total liabilities                             840,406    249,028
                                                 ----------  ---------

Stockholders' equity:
  Common stock, $0.01 par value, 150,000 and
   90,000 shares authorized,
     81,888 and 80,465 shares issued,
      respectively                                     820        805
  Treasury stock, 14,514 and 9,961 shares,
   respectively                                   (372,249)  (234,404)
  Additional paid-in capital                       401,779    374,414
  Retained earnings                                519,768    430,030
  Accumulated comprehensive loss, net of tax        (1,045)         -
                                                 ----------  ---------

     Total stockholders' equity                    549,073    570,845
                                                 ----------  ---------

     TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY                    $1,389,479  $ 819,873
                                                 ==========  =========



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

                                                    Nine Months Ended
                                                      September 30,
                                                    -----------------
                                                      2004      2003
                                                    -------  --------
Operating Activities:
  Net income                                      $  89,738  $ 74,110
  Adjustments to reconcile net income to
    net cash provided by operating activities:
       Depreciation and amortization                 42,407    33,242
       Loss on disposal of property and equipment       624       443
       Income applicable to minority interest        25,062    19,174
       Distributions to minority shareholders       (11,409)  (16,819)
       Deferred income taxes                         10,734     7,950
       Changes in operating assets and
        liabilities,
         net of effects from acquisitions           (21,062)   30,163
                                                   ---------  --------
            Net cash provided by operating
             activities                             136,094   148,263
                                                   ---------  --------

Investing Activities:
  Cash paid for acquisitions, net of cash
   acquired                                        (274,644)  (14,154)
  Purchases of property and equipment, net          (66,463)  (44,043)
  Change in other assets                             (7,185)   (1,968)
                                                   ---------  --------
            Net cash used in investing activities  (348,292)  (60,165)
                                                   ---------  --------

Financing Activities:
  Net proceeds from issuance of long-term debt      325,000         -
  Payments on long-term debt                         (8,125)        -
  Net borrowings (payments) under line of credit
   and capital leases                                 7,027    (7,208)
  Net proceeds from issuance of common stock         17,799    37,121
  Repurchase of treasury shares                    (137,845)  (35,242)
                                                   ---------  --------
            Net cash provided by (used in)
             financing activities                   203,856    (5,329)
                                                   ---------  --------

(Decrease) increase in cash and cash equivalents     (8,342)   82,769

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

Cash and cash equivalents, at end of period       $  41,953  $121,128
                                                   =========  ========


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

                                               Nine Months Ended
                                              September 30, 2004
                                          ----------------------------
                                                                Non-
                                           GAAP(1) Difference  GAAP(2)
                                          -------- ---------- --------
Net revenue                               $974,993  $(4,700) $970,293

Operating costs and expenses:
  Patient care costs                       648,621        -   648,621
  General and administrative expenses       76,353        -    76,353
  Provision for doubtful accounts           23,623        -    23,623
  Depreciation and amortization             42,407        -    42,407
                                           -------- --------  --------
     Total operating costs and expenses    791,004        -   791,004

Income from operations                     183,989   (4,700)  179,289
Interest expense, net                       13,599        -    13,599
                                           -------- --------  --------

Income before minority interest
  and income taxes                         170,390   (4,700)  165,590
Minority interest                           25,062        -    25,062
                                           -------- --------  --------

Income before income taxes                 145,328   (4,700)  140,628
Provision for income taxes                  55,590   (1,786)   53,804
                                           --------  -------  --------

Net income                                $ 89,738  $(2,914) $ 86,824
                                           ========  =======  ========

Diluted net income per share              $   1.28  $ (0.04) $   1.24
                                           ========  =======  ========

Weighted average shares outstanding         69,930   69,930    69,930
                                           ========  =======  ========


                                                Nine Months Ended
                                                September 30, 2003
                                            --------------------------
                                                                Non-
                                            GAAP(1) Difference GAAP(3)
                                           -------- ---------- -------
Net revenue                                $743,039  $     - $743,039

Operating costs and expenses:
  Patient care costs                        482,437        -  482,437
  General and administrative expenses        68,700   (5,430)  63,270
  Provision for doubtful accounts            19,436        -   19,436
  Depreciation and amortization              33,242        -   33,242
                                            -------- -------- --------
     Total operating costs and expenses     603,815   (5,430) 598,385

Income from operations                      139,224    5,430  144,654
Interest expense, net                           526        -      526
                                            -------- -------- --------

Income before minority interest
  and income taxes                          138,698    5,430  144,128
Minority interest                            19,174        -   19,174
                                            -------- -------- --------

Income before income taxes                  119,524    5,430  124,954
Provision for income taxes                   45,414    2,063   47,477
                                            --------  ------- --------

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

Diluted net income per share               $   0.99  $  0.04 $   1.03
                                            ========  ======= ========

Weighted average shares outstanding          74,889   74,889   74,889
                                            ========  ======= ========

(1) Reported operating results in accordance with accounting
    principles generally accepted in the United States (GAAP).

(2) Non-GAAP amounts in 2004 exclude resolutions of payor contract
    issues recorded in the first quarter of 2004 that were unusual in
    amount and timing and the related tax effect.

(3) Non-GAAP amounts in 2003 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 operating data)

                           Three Months Ended     Nine Months Ended
                              September 30,         September 30,
                          --------------------  ----------------------
                             2004       2003       2004        2003
                          ----------  --------  ----------  ----------
Operating Data:
Patients                     29,332    21,301      29,332      21,301
Treatments                1,125,021   822,551   3,080,520   2,415,805
Same-market treatment
 growth                         3.2%      5.0%        3.6%        5.3%
Same-market revenue
 growth                         7.2%      7.2%        7.5%        8.4%
Patient revenue per
 treatment               $      314  $    308  $      315  $      307

Reconciliation of Net
 Income to EBITDA(1):
Net income               $   30,468  $ 26,545  $   89,738  $   74,110
Non-recurring retirement
 charge                           -         -           -       5,430
Depreciation and
 amortization                15,344    11,365      42,407      33,242
Interest expense, net         6,869        76      13,599         526
Minority interest            10,158     6,837      25,062      19,174
Provision for income
 taxes                       19,072    16,269      55,590      45,414
                          ----------  --------  ----------  ----------
EBITDA(1)                $   81,911  $ 61,092  $  226,396  $  177,896
                          ==========  ========  ==========  ==========

(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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