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Renal Care Group Announces Fourth Quarter and Year End Results

NASHVILLE, Tenn.--(BUSINESS WIRE)--Feb. 28, 2005--Renal Care Group, Inc. (NYSE:RCI) today announced results for the fourth quarter and year ended December 31, 2004.

For the three months ended December 31, 2004, Renal Care Group's net revenues increased 41.1% to $370.1 million compared with net revenues of $262.3 million for the same period in 2003. Net income for the fourth quarter of 2004 rose 14.8% to $32.1 million compared with net income of $27.9 million in the fourth quarter of 2003. Diluted net income per share for the fourth quarter of 2004 increased 21.1% to $0.46 compared with diluted net income per share of $0.38 in the same quarter of 2003.

Gary A. Brukardt, Renal Care Group's president and chief executive officer, commented, "Our financial results for the year reflect our success in integrating the NNA acquisition, which was the largest acquisition in our nine-year history. During the year we also invested in other high-quality dialysis programs and added a substantial number of patients to our total base. We will continue to pursue similar opportunities, affiliating with leading physicians who share our commitment to excellence in patient care to create value for our shareholders."

For the year ended December 31, 2004, Renal Care Group's net revenues increased 33.8% to $1,345.0 million compared with net revenues of $1,005.3 million for the same period in 2003. Net income for the year ended December 31, 2004, rose 19.4% to $121.8 million compared with net income of $102.1 million in the same period of 2003. Diluted net income per share for the year ended December 31, 2004, increased 27.0% to $1.74 compared with diluted net income per share of $1.37 for the same period in 2003.

GAAP results for the year ended December 31, 2004, give effect to resolutions of contractual issues with payors that were unusual in amount and timing, which favorably impacted diluted net income per share by $0.04. Excluding the effect of these resolutions, non-GAAP net income for the year ended December 31, 2004, was $118.9 million, or $1.70 per share. GAAP results for the year ended December 31, 2003, give effect to a non-recurring, after-tax charge 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 year ended December 31, 2003, was $105.4 million, or $1.41 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 year ended December 31, 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, "The recently adopted Medicare Modernization Act regulations have provided the industry with greater clarity on reimbursement. Under the new regulations, which include the scheduled composite rate increase of 1.6% and changes in the way we are paid for drugs, we expect the impact of the Medicare Modernization Act to be neutral for us in 2005. As a result, we can confirm our previously announced 2005 corporate objectives, including revenues in the range of $1.5 to $1.6 billion and earnings per share in the range of $1.95 to $2.05."

Renal Care Group will hold a conference call to discuss this press release on Tuesday, March 1, 2005, 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 30,000 patients at more than 420 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 34-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 relating to our plans, objectives and expectations for 2005 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; risks related to the drug Epogen (EPO); changes in the Medicare and Medicaid programs; changes in the health care delivery, financing or reimbursement systems; 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, June 30, 2004, and September 30, 2004. 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,
                        ----------------------  ----------------------
                           2004        2003        2004        2003
                        ----------  ----------  ----------  ----------
                             (unaudited)
Net revenue            $  370,054  $  262,280  $1,345,047  $1,005,319

Operating costs and
 expenses:
  Patient care costs      244,857     170,870     893,478     653,307
  General and
   administrative
   expenses                30,470      21,549     106,823      90,249
  Provision for
   doubtful accounts        8,927       6,764      32,550      26,200
  Depreciation and
   amortization            15,942      11,663      58,349      44,905
                        ----------  ----------  ----------  ----------
     Total operating
      costs and
      expenses            300,196     210,846   1,091,200     814,661

Income from operations     69,858      51,434     253,847     190,658

Interest expense, net       7,029         103      20,628         629
                        ----------  ----------  ----------  ----------

Income before minority
 interest and income
 taxes                     62,829      51,331     233,219     190,029

Minority interest          10,107       6,257      35,169      25,431
                        ----------  ----------  ----------  ----------

Income before income
 taxes                     52,722      45,074     198,050     164,598

Provision for income
 taxes                     20,627      17,128      76,217      62,542
                        ----------  ----------  ----------  ----------

Net income             $   32,095  $   27,946  $  121,833  $  102,056
                        ==========  ==========  ==========  ==========

Diluted net income per
 share                 $     0.46  $     0.38  $     1.74  $     1.37
                        ==========  ==========  ==========  ==========

Weighted average
 shares outstanding        69,780      74,340      69,892      74,753
                        ==========  ==========  ==========  ==========


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

                                                    December 31,
                                              ------------------------
                                                 2004         2003
                                              -----------  -----------

ASSETS:
Current assets:
  Cash and cash equivalents                  $    17,931  $    50,295
  Accounts receivable, net                       275,373      173,679
  Other current assets                            79,780       68,130
                                              -----------  -----------
     Total current assets                        373,084      292,104

Property, plant and equipment, net               316,532      224,397
Goodwill, intangible assets and other
 assets, net                                     739,969      303,372
                                              -----------  -----------

     TOTAL ASSETS                            $ 1,429,585  $   819,873
                                              ===========  ===========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                    $   246,119  $   169,437
Long-term debt, net of current portion           479,645        2,652
Other long-term liabilities                      111,700       76,939
                                              -----------  -----------
     Total liabilities                           837,464      249,028
                                              -----------  -----------

Stockholders' equity:
  Common stock, $0.01 par value, 150,000 and
   90,000 shares authorized, 82,317 and
   80,465 shares issued, respectively                823          805
  Treasury stock, 14,514 and 9,962 shares,
   respectively                                 (372,249)    (234,404)
  Additional paid-in capital                     411,888      374,414
  Retained earnings                              551,863      430,030
  Accumulated comprehensive loss, net of tax        (204)           -
                                              ----------- ------------

     Total stockholders' equity                  592,121      570,845
                                              -----------  -----------

     TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY                 $ 1,429,585  $   819,873
                                              ===========  ===========



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

                                                      Year Ended
                                                      December 31,
                                                  --------------------
                                                    2004       2003
                                                  ---------  ---------

Operating Activities:
  Net income                                     $ 121,833  $ 102,056
  Adjustments to reconcile net income to
    net cash provided by operating activities:
       Depreciation and amortization                58,349     44,905
       Loss on sale of property and equipment        1,123        886
       Income applicable to minority interest       35,169     25,431
       Distributions to minority shareholders      (26,073)   (24,634)
       Deferred income taxes                        15,923     19,517
       Changes in operating assets and
        liabilities, net of effects from
        acquisitions                               (28,193)    18,388
                                                  ---------  ---------
            Net cash provided by operating
             activities                            178,131    186,549
                                                  ---------  ---------

Investing Activities:
  Proceeds from sale of property and equipment       4,569      2,270
  Cash paid for acquisitions, net of cash
   acquired                                       (297,885)   (14,154)
  Purchases of property and equipment, net        (103,363)   (63,762)
  Change in other assets                           (11,763)    (2,858)
                                                  ---------  ---------
            Net cash used in investing
             activities                           (408,442)   (78,504)
                                                  ---------  ---------

Financing Activities:
  Net proceeds from issuance of long-term debt     325,000          -
  Payments on long-term debt                       (12,188)      (380)
  Net payments under line of credit and capital
   leases                                           (1,831)    (7,080)
  Net proceeds from issuance of common stock        24,811     51,802
  Repurchase of treasury shares                   (137,845)  (140,451)
                                                  ---------  ---------
            Net cash provided by (used in)
             financing activities                  197,947    (96,109)
                                                  ---------  ---------

(Decrease) increase in cash and cash equivalents   (32,364)    11,936

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

Cash and cash equivalents, at end of period      $  17,931  $  50,295
                                                  =========  =========



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

                                         Year Ended December 31,
                                   -----------------------------------
                                                  2004
                                   -----------------------------------

                                      GAAP(1)  Difference  Non-GAAP(2)
                                   ----------- ----------- -----------
Net revenue                        $1,345,047  $   (4,700) $1,340,347

Operating costs and expenses:
  Patient care costs                  893,478           -     893,478
  General and administrative
   expenses                           106,823           -     106,823
  Provision for doubtful accounts      32,550           -      32,550
  Depreciation and amortization        58,349           -      58,349
                                    ---------- -----------  ----------
     Total operating costs and
      expenses                      1,091,200           -   1,091,200

Income from operations                253,847      (4,700)    249,147
Interest expense, net                  20,628           -      20,628
                                    ---------- -----------  ----------

Income before minority interest
  and income taxes                    233,219      (4,700)    228,519
Minority interest                      35,169           -      35,169
                                    ---------- -----------  ----------

Income before income taxes            198,050      (4,700)    193,350
Provision for income taxes             76,217      (1,786)     74,431
                                    ----------  ----------  ----------

Net income                         $  121,833  $   (2,914) $  118,919
                                    ==========  ==========  ==========

Diluted net income per share       $     1.74  $    (0.04) $     1.70
                                    ==========  ==========  ==========

Weighted average shares
 outstanding                           69,892      69,892      69,892
                                    ==========  ==========  ==========


                                         Year Ended December 31,
                                   -----------------------------------
                                                  2003
                                   -----------------------------------

                                      GAAP(1)  Difference  Non-GAAP(3)
                                   ----------- ----------- -----------
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       $     1.37  $     0.05  $     1.41
                                    ==========  ==========  ==========

Weighted average shares
 outstanding                           74,753      74,753      74,753
                                    ==========  ==========  ==========

(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         Year Ended
                              December 31,           December 31,
                        ----------------------  ----------------------
                           2004        2003        2004        2003
                        ----------  ----------  ----------  ----------

Operating Data:
Patients                   29,795      21,472      29,795      21,472
Treatments              1,159,920     838,642   4,240,440   3,254,447
Same-market treatment
 growth                       3.0%        3.4%        3.3%        4.7%
Same-market revenue
 growth                       7.2%        5.2%        7.4%        7.5%
Patient revenue per
 treatment             $      318  $      310  $      316  $      308

Reconciliation of Net
 Income to EBITDA(1):
Net income             $   32,095  $   27,946  $  121,833  $  102,056
Non-recurring
 retirement charge              -           -           -       5,430
Depreciation and
 amortization              15,942      11,663      58,349      44,905
Interest expense, net       7,029         103      20,628         629
Minority interest          10,107       6,257      35,169      25,431
Provision for income
 taxes                     20,627      17,128      76,217      62,542
                        ----------  ----------  ----------  ----------
EBITDA(1)              $   85,800  $   63,097  $  312,196  $  240,993
                        ==========  ==========  ==========  ==========


(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.
Terry Proveaux, 615-345-5577
www.renalcaregroup.com

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