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Renal Care Group Announces First Quarter Results

Nashville, Tennessee, (May 4, 2005) - Renal Care Group, Inc. (NYSE:RCI) today announced results for the first quarter ended March 31, 2005.

Gary A. Brukardt, Renal Care Group's president and chief executive officer, commented, "We are pleased to report solid results for the first quarter, which reflect the overall strength of our operations. Our 8,900 associates deserve credit for the Company's success due to their unyielding dedication in caring for our patients."

For the three months ended March 31, 2005, Renal Care Group's net revenues increased 34.3% to $373.5 million compared with net revenues of $278.0 million for the same period in 2004. Net income for the first quarter of 2005 rose 11.8% to $33.6 million compared with net income of $30.1 million in the first quarter of 2004. Diluted net income per share for the first quarter of 2005 increased 14.3% to $0.48 compared with diluted net income per share of $0.42 in the same quarter of 2004.

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 $0.04 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 $0.38 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 2005 before the impact of the resolution of the payor contract issues. 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, May 4, 2005, at 11:00 a.m. Eastern Time. A listen-only simulcast 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 30,400 patients at more than 425 outpatient dialysis facilities in addition to providing acute dialysis services at more than 210 hospitals. Over 8,900 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 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: the dependence of our profits on the services we provide to a small number of patients who have private insurance; 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, 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
                                                    March 31,
                                             ---------------------
                                                2005       2004
                                             ---------------------
Net revenue                                    $373,509   $278,028

Operating costs and expenses:
  Patient care costs                            246,579    179,372
  General and administrative expenses            30,631     22,676
  Provision for doubtful accounts                 8,203      7,110
  Depreciation and amortization                  16,787     12,163
                                             ---------- ----------
    Total operating costs and expenses          302,200    221,321

Income from operations                           71,309     56,707

Interest expense, net                             7,261        965
                                             ---------- ----------
Income before minority interest and income
 taxes                                           64,048     55,742

Minority interest                                 9,362      7,214
                                             ---------- ----------
Income before income taxes                       54,686     48,528

Provision for income taxes                       21,054     18,441
                                             ---------- ----------
Net income                                     $ 33,632   $ 30,087
                                             ========== ==========
Diluted net income per share                   $   0.48   $   0.42
                                             ========== ==========
Diluted weighted average shares outstanding      70,361     71,223
                                             ========== ==========



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


                                              March 31,    Dec. 31,
                                                  2005        2004
                                             ---------- ----------
                                            (unaudited)
ASSETS:
Current assets:
  Cash and cash equivalents                  $   12,900 $   17,931
  Accounts receivable, net                      275,365    275,373
  Other current assets                           82,239     79,780
                                             ---------- ----------
    Total current assets                        370,504    373,084

Property, plant and equipment, net              332,361    316,532
Goodwill, intangible assets and other
 assets, net                                    763,524    739,364
                                             ---------- ----------
     TOTAL ASSETS                            $1,466,389 $1,428,980
                                             ========== ==========
LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                    $  254,214 $  243,905
Long-term debt, net of current portion          474,909    479,645
Other long-term liabilities                     109,583    113,309
                                             ---------- ----------
  Total liabilities                             838,706    836,859
                                             ---------- ----------
Stockholders' equity:
  Common stock, $0.01 par value, 150,000
   shares authorized, 82,770 and 82,317
   shares issued, respectively                      828        823
  Treasury stock, 14,766 and 14,514 shares,
   respectively                                (381,635)  (372,249)
  Additional paid-in capital                    421,945    411,888
  Retained earnings                             585,495    551,863
  Accumulated other comprehensive income
   (loss), net of tax                             1,050       (204)
                                             ---------- ----------
    Total stockholders' equity                  627,683    592,121
                                             ---------- ----------
    TOTAL LIABILITIES AND
     STOCKHOLDERS' EQUITY                    $1,466,389 $1,428,980
                                             ========== ==========



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


                                               Three Months Ended
                                                    March 31,
                                             ---------------------
                                                   2005       2004
                                             ---------- ----------
Operating Activities:
  Net income                                   $ 33,632   $ 30,087
    Adjustments to reconcile net income to
     net cash provided by operating
     activities:
       Depreciation and amortization             16,787     12,163
       Loss on sale of property and equipment       394        154
       Distributions to minority shareholders    (8,077)    (3,561)
       Income applicable to minority interest     9,362      7,214
       Deferred income taxes                     (1,257)         -
       Changes in operating assets and
        liabilities, net of effects from
        acquisitions                             14,289       (600)
                                             ---------- ----------
          Net cash provided by operating
           activities                            65,130     45,457
                                             ---------- ----------
Investing Activities:
  Purchases of property and equipment           (22,161)   (19,118)
  Cash paid for acquisitions, net of cash
   acquired                                     (44,013)   (55,768)
  Change in other assets                          1,388     (3,173)
                                             ---------- ----------
    Net cash used in investing activities       (64,786)   (78,059)
                                             ---------- ----------
Financing Activities:
  Net proceeds from issuance of long-term debt        -    120,000
  Payments on long-term debt                     (4,063)         -
  Net borrowings under line of credit and
   capital leases                                   982     25,921
  Net proceeds from issuance of common stock      7,092      9,628
  Repurchase of treasury shares                  (9,386)  (135,636)
                                             ---------- ----------
    Net cash (used in) provided by financing
     activities                                  (5,375)    19,913
                                             ---------- ----------
Decrease in cash and cash equivalents            (5,031)   (12,689)

Cash and cash equivalents at beginning of
 period                                          17,931     50,295
                                             ---------- ----------
Cash and cash equivalents at end of period     $ 12,900   $ 37,606
                                             ========== ==========



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


                                           Three Months Ended
                                             March 31, 2004
                                    ---------------------------------
                                        GAAP(1) Difference Non-GAAP(2)
                                    ---------- ----------- ----------
Net revenue                           $278,028    $ (4,700)  $273,328

Operating costs and expenses:
  Patient care costs                   179,372           -    179,372
  General and administrative
   expenses                             22,676           -     22,676
  Provision for doubtful accounts        7,110           -      7,110
  Depreciation and amortization         12,163           -     12,163
                                    ---------- ----------- ----------
    Total operating costs and
     expenses                          221,321           -    221,321

Income from operations                  56,707      (4,700)    52,007
Interest expense, net                      965           -        965
                                    ---------- ----------- ----------
Income before minority interest
 and income taxes                       55,742      (4,700)    51,042
Minority interest                        7,214           -      7,214
                                    ---------- ----------- ----------
Income before income taxes              48,528      (4,700)    43,828
Provision for income taxes              18,441      (1,786)    16,655
                                    ---------- ----------- ----------
Net income                            $ 30,087    $ (2,914)  $ 27,173
                                    ========== =========== ==========
Diluted net income per share          $   0.42    $  (0.04)  $   0.38
                                    ========== =========== ==========
Diluted weighted average shares
 outstanding                            71,223      71,223     71,223
                                    ========== =========== ==========

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

(2) Non-GAAP amounts 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.



                        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
                                                        March 31,
                                                ---------------------
                                                      2005       2004
                                                ---------- ----------
Operating Data:
Patients                                            30,426     22,619
Treatments                                       1,146,233    860,249
Same-market treatment growth                           3.0%       3.5%
Same-market revenue growth                             6.0%       8.3%
Patient revenue per treatment                      $   324    $   323

Reconciliation of Net Income to EBITDA(1):
Net income                                         $33,632    $30,087
Depreciation and amortization                       16,787     12,163
Interest expense, net                                7,261        965
Minority interest                                    9,362      7,214
Provision for income taxes                          21,054     18,441
                                                ---------- ----------
EBITDA(1)                                          $88,096    $68,870
                                                ========== ==========

(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. 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:

Terry Proveaux
Director of Investor Relations
615-345-5577
www.renalcaregroup.com

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