EXHIBIT 20 PRESS RELEASE FOR FURTHER INFORMATION PLEASE CONTACT: AT THE COMPANY AT THE FINANCIAL RELATIONS BOARD -------------- -------------------------------- VICTOR M.G. CHALTIEL, CEO DANIEL SAKS, GENERAL INFORMATION OR JOHN E. KING, CFO MOIRA CONLON, INVESTOR CONTACT AT (310) 792-2600 STEVE SEILER, MEDIA CONTACT AT (310) 442-0599 KATHY BRUNSON, INVESTOR CONTACT AT (312) 266-7800 TOTAL RENAL CARE REPORTS NET REVENUES UP 96% AND EARNINGS (BEFORE EXTRAORDINARY ITEM) UP 163% FOR THIRD QUARTER, 1996 Earnings Per Share at 25 cents, Up 56% on 70% More Shares Outstanding Third Quarter/Recent Highlights: . Revenues rise 96% to $73,333,000 . Earnings (before extraordinary item) rise 163% to $6,536,000 . Addition of 15 centers, 230 stations, and over 1,700 patients since July 1, 1996 for a current total of over 9,700 patients . Letter of intent signed for 5 more centers with 300 patients . Secured additional managed care contracts for a current total of 111 . Repurchased all outstanding 12% Senior Subordinated Discount Notes on September 30, 1996 (incurring a $7.7 million extraordinary charge) . Secured a $400 million new credit line (currently at an interest rate of 6.125%) to replace former $130 million line TORRANCE, Calif., October 25, 1996 -- Continuing the disciplined execution of its aggressive growth strategy, Total Renal Care Holdings, Inc. (NYSE:TRL) today announced another record for revenues, earnings (before extraordinary item), and earnings per share for the quarter and nine months ended September 30, 1996. All figures are restated to reflect a change in the Company's fiscal year-end to December 31 from May 31. Revenues increased 96% to $73.3 million in the third quarter of 1996 from $37.4 in the corresponding period of 1995. Earnings (before extraordinary item) increased 163% to $6.5 million from $2.5 million, and earnings per share increased 56% to $0.25 from $0.16 on 70% more shares outstanding. During the third quarter of 1996, Total Renal Care retired the remaining $65 million outstanding of Discount Notes at maturity incurring a $7.7 million extraordinary charge (net of taxes). -more- Total Renal Care Add 1 "Since June 30, 1996, we have continued to execute our aggressive, disciplined growth strategy by adding 15 centers, 230 dialysis stations and over 1,700 patients since July 1, 1996, for a current total of 9,700 patients," said Victor M.G. Chaltiel, TRL Chairman, President and Chief Executive Officer. "In addition, we have signed letters of intent to acquire five more facilities for a total of 300 patients. Moreover, the company has entered into a number of additional managed care contracts for a current total of 111, including contracts with Aetna and Maxicare in the New Orleans area to service virtually all of their local ESRD patients." Revenues increased 101% to $188.2 million in the first nine months of 1996, from $93.5 million in the corresponding period of 1995. Earnings (before extraordinary item) increased 207% to $16.5 million from $5.4 million and earnings per share increased 80% to $0.65 from $0.35 on 65% more shares outstanding. On October 17, 1996, Total Renal Care significantly increased its borrowing capacity to fund its aggressive, disciplined growth strategy by replacing its existing $130 million bank facility with a new seven-year $400 million revolving credit facility arranged by The Bank of New York and Donaldson, Lufkin & Jenrette, Inc. The current interest rate on this facility is 6.125%. Based in Torrance, Calif., Total Renal Care Holdings, Inc., is the third largest provider of integrated dialysis services in the U.S. for patients suffering from chronic kidney failure. The Company owns and operates high-quality, free-standing kidney dialysis centers and home peritoneal dialysis programs in 16 states, Washington, DC, and Guam, and also provides high-quality acute hemodialysis services to inpatients on behalf of 82 hospitals. TRL has increased its number of outpatient dialysis facilities to 127 with 1,855 stations and provides services to more than 9,700 patients. The Company additionally operates ESRD laboratory and pharmacy facilities, as well as vascular access management and transplant services programs. For information on Total Renal Care Holdings, Inc., via facsimile at no cost, call 1-800-PRO-INFO and dial company code 039. (Financial Tables to follow) -more- Total Renal Care Add 2 TOTAL RENAL CARE HOLDINGS, INC. CONDENSED CONSOLIDATED STATEMENTS OF INCOME Three Months and Nine Months Ended September 30, 1996 and 1995 Three Months Nine Months --------------------------- ---------------------------- 1996 1995 1996 1995 ----------- ----------- ------------ ----------- Net operating revenues $73,333,000 $37,415,000 $188,153,000 $93,508,000 Operating expenses: Facilities 49,474,000 23,884,000 126,121,000 60,304,000 General and administrative 4,943,000 3,107,000 13,644,000 8,307,000 Provision for doubtful accounts 1,559,000 757,000 3,892,000 2,023,000 Depreciation and amortization 4,231,000 1,891,000 10,263,000 4,564,000 ----------- ----------- ------------ ----------- Total operating expenses 60,207,000 29,639,000 153,920,000 75,198,000 ----------- ----------- ------------ ----------- Operating income 13,126,000 7,776,000 34,233,000 18,310,000 Interest expense (1,719,000) (2,813,000) (5,869,000) (7,534,000) Interest income 394,000 73,000 2,007,000 247,000 ----------- ----------- ------------ ----------- Income before income taxes and minority interests and extraordinary item 11,801,000 5,036,000 30,371,000 11,023,000 Income taxes 4,386,000 1,774,000 11,537,000 3,852,000 ----------- ----------- ------------ ----------- Income before minority interests and extraordinary item 7,415,000 3,262,000 18,834,000 7,171,000 Minority interests in income of consolidated subsidiaries 879,000 777,000 2,296,000 1,787,000 ----------- ----------- ------------ ----------- Income before extraordinary item 6,536,000 2,485,000 16,538,000 5,384,000 Extraordinary loss related to early extinguishment of debt, net of tax 7,700,000 0 7,700,000 0 ----------- ----------- ------------ ----------- Net (loss) income $(1,164,000) $ 2,485,000 $ 8,838,000 $ 5,384,000 =========== =========== ============ =========== Earnings (loss) per common share: Income before extraordinary item $ 0.25 $ 0.16 $ 0.65 $ 0.35 Extraordinary item $ (0.29) ---- $ (0.30) ---- ----------- ----------- ------------ ----------- Net (loss) income $ (0.04) $ 0.16 $ 0.35 $ 0.35 =========== =========== ============ =========== Weighted average number of common shares and equivalents outstanding 26,661,000 15,690,000 25,409,000 15,427,000 =========== =========== ============ =========== -more- Total Renal Care Add 3 TOTAL RENAL CARE HOLDINGS, INC. CONDENSED CONSOLIDATED BALANCE SHEETS September 30, 1996 and December 31, 1995 September 30, 1996 December 31, 1995 (unaudited) ASSETS Current Assets: Cash and cash equivalents $ 5,440,000 $ 30,181,000 Accounts receivable, less allowances for doubtful accounts of $10,734,000 and $5,668,000, respectively 95,314,000 40,014,000 Receivable from Tenet, a related company 322,000 432,000 Other current assets 14,854,000 4,867,000 ------------ ------------ Total current assets 115,930,000 75,494,000 Property and equipment, net 49,443,000 25,505,000 Note receivable from a related party 1,851,000 1,379,000 Investment in affiliate, at equity 1,018,000 972,000 Other long-term assets 899,000 885,000 Intangible assets, net of accumulated amortization of $12,152,000 and $7,353,000, respectively 151,279,000 59,763,000 ------------ ------------ Total assets $320,420,000 $163,998,000 ============ ============ LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT) Liabilities: Total current liabilities $ 30,677,000 20,803,000 Deferred income taxes 1,052,000 510,000 Long-term debt and other 79,007,000 56,538,000 Minority interests 5,326,000 3,343,000 Stockholders' equity: Common stock, voting ($.001 par value; 55,000,000 shares authorized; 25,926,729 and 22,308,207 issued and outstanding, respectively) 26,000 22,000 Preferred stock, ($.001 par value; 5,000,000 shares authorized, none outstanding) ---- ---- Additional paid-in capital 236,433,000 123,710,000 Notes receivable from stockholders (2,783,000) (2,773,000) Retained earnings (deficit) (29,318,000) (38,155,000) ------------ ------------ Total stockholder's equity 204,358,000 82,804,000 ------------ ------------ Total liabilities and stockholders' equity $320,420,000 $163,998,000 ============ ============