As filed with the Securities and Exchange Commission on June 27, 1996 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 11-K [X] ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED] For the fiscal year ended December 31, 1996 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED] Commission file number 1-4034 A. Full title of the plan and the address of the plan, if different from that of the issuer named below: Total Renal Care, Inc. Retirement Savings Plan B. Name of issuer of the securities held pursuant to the Plan and the address of its principal executive office: Total Renal Care Holdings, Inc. 21250 Hawthorne Boulevard, Suite 800 Torrance, California 90503-5517 REQUIRED INFORMATION 1. Financial statements filed as a part of this annual report: Report of Price Waterhouse LLP, independent auditors, Audited Statements of Net Assets Available for Benefits, With Fund Information as of December 31, 1996 and 1995, Audited Statements of Changes in Net Assets Available for Benefits, With Fund Information for the Years Ended December 31, 1996 and 1995, and Notes to Financial Statements for the Years Ended December 31, 1996 and 1995. 2. Exhibit filed as a part of this annual report: Exhibit 23- Consent of Price Waterhouse LLP, independent auditors. SIGNATURES The Plan. Pursuant to the requirements of the Securities Exchange Act of 1934, the trustees (or other persons who administer the employee benefit plan) have duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized. TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN Date: June 26, 1997 By: /s/ Marie Ficarella ------------------------ Marie Ficarella, Director of Human Resources and Designated Representative of the Plan Administrator 2 Total Renal Care, Inc. Retirement Savings Plan Financial Statements and Additional Information December 31, 1996 and 1995 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN INDEX - -------------------------------------------------------------------------------- Page Financial Statements: Report of Independent Accountants 1 Statement of Net Assets Available for Benefits, with Fund Information 2-3 Statement of Changes in Net Assets Available for Benefits, with Fund Information 4-5 Notes to Financial Statements 6-10 Additional Information: Schedule I - Schedule of Assets Held for Investment Purposes 11 Schedule II - Schedule of Reportable Transactions 12 Report of Independent Accountants June 6, 1997 To the Participants and Administrator of the Total Renal Care, Inc. Retirement Savings Plan In our opinion, the accompanying statements of net assets available for benefits and the related statements of changes in net assets available for benefits present fairly, in all material respects, the net assets available for benefits of the Total Renal Care, Inc. Retirement Savings Plan at December 31, 1996 and 1995, and the changes in net assets available for benefits for the years then ended, in conformity with generally accepted accounting principles. These financial statements are the responsibility of the Plan's management; our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits of these statements in accordance with generally accepted auditing standards which require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for the opinion expressed above. Our audits were performed for the purpose of forming an opinion on the basic financial statements taken as a whole. The additional information included in the schedule of assets held for investment purposes and the schedule of reportable transactions is presented for the purpose of additional analysis and is not a required part of the basic financial statements but is additional information required by the Employee Retirement Income Security Act of 1974. The Fund Information in the statements of net assets available for benefits and the statements of changes in net assets available for benefits is presented for purposes of additional analysis rather than to present the net assets available for benefits and changes in net assets available for benefits of each fund. The schedule of assets held for investment purposes, the schedule of reportable transactions and the Fund Information have been subjected to the auditing procedures applied in the audits of the basic financial statements and, in our opinion, are fairly stated in all material respects in relation to the basic financial statements taken as a whole. The schedule of reportable transactions that accompanies the Plan's financial statements does not disclose the historical cost of certain plan assets. Disclosure of this information is required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN STATEMENT OF NET ASSETS AVAILABLE FOR BENEFITS, WITH FUND INFORMATION - ------------------------------------------------------------------------------- December 31, 1996 Fund Information ---------------- Warburg Total Fidelity Twentieth Pincus Renal Care Advisor Century Advisor Holdings, Inc. Participant Guaranteed Income & Ultra International Common Notes Long-Term Growth Investors Equity Stock Receivable Fund Fund Fund Fund Fund Fund Total Assets Investments, at fair value CIGNA Guaranteed Long-Term Account $4,975,398 $ 4,975,398 CIGNA Fidelity Advisor Income & Growth Account $1,833,288 1,833,288 CIGNA Twentieth Century Ultra Investors Account $ 2,051,947 2,051,947 CIGNA Warburg Pincus Advisor International Equity Account $ 1,217,795 1,217,795 Total Renal Care Holdings, Inc Common Stock Account $ 528,113 528,113 Participant notes receivable $ 527,999 527,999 Cash equivalents 3,298 2,659 3,472 3,342 2,322 15,093 ----------- Net assets available for benefits $4,978,696 $1,835,947 $2,055,419 $1,221,137 $ 530,435 $ 527,999 $11,149,633 =========== The accompanying notes are an integral part of these financial statements. 2 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN STATEMENT OF NET ASSETS AVAILABLE FOR BENEFITS, WITH FUND INFORMATION - ------------------------------------------------------------------------------- December 31, 1995 Fund Information ---------------- Warburg Fidelity Twentieth Pincus Advisor Century Advisor Participant Guaranteed Income & Ultra International Notes Long-Term Growth Investors Equity Receivable Fund Fund Fund Fund Fund Total Assets Investments, at fair value CIGNA Guaranteed Long-Term Account $3,139,341 $3,139,341 CIGNA Fidelity Advisor Income $1,283,229 1,283,229 & Growth Account CIGNA Twentieth Century $ 1,256,177 1,256,177 Ultra Investors Account CIGNA Warburg Pincus Advisor $814,046 814,046 International Equity Account Participant notes receivable $327,704 327,704 Employer contributions receivable 185,447 1,871 10,338 2,344 200,000 Employee contributions receivable 34,767 20,239 18,234 12,727 85,967 Cash equivalents 7,018 4,533 2,856 1,829 16,236 ---------- Net assets available for benefits $3,366,573 $1,309,872 $1,287,605 $830,946 $327,704 $7,122,700 ========== The accompanying notes are an integral part of these financial statements. 3 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN STATEMENT OF NET ASSETS AVAILABLE FOR BENEFITS, WITH FUND INFORMATION - ------------------------------------------------------------------------------- Year Ended December 31, 1996 Fund Information ---------------- Warburg Total Fidelity Twentieth Pincus Renal Care Advisor Century Advisor Holdings, Inc. Participant Guaranteed Income & Ultra International Common Notes Long-Term Growth Investors Equity Stock Receivable Fund Fund Fund Fund Fund Fund Total Additions to net assets attributed to: Investment income Interest $ 217,379 $ 41,860 $ 259,239 Net appreciation (depreciation) in fair value of investments $ 134,608 $ 202,639 $ 87,975 $ (13,314) 411,908 ----------- 217,379 134,608 202,639 87,975 (13,314) 41,860 671,147 ----------- Contributions Employer -- -- -- -- -- -- Employee 1,165,083 653,862 891,961 421,955 132,367 3,265,228 ----------- 1,165,083 653,862 891,961 421,955 132,367 3,265,228 Transfer from affiliated plan 664,476 664,476 ----------- Total additions 2,046,938 788,470 1,094,600 509,930 119,053 41,860 4,600,851 Deductions from net assets attributed to: Benefit payments 259,750 92,742 101,214 81,386 10 535,102 Transaction charge 6,793 1,144 954 653 401 9,945 Participant notes receivable terminated due to withdrawal of participant 29,644 29,644 ----------- Total deductions 266,543 93,886 102,168 82,039 411 29,644 574,691 Change in forfeiture reserve, net 773 773 ----------- Net increase prior to interfund transfers 1,781,168 694,584 992,432 427,891 118,642 12,216 4,026,933 Interfund transfers, net (169,045) (168,509) (224,618) (37,700) 411,793 188,079 -- ----------- Net increase 1,612,123 526,075 767,814 390,191 530,435 200,295 4,026,933 Net assets available for benefits at beginning of year 3,366,573 1,309,872 1,287,605 830,946 -- 327,704 7,122,700 --------- Net assets available for benefits at end of year $ 4,978,696 $ 1,835,947 $ 2,055,419 $ 1,221,137 $ 530,435 $ 527,999 $11,149,633 =========== The accompanying notes are an integral part of these financial statements. 4 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN STATEMENT OF NET ASSETS AVAILABLE FOR BENEFITS, WITH FUND INFORMATION - ------------------------------------------------------------------------------- Year Ended December 31, 1995 Fund Information ---------------- Warburg Fidelity Twentieth Pincus Advisor Century Advisor Participant Guaranteed Income & Ultra International Notes Long-Term Growth Investors Equity Receivable Fund Fund Fund Fund Fund Total Additions to net assets attributed to: Investment income Interest $ 122,405 $ 8,990 $ 131,395 Net appreciation in fair value of investments $ 91,536 $ 172,299 $ 87,396 351,231 ---------- 122,405 91,536 172,299 87,396 8,990 482,626 ---------- Contributions Employer 185,447 1,871 10,338 2,344 200,000 Employee 766,317 369,433 282,204 233,133 1,651,087 ---------- 951,764 371,304 292,542 235,477 1,851,087 Transfer from affiliated plan 2,439,878 832,185 591,603 585,615 4,449,281 Other (8,828) 1,832 4,284 3,845 1,133 ---------- Total additions 3,505,219 1,296,857 1,060,728 912,333 8,990 6,784,127 Deductions from net assets attributed to: Benefit payments 257,659 72,420 45,220 48,110 423,409 Transaction charge 3,916 1,251 747 521 6,435 Participant notes receivable terminated due to withdrawal of participant 2,030 2,030 ---------- Total deductions 261,575 73,671 45,967 48,631 2,030 431,874 ---------- Net increase prior to interfund transfers 3,243,644 1,223,186 1,014,761 863,702 6,960 6,352,253 Interfund transfers, net (246,693) (103,676) 148,972 (119,347) 320,744 - Transfer from merged plans 186,487 120,774 72,330 29,155 408,746 ---------- Net increase 3,183,438 1,240,284 1,236,063 773,510 327,704 6,760,999 Net assets available for benefits at beginning of year 183,135 69,588 51,542 57,436 - 361,701 ---------- Net assets available for benefits at end of year $3,366,573 $1,309,872 $1,287,605 $ 830,946 $327,704 $7,122,700 ========== The accompanying notes are an integral part of these financial statements. 5 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS - ------------------------------------------------------------------------------- 1. Description of Plan The following description of the Total Renal Care, Inc. Retirement Savings Plan (the "Plan") sponsored by Total Renal Care Holdings, Inc. (the "Company") provides only general information. Participants should refer to the Plan agreement for a more complete description of the Plan's provisions. General The Plan is a defined contribution plan established effective October 1, 1994 and most recently amended August 23, 1996, retroactively effective March 1, 1996. Employees become eligible to participate upon completing one year of service with 1,000 hours. The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 ("ERISA"). Contributions Participants may contribute an amount equal to not less than 1 percent nor more than 15 percent of their compensation for the contribution period. The Company may make a discretionary contribution in an amount to be determined by a resolution of the Company's Board of Directors. Participant Accounts Each participant's account is credited with the participant's contribution and allocation of the Company's contribution and Plan earnings. Earnings are allocated by fund based on the ratio of a participant's account invested in a particular fund to all participants' investments in that fund. The benefit to which a participant is entitled is the benefit that can be provided from the participant's account. Vesting Participants are immediately vested in their voluntary contributions plus actual earnings thereon. The balance of vesting in the participants' accounts is based on years of service. A participant becomes 20 percent vested after one year of service, 40 percent vested after two years of service, 60 percent vested after three years of service, 80 percent vested after four years of service and 100 percent vested after five years of service. However, if an active participant dies prior to attaining the normal retirement age, the participant's estate becomes 100 percent vested. 6 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS - ------------------------------------------------------------------------------- Investment Options Upon enrollment in the Plan, a participant may currently direct contributions among any of the following investment options: . Guaranteed Long-Term Fund - Funds are invested in the CIGNA Guaranteed Long-Term Account, which provides a guaranteed rate of return reset semiannually. . Fidelity Advisor Income & Growth Fund - Funds are invested solely in units of the CIGNA Fidelity Advisor Income & Growth Account, which in turn invests solely in shares of the Fidelity Advisor Income & Growth Fund. . Twentieth Century Ultra Investors Fund - Funds are invested solely in units of the CIGNA Twentieth Century Ultra Investors Account, which in turn invests solely in shares of the Twentieth Century Ultra Investors Fund. . Warburg Pincus Advisor International Equity Fund - Funds are invested solely in units of the CIGNA Warburg Pincus Advisor International Equity Account, which in turn invests solely in shares of the Warburg Pincus Advisor International Equity Fund, Inc. . Total Renal Care Holdings, Inc. Common Stock Fund - Funds are invested solely in shares of Total Renal Care Holdings, Inc. common stock. Participants may change their investment options at any time. Payment of Benefits On termination of service, a participant may elect to receive either a lump-sum amount equal to the value of his or her account, a distribution in the form of an annuity, or a combination of both. All distributions are subject to the applicable provisions of the Plan agreement. Participant Notes Receivable Participants may borrow up to the lesser of $50,000 or 50 percent of the vested portion of their account balance, subject to certain restrictions, in accordance with interest rates and collateral requirements established by the Company. Cash Equivalents Contributions received prior to year end awaiting investment in the appropriate investment option at December 31 are invested in the CIGNA Guaranteed Short-Term Account, which is recorded at fair value, and are included as cash equivalents within the fund in which units are subsequently purchased. 7 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS - ------------------------------------------------------------------------------- 2. Summary of Accounting Policies Method of Accounting The Plan's financial statements are prepared on the accrual basis of accounting, and reflect management's estimates and assumptions, such as those regarding fair value, that affect the recorded amounts. Significant estimates used are discussed throughout the notes to financial statements. Investments Investments in pooled separate accounts (CIGNA Fidelity Advisor Income & Growth Account, CIGNA Twentieth Century Ultra Investors Account and CIGNA Warburg Pincus Advisor International Equity Account) are recorded at fair value, as determined by the unit value as reported by the Connecticut General Life Insurance Company ("CG Life"). During the year ended December 31, 1995, the Plan adopted the provisions of Statement of Position No. 94-4 ("SOP 94-4") "Reporting of Investment Contracts held by Health and Welfare Benefit Plans and Defined-Contribution Pension Plans" which requires that investments in non-fully benefit responsive investment contracts be reported at fair value. As a result of the adoption of SOP 94-4, the investment in the CIGNA Guaranteed Long-Term Account is recorded at fair value. Participant notes receivable are valued at cost which approximates fair value. The Company stock is valued at its quoted market price. Contributions Employee contributions are recorded in the period during which the Company makes payroll deductions from the participants' earnings. Company contributions are recorded annually. Benefits Benefit claims are recorded as expenses when they have been approved for payment and paid by the Plan. 3. Deposit With Insurance Company The Plan participates in a contract with CG Life via an investment in the CIGNA Guaranteed Long-Term Account. CG Life commingles the assets of this investment with other assets. For the Plan's investment in the CIGNA Guaranteed Long-Term Account, the Plan is credited with interest at the rate specified in the contract which was 6.05% and ranged from 6.50% to 6.15% for the years ended December 31, 1996 and 1995, respectively, net of asset charges. Effective January 1, 1996 CG Life restructured the interest crediting mechanism of the CIGNA Guaranteed Long-Term Account to allow the credited interest rate to be prospectively guaranteed for six months. As discussed in Note 2, the Guaranteed Long-Term Account is included in the financial statements at fair value which, principally because of the periodic rate reset process, approximates contract value. 8 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS - ------------------------------------------------------------------------------- 4. Investments Investments that represent 5 percent or more of the Plan's net assets are separately identified below. December 31, 1996 1995 CIGNA Guaranteed Long-Term Account $4,975,398 $3,139,341 interest rates, 6.05%; 6.15% CIGNA Fidelity Advisor Income & Growth Account 1,833,288 1,283,229 units, 81,734; 61,605 CIGNA Twentieth Century Ultra Investors Account 2,051,947 1,256,177 units, 64,669; 44,688 CIGNA Warburg Pincus Advisor International Equity Account 1,217,795 814,046 units, 51,998; 38,164 5. Participant Notes Receivable Under the terms of the Plan, participants may borrow from their accounts up to the lesser of $50,000 or 50% of their vested account balance. Loan transactions are treated as a transfer to/from the investment fund from/to the Participant Notes Receivable Fund. A loan is secured by the balance in the participant's account and bears interest at a rate commensurate with market rates for similar loans, as defined (10.00% to 11.00% and 10.03% to 10.81% for the years ended December 31, 1996 and 1995, respectively). 6. Plan Termination Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions of ERISA. In the event of Plan termination, participants will become 100 percent vested in their accounts. 7. Income Taxes The Internal Revenue Service has determined and informed the Company by a letter dated November 25, 1996, that the Plan and related trust are designed in accordance with applicable sections of the Internal Revenue Code ("IRC"). The Plan's administrator and tax counsel believe that the Plan is designed and is currently being operated in compliance with the applicable requirements of the IRC. Therefore, no provision for income taxes has been included in the Plan's financial statements. Nondiscrimination testing in accordance with the Internal Revenue Code was not completed for the 1996 plan year. Management is in process of performing the testing and appropriate steps will be taken so as to ensure the continued tax qualified status of the Plan. 9 TOTAL RENAL CARE, INC. RETIREMENT SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS - ------------------------------------------------------------------------------- 8. Reconciliation of Plan Financial Statements to the Form 5500 The Annual Return/Report of Employee Benefit Plan (the "Form 5500") is prepared on the modified cash basis. Accordingly, certain balances included on lines 31 and 32 of the Form 5500 differ from those included in these financial statements. Contributions on the statement of changes in net assets available for benefits differ from contributions on the Form 5500 by the amount of contributions accrued at December 31, 1995. The ending net asset balances are reconciled as follows: December 31, 1995 Net assets, per Form 5500 $6,836,733 Add: Employer contributions receivable 200,000 Employee contributions receivable 85,967 ---------- Net assets, per financial statements $7,122,700 ========== 9. Transfer from Affiliated Plan and Plan Mergers Certain assets were transferred to the Plan from Valley Dialysis Associates, formerly part of Valley Internal Medicine and from the NME Retirement Savings Plan during 1996 and 1995, respectively. In addition, effective July 1, 1995, certain participants of the Logan Square Dialysis Services, Inc. 401(k) Plan and Lincoln Park Nephrology Associates, S.C. 401(k) Plan were merged into the Plan. 10. Forfeitures The net change in forfeiture reserve represents the net change in the available forfeiture reserve balance from the prior year plus the current year forfeitures generated. Forfeitures result from nonvested benefit payments remaining in the Plan for all terminated employees. Upon reaching the break-in-service, as defined in the Plan agreement, forfeitures generated are added to the forfeiture reserve balance. The forfeiture reserve of $13,922 and $13,149 at December 31, 1996 and 1995, respectively, is included in the CIGNA Guaranteed Long-Term Account and is available to offset contributions or to pay Plan expenses, which would be otherwise payable by the Company, in accordance with the Plan agreement. 10 TOTAL RENAL CARE, INC. ADDITIONAL INFORMATION LINE 27a FORM 5500 - SCHEDULE OF ASSETS HELD FOR SCHEDULE I INVESTMENT PURPOSES DECEMBER 31, 1996 - ------------------------------------------------------------------------------- (a) (b) (c) (d) (e) Identity of issue, borrower, Description of investment including Cost Current lessor, or similar party maturity date, rate of interest, value collateral, par or maturity value Connecticut General Life CIGNA Guaranteed Long-Term $ 4,975,398 $ 4,975,398 * Insurance Company Account 6.05% Connecticut General Life CIGNA Fidelity Advisor Income & 1,660,807 1,833,288 * Insurance Company Growth Account $22.43/unit Connecticut General Life CIGNA Twentieth Century 1,780,600 2,051,947 * Insurance Company Ultra Investors Account $31.73/unit Connecticut General Life CIGNA Warburg Pincus Advisor 1,095,440 1,217,795 * Insurance Company International Equity Account $23.42/unit Connecticut General Life CIGNA Total Renal Care Holdings, 535,138 528,113 * Insurance Company Inc. Common Stock Account $36.25/share Connecticut General Life Cash Equivalents (CIGNA Guaranteed 15,093 15,093 * Insurance Company Short-Term Account) * Participant Notes Receivable 10.00% - 11.00% 527,999 527,999 * Indicates an identified person known to be a party-in-interest to the Plan. 11 TOTAL RENAL CARE, INC. ADDITIONAL INFORMATION LINE 27d FORM 5500 - SCHEDULE OF SCHEDULE II REPORTABLE TRANSACTIONS YEAR ENDED DECEMBER 31, 1996 - ------------------------------------------------------------------------------- (a) (b) (c) (d) (e) (f) (g) (h) (i) Identity of party Description Purchase Selling Lease Expense Cost Current Net gain involved of asset price price rental incurred of value or (loss) (include with asset of asset on interest rate transaction transaction and maturity date in case of a loan) Connecticut General Purchases $ 2,245,306 N/A N/A N/A $ 2,245,306 $ 2,245,306 - Life Insurance into CIGNA Company Guaranteed Long-Term Account Connecticut General Sales from N/A $ 627,401 N/A N/A 627,401 627,401 - Life Insurance CIGNA Company Guaranteed Long-Term Account Connecticut General Purchases 734,694 N/A N/A N/A 734,694 734,694 - Life Insurance into CIGNA Company Fidelity Advisor Income & Growth Account Connecticut General Sales from N/A 319,243 N/A N/A * 319,243 * Life Insurance CIGNA Company Fidelity Advisor Income & Growth Account Connecticut General Purchases 1,035,338 N/A N/A N/A 1,035,338 1,035,338 - Life Insurance into CIGNA Company Twentieth Century Ultra Investors Account Connecticut General Sales from N/A 442,207 N/A N/A * 442,207 * Life Insurance CIGNA Company Twentieth Century Ultra Investors Account Connecticut General Purchases 550,284 N/A N/A N/A 550,284 550,284 - Life Insurance into CIGNA Company Warburg Pincus Advisor International Equity Account Connecticut General Sales from N/A 234,510 N/A N/A * 234,510 * Life Insurance CIGNA Company Warburg Pincus Advisor International Equity Account National Financial Purchases 546,241 N/A N/A N/A 546,241 546,241 - Services Corp. into CIGNA Total Renal Care Holdings, Inc. Common Stock Account National Financial Sales from N/A 4,814 N/A N/A * 4,814 * Services Corp. CIGNA Total Renal Care Holdings, Inc. Common Stock Account * Cost information is not currently available from the insurance company. 12