Form 10-Q/A

                                Amendment No. 1

                      SECURITIES AND EXCHANGE COMMISSION

(Mark One)                   Washington, D.C. 20549



(X)      QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES
            EXCHANGE ACT OF 1934

For the quarterly period ended    March 31, 1997
                               ----------------------  

( )      TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES
            EXCHANGE ACT OF 1934

For the transition period from ________________ to ________________



Commission file number 1-14142

                         Renal Treatment Centers, Inc.
- --------------------------------------------------------------------------------
            (Exact name of registrant as specified in its charter)

            Delaware                                       23-2518331
- ---------------------------------                    ---------------------
(State or other jurisdiction of                      (I.R.S. Employer
 incorporation or organization)                       Identification No.)

         1180 W. Swedesford Road
         Building 2, Suite 300
                   Berwyn, PA                               19312
- ---------------------------------                    ---------------------
(Address of principal executive offices)                (Zip code)


Registrant's telephone number, including area code: 610-644-4796

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter period that the registrant
was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.

Yes  X  No
    ---    ---

Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the latest practicable date:

         Class                                    Outstanding at May 8, 1997
         -----                                    --------------------------
Common Stock, Par Value $.01                           24,973,035 shares

 
         
    
INTRODUCTORY STATEMENT     
    
    Renal Treatment Centers, Inc. ("RTC") was acquired by Total Renal Care
Holdings, Inc. ("TRCH") on February 27, 1998. On April 1, 1998, TRCH announced
(i) that it had undertaken a detailed review of RTC's accounts receivable and
other balance sheet accounts in connection with the completion of the audit of
RTC's financial statements for the fiscal year ended December 31, 1997, and (ii)
that as a result of such review, it expected to recognize between $25 million
and $30 million of non-cash charges related to prior periods which would require
a revision of RTC's previously announced results of operations. On April 30, 
1998, TRCH announced that RTC might be required to correct previously audited
financial statements.     
    
    The analysis of RTC's financial statements was completed on May 15, 1998. In
order to correct certain errors discovered through such analysis, TRCH has
determined to (i) restate RTC's financial statements for the fiscal year ended
December 31, 1996, (ii) revise RTC's financial statements for the quarterly
periods ended March 31, 1997, June 30, 1997 and September 30, 1997 and (iii)
revise RTC's previously announced results of operations for the fiscal quarters
ended March 31, 1996 and 1997, June 30, 1996 and 1997, September 30, 1996 and
1997 and December 31, 1996 and 1997 and the fiscal years ended December 31, 1996
and 1997. This Form 10-Q/A is being filed to correct the financial statements
included in the Form 10-Q for the quarterly period ended March 31, 1997 which
was filed on May 14, 1997 (the "First Quarter 10-Q"). RTC is concurrently filing
(i) separate Form 10-Q/A's to correct the financial statements included in the
Form 10-Q's previously filed for the quarterly periods ended June 30, 1997 and
September 30, 1997 and (ii) a Form 10-K/A to correct the financial statements
included in the Form 10-K for the year ended December 31, 1996 which was filed
on March 29, 1997.    
    
    The balance sheets included in the First Quarter 10-Q are being amended
hereby to reflect a reduction of accounts receivable at March 31, 1997 and at
December 31, 1996 and to reflect the balance sheet impact of (i) the restatement
of RTC's financial statements for the year ended December 31, 1996 and (ii) the 
revision of the statement of income for the three months ended March 31, 1997. 
The statements of income included in the First Quarter 10-Q are being amended 
hereby to reflect related reductions of net patient revenue, related increases 
in the provision for doubtful accounts and related reductions in the provision 
for income taxes. For the interim period ended March 31, 1997, the reduction in
the provision for income taxes was offset, in part, by an increase in the 
provision for income taxes primarily related to RTC's foreign operations. (See 
Note 2 of the financial statements filed herewith.)     
    
    Approximately one half of the charges described above relate to untimely
billing and subsequent requests for information by RTC with governmental payors
(primarily state medicaid programs) and contracted private payors. The remainder
relates primarily to improper contractual allowances related to revenue
recognition at the time of billing and to uncollectible accounts. TRCH believes
that the causes of such problems have been appropriately addressed and that
systems and processes are now in place to ensure accurate contractual
allowances related to revenue recognition and timely account resolution,
including all appropriate collection efforts.    
    
    Information included in Item 2 (Management's Discussion and Analysis of
Financial Condition and Results of Operations) under the captions "Results of
Operations" and "Three Months Ended March 31, 1997 Compared to Three Months
Ended March 31, 1996" of the First Quarter 10-Q was based on RTC's unaudited
consolidated financial statements prior to the amendments described above.
Consequently, the information included in Item 2 under such captions overstates
both net patient revenue and the provision for income taxes and understates the
provision for doubtful accounts as described above. RTC believes that the
amendment of Item 2 to reflect such changes would provide no material additional
information not already presented in Item 2 of the First Quarter 10-Q or in this
Form 10-Q/A. Consequently, such Item 2 is not restated in this Form 10-Q/A.    

PART I.  FINANCIAL INFORMATION

Item 1.        Financial Statements

                Renal Treatment Centers, Inc. and Subsidiaries
                          Consolidated Balance Sheets
                                  (Unaudited)

        
 

                                                                                                 March 31,           December 31,
                                                                                                   1997                 1996
- ---------------------------------------------------------------------------------------------------------------------------------
                                                                                                              
Assets
Current assets:
   Cash                                                                                         $9,487,839         $  1,445,798
   Investments                                                                                           -           41,202,123
   Accounts receivable, net of allowance for
      doubtful accounts of $8,378,117 in 1997 and
      $7,853,350 in 1996                                                                        70,299,673           65,198,524
   Inventories                                                                                   4,099,362            4,388,290
   Deferred taxes                                                                                2,076,240            2,149,718
   Prepaid expenses and other current assets                                                     3,727,563            2,749,497
   Income tax receivable                                                                         1,992,343            3,782,890
- ---------------------------------------------------------------------------------------------------------------------------------
     Total current assets                                                                       91,683,020          120,916,840
- ---------------------------------------------------------------------------------------------------------------------------------
Property and equipment (net of accumulated depreciation of $21,698,808 in 1997
   and $19,691,015 in 1996.)                                                                    47,031,379           39,578,245
Intangibles (net of accumulated amortization of $36,447,541 in 1997 and
$32,934,871 in 1996.)                                                                          167,439,151          130,645,378
Deferred taxes, non-current                                                                      2,807,064            2,807,064
- ---------------------------------------------------------------------------------------------------------------------------------
      Total assets                                                                            $308,960,614         $293,947,527
=================================================================================================================================
Liabilities and Stockholders' Equity
Current liabilities:
   Current portion of long-term debt                                                            $5,084,239         $ 12,369,365
   Accounts payable                                                                              9,598,457           11,341,983
   Accrued compensation                                                                          4,711,800            3,838,502
   Accrued expenses                                                                              3,367,363            4,051,614
   Accrued interest                                                                              1,661,394            3,638,874
- ---------------------------------------------------------------------------------------------------------------------------------
      Total current liabilities                                                                 24,423,253           35,240,338
- ---------------------------------------------------------------------------------------------------------------------------------
Long-term debt, net                                                                            150,267,999          130,573,685
Commitments and contingencies
Stockholders' equity:
   Preferred stock, $.01 par value, 5,000,000 shares authorized: none issued
   Common stock, $.01 par value, 45,000,000 shares authorized:  issued and
      outstanding 24,654,419 and 24,430,256 shares in 1997 and 1996, respectively.                 246,544              244,303
Additional paid-in capital                                                                      90,060,639           87,890,138
Retained earnings                                                                               44,356,255           40,393,139
- ---------------------------------------------------------------------------------------------------------------------------------
                                                                                               134,663,438          128,527,580
- ---------------------------------------------------------------------------------------------------------------------------------
   Less treasury stock, 37,202 shares in 1997 and 1996, at cost                                  (394,076)            (394,076)
- ---------------------------------------------------------------------------------------------------------------------------------
      Total stockholders' equity                                                               134,269,362          128,133,504
- ---------------------------------------------------------------------------------------------------------------------------------
 Total liabilities and stockholders' equity                                                   $308,960,614         $293,947,527
=================================================================================================================================
      

         See accompanying notes to consolidated financial statements.

 
                Renal Treatment Centers, Inc. and Subsidiaries
                       Consolidated Statements of Income
                                  (Unaudited)

      
 

                                                                              Three Months Ended March 31,
                                                                               1997                   1996
- ------------------------------------------------------------------------------------------------------------------------------------

                                                                                              
Net patient revenue                                                       $68,907,654              $48,255,482
Patient care costs                                                         34,325,569               24,485,227
- ------------------------------------------------------------------------------------------------------------------------------------

Operating profit                                                           34,582,085               23,770,255

General and administrative expense                                         17,477,866               13,153,351
Provision for doubtful accounts                                             2,814,047                2,375,935
Depreciation and amortization expense                                       5,733,667                3,572,201
Merger expenses                                                                     -                1,708,247
- ------------------------------------------------------------------------------------------------------------------------------------

Income from operations                                                      8,556,505                2,960,521

Interest expense, net                                                       1,824,043                  697,120
- ------------------------------------------------------------------------------------------------------------------------------------

Income before income taxes                                                  6,732,462                2,263,401
Provision for income taxes                                                  2,769,346                  804,804
- ------------------------------------------------------------------------------------------------------------------------------------

Net income                                                                 $3,963,116               $1,458,597
- ------------------------------------------------------------------------------------------------------------------------------------

Net income per common share                                                $     0.15               $     0.06
Weighted average number of common 
   shares outstanding                                                      24,509,763               24,036,542

Net income per common share -- assuming dilution                           $     0.15               $     0.06
Weighted average number of common shares and
   equivalents outstanding -- assuming dilution                            25,702,611               25,464,145
      

         See accompanying notes to consolidated financial statements.

 
                Renal Treatment Centers, Inc. and Subsidiaries
                     Consolidated Statements of Cash Flows
                                  (Unaudited)

    
 

                                                                                                     Three Months Ended
                                                                                                          March 31,
                                                                                                1997                     1996
- ------------------------------------------------------------------------------------------------------------------------------------

                                                                                                                
Cash flows from operating activities:
   Net income                                                                               $3,963,116               $1,458,597
   Adjustments to reconcile net income to
    net cash provided by operating activities:
         Depreciation and amortization                                                       5,827,417                3,583,036
         Provision for doubtful accounts                                                     2,814,047                2,375,935
         Equity in (earnings) losses from affiliates                                          (82,865)                  242,372
         Changes in operating assets and liabilities, net of effects of
            companies acquired:
         Accounts receivable                                                               (7,915,196)                (637,609)
         Inventories                                                                           636,284                (813,448)
         Prepaid expenses and other current assets                                           (926,864)                  431,081
         Accounts payable and accrued expenses                                             (3,768,643)              (3,960,540)
         Accrued income taxes                                                                1,758,838              (1,083,318) 
- ------------------------------------------------------------------------------------------------------------------------------------

         Net cash provided by operating  activities                                          2,306,134                1,596,106
- ------------------------------------------------------------------------------------------------------------------------------------

Cash flows from investing activities:
         Capital expenditures                                                              (5,824,001)              (2,005,302)
         Purchase of businesses, net of cash acquired                                     (42,841,882)              (2,010,241)
         Sale of investments                                                                41,202,123                        -
         Other                                                                               (711,466)                (613,125)
- ------------------------------------------------------------------------------------------------------------------------------------

         Net cash used in investing activities                                             (8,175,226)              (4,628,668)
- ------------------------------------------------------------------------------------------------------------------------------------

Cash flows from financing activities:
         Proceeds from long-term debt borrowings                                            23,000,000                1,500,000
         Repayments of debt                                                                (9,296,614)              (3,587,473)
         Proceeds from issuance of common stock                                                454,453                  524,581
         Payments on capital lease obligations                                               (246,706)                (793,671)
- ------------------------------------------------------------------------------------------------------------------------------------

         Net cash (used in) provided by financing activities                                13,911,133              (2,356,563)
- ------------------------------------------------------------------------------------------------------------------------------------

Net  increase (decrease) in cash and cash equivalents                                        8,042,041              (5,389,125)
Cash and cash equivalents at beginning of period                                             1,445,798                8,231,421
- ------------------------------------------------------------------------------------------------------------------------------------

Cash and cash equivalents at end of period                                                  $9,487,839               $2,842,296
====================================================================================================================================

     

         See accompanying notes to consolidated financial statements.

 
                Renal Treatment Centers, Inc. and Subsidiaries
                  Notes to Consolidated Financial Statements
                                  (Unaudited)


1.  BASIS OF PRESENTATION:

The accompanying unaudited consolidated financial statements have been prepared
by the Company in accordance with generally accepted accounting principles for
interim financial information and pursuant to the rules and regulations of the
Securities and Exchange Commission. Accordingly, they do not include all of the
information and footnotes required by generally accepted accounting principles
for complete financial statements. In the opinion of management, all adjustments
(consisting only of normal recurring accruals) considered necessary for a fair
presentation have been included. Operating results for the three months ended
March 31, 1997 are not necessarily indicative of the results that may be
expected for the year ending December 31, 1997. The interim consolidated
financial statements should be read in conjunction with the consolidated
financial statements and footnotes thereto included in the Company's Form 10-K
filed with the Securities and Exchange Commission on March 28, 1997.

    
2.  EARNINGS PER SHARE:

In February 1997, the Financial Accounting Standards Board issued the Statement 
of Financial Accounting Standards No. 128, Earnings Per Share ("SFAS 128"). SFAS
128 establishes standards for computing and presenting earnings per share. Basic
earnings per share is calculated by dividing net income before extraordinary 
items and net income by the weighted average number of shares of common stock 
outstanding. Accordingly, earnings per common share--assuming dilution includes 
the dilutive effects of stock options and warrants using the treasury stock 
method, in determining the weighted average number of shares of common stock 
outstanding. Earnings per share for all periods presented have been restated 
following the provisions of SFAS 128.     

    
3.  SELECTED QUARTERLY FINANCIAL DATA:     

    
The financial information as previously presented for the three months ended
March 31, 1997 and 1996 in the Registrant's Form 10-Q as filed on May 14, 1997
and Form 10-Q/A filed on June 6, 1996 has been restated to correct net patient
revenue and the provision for doubtful accounts receivable in 1997 and 1996 and
to correct the 1997 provision for income taxes primarily related to the
Company's foreign operations with the following effect (in thousands, except per
share amounts):    

    
 

                                                For the three months ended March 31,
                                               1997                           1996
                                      ----------------------         ----------------------
                                        As                            As       
                                      Originally      As             Originally      As
                                      Reported      Restated         Reported      Restated
                                      --------      --------         --------      --------
                                                                        
Net patient revenue                     71,107        68,907           50,550        48,255
Operating expenses                      59,729        60,352           44,490        45,294
Income from operations                  11,378         8,555            6,060         2,961
Provision for income taxes               3,535         2,769            1,990           805        
Net income                               6,019         3,963            3,372         1,459
Net income per common share               0.25          0.15             0.14          0.06
Net income per common share--
   assuming dilution                      0.24          0.15             0.13          0.06
     

    
4.  COMMITMENTS AND CONTINGENCIES:     

The Company is a party to certain legal actions arising in the ordinary course
of business. The Company believes it has adequate legal defenses and/or
insurance coverage for these actions and that the ultimate outcome of these
actions will not have a material adverse impact on the Company's results of
operations, financial condition or liquidity.
    
5.  SIGNIFICANT EVENTS:     

Purchase Transactions:

During the first quarter of 1997, the Company acquired substantially all of the
assets of twelve dialysis centers, inclusive of one center operating under a
management agreement. Eight of the centers are located in Texas, two centers are
located in the Republic of Argentina and one center each is located in Nevada,
Florida and Pennsylvania. Combined, these centers provide care to an effective
patient base of approximately 830, including patients covered under inpatient
dialysis service agreements with eight hospitals.

Subsequent Event:

On May 2, 1997, the Company amended its revolving credit/term facility ("Credit
Agreement") to increase the amount available under the Credit Agreement from
$100,000,000 to $200,000,000 and to make certain other changes to the terms of
the Credit Agreement, including amendments to certain covenants, the
amortization schedule and the interest rates.

 
Part II. Other Information
- --------------------------

Item 6.  Exhibits and Reports on Form 8-K:

(a)      Exhibits

         The following exhibits are filed herewith:

           Exhibit No.        Document
           -----------        --------

                10.1          Renal Treatment Centers, Inc. Amended and Restated
                              1990 Stock Plan (incorporated herein by reference
                              to Exhibit No. 10.1 filed under the Company's
                              Annual Report on Form 10-K for the year ended
                              December 31, 1996). *

             10.12.6          Fifth Amendment to Lease dated November 26, 1996
                              (previously filed under the Company's Quarterly
                              Report on Form 10-Q for the quarterly period ended
                              March 31, 1997).
                    
                11.1          Computation of net income per common share and net
                              income per common share -- assuming dilution.     

                27            Amended Financial Data Schedule.

           ----------
           *Management contract or compensatory plan or arrangement

(b)        Reports on Form 8-K

           Form 8-K dated February 5, 1997 filed to report under Item 5
           consolidated selected financial data, management's discussion and
           analysis and consolidated financial statements and financial
           statement schedule as of December 31, 1993, 1994 and 1995 and for
           each of the three years in the period ended December 31, 1995 giving
           retroactive effect to the merger with Panama City Artificial Kidney
           Center, Inc. and North Florida Artificial Kidney Center, Inc.
           (collectively, the "Group"). The Company previously filed this
           information as supplemental financial statements in a Current Report
           on Form 8-K dated August 23, 1996. After that time, the Company filed
           post- combination results of operations including the Group.
           Accordingly, the financial statements in the Form 8-K dated February
           5, 1997 were filed as the historical financial statements of the
           Company.

 
SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                                                   RENAL TREATMENT CENTERS, INC.



                                          By:      /s/John E. King          
                                                   -------------------------
                                                   Vice President, Finance and
                                                   Chief Financial Officer

                                                   Date: May 18, 1998




 
                Renal Treatment Centers, Inc. and Subsidiaries
                                 Exhibit Index

     
 

                                                                                                                            
Exhibit No.       Description                                                                                               
- -----------       -----------                                                                                                
                                                                                                            
     10.1         Renal Treatment Centers, Inc. Amended and Restated 1990 Stock Plan (incorporated
                  herein by reference to Exhibit No. 10.1 filed under the Company's Annual Report
                  on Form 10-K for the year ended December 31, 1996).

     10.12.6      Fifth Amendment to Lease dated November 26, 1996 (previously
                  filed under the Company's Quarterly Report on Form 10-Q for
                  the quarterly period ended March 31, 1997).

     11.1         Computation of net income per common share and net income per 
                  common share--assuming dilution.

     27           Amended Financial Data Schedule.
      
- ----------------
* Management contract or compensatory plan or arrangement.