EXHIBIT 23.3
 
                         INDEPENDENT AUDITORS' CONSENT
 
  We consent to the incorporation by reference in the Registration Statements
on Form S-8 (No. 33-84610, No. 33-83018, No. 33-99862, No. 33-99864, No. 333-
1620, No. 333-34693, No. 333-34695 and No. 333-46887) of Total Renal Care
Holdings, Inc. of our report dated March 31, 1995, on the combined financial
statements of Healthcare Corporation and Affiliates for the year ended
December 31, 1994 (not presented separately therein), appearing in the Annual
Report on Form 10-K/A of Total Renal Care Holdings, Inc. for the year ended
December 31, 1997.
 
/s/ Deloitte & Touche LLP
 
DELOITTE & TOUCHE LLP
Nashville, Tennessee
May 14, 1998