As filed with the Securities and Exchange Commission on 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 For the fiscal year ended December 31, 1998 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 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, 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 PricewaterhouseCoopers LLP, independent accountants, Audited Statements of Net Assets Available for Benefits, With Fund Information as of December 31, 1998 and 1997, Audited Statements of Changes in Net Assets Available for Benefits, With Fund Information for the Years Ended December 31, 1998 and 1997, and Notes to Financial Statements for the Years Ended December 31, 1998 and 1997, and Notes to Financial Statements for the Years Ended December 31, 1998 and 1997. 2. Exhibit filed as a part of this annual report: Exhibit 23- Consent of PricewaterhouseCoopers LLP, independent accountants. 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 28, 1999 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, 1998 and 1997 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 2-4 Statement of Changes in Net Assets Available for Benefits, with Fund Information 5-7 Notes to Financial Statements 8-14 Supplemental Schedules: Schedule I - Schedule of Assets Held for Investment Purposes 15-16 Schedule II - Schedule of Reportable Transactions 17-18 Report of Independent Accountants 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, 1998 and 1997, 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 conducted for the purpose of forming an opinion on the basic financial statements taken as a whole. The supplemental schedules of assets held for investment purposes and reportable transactions are presented for the purpose of additional analysis and are not a required part of the basic financial statements but are supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under 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. These supplemental schedules and Fund Information are the responsibility of the Plan's management. The supplemental schedules and 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 assets held for investment purposes and the schedule of reportable transactions that accompany the Plan's financial statements do 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. /s/ Price Waterhouse Coopers LLP June 18, 1999 Total Renal Care, Inc. Retirement Savings Plan Statement of Net Assets Available for Benefits, with Fund Information - ----------------------------------------------------------------------------------------------------------------------------------- December 31, 1998 Fund Information ---------------- Charter Charter Charter Large Small Small Charter Company Company Company Guaranteed Stock - Stock - Stock - Long-Term Growth Growth Value I Fund Fund Fund Fund Assets Investments, as fair value CIGNA Charter Guaranteed Long-Term Account $11,974,617 CIGNA Charter Large Company Stock - Growth Fund $ 4,736,775 CIGNA Charter Small Company Stock - Growth Fund $ 1,697,836 CIGNA Charter Small Company Stock - Value I Fund $ 54,075 Cash equivalents 27,732 ----------- ----------- ----------- ----------- Net assets available for benefits $12,002,349 $ 4,736,775 $ 1,697,836 $ 54,075 =========== =========== =========== =========== Charter Charter Large Large Charter Charter Company Company Large Foreign Stock - Stock - Company Stock II Value I Growth II Stock Fund Fund Fund Fund CIGNA Charter Foreign Stock II Fund $2,561,882 CIGNA Charter Large Company Stock - Value I Fund $ 54,281 CIGNA Charter Large Company Stock - Growth II Fund $ 6,305,605 CIGNA Charter Large Company Stock Fund $ 1,176,614 Cash equivalents ----------- ----------- ----------- ----------- Net assets available for benefits $ 2,561,682 $ 54,281 $ 6,305,605 $ 1,176,614 =========== =========== =========== =========== 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 (continued) - -------------------------------------------------------------------------------- December 31, 1998 Fund Information ---------------- Lifetime20 Lifetime30 Lifetime40 Lifetime50 Fund Fund Fund Fund Assets Investments, at fair value CIGNA Charter Guaranteed Long-Term Account CIGNA Charter Large Company Stock - Growth Fund CIGNA Charter Small Company Stock - Growth Fund CIGNA Charter Small Company Stock - Value I Fund CIGNA Charter Foreign Stock II Fund CIGNA Charter Large Company Stock - Value I Fund CIGNA Charter Large Company Stock - Growth II Fund CIGNA Charter Large Company Stock Fund CIGNA Lifetime20 Fund $ 743,689 CIGNA Lifetime30 Fund $ 955,152 CIGNA Lifetime40 Fund $5,720,653 CIGNA Lifetime50 Fund $ 588,036 CIGNA Lifetime60 Fund Total Renal Care Holdings, Inc. Common Stock Participant notes receivable Cash equivalents ---------- --------- ---------- ---------- Net assets available for benefits $ 743,689 $ 955,152 $5,720,653 $ 588,036 ========== ========= ========== ========== Total Renal Care Holdings, Inc. Participant Lifetime60 Common Notes Fund Stock Receivable Total Assets Investments, at fair value CIGNA Charter Guaranteed Long-Term Account $ 11,974,617 CIGNA Charter Large Company Stock - Growth Fund 4,736,775 CIGNA Charter Small Company Stock - Growth Fund 1,697,836 CIGNA Charter Small Company Stock - Value I Fund 54,075 CIGNA Charter Foreign Stock II Fund 2,561,882 CIGNA Charter Large Company Stock - Value I Fund 54,281 CIGNA Charter Large Company Stock - Growth II Fund 6,305,605 CIGNA Charter Large Company Stock Fund 1,176,614 CIGNA Lifetime20 Fund 743,689 CIGNA Lifetime30 Fund 955,152 CIGNA Lifetime40 Fund 5,720,653 CIGNA Lifetime50 Fund 588,036 CIGNA Lifetime60 Fund $ 92,923 92,923 Total Renal Care Holdings, Inc. Common Stock $4,343,015 4,343,015 Participant notes receivable $1,737,316 1,737,316 Cash equivalents 27,732 --------- ---------- ---------- ----------- Net assets available for benefits $ 92,923 $4,343,015 $1,737,316 $42,770,201 ========= ========== ========== =========== The accompanying notes are an integral part of these financial statements. 3 December 31, 1997 Fund Information ----------------- American Warburg Century - Pincus Total Charter Fidelity Twentieth Advisor Renal Care Guaranteed Advisor Century International Holdings, Inc. Participant Long-Term Balanced Ultra Equity Common Notes Fund Fund Fund Fund Stock Receivable Total ---------- ---------- ---------- ------------- -------------- ---------- ------------ Assets Investments, at fair value CIGNA Charter Guaranteed $5,920,950 $5,920,950 Long-Term Account CIGNA Fidelity Advisor $3,109,971 3,109,971 Balanced Fund CIGNA American Century - Twentieth Century Ultra Fund $3,698,292 3,698,292 CIGNA Warburg Pincus Advisor International Equity Fund $1,557,626 1,557,626 Total Renal Care Holdings, Inc. Common Stock $1,176,959 1,176,959 Participant notes receivable $752,284 752,284 ---------- ---------- ---------- ---------- ---------- -------- ----------- Net assets available for benefits $5,920,950 $3,109,971 $3,698,292 $1,557,626 $1,176,959 $752,284 $16,216,082 ========== ========== ========== ========== ========== ======== =========== 4 Total Renal Care, Inc.. Retirement Savings Plan Statement of Changes in Net Assets Available for Benefits, with Fund Information - -------------------------------------------------------------------------------- Year Ended December 31, 1998 Fund Information ---------------- Charter Charter Charter Large Small Small Charter Company Company Company Charter Guaranteed Stock- Stock- Stock- Foreign Long-Term Growth Growth Value I Stock II Fund Fund Fund Fund Fund Additions to net assets attributed to: Investment income Interest $ 484,535 Net appreciation (depreciation) in fair $ 412,505 $ (17,004) $ 4,971 $ (49,194) ----------- ---------- ---------- --------- ---------- value of investments 484,535 412,505 (17,004) 4,971 49,194 ----------- ---------- ---------- --------- ---------- Contributions Employer 23,010 Employee 2,127,361 447,623 249,182 37,193 352,135 ----------- ---------- ---------- --------- ---------- 2,150,371 447,623 249,182 37,193 352,135 ----------- ---------- ---------- --------- ---------- Total additions 2,634,906 860,128 232,178 42,164 302,941 ----------- ---------- ---------- --------- ---------- Deductions from net assets attributed to: Benefit payments 524,329 158,055 46,103 715 70,259 Transaction charge 9,212 1,431 1,088 80 2,628 ----------- ---------- ---------- --------- ---------- Total deductions 533,541 159,486 47,191 795 72,887 Change in forfeiture reserve, net 3,087 (37) (15) (33) ----------- ---------- ---------- --------- ---------- Net increase prior to interfund transfers 2,104,452 700,605 184,972 41,368 230,021 Interfund transfers, net (215,964) 182,712 (87,062) 12,706 1,860,851 Transfer of assets due to plan merger 4,192,911 3,853,458 1,599,916 471,010 ----------- ---------- ---------- --------- ---------- Net increase (decrease) 6,081,399 4,736,775 1,697,836 54,075 2,561,882 Net assets available for benefits at beginning of year 5,920,950 - - - - ----------- ---------- ---------- --------- ---------- Net assets available for benefits at end of year $12,002,349 $4,736,775 $1,697,836 $ 54,075 $2,561,882 =========== ========== ========== ========= ========== Charter Charter American Large Large Charter Century- Company Company Large Fidelity Twentieth Stock- Stock- Company Advisor Century Value I Growth II Stock Balanced Ultra Fund Fund Fund Fund Fund Additions to net assets attributed to: Investment income Interest Net appreciation (depreciation) in fair $ 3,626 $ 230,311 $ 31,077 $ 414,640 $ 1,212,842 -------- ---------- ---------- ---------- ----------- value of investments $ 3,626 $ 230,311 $ 31,077 $ 414,640 $ 1,212,842 -------- ---------- ---------- ---------- ----------- Contributions Employer Employee 42,195 758,000 249,234 629,619 811,435 -------- ---------- ---------- ---------- ----------- 45,195 988,311 988,311 330,311 1,044,259 Total additions 45,821 988,311 330,311 1,044,259 1,933,277 Deductions from net assets attributed to: Benefit payments 40 104,316 31,902 72,857 76,637 Transaction charge 2,022 244 1,207 1,013 -------- ---------- ---------- ---------- ----------- Total deductions 40 106,338 32,146 74,064 77,650 -------- ---------- ---------- ---------- ----------- Change in forfeiture reserve, net 34 Net increase prior to interfund transfers 45,781 881,973 298,131 970,195 1,855,627 Interfund transfers, net 8,500 5,423,632 88,229 (4,080,166) (5,553,919) Transfer of assets due to plan merger 790,254 -------- ---------- ---------- ---------- ----------- Net increase (decrease) 54,281 6,305,605 1,176,614 (3,109,971) (3,698,292) -------- ---------- ---------- ---------- ----------- Net assets available for benefits at beginning of year - - - 3,109,971 3,698,292 -------- ---------- ---------- ---------- ----------- Net assets available for benefits at end of year $ 54,281 $6,305,605 $1,176,614 $ - $ - -------- ---------- ---------- ---------- ----------- The accompanying notes are an integral part of these financial statements. 5 Total Renal Care, Inc. Retirement Savings Plan Statment of Changes in Net Assets Available for Benefits, with Fund Information - ----------------------------------------------------------------------------------------------------------------------------------- Year Ended December 31, 1998 Fund Information ---------------- Warburg Pinens Advisor International Equity Lifetime20 Lifetime30 Lifetime40 Fund Fund Fund Fund Additions to net assets attributed to: Investment income Interest Net appreciation in fair value of investments $ 232,559 $ 11,413 $ 18,066 $ 127,315 ------------ ---------- ---------- ---------- 232,559 11,413 18,066 127,315 ------------ ---------- ---------- ---------- Contributions Employer Employee 346,396 140,472 165,584 777,474 ------------ ---------- ---------- ---------- 346,396 140,472 165,584 777,474 ------------ ---------- ---------- ---------- Total additions 578,955 151,885 183,650 904,789 Deductions from net assets attributed to: Benefit payments 28,945 30,431 24,022 113,877 Transaction charge 583 763 690 2,200 Participant notes receivable terminated due to withdrawal of participant ------------ ---------- ---------- ---------- Total deductions 29,528 31,194 24,712 116,077 ------------ ---------- ---------- ---------- Change in forfeiture reserve, net Net increase prior to interfund transfers 549,427 120,691 158,938 788,712 Interfund transfers, net (2,107,053) (21,408) (15,527) 3,930,798 Transfer of assets due to plan merger 644,406 811,741 1,001,143 ------------ ---------- ---------- ---------- Net (decrease) increase (1,557,626) 743,689 955,152 5,720,653 Net assets available for benefits at beginning of year 1,557,626 - - - ------------ ---------- ---------- ---------- Net assets available for benefits at end of year $ - $ 743,689 $ 955,152 $5,720,653 ============ ========== ========== ========== Total Renal Care Holdings, Inc. Participant Lifetime50 Lifetime60 Common Notes Fund Fund Stock Receivable Total Additions to net assets attributed to: Investment income Interest $ 91,341 $ 575,876 Net appreciation in fair value of investments $ 15,420 $ 3,277 $ 168,486 2,779,310 ------------ ---------- ---------- ---------- ----------- 15,420 3,277 168,486 91,341 3,355,186 ------------ ---------- ---------- ---------- ----------- Contributions Employer 509 23,519 Employee 88,641 25,044 962,536 8,210,124 ------------ ---------- ---------- ---------- ----------- 88,641 25,044 963,045 8,233,643 ------------ ---------- ---------- ---------- ----------- Total additions 104,061 28,321 1,131,531 91,341 11,588,829 Deductions from net assets attributed to: Benefit payments 8,985 379 159,188 1,451,040 Transaction charge 232 101 6,599 30,093 Participant notes receivable terminated due to withdrawal of participant 58,252 58,252 ------------ ---------- ---------- ---------- ----------- Total deductions 9,217 480 165,787 58,252 1,539,385 Change in forfeiture reserve, net (153) 2,815 ------------ ---------- ---------- ---------- ----------- Net increase prior to interfund transfers 94,844 27,841 965,591 33,089 10,052,259 Interfund transfers, net 19,951 3,018 192,016 358,676 - Transfer of assets due to plan merger 473,241 62,064 2,008,449 593,267 16,501,860 ------------ ---------- ---------- ---------- ----------- Net (decrease) increase 588,036 92,923 3,166,056 985,032 26,554,119 Net assets available for benefits at beginning of year - - 1,176,959 752,284 16,216,082 ------------ ---------- ---------- ---------- ----------- Net assets available for benefits at end of year $ 588,036 $ 92,923 $4,343,015 $1,737,316 $42,770,201 ============ ========== ========== ========== =========== The accompanying ntoes are an integral part of these financial statements. 6 Year Ended December 31, 1997 Fund Information ---------------------------- American Warburg Century - Pincus Total Charter Fidelity Twentieth Advisor Renal Care Guaranteed Advisor Century International Holdings, Inc. Participant Long-Term Balanced Ultra Equity Common Notes Fund Fund Fund Fund Stock Receivable Total ---------- ---------- ---------- ---------- ----------- ---------- ----------- Additions to net assets attributed to: Investment income Interest $ 321,696 $ 56,982 $ 378,678 Net appreciation (depreciation) in fair value of investments $ 478,059 $ 526,222 $ (108,519) $ 161,202 1,056,964 ---------- ---------- ---------- ---------- ----------- ---------- ----------- 321,696 478,059 526,222 (108,519) 161,202 56,982 1,435,642 ---------- ---------- ---------- ---------- ----------- ---------- ----------- Contributions Employer - - - - - - Employee 1,340,319 877,934 1,191,372 559,279 329,650 4,298,554 ---------- ---------- ---------- ---------- ----------- ---------- ----------- 1,340,319 877,934 1,191,372 559,279 329,650 4,298,554 ---------- ---------- ---------- ---------- ----------- ---------- ----------- Total additions 1,662,015 1,355,993 1,717,594 450,760 490,852 56,982 5,734,196 Deductions from net assets attributed to: Benefit payments 333,366 107,760 129,067 61,113 7,320 638,626 Transaction charge 6,847 1,105 1,459 736 2,076 12,223 Participant notes receivable terminated due to withdrawal of participant 17,766 17,766 ---------- ---------- ---------- ---------- ----------- ---------- ----------- Total deductions 340,213 108,865 130,526 61,849 9,396 17,766 668,615 Change in forfeiture reserve, net 868 868 ---------- ---------- ---------- ---------- ----------- ---------- ----------- Net increase prior to interfund transfers 1,322,670 1,247,128 1,587,068 388,911 481,456 39,216 5,066,449 Interfund transfers, net (380,416) 26,896 55,805 (52,422) 165,068 185,069 - ---------- ---------- ---------- ---------- ----------- ---------- ----------- Net increase 942,254 1,274,024 1,642,873 336,489 646,524 224,285 5,066,449 Net assets available for benefits at beginning of year 4,978,696 1,835,947 2,055,419 1,221,137 530,435 527,999 11,149,633 ---------- ---------- ---------- ---------- ----------- ---------- ----------- Net assets available for benefits at end of year $5,920,950 $3,109,971 $3,698,292 $1,557,626 $1,176,959 $ 752,284 $16,216,082 ========== =========== ========== ========== =========== ========== =========== The accompanying notes are an integral part of these financial statements. 7 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") 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 effective December 1, 1998. Effective July 1, 1998, current employees of Total Renal Care Holdings, Inc. (the "Company") became eligible to participate immediately. Employees hired after July 1, 1998 become eligible to participate upon completing six months of service and attaining the age of 21. Prior to July 1, 1998, employees became eligible to participate upon completing one year of service with 1,000 hours of service. The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 ("ERISA"). Contributions Effective July 1, 1998, participants may contribute an amount equal to not less than 1 percent nor more than 20 percent of their compensation for the contribution period. The Company will only make a matching contribution, where governed by Hawaii union contracts, in an amount equal to $.50 for each $1.00 contributed by an employee, up to a maximum of 5 percent of the participant's compensation. The Company may also make profit sharing contributions and discretionary non-elective contributions. There were no profit sharing or discretionary non-elective contributions made in 1998 or 1997. Prior to July 1, 1998, participants could contribute an amount equal to not less than 1 percent nor more than 15 percent of their compensation for the contribution period. The Company could also have made discretionary non-elective contributions. 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. 8 Total Renal Care, Inc. Retirement Savings Plan Notes to Financial Statements - -------------------------------------------------------------------------------- Vesting Participants are immediately vested in their voluntary contributions plus actual earnings thereon. For participants hired after July 1, 1998, the balance of vesting in the participants' accounts is based on years of service. A participant becomes 25 percent vested after two years of service, 50 percent vested after three years of service, 75 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 account becomes 100 percent vested. Prior to July 1, 1998, all participants became 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. Employees hired before July 1, 1998 became fully vested in their account balance. Investment Options Upon enrollment in the Plan, a participant may currently direct contributions among any of the following investment options: . Charter Guaranteed Long-Term Fund - Funds are invested in the CIGNA Charter Guaranteed Long-Term Account, which provides a guaranteed rate of return reset semiannually. . Charter Large Company Stock - Growth Fund - Funds are invested in the CIGNA Charter Large Company Stock - Growth Fund, which invests in large company stocks. . Charter Small Company Stock - Growth Fund - Funds are invested in the CIGNA Charter Small Company Stock - Growth Fund, which invests primarily in small company stocks. . Charter Small Company Stock - Value I Fund - Funds are invested in the CIGNA Charter Small Company Stock - Value I Fund, which invests in small company stocks. . Charter Foreign Stock II Fund - Funds are invested in the CIGNA Charter Foreign Stock II Fund, which invests in large foreign company stock. . Charter Large Company Stock - Value I Fund - Funds are invested in the CIGNA Charter Large Company Stock - Value I Fund, which invests primarily in stocks listed on the New York Stock Exchange. 9 Total Renal Care, Inc. Retirement Savings Plan Notes to Financial Statements - -------------------------------------------------------------------------------- . Charter Large Company Stock - Growth II Fund - Funds are invested in the CIGNA Charter Large Company Stock - Growth II Fund, which invests primarily in common stock, convertible securities and preferred stock traded on U.S. exchanges or over-the-counter. . Charter Large Company Stock Fund - Funds are invested in the CIGNA Charter Large Company Stock Fund, which invests primarily in domestic equity securities. . Lifetime20 Fund - Funds are invested in five actively managed separate accounts including the CIGNA Fidelity Advisor Growth Opportunities Fund, CIGNA Warburg Pincus Advisor Emerging Growth Fund, CIGNA Warburg Pincus Advisor International Equity Fund, CIGNA Charter Actively Managed (Core) Fixed Income Fund, and the CIGNA Charter High Yield Bond Fund. . Lifetime30 Fund - Funds are invested in six actively managed separate accounts including the CIGNA Fidelity Advisor Growth Opportunities Fund, CIGNA Charter Growth & Income Fund, CIGNA Warburg Pincus Advisor Emerging Growth Fund, CIGNA Warburg Pincus Advisor International Equity Fund, CIGNA Charter Actively Managed (Core) Fixed Income Fund, and the CIGNA Charter High Yield Bond Fund. . Lifetime40 Fund - Funds are invested in seven actively managed separate accounts including the CIGNA Fidelity Advisor Growth Opportunities Fund, CIGNA Vanguard Growth & Income Fund, CIGNA Charter Growth & Income Fund, CIGNA Warburg Pincus Advisor Emerging Growth Fund, CIGNA Warburg Pincus Advisor International Equity Fund, CIGNA Charter Actively Managed (Core) Fixed Income Fund, and the CIGNA Charter High Yield Bond Fund. . Lifetime50 Fund - Funds are invested in seven actively managed separate accounts including the CIGNA Fidelity Advisor Growth Opportunities Fund, CIGNA Charter Growth & Income Fund, CIGNA Vanguard Growth & Income Fund, CIGNA Warburg Pincus Advisor Emerging Growth Fund, CIGNA Warburg Pincus Advisor International Equity Fund, CIGNA Charter Actively Managed (Core) Fixed Income Fund, and the CIGNA Charter High Yield Bond Fund. . Lifetime60 Fund - Funds are invested in five actively managed separate accounts including the CIGNA Charter Growth & Income Fund, CIGNA Vanguard Growth & Income Fund, CIGNA Warburg Pincus Advisor International Equity Fund, CIGNA Charter Short-Term Fixed Income Fund, and the CIGNA Charter Actively Managed (Core) Fixed Income Fund. 10 Total Renal Care, Inc. Retirement Savings Plan Notes to Financial Statements - -------------------------------------------------------------------------------- . Total Renal Care Holdings, Inc. Common Stock - 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 Effective July 1, 1998 on termination of service, a participant may elect to receive either a lump-sum amount equal to the value of his or her account, installment payments, or a distribution in the form of an annuity. Prior to July 1, 1998, a participant could elect to receive 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. 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, 1998 are invested in the CIGNA Charter 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. 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. 11 Total Renal Care, Inc. Retirement Savings Plan Notes to Financial Statements - -------------------------------------------------------------------------------- Investments Investments in pooled separate accounts (CIGNA Charter Large Company Stock- Growth Fund, CIGNA Charter Small Company Stock - Growth Fund, CIGNA Charter Small Company Stock - Value I Fund, CIGNA Charter Foreign Stock II Fund, CIGNA Charter Large Company Stock - Value I Fund, CIGNA Charter Large Company Stock - Growth II Fund, CIGNA Charter Large Company Stock Fund, CIGNA Lifetime20 Fund, CIGNA Lifetime30 Fund, CIGNA Lifetime40 Fund, CIGNA Lifetime50 Fund and CIGNA Lifetime60 Fund) are recorded at fair value, as determined by the unit value as reported by the Connecticut General Life Insurance Company ("CG Life"). The investment in the CIGNA Charter Guaranteed Long-Term Account is non-fully benefit responsive and is recorded at fair value. Participant notes receivable are valued at cost which approximates fair value. The Company common stock is valued at its quoted market price. Effective August 1, 1998, the Plan's investments in the CIGNA Fidelity Advisor Balanced Fund, the CIGNA American Century Twentieth Century Ultra Fund and the CIGNA Warburg Pincus Advisor International Equity Fund were deleted as investment options. Contributions Employee contributions are recorded in the period during which the Company makes payroll deductions from the participants' earnings. Matching Company contributions are recorded annually. Profit sharing contributions and discretionary non-elective contributions, if any, 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 Charter Guaranteed Long-Term Account. CG Life commingles the assets of the CIGNA Charter Guaranteed Long-Term Account with other assets. For the Plan's investment in the CIGNA Charter Guaranteed Long-Term Account the Plan is credited with interest at the rate specified in the contract which ranged from 6.05% to 5.95% and was 6.05% for the years ended December 31, 1998 and 1997, respectively, net of asset charges. CG Life prospectively guaranteed the interest rates credited for the CIGNA Charter Guaranteed Long-Term Account for six months. As discussed in Note 2, the CIGNA Charter 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. 12 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, 1998 1997 CIGNA Charter Guaranteed Long-Term Account $11,974,617 $5,920,950 interest rates, 5.95%; 6.05% CIGNA Charter Large Company Stock - Growth Fund 4,736,775 - units, 346,255; - CIGNA Charter Foreign Stock II Fund 2,561,882 - units, 246,809; - CIGNA Charter Large Company Stock - Growth II Fund 6,305,605 - units, 594,308; - CIGNA Fidelity Advisor Balanced Fund - 3,109,971 units, - ; 113,752 CIGNA American Century - Twentieth Century Ultra Fund - 3,698,292 units, - ; 95,415 CIGNA Warburg Pincus Advisor International Equity Fund - 1,557,626 units, - ; 70,163 CIGNA Lifetime40 Fund 5,720,653 - units, 530,181; - Total Renal Care Holdings, Inc. Common Stock 4,343,015 1,176,959 shares, 146,922; 42,799 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 Participant Notes Receivable. 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 (8.75% to 10.00% and 10.00% for the years ended December 31, 1998 and 1997, 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. 13 Total Renal Care, Inc. Retirement Savings Plan Notes to Financial Statements - -------------------------------------------------------------------------------- 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 has been amended since receiving the determination letter. However, 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. 8. Reconciliation of Plan Financial Statements to the Form 5500 Certain balances included on lines 31 and 32 of the Annual Return/Report of Employee Benefit Plan (the "Form 5500") have been reclassified for purposes of presentation in these financial statements to provide additional disclosure. 9. Transfer from Affiliated Plan Effective September 1, 1998, assets of the Renal Treatment Center 401(k) Plan were transferred to 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 requirement, as defined in the Plan agreement, forfeitures generated are added to the forfeiture reserve balance. The forfeiture reserve of $87,069 and $15,271 at December 31, 1998 and 1997, respectively, is included in the CIGNA Charter 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. 11. Subsequent Event Effective March 17, 1999, assets of the Western Nephrology and Metabolic Bone Disease, P.C. Employee Profit Sharing Plan were transferred to the Plan and participants became eligible to participate in the Plan subject to the provisions of the Plan agreement. 14 Total Renal Care, Inc. Supplemental Schedule Retirement Savings Plan Schedule I Line 27a Form 5500 - Schedule of Assets Held for Investment Purposes December 31, 1998 - -------------------------------------------------------------------------------- (c) (b) Description of investment including (e) Identity of Issue, borrower, maturity date, rate of interest, (d) Current (a) lessor, or similar party collateral, par or maturity value Cost value * Connecticut General Life CIGNA Charter Guaranteed Insurance Company Long-Term Account 5.95% $11,974,617 $11,974,617 * Connecticut General Life CIGNA Charter Large Company Insurance Company Stock - Growth Fund $13.68/unit 4,309,869 4,736,775 * Connecticut General Life CIGNA Charter Small Company Insurance Company Stock - Growth Fund $9.88/unit 1,680,605 1,697,836 * Connecticut General Life CIGNA Charter Small Company Insurance Company Stock - Value I Fund $9.59/unit 49,127 54,075 Connecticut General Life CIGNA Charter Foreign Stock II Fund * Insurance Company $10.38/unit 2,578,654 2,561,882 * Connecticut General Life CIGNA Charter Large Company Insurance Company Stock - Value I Fund $11.86/unit 50,662 54,281 * Connecticut General Life CIGNA Charter Large Company Insurance Company Stock - Growth II Fund $10.61/unit 5,987,119 6,305,605 * Connecticut General Life CIGNA Charter Large Company Insurance Company Stock Fund $13.27/unit 1,087,653 1,176,614 * Indicates an identified person known to be a party-in-interest to the Plan. 15 Total Renal Care, Inc. Supplemental Schedule Retirement Savings Plan Schedule I Line 27a Form 5500 - Schedule of Assets Held for Investment Purposes December 31, 1998 (continued) - -------------------------------------------------------------------------------- (c) (b) Description of investment including (e) Identity of Issue, borrower, maturity date, rate of interest, (d) Current (a) lessor, or similar party collateral, par or maturity value Cost value Connecticut General Life CIGNA Lifetime20 Fund * Insurance Company $10.70/unit $ 726,898 $ 743,689 Connecticut General Life CIGNA Lifetime30 Fund * Insurance Company $10.75/unit 931,793 955,152 Connecticut General Life CIGNA Lifetime40 Fund * Insurance Company $10.79/unit 5,550,507 5,720,653 Connecticut General Life CIGNA Lifetime50 Fund * Insurance Company $10.86/unit 571,383 588,036 Connecticut General Life CIGNA Lifetime60 Fund * Insurance Company $10.96/unit 89,537 92,923 * National Financial Total Renal Care Holdings, Inc. Services Corporation Common Stock $29.56/share ** 4,343,015 * Connecticut General Life Cash Equivalents (CIGNA Charter 27,732 27,732 Insurance Company Short-Term Account) * Participant Notes Receivable 8.75% - 10.00% 1,737,316 1,737,316 * Indicates an identified person known to be a party-in-interest to the Plan. ** Cost information is not currently available. 16 Total Renal Care, Inc. Supplemental Schedule Retirement Savings Plan Schedule II Line 27d Form 5500 - Schedule of Reportable transactions Year Ended December 31, 1998 - -------------------------------------------------------------------------------- (a) (b) (c) (d) (e) (f) (g) (h) (i) Identity of party Description of asset Purchase Selling Lease Expense Cost of Current value Net gain involved (include interest rate price price Rental incurred asset of asset on or (loss) and maturity in case with transaction of a loan) transaction date Connecticut General Purchases into CIGNA $7,147,616 N/A N/A N/A $7,147,616 $7,147,616 - Life Insurance Charter Guaranteed Company Long-Term Account Connecticut General Sales from CIGNA N/A $1,581,298 N/A N/A 1,581,298 1,581,298 - Life Insurance Charter Guaranteed Company Long-Term Account Connecticut General Purchases into CIGNA 4,592,468 N/A N/A N/A 4,592,468 4,592,468 - Life Insurance Charter Large Company Company Stock - Growth Fund Connecticut General Sales from CIGNA N/A 268,198 N/A N/A 284,123 268,198 $ (15,925) Life Insurance Charter Large Company Company Stock - Growth Fund Connecticut General Purchases into CIGNA 1,912,714 N/A N/A N/A 1,912,714 1,912,714 - Life Insurance Charter Small Company Company Stock - Growth Fund Connecticut General Sales from CIGNA N/A 197,874 N/A N/A 232,386 197,874 (34,512) Life Insurance Charter Small Company Company Stock - Growth Fund Connecticut General Purchases into CIGNA 2,849,417 N/A N/A N/A 2,849,417 2,849,417 - Life Insurance Charter Foreign Company Stock II Fund Connecticut General Sales from CIGNA N/A 238,341 N/A N/A 271,110 238,341 (32,769) Life Insurance Charter Foreign Company Stock II Fund Connecticut General Purchases into CIGNA 6,655,241 N/A N/A N/A 6,655,241 6,655,241 - Life Insurance Charter Large Company Company Stock - Growth II Fund Connecticut General Sales from CIGNA N/A 579,947 N/A N/A 660,989 579,947 (81,042) Life Insurance Charter Large Company Company Stock - Growth II Fund Connecticut General Purchases into CIGNA 1,171,937 N/A N/A N/A 1,171,937 1,171,937 - Life Insurance Charter Large Company Company Stock Fund Connecticut General Sales from CIGNA N/A 76,400 N/A N/A 84,815 76,400 (8,415) Life Insurance Charter Large Company Company Stock Fund Connecticut General Purchases into CIGNA 844,191 N/A N/A N/A 844,191 844,191 - Life Insurance Fidelity Advisor Company Balanced Fund Connecticut General Sales from CIGNA N/A 4,368,802 N/A N/A 3,353,018 4,368,802 1,015,784 Life Insurance Fidelity Advisor Company Balanced Fund 17 Total Renal Care, Inc. Supplemental Schedule Retirement Savings Plan Schedule II Line 27d Form 5500 - Schedule of Reportable transactions Year Ended December 31, 1998 (continued) - -------------------------------------------------------------------------------- (a) (b) (c) (d) (e) (f) (g) (h) (i) Identity of party Description of asset Purchase Selling Lease Expense Cost of Current value Net gain involved (include interest rate price price Rental incurred asset of asset on or (loss) and maturity in case with transaction of a loan) transaction date Connecticut General Purchases into CIGNA $1,283,417 N/A N/A N/A $1,283,417 $1,283,417 - Life Insurance American Century - Company Twentieth Century Ultra Fund Connecticut General Sales from CIGNA N/A $6,103,551 N/A N/A 4,260,321 6,103,551 $1,843,230 Life Insurance American Century - Company Twentieth Century Ultra Fund Connecticut General Purchases into CIGNA 422,945 N/A N/A N/A 422,945 422,945 - Life Insurance Warburg Pincus Advisor Company International Equity Fund Connecticut General Sales from CIGNA Warburg N/A 2,213,130 N/A N/A 1,972,704 2,213,130 240,426 Life Insurance Pincus Advisor Company International Equity Fund Connecticut General Purchases into CIGNA 791,407 N/A N/A N/A 791,407 791,407 - Life Insurance Lifetime20 Fund Company Connecticut General Sales from CIGNA N/A 59,131 N/A N/A 65,675 59,131 (6,544) Life Insurance Lifetime20 Fund Company Connecticut General Purchases into CIGNA 992,771 N/A N/A N/A 992,771 992,771 - Life Insurance Lifetime30 Fund Company Connecticut General Sales from CIGNA N/A 55,685 N/A N/A 61,035 55,685 (5,350) Life Insurance Lifetime30 Fund Company Connecticut General Purchases into CIGNA 5,956,661 N/A N/A N/A 5,956,661 5,956,661 - Life Insurance Lifetime40 Fund Company Connecticut General Sales from CIGNA N/A 363,323 N/A N/A 402,282 363,323 (38,959) Life Insurance Lifetime40 Fund Company National Financial Purchases into Total 1,438,530 N/A N/A N/A 1,438,530 1,438,530 - Services Renal Care Holdings, Corporation Inc. Common Stock National Financial Sales from Total Renal N/A 449,800 N/A N/A ** 449,800 ** Services Care Holdings, Inc. Corporation Common Stock ** Cost information is not presently available. 18