[Exhibit 99.1]





                               [LOGO]


                       Total Renal Care, Inc.


                            PRESS RELEASE

FOR FURTHER INFORMATION PLEASE CONTACT:

AT TOTAL RENAL CARE, INC:             AT THE FINANCIAL RELATIONS BOARD:
VICTOR M.G. CHALTIEL, CEO      DANIEL SAKS/LARRY DELANEY, GENERAL INFO.
OR JOHN E. KING, CFO                     MOIRA CONLON, INVESTOR CONTACT
AT (310) 792-2600                                     AT (310) 442-0599
                                       KATHY BRUNSON, INVESTOR CONTACT
AT RENAL TREATMENT CENTERS, INC.:                    AT (312) 266-7800
ROBERT L. MAYER, JR., PRESIDENT & CEO
OR RONALD H. RODGERS, JR., CFO
AT 610-644-4796


     TOTAL RENAL CARE AND RENAL TREATMENT CENTERS AGREE TO MERGE

     TRC To Exchange 1.335 Shares For Each RTC Share In $1.3 Billion
     Pooling-Of-Interests Transaction

HIGHLIGHTS INCLUDE:

o    Immediately accretive to TRC earnings per share

o    Solidifies TRC's position as leading national independent
     dialysis provider, with 358 centers, 25,900 patients in 32
     states, Washington, D.C., Guam, Puerto Rico, Argentina and
     Europe; leading provider in several states, key MSAs and
     Argentina

o    Provides strong platform to accelerate TRC's aggressive, yet
     disciplined, growth strategy both domestically and
     internationally

o    Combined Q3 annualized net revenues, EBITDA and net income of
     approximately $800 million, $200 million and $70 million,
     respectively

o    Increased critical mass to provide significant cost savings and
     synergies

TORRANCE, Calif., Wednesday, November 19, 1997 - Total Renal Care
Holdings, Inc. (NYSE: TRL) and Renal Treatment Centers, Inc. (NYSE:
RXT) today announced that the companies have entered into a definitive
agreement to merge in a stock-for-stock transaction in which TRC will
exchange 1.335 shares for each RTC share in a tax-free exchange.
Based on the closing price of $31.125 per TRC share on November 18,
1997, the transaction values each RTC share at $41.55, which
represents an aggregate value for the RTC shares







of approximately $1.3 billion. The transaction will be accounted for
as a pooling-of-interests.

The merger, which will approximately double TRC's size, will solidify
the combined company's position as the largest national independent
provider of dialysis services in the U.S. The combined company
currently operates 358 facilities serving approximately 25,900
patients. In addition, the combined company has entered into
definitive agreements or agreements in principle to acquire an
additional 31 centers with approximately 3,700 patients by December
31, 1997. As a result, by the end of 1997 the combined company will
serve 27,800 domestic patients, with leading positions in several
states and key MSAs. Outside the U.S., the combined company will
provide dialysis services to approximately 1,800 additional patients
in Argentina, the United Kingdom and Italy.

"We are excited to be joining forces with TRC," said Robert L. Mayer,
Jr., RTC's president and CEO. "Its quality and outcomes programs,
focused managed-care strategy, extensive renal-related support
programs, and exceptionally strong track record will ensure future
growth."

"We are pleased that Bob Mayer, a pioneer in the dialysis services
industry, will join our Board of Directors and work closely with us to
ensure a successful integration," said Victor M.G. Chaltiel, TRC's
chairman, president and CEO. "Renal Treatment Centers provides a
strong platform for us to accelerate our aggressive, yet disciplined,
growth strategy both in the U.S. and internationally. We will now have
the critical mass necessary to ensure our position as the leading
independent provider of dialysis services in the U.S. and the
resources to rapidly expand into highly fragmented international
markets."

"We have known and respected RTC's team for a long time," Chaltiel
continued. "Their geographic cluster strategy is entirely consistent
with our own approach. In particular, the merger will add strong new
positions in Oklahoma, Colorado and Hawaii, and strengthen our current
market positions in Southern California, Pennsylvania, Eastern Texas,
Georgia and North Carolina."

Chaltiel added: "Following the merger, we will have a stronger
operating and financial base upon which to grow. We have identified
$8.2 million and $22.8 million of annual cost savings and synergies to
be achieved in 1998 and 1999, respectively, and we expect the
transaction to be immediately accretive to earnings."

The merger, which requires approval of both companies' shareholders,
is subject to other customary closing conditions and is expected to be
consummated in the first quarter of 1998.





Donaldson, Lufkin & Jenrette Securities Corporation is serving as
financial adviser to TRC, and UBS Securities LLC is acting as
financial adviser to RTC.


Selected operating & financial results
($ in millions except net revenue per treatment data)

                                                   CURRENT
                                               TRC     RTC      COMBINED
Centers:
Domestic                                       188     136        324
International                                    6      28         34
                                               ----------------------
     Total Current                             194     164        358

Agreements (definitive or in principle)         15      16         31
                                               ----------------------
     Total projected year-end                  209     180        389

Patients:
Domestic                                    14,650   9,450     24,100
International                                  250   1,550      1,800
                                            -------------------------
     Total Current                          14,900  11,000     25,900

Agreements (definitive or in principle)      1,500   2,200      3,700
                                            -------------------------
     Total projected year-end               16,400  13,200     29,600
                                            =========================



                                                  QUARTER ENDED
                                        SEPTEMBER 30, 1997 ANNUALIZED
                                          TRC         RTC    COMBINED
                                        -----------------------------
Total Treatments                        1,959,692 1,616,580 3,576,272
Net Revenues                               $454.7    $346.2    $800.9
EBITDA                                      112.6      90.1     202.6
Net Income                                   39.5      30.6      70.1

Net Revenues per Treatment                $232.01   $214.18   $223.95
EBITDA Margin                               24.8%     26.0%     25.3%

Renal Treatment Centers, Inc. provides dialysis treatments and
ancillary services to patients suffering from chronic kidney failure,
primarily in free-standing outpatient dialysis treatment centers or in
the patient's home. RTC operates a total of 164 dialysis centers in 23
states, Washington, D.C. and the Republic of Argentina. In these
centers, RTC provides dialysis services for approximately 11,000
patients. RTC also provides in-patient dialysis services to more than
125 hospitals.

Total Renal Care Holdings, Inc. owns and operates 194 free-standing
kidney dialysis centers and home peritoneal dialysis programs in 18
states as well as Washington, D.C., Puerto Rico, Guam and Europe,
serving approximately 14,900 patients. TRC also provides acute
hemodialysis services to in-patients at 119 hospitals. The company
operates ESRD laboratory and pharmacy facilities as well as vascular
access management, transplant services and ESRD clinical research
programs.












For information on Total Renal Care Holdings, Inc., via facsimile at
no cost, dial 1-800-PRO-INFO and dial company code TRL.

(The Private Securities Litigation Reform Act of 1995 provides a "safe
harbor" for forward-looking statements. The information contained in
this release, other than historical data, contains statements that are
forward-looking, such as references to the future performance of the
combined company, growth opportunities, combined operation cost
savings and synergies, the company's dependence on Medicare, Medicaid
and other sources of reimbursement, government regulations,
competition and dependence on physician referrals. Forward-looking
information involves important risks and uncertainties that could
significantly affect anticipated results. Accordingly, such results
may differ from those expressed in forward-looking statements made by
or on behalf of the company. For more information on the potential
factors that could affect the company's financial results, review the
company's filings with the Securities and Exchange Commission,
including the company's annual report on Form 10-K and the company's
other filings with the SEC.)


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