EXHIBIT 99.1
 
(BW) (TOTAL-RENAL-CARE) (TRL) (RXT) Total Renal Care and Renal
Treatment Centers Agree to Merge

        Business Editors/Health & Medical Writers
 
        TORRANCE, Calif. -- (BW HealthWire) -- Nov. 19, 1997 --

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

     HIGHLIGHTS INCLUDE:
      -- Immediately accretive to TRC earnings per share
      -- 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
      -- Provides strong platform to accelerate TRC's aggressive, yet
    disciplined, growth strategy both domestically and internationally
      -- Combined Q3 annualized net revenues, EBITDA and net income of
    approximately $800 million, $200 million and $70 million, respectively
     -- increased critical mass to provide significant cost savings and
    synergies

    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 patents, 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 out
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.

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                                Total Renal Care
                     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.

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     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.)

     CONTACT:  Total Renal Care, Inc.
               Victor M. G. Chaltiel, CEO
               or John E. King, CFO
               310/792-2600
                  or
               The Financial Relations Board
               Daniel Saks/Larry Delaney, General Info.
               Moira Conlon, Investor Contact
               310/442/0599
               Kathy Brunson, Investor Contact
               312/266-7800
                  or
               Renal Treatment Centers, Inc.
               Robert L. Mayer, Jr., President & CEO
               Ronald H. Rodgers, Jr., CFO
               610/644-4796

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