EXHIBIT 99.2 NEWS BULLETIN FROM: FRB - -------------------------------------------------------------------------------- The Financial Relations Board Inc. Total Renal Care Reports Net Revenues Up 62% and Net Income Up 59% for First Quarter 1998; Earnings Per Share at 28 Cents, Up 56% From Same Year-Ago Quarter First Quarter/Recent Highlights: before all charges as described in a separate news release issued Thursday - -- Revenues up 62% to $258,749,000 for the quarter - -- Earnings up 59% to $21,978,000 for the quarter - -- Cash Flow (EBITDA) margin improved to 27.0% for the quarter - -- Addition of 11 centers and more than 2,100 patients since December 31, 1997, for a total of approximately 30,700 patients at March 31, 1998 - -- Additional 17 centers and more than 1,000 patients since April 1, 1998, along with 23 centers and more than 1,500 patients with agreements in principle - -- Achieved strong same-store first quarter volume growth of 9% - -- Completed $300 million increase to its $1.05 billion senior credit facilities, now totaling $1.350 billion TORRANCE, Calif.--April 30, 1998--Continuing to report strong quarterly financial results following its merger with Renal Treatment Center Inc. (NYSE:RXT), Total Renal Care Holdings Inc. (NYSE:TRL), the third-largest (and largest independent) worldwide provider of dialysis services, Thursday announced record revenues, earnings, and earnings per share for the first quarter of 1998. Before all charges as described in a separate news release issued Thursday, revenues increased 62% to $258.7 million in the first quarter of 1998, up from $160.1 million in the corresponding period of 1997. Earnings increased 59% to $22.0 million,up from $13.8 million, and earnings per share increased 56% to $0.28 on 78.9 million weighted average shares outstanding, compared with earnings per share of $0.18 on 79.1 million weighted average shares outstanding, for the prior-year first quarter period. "The success of our aggressive, yet disciplined, growth strategy in fiscal 1997 and the first quarter of 1998 has continued to result in a strong financial track record quarter after quarter," said Victor M.G. Chaltiel, TRL chairman, president and chief executive officer. "With more than 3,000 patients added year-to-date, plus more than 1,500 patients currently under agreements in principle, we believe that we are well-positioned for another extraordinary year." Same-Store Treatment Growth "The strong 9% same-store treatment growth achieved by the company is the direct result of our quality and outcomes management programs, resulting in mortality rates significantly better than the U.S. average, along with our focused managed care strategy, which should also further bolster growth in our new RXT centers," stated Chaltiel. $300 Million Increase to Senior Credit Facilities The company has also refinanced its current credit lines by adding $300 million for a total of $1.350 billion, $545 million of which is currently unused. This financing was led by the Bank of New York and Donaldson, Lufkin & Jenrette. "Obviously, we are pleased with the continuation of our exceptional 1997 performance into 1998 after the completion of our merger with RXT on February 27, 1998," concluded Chaltiel. Torrance-based Total Renal Care Holdings is the third-largest (and largest independent) worldwide provider of integrated dialysis services for patients suffering from chronic kidney failure. The company owns and operates high-quality, free-standing kidney dialysis centers and home peritoneal dialysis programs in 33 states, as well as Washington, D.C.; Puerto Rico; Guam; Argentina; and Europe, and also provides high-quality acute hemodialysis services to inpatients at approximately 260 hospitals. Currently, TRL has 408 outpatient dialysis facilities and provides services to approximately 30,700 patients. The company additionally 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 via facsimile at no cost, call 800/PRO-INFO and dial company code 039. This release contains forward-looking statements which are made pursuant to the safe-harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include statements regarding business trends, projections and market opportunities and involve risks and uncertainties that could cause actual results to differ materially from the forward-looking statements. Factors which could cause or contribute to such differences include, but are not limited to, the uncertainties associated with governmental regulation, general economic and other market conditions, and the "risk factors" set forth in the company's filings with the Securities and Exchange Commission. The forward-looking statements should be considered in light of these risks and uncertainties. Expansion Highlights PRE-MERGER WITH RTC POST MERGER Quarter ended Year Quarter ended ended Mar. 31, June 30, Sept. 30, Dec. 31, Dec. 31, Mar. 31, 1997 1997 1997 1997 1997 1998 Treatments 375,050 451,664 489,922 553,218 1,869,854 1,099,627 Patients 10,900 12,700 13,700 15,800 15,800 30,700 Centers 139 166 174 197 197 391 Revenue per Treatment $237 $232 $232 $236 $234 $235 TOTAL RENAL CARE HOLDINGS INC. CONDENSED CONSOLIDATED STATEMENTS OF INCOME Three Months Ended March 31, 1998 and 1997 (unaudited) Three Months 1998 1997(a) Net operating revenues $258,749,000 $160,137,000 Operating expenses: Facilities 165,295,000 107,728,000 General and administrative 16,910,000 9,916,000 Provision for doubtful accounts 6,763,000 3,985,000 Depreciation and amortization 19,004,000 11,089,000 Merger Costs 92,835,000 0 Total operating expenses 300,807,000 312,718,000 Operating (loss) income (42,058,000) 27,419,000 Interest expense (14,517,000) (3,937,000) Interest income 1,642,000 594,000 Income (loss) before income taxes, minority interests, extraordinary item and cumulative effect of a change in accounting principal (54,933,000) 24,076,000 Income taxes (3,550,000) 8,927,000 Income (loss) before minority interests, extra- ordinary item and cumulative change in accounting principal (51,383,000) 15,149,000 Minority interests in income of consolidated subsidiaries 1,393,000 1,305,000 Income (loss) before extraordinary item and cumulative effect of a change in accounting principal (52,776,000) 13,844,000 Extraordinary loss, net of tax of $1,580,000 2,812,000 0 Cumulative effect of a change in accounting principal, net of tax of $4,300,000 6,896,000 0 Net (loss) income $(62,484,000) $13,844,000 Earnings (loss) per common share: Net income (loss) before extraordinary item and cumulative effect on change in accounting principal $(0.67) $0.18 Extraordinary loss $(0.03) $0.00 Cumulative effect of change in accounting principal $(0.09) $0.00 Net (loss) income $(0.79) $0.18 Weighted average number of common shares outstanding 78,926,000 78,895,000 TOTAL RENAL CARE HOLDINGS INC. CONDENSED CONSOLIDATED STATEMENTS OF INCOME Three Months Ended March 31, 1998 and 1997 (unaudited) Three Months 1998 1997(a) Earnings (loss) per common share assuming dilution: Net income (loss) before extraordinary item and cumulative effect on change in accounting principal $(0.67) $0.18 Extraordinary loss $(0.03) $0.00 Cumulative effect of change in accounting principal $(0.09) $0.00 Net (loss) income $(0.79) $0.18 Weighted average number of common shares and equivalents outstanding assuming dilution 78,926,000 79,091,000 (a) As announced Thursday, the company expects to recognize between $25 million and $30 million of non-cash charges, part of which may effect the results of operations for the three months ended March 31, 1997. --30-- CONTACT: Total Renal Care Inc., Torrance Victor M.G. Chaltiel/John E. Kings, 310/792-2600 or Financial Relations Board 310/442-0599 Larry Delaney, general information Moira Conlon, investor contact Michaelle Burstin, media contact or Kathy Brunson, investor contact, 312/266-7800