Business Editors

    TORRANCE, Calif.--(BUSINESS WIRE)--March 31, 1999--Total Renal Care Holdings, Inc. (NYSE:TRL) today announced the appointment of Gerry Curry, 48, to the newly created position of Vice President, Quality Management. In her new position, Mrs. Curry will lead Total Renal Care's national Quality Management Program, monitor and report the Company's clinical outcomes and direct TRL's staff education and training programs. TRL's Quality Management Program comprises a team of over 40 professionals that are focused on improving patient outcomes and the quality of care at TRL's dialysis facilities. Mrs. Curry will report to Stan Lindenfeld, MD, Senior Vice President and Chief Medical Officer of Total Renal Care Holdings, Inc.

Mrs. Curry has a strong background in nephrology nursing, with over 26 years of experience in all aspects and modalities of dialysis, including hemodialysis, home dialysis, acute dialysis and transplantation. She joined TRL's predecessor companies in 1984 as a charge nurse and since then has held a series of management positions at TRL with increasing responsibilities, including facility administrator, Regional Education Director, Divisional Director of CQI and Clinical Review and, since 1995, as the Company's Director of Quality Management.

Mrs. Curry holds a Bachelor of Science degree in Nursing, graduating Summa Cum Laude from the Medical College of Virginia. She is also a member of the American Nephrology Nurses Association, Virginia Nurses Association and National Kidney Foundation.

Torrance, California-based Total Renal Care Holdings, Inc. is the second largest domestic and largest independent worldwide provider of integrated dialysis services for patients suffering from chronic kidney failure. The company owns and operates high-quality, freestanding kidney dialysis centers and home peritoneal dialysis programs in 34 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 290 hospitals. As of February 1, 1999, TRL operated 522 outpatient dialysis facilities and provided services to more than 40,500 patients, including approximately 2,900 patients in 35 centers under TRL management. TRL 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, Inc., via facsimile at no cost, call 1-800/PRO-INFO and dial company code TRL.

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     CONTACT: Total Renal Care Holdings, Inc.
              Rich Lester, 212/794-9348
              John E. King, 310/792-2600 
                     or
              The Financial Relations Board Inc.
              Haris Tajyar, 310/442-0599 (general information)
              Moira Conlon, 310/442-0599 (investor contact)
              Marjorie Ornston, 310/442-0599 (media contact)
              Kathy Brunson, 312/266-7800 (investor contact)

     KEYWORD:  CALIFORNIA DISTRICT OF COLUMBIA VIRGINIA
     INDUSTRY KEYWORD:  MEDICINE MANAGEMENT CHANGES