RENAL TREATMENT CENTERS INC /DE/
DEF 14A, 1997-03-31
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>

                UNITED STATES SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                  SCHEDULE 14A

           Proxy Statement Pursuant to Section 14(a) of the Securities
                      Exchange Act of 1934 (Amendment No. )
Filed by the Registrant [X]
Filed by a Party other than the Registrant [   ]

Check the appropriate box:
[ ] Preliminary Proxy Statement
[ ] Confidential, for Use of the Commission Only (as permitted by Rule
      14a-6(e)(2)) 
[X] Definitive Proxy Statement 
[ ] Definitive Additional Materials
[ ] Soliciting Material Pursuant to ss.240.14a-11(c) or ss.240.14a-12

                          RENAL TREATMENT CENTERS, INC.
                ------------------------------------------------
                (Name of Registrant as Specified In Its Charter)

     -----------------------------------------------------------------------
     (Name of Person(s) Filing Proxy Statement if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):
[X] No fee required.
[ ] Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

       1)     Title of each class of securities to which transaction applies:

              -----------------------------------------------------------------

       2)     Aggregate number of securities to which transaction applies:

              -----------------------------------------------------------------

       3)     Per unit price or other underlying value of transaction computed
              pursuant to Exchange Act Rule 0-11 (Set forth the amount on which
              the filing fee is calculated and state how it was determined):

              -----------------------------------------------------------------

       4)     Proposed maximum aggregate value of transaction:

              -----------------------------------------------------------------

       5)     Total fee paid:

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[ ]    Fee paid previously with preliminary materials.
[ ]    Check box if any part of the fee is offset as provided by Exchange Act
       Rule 0-11(a)(2) and identify the filing for which the offsetting fee was
       paid previously. Identify the previous filing by registration statement
       number, or the Form or Schedule and the date of its filing.

       1)     Amount Previously Paid:

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       2)     Form, Schedule or Registration Statement No.:

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       3)     Filing Party:

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       4)     Date Filed:

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<PAGE>

                                    RTC LOGO

                        RENAL TREATMENT CENTERS, INC. 

                   NOTICE OF ANNUAL MEETING OF STOCKHOLDERS 
                            TO BE HELD MAY 7, 1997 

                                    ------ 

To the Stockholders of Renal Treatment Centers, Inc.: 

The Annual Meeting of Stockholders of Renal Treatment Centers, Inc. (the 
"Company") is scheduled to be held on Wednesday, May 7, 1997 at 10:00 a.m., 
local time, at the Sheraton Valley Forge Hotel, North Gulph Road and First 
Avenue, King of Prussia, Pennsylvania 19406, for the following purposes: 

       1. To elect two Class I directors to serve until the expiration of 
   their respective terms and until their successors are duly elected; 
       2. To consider and approve amendments to the Company's Amended and 
   Restated 1990 Stock Plan; 
       3. To consider and approve amendments to the Company's Equity Incentive 
   Plan for Outside Directors; 
       4. To ratify the appointment of Coopers & Lybrand L.L.P. as independent 
   public accountants for the Company for 1997; and 
       5. To transact such other business as may properly come before the 
   Annual Meeting and any adjournment, postponement of continuation thereof. 

   Only stockholders of record at the close of business on March 14, 1997, 
the record date for the Annual Meeting, are entitled to notice of and to vote 
at the Annual Meeting. 

   A copy of the Company's Annual Report for the year ended December 31, 1996 
is being mailed to stockholders together with this notice. 

   To assure that your interests will be represented, whether or not you 
expect to attend the Annual Meeting in person, it is important that you 
promptly complete, sign, date and return the proxy card in the enclosed 
envelope, which requires no postage if mailed in the United States. 

                                          By Order of the Board of Directors, 

                                          Thomas J. Karl, 
                                          Vice President, Secretary and 
                                          General Counsel 


March 31, 1997 
Berwyn, Pennsylvania 

<PAGE>



                                    RTC LOGO

                        RENAL TREATMENT CENTERS, INC. 

                               PROXY STATEMENT 

   This Proxy Statement and the form of proxy enclosed herewith, which are 
first being mailed to stockholders on or about March 31, 1997, are furnished 
in connection with the solicitation by the Board of Directors of Renal 
Treatment Centers, Inc. (the "Company"), a Delaware corporation, of proxies 
for use in voting at the Annual Meeting of Stockholders to be held at the 
Sheraton Valley Forge Hotel, North Gulph Road and First Avenue, King of 
Prussia, Pennsylvania 19406, on Wednesday, May 7, 1996, at 10:00 a.m., local 
time, and at any adjournment, postponement or continuation thereof. The 
principal executive offices of the Company are located at 1180 West 
Swedesford Road, Building 2, Suite 300, Berwyn, Pennsylvania 19312. 

   Shares represented by a proxy in the accompanying form, if properly signed 
and returned, will be voted as directed by the stockholder. If a properly 
signed proxy form is returned to the Company and is not marked, it will be 
voted in accordance with the recommendations of the Board of Directors, which 
are FOR the election of the directors nominated, FOR approval of the 
amendments to the Company's Amended and Restated 1990 Stock Plan, FOR 
approval of the amendments to the Company's Equity Incentive Plan for Outside 
Directors and FOR ratification of the appointment of Coopers & Lybrand L.L.P. 
as the Company's independent accountants for 1997. A stockholder giving a 
proxy in the accompanying form may revoke it at any time prior to the voting 
of the proxy by giving written notice to the Secretary of the Company, by 
executing a later dated proxy or by attending the meeting and voting in 
person. 

   The Company's common stock, $.01 par value, (the "Common Stock") is the 
only issued and outstanding class of stock. Only stockholders of record at 
the close of business on March 14, 1997 are entitled to notice of and to vote 
at the Annual Meeting. At the close of business on March 14, 1997, the 
Company had 24,617,217 shares of Common Stock outstanding. A majority of the 
outstanding shares will constitute a quorum at the meeting. Each share of 
Common Stock is entitled to one vote. 

   Unless stated otherwise, all information herein gives retroactive effect 
to the two-for-one split of the Common Stock effected through a stock 
dividend of one share of Common Stock for each share outstanding, which was 
paid on March 14, 1996 to stockholders of record on February 29, 1996. 

   The expense of preparing, printing and mailing proxy material will be 
borne by the Company. In addition to the solicitation of proxies by mail, 
solicitation may be made by certain directors, officers and other employees 
of the Company by personal interview, telephone or telegraph. No additional 
compensation will be paid for such solicitation. Copies of solicitation 
material will be furnished to brokerage houses, nominees, fiduciaries and 
custodians to forward to beneficial owners of Common Stock held in their 
names. The Company will, upon request, reimburse such persons for their 
reasonable expenses in forwarding solicitation material to such beneficial 
owners. 
<PAGE>

                     BENEFICIAL OWNERSHIP OF COMMON STOCK 

   The following table sets forth, as of March 14, 1997, the amount and 
percentage of the Company's outstanding Common Stock beneficially owned by 
(i) each person known to the Company who beneficially owned more than five 
percent of the outstanding Common Stock, (ii) each director and nominee for 
director, (iii) each executive officer named in the Summary Compensation 
Table set forth below under "Compensation of Directors and Executive 
Officers" and (iv) all executive officers and directors of the Company as a 
group. Except as otherwise indicated, each person has sole investment and 
voting power with respect to the shares shown. The information with respect 
to each person specified is as supplied or confirmed by such person. 

<TABLE>
<CAPTION>

                                                           Shares 
                                                        Beneficially       Percent of 
Name                                                        Owned         Common Stock 
- ----                                                   ---------------   -------------- 
<S>                                                    <C>               <C>
  5% Holders: 
Putnam Investments, Inc.                                  3,193,772(1)        13.0% 
  One Post Office Square 
  Boston, MA 02109                                   
Pilgrim Baxter & Associates, Ltd.                         2,488,100(2)        10.1% 
  1255 Drummers Lane, Suite 300 
  Wayne, PA 19087                                    
RCM Capital Management, L.L.C.                            1,645,700(3)         6.7% 
  Four Embarcadero Center 
  San Francisco, CA 94111-4189                       

  Directors: 
Robert L. Mayer, Jr.                                        373,559(4)         1.5% 
Frederick C. Jansen                                         373,557(5)         1.5% 
Claire W. Gargalli                                            3,000(6)           * 
Patrick T. Ryan                                               2,000(6)           * 
Michael R. Walker                                             6,954(7)           * 

  Named Executive Officers (who are not also directors): 
Barbara A. Bednar                                            85,740(8)           * 
John A. Chambers                                            160,000(9)           * 
Ronald H. Rodgers, Jr.                                       49,489(10)          * 
Thomas J. Karl                                                1,540(11)          * 

All directors and executive officers as a group           1,062,639(12)        4.2% 
 (10 persons)                                      
</TABLE>

- ------ 
* Less than 1%. 

 (1) As reported on Schedule 13G dated January 27, 1997. Certain Putnam 
     investment managers, together with their parent corporations, Putnam 
     Investments, Inc. and Marsh & McLennan Companies, Inc., are considered 
     "beneficial owners" in the aggregate of these shares, which were 
     acquired for investment purposes by such investment managers for certain 
     of their advisory clients. These investment managers share voting power 
     with respect to 73,200 of these shares and have no voting power with 
     respect to the remaining 3,120,572 shares, and share investment power 
     with respect to all of these shares. 

 (2) As reported on Schedule 13G dated February 14, 1997. Pilgrim Baxter & 
     Associates, Ltd. shares voting power and has sole investment power with 
     respect to these shares. 

 (3) As reported on Schedule 13G dated February 3, 1997. RCM Capital 
     Management, L.L.C. ("RCM Capital") has sole voting power with respect to 
     1,414,700 of these shares and has no voting power with respect to the 
     remaining 231,000 shares, and has sole investment power with respect to 
     1,595,700 of these shares and shares investment power with respect to 
     the remaining 50,000 shares. RCM Limited L.P. ("RCM Limited"), the 
     managing agent of RCM Capital, RCM General Corporation, the General 
     Partner of RCM Limited, and Dresdner Bank AG, the parent corporation of 
     RCM Capital, may be deemed to have beneficial ownership of securities 
     beneficially owned by RCM Capital. 

                                        2
<PAGE>

 (4) Of these shares, 236,667 shares are purchasable by Mr. Mayer upon the 
     exercise of stock options that are currently exercisable or become 
     exercisable within 60 days after March 14, 1997. The remaining 136,892 
     shares are owned jointly by Mr. Mayer and his spouse, who share voting 
     and investment power with respect to these shares. 

 (5) Of these shares, 236,666 shares are purchasable by Mr. Jansen upon the 
     exercise of stock options that are currently exercisable or become 
     exercisable within 60 days after March 14, 1997. The remaining 136,891 
     shares are owned jointly by Mr. Jansen and his spouse, who share voting 
     and investment power with respect to these shares. 

 (6) These shares are purchasable upon the exercise of stock options that are 
     currently exercisable or become exercisable within 60 days after March 
     14, 1997. 

 (7) These shares include 2,000 shares purchasable by Mr. Walker upon the 
     exercise of stock options that are currently exercisable or become 
     exercisable within 60 days after March 14, 1997. 

 (8) These shares include 68,072 shares purchasable upon the exercise of 
     stock options that are currently exercisable. The remaining 17,668 
     shares are owned jointly by Ms. Bednar and her spouse, who share voting 
     and investment power with respect to these shares. 

 (9) These shares include 100,000 shares purchasable upon the exercise of 
     stock options that are currently exercisable. 

(10) These shares include 42,667 shares purchasable upon the exercise of 
     stock options that are currently exercisable. 

(11) These shares include 400 shares held by Mr. Karl's children. Mr. Karl 
     disclaims beneficial ownership of these 400 shares. 


(12) These shares include 697,872 shares purchasable upon the exercise of 
     stock options that are currently exercisable or become exercisable 
     within 60 days after March 14, 1997. 


           SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE 

   Section 16 of the Securities Exchange Act of 1934 (the "Exchange Act") 
requires that the officers and directors of a corporation, such as the 
Company, that has a class of equity securities registered under Section 12 of 
the Exchange Act, as well as persons who own more than 10% of a class of 
equity securities of such a corporation ("10% Beneficial Owners"), file 
reports of their ownership of such securities, as well as monthly statements 
of changes in such ownership, with the corporation, the Securities and 
Exchange Commission and the exchange on which such securities are listed. 
Based upon written representations received by the Company from its officers, 
directors and 10% Beneficial Owners, and the Company's review of the monthly 
statements of changes filed with the Company by its officers, directors and 
10% Beneficial Owners during 1996, the Company believes that all such filings 
required during 1996 were made on a timely basis. 


                            ELECTION OF DIRECTORS 
                            (ITEM 1 ON PROXY CARD) 

   The Company's By-Laws provide that the directors of the Company shall be 
divided into three classes, designated as Class I, Class II and Class III, 
and that at each Annual Meeting of Stockholders of the Company successors to 
the class of directors whose term expires at that annual meeting will be 
elected for a three-year term. The classes are staggered so that the term of 
one class expires each year. The terms of the Class I directors expire in 
1997, and each third year thereafter; those of the Class II directors expire 
in 1998 and each third year thereafter; and those of the Class III directors 
expire in 1999 and each third year thereafter. Accordingly, it is the Class I 
directors who are to be elected at the Annual Meeting. 

   The number of directors constituting the entire Board of Directors is 
determined by the vote of a majority of the members of the Board of Directors 
and is currently fixed at five members. The number of Class I directors to be 
elected at the Annual Meeting is two. Each of the Class I directors so 
elected will hold office until the 2000 Annual Meeting of Stockholders and 
until his successor is elected. 

                                        3
<PAGE>

   The Board of Directors has nominated Patrick T. Ryan and Michael R. Walker 
for election as the Class I directors. Messrs. Ryan and Walker are incumbent 
directors. All proxies will be voted for the election of Messrs. Ryan and 
Walker unless authority to vote for the election of directors or either 
nominee is withheld. In the event either nominee should unexpectedly decline 
or be unable or unwilling to serve as a director, the proxies may be voted 
for a substitute nominee designated by the present Board of Directors. The 
Board of Directors has no reason to believe that Mr. Ryan or Mr. Walker will 
be unable or unwilling to serve as a director if elected and has no present 
intention to nominate any person in addition to or in lieu of such nominees. 
Any vacancy occurring on the Board of Directors may be filled by the vote of 
a majority of the directors then in office until the expiration of the term 
of the class of directors in which the vacancy exists. 

   The candidates receiving the highest number of votes cast at the Annual 
Meeting will be elected. Holders of shares of Common Stock are not entitled 
to cumulate votes in the election of directors. Shares held by brokers or 
nominees as to which voting instructions have not been received from the 
beneficial owner of or person otherwise entitled to vote such shares and as 
to which the broker or nominee does not have discretionary voting power, 
i.e., broker non-votes, and abstentions will have no effect on the election 
of directors inasmuch as they do not represent votes cast at the Annual 
Meeting for the purpose of electing directors. 

               THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" THE
                       ELECTION OF THE DIRECTORS NOMINATED


INFORMATION REGARDING DIRECTORS 

   The names of the nominees for Class I director and the Class II and Class 
III directors who will continue in office after the Annual Meeting until the 
expiration of their respective terms, together with certain information 
regarding them, are as follows: 

NOMINEES FOR CLASS I DIRECTORS: 
                                         Position Held                 Director 
Name                       Age           with the Company              Since 
- ----                       ---           ----------------              ----- 
Patrick T. Ryan .........  38            Director                      1995 
Michael R. Walker .......  48            Director                      1993 


DIRECTORS CONTINUING IN OFFICE:
 
CLASS II DIRECTOR: 

                                          Position Held                Director 
Name                       Age            with the Company             Since 
- ----                       ---            ----------------             ----- 
Claire W. Gargalli ......  54             Director                     1996 


CLASS III DIRECTORS: 
                                          Position Held                Director 
Name                       Age            with the Company             Since 
- ----                       ---            ----------------             ----- 
Robert L. Mayer, Jr        50             President, Chief Executive   1988
                                          Officer and Director         
Frederick C. Jansen        60             Executive Vice President,    1988
                                          Treasurer and Director           


   Patrick T. Ryan has served as a director of the Company since October 
1995. Mr. Ryan is President, Chief Executive Officer and a director and 
co-founder of PrincipalCare Incorporated, a provider of women's and 
children's health care services. Prior to co-founding PrincipalCare in 1995, 
Mr. Ryan served as President and Chief Executive Officer of MedAlliance, 
Inc., a provider of diagnostics imaging and radiology practice management 
services. Mr. Ryan joined MedAlliance in 1990 as its Executive Vice President 
and Chief Operating Officer, when it merged with R.B. Diagnostic, an 
alternative site diagnostic imaging company that he co-founded. 

                                        4
<PAGE>

   Michael R. Walker has served as a director of the Company since 1993. 
Since 1985 he has served as Chairman, Chief Executive Officer and a director 
of Genesis Health Ventures, Inc., an operator of health care networks for the 
elderly. Mr. Walker also serves as a director of Universal Health & Realty 
Income Trust. 

   Claire W. Gargalli has served as a director of the Company since May 1996. 
Ms. Gargalli is a Class II director, and her current term as a director ends 
in 1998. Ms. Gargalli is Vice Chairman of Diversified Search and Diversified 
Health Search Companies, executive search firms specializing in health care 
providers. Prior to joining the Diversified Search Companies in 1990, Ms. 
Gargalli was President and Chief Executive Officer of Equimark, a bank 
holding company, and Chairman and Chief Executive Officer of its two 
principal subsidiaries, Equibank and Liberty Bank. Ms. Gargalli also serves 
as a director of Praxair, Inc. and Western Atlas, Inc. 

   Robert L. Mayer, Jr., a founder of the Company, has served as a director 
of the Company and as President and Chief Executive Officer of the Company 
since the Company commenced operations in 1988. Mr. Mayer is a Class III 
director, and his current term as a director ends in 1999. From 1983 to 1988, 
Mr. Mayer held positions as Vice President and President of Renal Care 
Centers Corp., a subsidiary of United Medical Corporation that provides 
dialysis services. Mr. Mayer is a past President and a past member of the 
Board of Directors of the National Renal Administrators Association. 

   Frederick C. Jansen, a founder of the Company, has served as a director of 
the Company and as the Company's Executive Vice President and Treasurer since 
the Company commenced operations in 1988. Mr. Jansen also served as Secretary 
of the Company until May 1996 and as Chief Financial Officer of the Company 
until February 1997. Mr. Jansen is a Class III director, and his current term 
as a director ends in 1999. From 1987 to 1988, Mr. Jansen served as Vice 
President of Development of Renal Care Centers Corp. 

MEETINGS AND COMMITTEES OF THE BOARD 

   The Board of Directors met six times in 1996. The Board of Directors has 
five standing committees: the Audit Committee, the Compensation Committee, 
the Stock Plan Committee, the Director Plan Committee and the Compliance 
Committee. The Board of Directors does not have a nominating committee. The 
functions normally performed by a nominating committee are performed by the 
Board of Directors. 

   The members of the Audit Committee are Ms. Gargalli and Messrs. Ryan and 
Walker. The Audit Committee met once in 1996. The duties of the Audit 
Committee are: to meet with the independent accountants of the Company; to 
review the audit plan for the Company; to review the annual audit of the 
Company with the Company's independent accountants, together with any other 
reports or recommendations made by the accountants; to recommend whether the 
accountants should be continued as the independent accountants for the 
Company and, if other independent accountants are to be selected, to 
recommend the independent accountants to be selected; to meet with the 
internal auditors for the Company, if any, and to review with them and the 
independent accountants for the Company the adequacy of the Company's 
internal controls; and to perform such other duties as shall be delegated to 
the committee by the Board of Directors. 

   The members of the Compensation Committee are Ms. Gargalli and Messrs. 
Ryan and Walker. The Compensation Committee did not formally meet in 1996, 
but the members of the Compensation Committee held numerous informal 
telephone conferences prior to taking actions by unanimous written consent. 
The duties of the Compensation Committee are: to recommend to the Board of 
Directors policies and plans concerning the salaries, bonuses, stock options 
and rights and other compensation of the senior executives of the Company, 
including reviewing the salaries of the senior executives and recommending 
bonuses, stock options and rights and other forms of additional compensation 
for them; establishing and reviewing policies regarding management 
perquisites; and performing such other duties as shall be delegated to the 
committee by the Board of Directors. 

   The members of the Stock Plan Committee are Ms. Gargalli and Messrs. Ryan 
and Walker. The Stock Plan Committee did not formally meet in 1996, but the 
members of the Stock Plan Committee held numerous informal telephone 
conferences prior to taking actions by unanimous written consent. The duties 
of the Stock Plan Committee are to administer the operation of the Company's 
Amended and Restated 1990 Stock Plan and to grant options, awards and stock 
rights under the Company's Amended and Restated 1990 Stock Plan to the full 
extent permitted by the plan. 


   The members of the Director Plan Committee are Messrs. Mayer and Jansen. 
The Director Plan Committee did not meet in 1996. The duties of the Director 
Plan Committee are to administer the operation of the Com-
 

                                      5 
<PAGE>

pany's Equity Incentive Plan for Outside Directors. The Director Plan 
Committee does not have any discretion to determine who will be granted 
options under the Company's Equity Incentive Plan for Outside Directors or to 
determine the amount, timing or exercise price of such options, all of which 
are determined pursuant to the terms of a formula set forth in the plan. 

   The members of the Compliance Committee are Ms. Gargalli and Messrs. 
Mayer, Ryan and Walker. Thomas J. Karl, Vice President, Secretary and General 
Counsel, but not a director, of the Company, is also a member of the 
Compliance Committee. The Compliance Committee was initially formed in 
December 1996, and met once in 1996. The duties of the Compliance Committee 
are to oversee the design, implementation and performance of a formal 
corporate compliance program for the Company, which shall include a code of 
corporate ethics for the Company and mechanisms to ensure the compliance of 
the Company and its officers, employees and agents with this code of ethics 
and all laws, rules and regulations applicable to the Company or its 
officers, employees or agents. The Company has had an informal compliance 
program in effect since 1995. The Compliance Committee is also to approve the 
formal corporate compliance program developed by management of the Company 
and review the program on at least an annual basis. 

   During 1996, all incumbent directors attended at least 75% of the meetings 
of the Board of Directors and the committees thereof on which they served. 

NOMINATIONS BY STOCKHOLDERS 

   The Board of Directors will consider qualified candidates recommended by 
the stockholders for designation as nominees for election at the Annual 
Meeting of Stockholders to be held in 1998 and subsequent years. In order for 
a candidate recommended by a stockholder to be considered by the Board of 
Directors for designation as a nominee for election at the Annual Meeting of 
Stockholders to be held in 1998, the stockholder should notify the Secretary 
of the Company in writing on or before January 6, 1998. Such notification 
must contain the following information to the extent known by the notifying 
stockholder: (i) the name and address of the proposed nominee; (ii) the age 
of the proposed nominee; (iii) the principal occupation of the proposed 
nominee; (iv) the number of shares of the Company owned by the proposed 
nominee; (v) the total number of shares that will be voted for the proposed 
nominee; (vi) the name and residential address of the notifying stockholder; 
and (vii) the number of shares of the Company owned by the notifying 
stockholder. The presiding officer of the Annual Meeting of Stockholders will 
refuse to acknowledge the nomination of, and the inspectors of election will 
disregard any votes cast for, any person whose nomination is not made in 
compliance with the foregoing procedure. 


                                        6
<PAGE>

               COMPENSATION OF DIRECTORS AND EXECUTIVE OFFICERS 

EXECUTIVE COMPENSATION 

   The following table sets forth certain information with respect to 
compensation paid or accrued by the Company during the fiscal years ended 
December 31, 1996, 1995 and 1994 with respect to the Chief Executive Officer 
of the Company and the five other most highly compensated executive officers 
of the Company for the fiscal year ended December 31, 1996. 

                          SUMMARY COMPENSATION TABLE 

<TABLE>
<CAPTION>
                                                                       Long-Term 
                                                                     Compensation 
                                       Annual Compensation              Awards 
                                ---------------------------------    -------------- 
                                                                      Securities 
                                                                      Underlying         All Other 
Name and Principal Position       Year    Salary($)     Bonus($)      Options (#)     Compensation($) 
 -----------------------------   ------   ----------    ----------   --------------   --------------- 
<S>                             <C>       <C>           <C>          <C>              <C>
Robert L. Mayer, Jr.              1996     $302,500     $189,062        100,000           $ 6,498(1) 
President and Chief Executive     1995     $275,000     $151,250        100,000           $ 8,000 
Officer                           1994     $250,000     $125,000             --           $ 7,192 

Frederick C. Jansen               1996     $253,000     $158,125         53,332                -- 
Executive Vice President and      1995     $231,000     $127,050        100,000                -- 
Treasurer                         1994     $210,000     $105,000             --           $ 4,200 

Barbara A. Bednar                 1996     $180,000     $112,500         60,000           $ 2,375(2) 
Vice President and Chief          1995     $150,000     $ 60,000         60,000           $ 3,450 
Operating Officer of Dialysis     1994     $130,000     $ 52,000         50,000           $ 5,950 
Services 

John A. Chambers                  1996     $100,000     $456,760        100,000           $20,073(3) 
Vice President of                 1995     $100,000     $300,957             --           $ 6,927 
Development                       1994     $100,000     $107,645             --           $ 6,054 

Ronald H. Rodgers, Jr.            1996     $170,000     $106,250         60,000           $ 2,148(2) 
Vice President of Finance         1995     $125,000     $ 50,000         60,000           $ 3,300 
and Chief Financial Officer       1994     $100,000     $ 40,000         40,000           $ 2,349 

Thomas J. Karl                    1996     $104,063     $148,500        180,000           $ 1,583(2) 
Vice President, Secretary and 
General Counsel(4) 

</TABLE>

- ------ 
(1) Consists of $4,463 contributed by the Company under its Savings Plan and 
    $2,035 in country club dues reimbursed by the Company. 

(2) Contributed by the Company under its Savings Plan. 


(3) Consists of $2,375 contributed by the Company under its Savings Plan, 
    $2,673 in country club dues reimbursed by the Company, $1,375 paid by the 
    Company as an allowance for automobile insurance and other automobile 
    expenses and $13,650 paid by the Company to Mr. Chambers as rent for 
    residential property owned by Mr. Chambers, which was rented by the 
    Company for use as housing for several temporary employees of the 
    Company. 

(4)  Mr. Karl joined the Company in May 1996. 

                                        7
<PAGE>

   The following table sets forth information with respect to options granted 
during the fiscal year ended December 31, 1996 to the persons named in the 
Summary Compensation Table above. 

                      OPTION GRANTS IN LAST FISCAL YEAR 

<TABLE>
<CAPTION>
                                                                                        Potential Realizable Value at 
                                                                                         Assumed Annual Rate of Stock 
                                Individual Grants                                     Price Appreciation for Option Term 
 ---------------------------------------------------------------------------------  ------------------------------------- 
                                          % of Total 
                           Number of       Options 
                           Securities     Granted to 
                           Underlying     Employees      Exercise 
                            Options       in Fiscal        Price      Expiration 
Name                      Granted (1)        Year         ($/Sh)         Date        0% ($)      5% ($)         10% ($) 
 ----------------------   ------------   ------------    ----------   ------------   ------   ------------    ------------ 
<S>                          <C>              <C>         <C>           <C>          <C>       <C>            <C>        
Robert L. Mayer, Jr.         50,000(2)        7.0%        $21.81        3/11/06        --      $  687,015     $1,733,895 
                             50,000(3)        7.0%        $21.81        3/11/06        --      $  687,015     $1,733,895 

Frederick C. Jansen          20,000(4)        2.8%        $21.81        3/11/06        --      $  274,806     $  693,558 
                             33,332(5)        4.6%        $21.81        3/11/06        --      $  457,992     $1,155,884 

Barbara A. Bednar            30,000(6)        4.2%        $21.81        3/11/06        --      $  412,209     $1,040,337 
                             30,000(3)        4.2%        $21.81        3/11/06        --      $  412,209     $1,040,337 

John A. Chambers            100,000(7)       13.9%        $22.50       12/24/06        --      $1,417,500     $3,577,500 

Ronald H. Rodgers, Jr.       30,000(6)        4.2%        $21.81        3/11/06        --      $  412,209     $1,040,337 
                             30,000(3)        4.2%        $21.81        3/11/06        --      $  412,209     $1,040,337 

Thomas J. Karl              180,000(8)       25.0%        $21.81        3/11/06        --      $2,473,254     $6,242,022 
</TABLE>
- ------ 
(1) All of these options become fully vested upon certain sales of assets, 
    mergers and consolidations involving the Company. 

(2) These options vest in five equal cumulative installments on March 11, 
    1997 and each March 11th thereafter through March 11, 2001. 

(3) These options vest on September 11, 2005, but may vest earlier with 
    respect to one-third of such shares in each of 1996, 1997 and 1998 in the 
    event certain earnings targets are met in such year. 

(4) These options vest in two equal cumulative installments on March 11, 1997 
    and March 11, 1998. 

(5) These options vest on September 11, 2005, but may vest earlier with 
    respect to one-half of such shares in each of 1996 and 1997 in the event 
    certain earnings targets are met in such year. 

(6) These options vest in five equal cumulative installments on December 31, 
    1996 and each December 31st thereafter through December 31, 2000. 

(7) These options were exercisable on the date of grant. For additional 
    information on these options, see "Employment Agreements and Change of 
    Control Arrangements" below. 

(8) These options vest in three equal cumulative installments on September 1, 
    1996, December 31, 1997 and December 31, 1998. 

                                        8
<PAGE>

   The following table sets forth information with respect to option 
exercises in the fiscal year ended December 31, 1996 and options held on 
December 31, 1996 by the persons named in the Summary Compensation Table 
above. 

               AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR 
                      AND FISCAL YEAR END OPTION VALUES 

<TABLE>
<CAPTION>
                                                               Number of Securities              Value of Unexercised 
                                                              Underlying Unexercised                 In-the-Money 
                                                              Options at FY-End (#)            Options at FY-End ($)(1) 
                             Shares                       --------------------------------  -------------------------------- 
                           Acquired on       Value 
Name                      Exercise (#)  Realized($)(2)    Exercisable     Unexercisable      Exercisable     Unexercisable 
 ----------------------   -------------   ------------    -------------   ---------------   -------------   --------------- 
<S>                       <C>           <C>              <C>              <C>               <C>             <C>
Robert L. Mayer, Jr.             --                --       216,667          223,333         $3,286,460       $2,467,290 

Frederick C. Jansen              --                --       216,666          176,666         $3,286,456       $2,295,206 

Barbara A. Bednar            77,628        $1,549,173        45,332          104,740         $  472,981       $1,157,235 

John A. Chambers             60,000        $1,247,500       100,000           80,000         $  300,000       $1,520,000 

Ronald H. Rodgers, Jr.       33,489        $  666,935        42,667           93,644         $  435,005       $  944,541 

Thomas J. Karl               60,000        $  577,042            --          120,000                 --       $  442,500 
</TABLE>
- ------ 
(1) Based upon the last reported sales price of the Common Stock on the New 
    York Stock Exchange in 1996 of $25.50 per share. 

(2) Based upon the difference between the last reported sales price of the 
    Common Stock on the New York Stock Exchange on the date of exercise and 
    the exercise price. 

SAVINGS PLAN 

   In May 1989, the Company adopted a Savings Plan (the "Savings Plan") 
covering all of its employees. Pursuant to the Savings Plan, employees may 
elect to reduce their current compensation and have the amount of such 
reduction contributed to the Savings Plan, subject to certain limitations set 
by the Internal Revenue Service. For 1997, the maximum amount an employee can 
contribute is $9,500. The Company matches one-half of each employee's monthly 
contribution up to a maximum of 2.5% of the employee's monthly compensation. 
The Company may also contribute additional amounts at the discretion of the 
Board of Directors. The Savings Plan is intended to qualify under Section 
401(a) of the Internal Revenue Code of 1986, as amended, so that 
contributions by employees to the Savings Plan are not taxable to them until 
withdrawn from the Savings Plan. 

DIRECTOR COMPENSATION 

   Claire W. Gargalli, Patrick T. Ryan and Michael R. Walker each receive 
base compensation of $6,000 per year and additional compensation of $2,000 
for each meeting of the Board of Directors of the Company attended in person. 

   The Company's Equity Incentive Plan for Outside Directors (the "Director 
Plan") provides for the grant of stock options to directors who are not also 
employees of the Company. Subject to the approval of the stockholders of the 
Company at the Annual Meeting, under its terms, each person elected or 
re-elected an outside director is entitled to be granted an option for 3,000 
shares per year of such person's term as a director at an exercise price of 
100% of the fair market value of a share of Common Stock on the date of 
grant, or 9,000 shares for each outside director elected to a three-year 
term. Prior to the amendments to the Director Plan being submitted to the 
stockholders at the Annual Meeting, the Director Plan provided for option 
grants to outside directors upon election or re-election at the rate of 1,000 
shares per year of the director's term. See "Approval of Amendments to Equity 
Incentive Plan for Outside Directors" below. 

   Ms. Gargalli was granted an option to purchase 6,000 shares of Common 
Stock at an exercise price of $26.25 per share under the Director Plan in 
1996. Mr. Ryan was granted an option to purchase 3,144 shares of Common Stock 
at an exercise price of $16.75 per share under the Director Plan in 1995. Mr. 
Walker was granted options to purchase 6,000 shares of Common Stock at an 
exercise price of $11.25 per share and 954 shares at an exercise price of 
$9.94 per share under the Director Plan in 1994 and 1993, respectively. 

   Directors of the Company who are also employees of the Company do not 
receive any compensation for serving as directors. 

                                        9
<PAGE>

EMPLOYMENT AGREEMENTS AND CHANGE OF CONTROL ARRANGEMENTS 

   In March 1995, Robert L. Mayer, Jr. and Frederick C. Jansen each entered 
into employment agreements with the Company that, as amended in May 1996, 
provided for initial annual base salaries of $275,000 and $230,000, 
respectively, and terminate in September 1998. The Company increased these 
salaries to $302,500 and $253,000, respectively, for 1996. The employment 
agreements, as amended, also provide for bonuses for 1996 ranging from 40% to 
55% of base salary if 1996 earnings per share targets set forth in the 
agreements are met or exceeded. The amount and method of determination of 
bonuses in subsequent years are left in the discretion of the Compensation 
Committee of the Board of Directors. The Company can terminate either 
employment agreement at any time, whether or not for cause, if such 
termination is approved by the affirmative vote of a majority of the Board of 
Directors other than the employee subject to the employment agreement, in 
which event the employee will be paid his base salary for a period of one 
year, unless he was terminated for material cause (as defined in the 
employment agreements). In the event Mr. Mayer or Mr. Jansen is terminated 
after a "Change of Control" (as defined in the employment agreements), 
however, he would be paid his base salary for a period of two years from the 
date of the Change of Control (unless he was terminated for material cause), 
and all stock options held by him would become immediately exercisable. The 
employment agreements also provide for the acceleration of any unvested 
company contributions under the Savings Plan and the continuation of employee 
fringe and welfare benefits following a Change of Control. 

   Under the employment agreements, Messrs. Mayer and Jansen each agreed that 
until two years after termination of his employment with the Company, he 
would not, directly or indirectly, engage in business activities that are 
competitive with the Company's activities in any county of any state in the 
United States, or any country outside of the United States, in which, during 
his employment, the Company conducted any material business or in which its 
customers were located. In addition, each of Messrs. Mayer and Jansen agreed 
that he would not solicit or accept business from any customers of the 
Company or hire any employees of the Company. 

   In May 1996, Barbara A. Bednar entered into an employment agreement with 
the Company that provided for initial annual base salary of $180,000. The 
employment agreement also provides for a bonus for 1996 ranging from 40% to 
55% of base salary if 1996 earnings per share targets set forth in the 
agreement are met or exceeded. The amount and method of determination of 
bonuses in subsequent years are left in the discretion of the Compensation 
Committee. The initial term of her employment agreement expires May 31, 1998, 
but the agreement automatically renews thereafter for successive two-year 
periods unless terminated by either party upon 90 days' prior notice. The 
Company may terminate the agreement at any time, however, for material cause 
(as defined in the agreement). Ms. Bednar has also agreed that until one year 
after termination of her employment with the Company, she will not, directly 
or indirectly, engage in any business activities that are competitive with 
the Company's business activities in any place where the Company is doing 
business at the time of her termination nor will she solicit or accept 
business from any customers of the Company or hire any employees of the 
Company without its consent. 

   In August 1993, John A. Chambers entered into an employment agreement with 
the Company that, as amended in May 1996, provides for an annual base salary 
of $100,000 and annual incentive compensation equal to the greater of (i) 1% 
of the net revenue of any acquisition during the first 12 months of 
operations of the acquired entity and 5% of the after-tax profit of any 
acquisition during the same 12-month period, or (ii) a guaranteed amount (the 
"Incentive Compensation Guarantee") currently established at $53,000. The 
Company has also agreed to reimburse Mr. Chambers for certain personal 
expenses that are not expected to exceed $15,000 per year and to provide 
group accident, disability income and health insurance coverage and life 
insurance coverage in an aggregate amount of $450,000. Mr. Chambers' 
employment agreement continues until August 29, 1998. Either party may 
terminate the agreement with or without cause prior to August 29, 1998 upon 
180 days' notice. If the Company terminates the agreement pursuant to this 
provision, it must pay Mr. Chambers an amount equal to one-half of his salary 
and the Incentive Compensation Guarantee for the preceding 12-month period. 
The Company may also terminate the agreement at any time for material cause 
(as defined in the agreement). Mr. Chambers has also agreed that until one 
year after termination of this agreement, he will not, directly or 
indirectly, engage in business activities that are competitive with the 
Company's activities in those states within the United States and those 
countries outside the United States in which, during his employment, the 
Company conducted any business, nor will he solicit for employment or employ 
any employees or former employees of the Company. 

                                       10
<PAGE>

   In a separate agreement with the Company entered into in December 1996, 
Mr. Chambers has agreed to accept, in lieu of cash commissions earned under 
his employment agreement, with respect to acquisitions completed in the 
fourth quarter of 1996, options to purchase 100,000 shares of the Company's 
Common Stock at an exercise price of $22.50 per share. The exercise price 
equals the closing price of the Common Stock on the New York Stock Exchange 
on December 23, 1996. The options were exercisable in full on the grant date. 

   In May 1996, Ronald H. Rodgers, Jr. entered into an employment agreement 
with the Company on substantially the same terms as the employment agreement 
between the Company and Barbara A. Bednar, except that Mr. Rodgers' initial 
base salary is $170,000. 

   In March 1996, Thomas J. Karl entered into an employment agreement with 
the Company that provided for an initial base salary of $180,000. The 
agreement also provides for a sign-on bonus of $36,000 and an annual bonus 
that is no less a percentage of Mr. Karl's base salary than is applicable to 
any other officer of the Company, except its president, currently Robert L. 
Mayer, Jr., and Frederick C. Jansen. The agreement also provides for an 
initial grant of options to purchase 180,000 shares of the Company's Common 
Stock, annual option grants in an amount no less than the annual option 
grants to Ms. Bednar or Mr. Rodgers, and an additional grant of options in 
May 1998. The number of shares with respect to the latter grant will be equal 
to 20% of the cumulative savings to the Company in outside, non-litigation 
legal expenses from the commencement of Mr. Karl's employment through the 
second anniversary of such date, and the exercise price of such options will 
equal 80% of fair market value at the time of grant. Mr. Karl's employment 
commenced in May 1996. Mr. Karl's employment agreement continues until April 
30, 1999, and automatically renews thereafter from year to year unless 
terminated by either party upon 90 days' prior notice. The agreement also 
contains provisions identical to those in Ms. Bednar's agreement with respect 
to termination for material cause, non-competition and non-solicitation. 

   In May 1995, as amended in May 1996, the Company entered into executive 
severance agreements with each of Barbara A. Bednar, John A. Chambers, Ronald 
H. Rodgers, Jr. and Thomas J. Karl which guarantee the continued employment 
of these officers, at their then current base salaries, following a "Change 
of Control" (as defined in the severance agreements) for one year or, in the 
case of Mr. Karl, the greater of one year or the remaining term under his 
employment agreement. Also under these agreements, all of these officers' 
stock options will become immediately exercisable upon a Change of Control. 
In lieu of the shares issuable upon exercise of stock options, each of these 
officers also has the right to receive cash in an amount equal to the 
difference between the exercise price of the options and the higher of (i) 
the closing price of the Company's Common Stock on the New York Stock 
Exchange on the date of the Change of Control or (ii) the highest price paid 
for the Common Stock in connection with the Change of Control. 

   Each of the foregoing severance agreements and Messrs. Mayer and Jansen's 
employment agreements also provide that in the event any payment or benefit 
received by any of them in connection with a change of control is deemed an 
"excess parachute payment" under the Internal Revenue Code, the Company shall 
pay the officer a cash bonus equal to any additional tax liability imposed 
upon him as a result. 

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION 


   The members of the Company's Compensation Committee currently are Michael 
R. Walker, Chairman, Claire W. Gargalli and Patrick T. Ryan. Messrs. Walker 
and Ryan and Ms. Gargalli have been members of the Compensation Committee 
since joining the Company's Board of Directors on November 12, 1993, October 
10, 1995 and May 2, 1996, respectively. Robert F. Higgins, a former director 
of the Company, served on the Compensation Committee from September 1991 
until his resignation as a director in May 1996. 


                                       11
<PAGE>

                        COMPENSATION COMMITTEE REPORT 
                          ON EXECUTIVE COMPENSATION 

COMPENSATION POLICIES APPLICABLE TO EXECUTIVE OFFICERS 

   The primary policy of the Compensation Committee governing the 
compensation of the Company's executive officers is to establish a 
relationship between executive pay and the creation of stockholder value, 
while motivating and retaining key employees. To effect this policy, the 
Compensation Committee uses annual base salary coupled with incentives in the 
form of cash bonuses, grants of options to purchase Common Stock under the 
Company's Amended and Restated 1990 Stock Plan, or a combination of cash 
bonuses and stock options. Cash bonuses are intended to award both corporate 
performance, as measured by financial results and other quantitative 
measures, and individual performance, based on subjective evaluations of 
individual performance, and option grants are intended both to reward 
performance and to provide future incentives to the Company's executive 
officers to contribute to stockholder value. 

   At the request of the Compensation Committee, the Company has engaged a 
consultant to analyze the current compensation of the Company's executive 
officers, and to make recommendations regarding future compensation policies 
and methodology. This consultant has commenced its analysis, but as of the 
date hereof had not reported its findings or made any recommendations to the 
Compensation Committee. 

   In evaluating executive compensation, the Compensation Committee has 
reviewed the recommendations of the Company's Chief Executive Officer and 
examined the Company's earnings per share, operating margins, return on 
equity and revenue growth. These factors were compared with the Company's 
goals and prior years' performance and the performance of other publicly held 
dialysis providers, as well as the performance of companies that supply other 
health care services and have revenues comparable to the Company's revenues. 
Other factors taken into consideration include: changes in the cost of living 
and competitors' overall size and performance, as well as a subjective 
evaluation of the individual's past performance and potential with the 
Company. With respect to this subjective evaluation, the Compensation 
Committee relies heavily on the recommendations of the Chief Executive 
Officer. 

   Prior to his resignation as a director in May 1996, Robert F. Higgins 
served as Chairman of the Compensation Committee. Utilizing the resources of 
the venture capital firm with which he is affiliated, Mr. Higgins had 
reviewed studies and surveys of compensation in the health care industry to 
ensure that the annual compensation of the Company's executive officers, 
including base salary, was within the range of compensation of those persons 
who, in the opinion of the Compensation Committee, hold comparably 
responsible positions at other health care companies. The Compensation 
Committee expects to rely on the consultant referred to above for similar 
industry compensation data in the future. 

   Generally, cash bonuses have been based upon corporate performance, with 
the primary measure being the Company's earnings per share, and an executive 
officer's individual accomplishments, as evaluated by the Chief Executive 
Officer. The cash bonuses awarded to the named executive officers were 
determined in accordance with the formula set forth in their employment 
agreements. The formula was the same in each employment agreement, with the 
exception of John A. Chambers, Vice President of Development, and was 
approved by the Compensation Committee early in 1996. The employment 
agreements provide for annual bonuses for 1996 ranging from 40% to 55% of 
base salary if earnings per share targets for 1996 established by the 
Compensation Committee and set forth in the employment agreement are met or 
exceeded. The bonuses for 1996 were equal to 62.5% of each named executive 
officer's base salary, based on the Company's earnings per share for 1996 
(before merger costs) of $.85, which was at the top of the target range of 
$.81 to $.85 per share established in the employment agreements. The bonuses 
were above the range set forth in the employment agreements because the 
Compensation Committee believes that not only did the named executive 
officers' performance in 1996 meet the expectations of the Compensation 
Committee, as well as those set by management, as measured by the earnings 
per share targets set by the Compensation Committee, but also that, because 
of the additional efforts of the executive officers, the Company was able to 
exceed its goals for acquisitions of new dialysis centers in 1996. In 
addition, the bonuses recognize the other achievements of the Company in 
1996, including the completion of a convertible debt offering and the 
increase in the Company's credit facility. The employment agreements also 
provide that bonuses in future years will be completely in the discretion of 
the Compensation Committee, and need not be determined in the same manner. 


                                       12
<PAGE>

   Mr. Chambers's annual bonus is determined pursuant to the formula set 
forth in his employment agreement as a percentage of the net revenue and 
after-tax profit generated by the acquisitions that he has secured for the 
Company in that year, with a minimum annual bonus of $53,000. Mr. Chambers's 
cash bonus for 1996 was $456,760. In a separate agreement with the Company 
entered into in December 1996, Mr. Chambers has agreed to accept, in lieu of 
cash commissions earned under his employment agreement with respect to 
acquisitions completed in the fourth quarter of 1996, options to purchase 
100,000 shares of the Company's Common Stock at an exercise price of $22.50 
per share. The exercise price equals the closing price of the Common Stock on 
the New York Stock Exchange on December 23, 1996. The options were 
exercisable in full on the grant date. The Compensation Committee approved 
this arrangement because this equity-based compensation will act as a further 
incentive to Mr. Chambers to increase stockholder value. 

   See "Compensation of Directors and Executive Officers -- Employment 
Agreements and Change of Control Arrangements" for a more detailed 
description of the foregoing employment agreements and the bonuses provided 
for therein. 

   In recognition of the named executive officers' continued value to the 
Company, the Compensation Committee also approved new employment agreements, 
or amendments to existing employment agreements, in 1996, which guarantee 
their employment, subject to the Company's right to terminate for cause, into 
1998 or 1999. 

   In determining the number of stock options to be granted, the Compensation 
Committee reviews the current option holdings of the executive officers and 
determines the number of options to be granted based on the principle of 
rewarding performance and providing continuing incentives to contribute to 
stockholder value. Accordingly, option grants to the Company's executive 
officers in 1996 ranged from grants for 60,000 to 180,000 shares, with all 
executive officers receiving options in 1996. Additionally, the stock options 
granted to most of the executive officers in 1996 contain performance-based 
conditions that allow accelerated vesting of a portion of the options if the 
Company meets established earnings per share targets for 1996, 1997 and 1998. 
These conditions are intended to motivate further the executive officers to 
increase stockholder value. 

CEO COMPENSATION 

   Robert L. Mayer, Jr. has been President and Chief Executive Officer of the 
Company since its inception in 1988. The Compensation Committee determined 
Mr. Mayer's compensation in accordance with the employment agreement between 
Mr. Mayer and the Company and the policies set forth above with respect to 
the Company's other executive officers. 

   Mr. Mayer's base salary for 1996 was $302,500, as established by the 
Compensation Committee at the beginning of 1996. In establishing this salary, 
Mr. Higgins, former Chairman of the Compensation Committee, reviewed studies 
and surveys of compensation in the health care industry. The Compensation 
Committee set Mr. Mayer's annual compensation within the range of 
compensation of chief executive officers at other health care companies. 
Other factors taken into consideration included: changes in the cost of 
living and competitors' overall size and performance, as well as a subjective 
evaluation of Mr. Mayer's performance. 

   With respect to cash bonus, Mr. Mayer's employment agreement provided for 
an annual cash bonus for 1996 ranging from 40% to 55% of his base salary if 
the Company met or exceeded earnings targets established by the Compensation 
Committee and Mr. Mayer and set forth in his employment agreement, as amended 
in May 1996. The Compensation Committee approved a cash bonus of $189,062, or 
62.5% of base salary, to Mr. Mayer for 1996 based on the Company's earnings 
per share for the year (before merger costs) of $.85, which fell at the top 
or the range of $.81 to $.85 per share set forth in Mr. Mayer's employment 
agreement. The fact that Mr. Mayer's bonus was above the range set forth in 
his employment agreement indicates that the Compensation Committee believes 
that his performance and the Company's performance for 1996 met or exceeded 
its expectations, and is intended to reward him for the Company's 
achievements in 1996, which are described above. Mr. Mayer's employment 
agreement provides that his bonus in future years will be completely in the 
discretion of the Compensation Committee, and need not be determined in a 
similar manner as in 1996. 

   Stock options to purchase 100,000 shares were granted to Mr. Mayer in 
1996. This grant was made after considering the number and terms of options 
previously granted to Mr. Mayer. Of the options previously granted, options 
to purchase 100,000 shares did not vest until June 2003. Under the terms of 
these options, however, 

                                       13

<PAGE>


vesting was accelerated and the options vested earlier in increments of 
one-third each because the Company met certain earnings per share targets in 
1994, 1995 and 1996. The remaining options vest in equal installments over 
five years. Because of the success of these performance vesting options in 
motivating Mr. Mayer in prior years, the 1996 grant includes 50,000 shares 
with similar performance targets for 1996, 1997 and 1998. The Compensation 
Committee believes that this option grant and the previous grants will 
provide incentives to Mr. Mayer for 1997 and future years. 


IMPACT OF SECTION 162(M) OF THE INTERNAL REVENUE CODE 

   Section 162(m) of the Internal Revenue Code, applicable for 1994 and 
subsequent years, generally disallows a tax deduction to publicly held 
companies for compensation of more than $1 million paid to the company's 
chief executive officer or any executive officer named in its Summary 
Compensation Table. Qualifying performance-based compensation will not be 
subject to the deduction limit if certain requirements are met. The policy of 
the Compensation Committee is to structure the compensation of the Company's 
executive officers, including Mr. Mayer, to avoid the loss of the 
deductibility of any compensation, although Section 162(m) will not preclude 
the Compensation Committee from awarding compensation in excess of $1 
million, if it should be warranted in the future. Furthermore, the Company's 
Amended and Restated 1990 Stock Plan includes provisions intended to ensure 
that grants under the plan meet the requirements for qualifying 
performance-based compensation. The Company believes that Section 162(m) will 
not have any effect on the deductibility of the compensation of Mr. Mayer and 
the other executive officers named in the Summary Compensation Table for 
1996. 
                                            Respectfully submitted, 

                                            COMPENSATION COMMITTEE 


                                            Michael R. Walker, Chairman 
                                            Claire W. Gargalli 
                                            Patrick T. Ryan 


                                       14
<PAGE>

                           STOCK PERFORMANCE GRAPH 


   The following graph compares the cumulative total stockholder return of 
the Company's Common Stock from July 22, 1993 (the date that trading in the 
Common Stock commenced on the Nasdaq National Market) to December 31, 1996 
with: (a) the Standard & Poor's 500 Composite Stock Price Index; and (b) the 
Standard & Poor's Healthcare Diversified Index. On December 20, 1995, trading 
in the Common Stock commenced on the New York Stock Exchange. 


500-----------------------------------------------------------------------------
                                                                           @


450-----------------------------------------------------------------------------


                                                    @
400-----------------------------------------------------------------------------



350-----------------------------------------------------------------------------



300-----------------------------------------------------------------------------



250-----------------------------------------------------------------------------


                                    @                                      $
200-----------------------------------------------------------------------------
                    @                                $

                                                                           *
150-----------------------------------------------------------------------------

                                                     *
                                    $
100@$*--------------$*--------------*-------------------------------------------



 50-----------------------------------------------------------------------------



  0-----------------------------------------------------------------------------
July 22      December 31,      December 31,      December 31,      December 31,
 1993           1993              1994              1995              1996

- -------------------------------------------------------------------------------
@ = Renal Treatment            $ = S&P Healthcare               * = S&P 500
    Centers                        Diversified Index
- -------------------------------------------------------------------------------
    Assumes $100 invested at July 22, 1993 and reinvestment of all dividends

                                 July 22,  Dec. 31,  Dec. 31,  Dec. 31,  Dec 31,
                                  1993      1993      1994      1995      1996
                                  ----      ----      ----      ----      ----
Rental Treatment Centers        100.00     182.50    207.06    419.00    485.71
S&P Healthcare Diversified 
  Index                         100.00     108.90    122.05    176.40    217.08
S&P 500                         100.00     104.94    103.32    138.56    166.64


                                      15 
<PAGE>

                             CERTAIN TRANSACTIONS 

   Thomas J. Karl, Vice President, Secretary and General Counsel of the 
Company since May 1996, is also a partner in the law firm of Duane, Morris & 
Heckscher. Duane, Morris & Heckscher has represented the Company in numerous 
legal matters, and it is anticipated that they will be engaged by the Company 
in the future in numerous legal matters. 

                APPROVAL OF AMENDMENTS TO AMENDED AND RESTATED 
                               1990 STOCK PLAN 
                            (ITEM 2 ON PROXY CARD) 

   The Company's Amended and Restated 1990 Stock Plan (the "1990 Stock Plan") 
permits the granting of stock options ("Options"), including Options intended 
to qualify as incentive stock options under the Internal Revenue Code 
("ISOs") and Options not intended to so qualify ("Non-Qualified Options"), 
outright awards of stock ("Awards") and opportunities to make direct 
purchases of stock ("Purchases"). Options, Awards and authorizations to make 
Purchases are collectively referred to hereafter as "Stock Rights." Stock 
Rights may be granted under the 1990 Stock Plan until September 27, 2000. The 
number of shares of Common Stock that could be the subject of Stock Rights 
granted under the 1990 Stock Plan was, prior to the amendments being 
submitted to the stockholders for approval at the 1997 Annual Meeting, 
3,237,000 shares in the aggregate. At March 14, 1997, Options to purchase an 
aggregate of 1,660,033 shares of Common Stock were outstanding to officers 
and employees of the Company under the 1990 Stock Plan, options had been 
exercised for an aggregate of 1,129,377 shares and there were only 447,590 
shares of Common Stock available for grants under the 1990 Stock Plan. 

   The Board of Directors of the Company believes that the 1990 Stock Plan 
has been worthwhile in attracting and retaining desirable key employees. In 
order to continue to provide the best incentive for key employees, directors 
and consultants, the Board of Directors, on February 11, 1997, approved an 
amendment and restatement of the 1990 Stock Plan that, among other things, 
increased the number of shares of Common Stock covered thereby from 3,237,000 
shares to 3,987,000 shares. 

   This amendment increasing the number of shares available under the 1990 
Stock Plan is being submitted to the stockholders for their approval at the 
Annual Meeting. Also being submitted to the stockholders for approval is an 
amendment of the provision of the 1990 Stock Plan relating to the approval of 
future amendments to the 1990 Stock Plan. Previously, the 1990 Stock Plan 
listed specific types of amendments requiring stockholder approval. In light 
of recent changes in regulations of the Securities and Exchange Commission 
applicable to equity incentive plans, this provision has been amended to 
become more flexible, and would provide that stockholder approval must be 
sought any time that it is required under any applicable law or any time that 
the Board of Directors deems it advisable for any reason, such as for the 
purpose of obtaining or retaining any statutory or regulatory benefits under 
tax, securities or other laws or satisfying any stock exchange listing 
requirements. 

   Other amendments to the 1990 Stock Plan, which do not require stockholder 
approval and therefore are not being submitted to the stockholders at the 
Annual Meeting, were also approved. The other amendments to the 1990 Stock 
Plan were as follows: 

   o  The provisions governing directors eligible to serve on the Stock Plan 
      Committee, which administers the 1990 Stock Plan, has been amended so 
      that only directors qualifying as "non-employee directors" under Rule 
      16b-3 under the Securities Exchange Act of 1934 and as "outside 
      directors" under Section 162(m) of the Internal Revenue Code may serve 
      on the Stock Plan Committee. 

   o  A provision has been added that the full Board of Directors may, at its 
      election, exercise all authority granted to the Stock Plan Committee. 

   o  The definition of fair market value (for purposes of determining the 
      exercise price of options) has been amended to provide that either the 
      closing market price on the date of grant or the average of the high 
      and low sales prices on the date of grant may be used to determine fair 
      market value. 


                                       16
<PAGE>

   The persons eligible to participate in the 1990 Stock Plan consist of 
officers, employees, directors and consultants of the Company or its 
subsidiaries. Directors who are not also employees of the Company or any of 
its subsidiaries, however, are not eligible to receive ISOs under the 1990 
Stock Plan. As of the date of this Proxy Statement, ten persons, five of whom 
are also employees of the Company, serve as a director of the Company and/or 
one or more of its subsidiaries, and the Company and its subsidiaries have an 
aggregate of approximately 2,700 employees. 

   The 1990 Stock Plan may be administered by the Board of Directors of the 
Company or a committee thereof and is currently administered by the Stock 
Plan Committee of the Board of Directors, consisting of Ms. Gargalli and 
Messrs. Ryan and Walker. See "Election of Directors -- Meetings and 
Committees of the Board." 

   The Stock Plan Committee's powers under the 1990 Stock Plan include the 
power to interpret the 1990 Stock Plan and, subject to the terms of the 1990 
Stock Plan, to determine when and to whom Stock Rights may be granted, the 
number of shares to be covered thereby, the time of vesting of Options, the 
expiration dates of Options, conditions on the exercise of options, including 
performance criteria, and certain other terms of Stock Rights. As amended, 
the 1990 Stock Plan also permits the full Board of Directors to exercise all 
authority of the Stock Plan Committee. 

   For ISOs, the exercise price must be at least 100% of the fair market 
value per share of Common Stock on the date the option is granted. For 
Non-Qualified Options, the exercise price must be at least equal to the 
lesser of: (i) the book value per share of the Common Stock as of the end of 
the fiscal year immediately preceding the date the Non-Qualified Option is 
granted; or (ii) 50% of the fair market value per share of Common Stock on 
the date the Non-Qualified Option is granted. 

   Options become exercisable in one or more installments in accordance with 
a schedule determined at the time of grant. The Stock Plan Committee can also 
establish circumstances, terms and conditions for the acceleration of the 
exercise date of any Options. The exercise price of Options granted under the 
1990 Stock Plan must be paid in full at the time of exercise in cash or by 
check, or, in the discretion of the Stock Plan Committee, through delivery of 
shares of Common Stock having a fair market value equal to the exercise price 
or through delivery of the optionee's interest-bearing promissory note. The 
proceeds from the sale of shares pursuant to exercise of an Option granted 
under the 1990 Stock Plan will be added to the general funds of the Company. 

   The 1990 Stock Plan provides for adjustment of outstanding options in the 
event of certain extraordinary corporate transactions, including mergers, 
consolidations, recapitalizations, reclassifications, and stock splits and 
combinations. If any Option granted under the Plan expires or terminates 
without having been exercised in full or ceases to be exercisable, the shares 
subject to such Option will again be available for grants under the 1990 
Stock Plan. 

   Options granted under the 1990 Stock Plan are non-transferable other than 
by will or by laws of descent and distribution. An Option granted under the 
1990 Stock Plan may be exercised during the lifetime of the optionee only by 
the optionee. 

   Subject to earlier termination, each Option will expire on the date 
specified by the Stock Plan Committee, but not more than: (i) ten years and 
one day from the date of grant in the case of Non-Qualified Options; (ii) ten 
years from the date of grant in the case of ISOs generally; and (iii) five 
years from the date of grant in the case of ISOs granted to an employee 
owning stock possessing more than 10% of the total combined voting power of 
all classes of stock of the Company or any related corporation. If an ISO 
optionee's employment terminates by reason of death or disability, the 
optionee or his or her successor may exercise the optionee's Options to the 
extent that they were exercisable as of the date of such termination within a 
period of 180 days after such termination (unless the term of the option 
expires prior to the end of such 180-day period). If an ISO optionee's 
employment terminates for any reason other than death or disability, the 
optionee may exercise his or her Options to the extent that they were then 
exercisable within a period of 90 days from the date of such termination 
(unless the term of the option expires prior to the end of such 90-day 
period). 

   To the extent the aggregate fair market value (determined at the time of 
grant) of the shares of Common Stock with respect to which an ISO is 
exercisable for the first time by an employee during any calendar year 
exceeds $100,000, such Option shall be treated, for federal income tax 
purposes, as a Non-Qualified Option. 

                                       17
<PAGE>

   The Board of Directors may at any time terminate or amend the 1990 Stock 
Plan, subject to any required stockholder approval or any stockholder 
approval that the Board of Directors may deem advisable for any reason, such 
as for the purpose of obtaining or retaining any statutory or regulatory 
benefits under tax, securities or other laws or satisfying any stock exchange 
listing requirements. No termination or amendment of the 1990 Stock Plan may 
alter or impair the rights of any optionee under any Stock Rights previously 
granted him without the consent of the optionee or his or her successor. 

   An optionee will not recognize income for federal income tax purposes upon 
receipt of an Option, nor will the Company be entitled to any deduction on 
account of such grant. The tax consequences to the optionee and the Company 
of the exercise of a Non-Qualified Option and an ISO, respectively, are 
discussed below. 

   Options that do not comply with the requirements for ISOs or are intended 
to be Non-Qualified Options will result in no tax consequences to an optionee 
when granted. The optionee will, however, realize taxable ordinary income for 
federal income tax purposes at the time of exercise in an amount equal to the 
excess of the fair market value of the stock at the time of such exercise 
over the exercise price thereof. When the optionee disposes of shares 
acquired upon exercise of such Option, he will generally recognize capital 
gain or loss equal to the difference between (i) the amount received upon 
disposition and (ii) the sum of the exercise price and the amount included in 
his income when the Option was exercised. Such gain or loss will be long-term 
or short-term, depending upon whether the shares were held for more or less 
than one year after the date of exercise. 

   The Company will be entitled to a tax deduction in connection with such an 
Option only in an amount equal to the ordinary income recognized by the 
optionee and at the time the optionee so recognized the income, provided 
applicable withholding requirements are met. 

   No income will be recognized for federal income tax purposes by an 
optionee when an ISO is granted or exercised. The amount by which the market 
value of the shares received on exercise of an ISO exceeds the exercise price 
of the shares is, however, an item of "tax preference" and will be included 
in the calculation of "alternative minimum taxable income." The "alternative 
minimum tax" imposed on individual taxpayers is equal to the amount by which 
the applicable percentage of the alternative minimum taxable income (reduced 
by certain exemption amounts) exceeds the regular tax for the taxable year. 
The applicable percentage is 26% or 28%, depending on the amount of such 
alternative minimum taxable income. However, generally, there will be no item 
of tax preference if the shares are disposed of in the same taxable year in 
which the option is exercised. 

   If the optionee does not dispose of the shares issued to him upon exercise 
of the ISO within one year from such issuance or within two years from the 
date of grant of the ISO, whichever is later, the optionee will be taxed when 
he sells the shares at capital gains rates on the difference between the 
exercise price and the sales price. If the optionee does dispose of the 
shares during such period, the disposition will be considered a 
"disqualifying disposition." 

   The Company will not have a deduction at the time an optionee exercises an 
ISO unless he subsequently makes a disqualifying disposition. If the optionee 
makes a disqualifying disposition, he will recognize ordinary income for 
federal income tax purposes in an amount equal to the lesser of (i) the gain 
realized upon the sale of such stock or (ii) the excess of the fair market 
value of such stock at the time of exercise over the exercise price, and the 
Company will be entitled to claim a deduction in an amount equal to the 
ordinary income recognized by the optionee for federal income tax purposes. 
Any gain realized by the optionee in excess of the sum of the amount taxed as 
ordinary income and the exercise price will be treated as a capital gain and 
any loss will be treated as a capital loss. Such capital gain or loss will be 
long-term or short-term, depending upon whether the shares were held for more 
or less than one year after the date of exercise. If the optionee disposes of 
the shares by gift during the holding period, the transfer will also be 
treated as a disqualifying disposition. 

   If the exercise price is paid with shares already owned by the employee, 
generally no gain or loss will be recognized with respect to the shares used 
for payment, and the additional shares received will be taxed as described 
herein. However, if payment of the exercise price of an ISO is made with 
shares acquired upon exercise of an ISO before the shares used for payment 
have been held for the two-year or one-year period described herein, use of 
such shares as payment will be treated as a disqualifying disposition of the 
shares used for payment subject to the rules described herein. 

                                       18
<PAGE>

   Under current law, any gain realized by an employee, other than long-term 
gain, is taxable at a maximum federal income tax rate of 39.6%. Long-term 
capital gain is taxable at a maximum federal income tax rate of 28%. 

   The foregoing description of the federal income tax consequences relating 
to Options granted under the 1990 Stock Plan is based upon the federal tax 
law and regulations currently in effect. 

   The following sets forth the total number of shares of Common Stock 
underlying Options granted to the persons listed below under the 1990 Stock 
Plan as of March 14, 1997. 

                                                            Number of Shares 
    Name and Title                                         Underlying Options 
    --------------                                         ------------------ 
Robert L. Mayer, Jr.  ..............                              713,784 
     President, Chief Executive 
     Officer and Director 

Frederick C. Jansen  ...............                              667,116 
     Executive Vice President, 
     Treasurer and Director 

Barbara A. Bednar  .................                              283,700 
     Vice President and Chief 
     Operating Officer of Dialysis
     Services 

John A. Chambers  ..................                              300,000 
     Vice President of Development 

Ronald H. Rodgers, Jr.  ............                              194,110 
     Vice President of Finance and 
     Chief Financial Officer 

Thomas J. Karl  ....................                              180,000 
     Vice President, Secretary and 
     General Counsel 

All current executive  .............                            2,372,710 
     officers as a group (7 persons) 

All employees as a group  ..........                            2,675,710 
     (24 persons) 


   Of the foregoing Options, Options to purchase an aggregate of 1,015,677 
shares had been exercised as of March 14, 1997, at exercise prices ranging 
from $.06 to $21.81 per share. The market value of the Common Stock of the 
Company as of March 27, 1997 was $23.25 per share, based on the closing sales 
price on that date for the Common Stock on the New York Stock Exchange. 

   The affirmative vote of a majority of the shares of the Common Stock of 
the Company, present in person or represented by proxy at the meeting and 
entitled to vote with respect to the amendments to the 1990 Stock Plan, is 
required to approve such amendments. Abstentions are considered shares of 
stock present in person or represented by proxy at the meeting and entitled 
to vote and are counted in determining the number of votes necessary for a 
majority. An abstention will therefore have the practical effect of voting 
against approval of the amendments because it represents one fewer vote for 
approval of the amendments. Broker non-votes are not considered shares 
present in person or represented by proxy and entitled to vote on the 
amendments to the 1990 Stock Plan and will have no effect on the vote. 

                THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" 
              APPROVAL OF THE AMENDMENTS TO THE 1990 STOCK PLAN 

                                       19
<PAGE>

               APPROVAL OF AMENDMENTS TO EQUITY INCENTIVE PLAN 
                            FOR OUTSIDE DIRECTORS 
                            (ITEM 3 ON PROXY CARD) 

   On November 12, 1993, the Board of Directors adopted an Equity Incentive 
Plan for Outside Directors (as subsequently amended and restated, the 
"Director Plan"). The Board of Directors believes that the Director Plan will 
assist the Company in attracting and retaining dedicated and qualified people 
who are not employees of the Company to serve as directors of the Company. 

   The total number of shares of Common Stock subject to options that may be 
granted under the Director Plan is 60,000. Participation in the Director Plan 
is limited to directors of the Company who are not employees of the Company 
or any of its subsidiaries. As of the date of this Proxy Statement, the 
Company has three non-employee directors. 

   Prior to the amendments being submitted to the stockholders for approval, 
each person elected or re-elected an outside director before December 31, 
1999 was entitled to be granted an option for 1,000 shares under the Director 
Plan per year of such person's term as a director of the Company. As amended, 
each person elected or re-elected an outside director on or after May 2, 1996 
but before December 31, 1999 is entitled to be granted an option for 3,000 
shares under the Director Plan per year of such person's term as a director 
of the Company. Accordingly, if re-elected at the Annual Meeting, Messrs. 
Ryan and Walker will each be entitled to be granted an option for 9,000 
shares, i.e., 3,000 shares per year of a three-year term. The Board of 
Directors determined to increase the number of shares awarded in grants under 
the Director Plan in order to continue to provide the best incentive to the 
Company's outside directors and to attract and retain qualified outside 
directors. 

   The price per share to be paid upon exercise of an option granted under 
the Director Plan will be 100% of the fair market value of a share of Common 
Stock on the date of the grant of such option. A stock option under the 
Director Plan vests, after a one-year waiting period, in cumulative annual 
increments of the lesser of 3,000 shares or the number of shares subject to 
the option then remaining unexercisable. Options granted prior to May 2, 1996 
(before the amendments described above) vest, after a one-year waiting 
period, in cumulative annual increments of the lesser of 1,000 shares or the 
number of shares subject to the option then remaining unexercisable. 

   The aggregate option price must be paid in full upon exercise of an option 
granted under the Director Plan. The price must be paid in cash. All options 
granted under the Director Plan are non-transferable other than by will or by 
the laws of descent and distribution. An option may be exercised during the 
lifetime of the optionee only by the optionee. The proceeds from the sale of 
Common Stock pursuant to the exercise of options granted under the Director 
Plan will be added to the general funds of the Company. 

   The Director Plan will be administered by a committee to be appointed by 
the Board. No options may be granted under the Director Plan to any member of 
the committee during the term of his membership on the committee. Only 
directors not then, or within one year prior thereto, eligible to be granted 
an option under the Director Plan may serve on the committee. The current 
members of the committee are Robert L. Mayer, Jr. and Frederick C. Jansen. 

   The unexercised portion of any option granted under the Director Plan 
automatically and without notice will terminate at the earliest to occur of: 
(a) ten years from the date thereof; (b) 90 days from the date the grantee 
ceased to be a director of the Company (other than due to death or 
disability); (c) three years from the date the grantee ceased to be a 
director due to a total disability; or (d) one year from the date of the 
grantee's death if such death occurs while the grantee is a director or 
within the three-year period referred to in (c). 

   The Director Plan provides for the adjustment of outstanding options in 
the event of certain extraordinary transactions, including mergers, 
consolidations, recapitalizations, reclassifications, and stock splits and 
combinations. If an option granted under the Director Plan expires or is 
cancelled without having been exercised in full, the shares which were not 
purchased will again be eligible for grants under the Director Plan. 

   In the event of a change in control, each outstanding option under the 
Director Plan will become immediately exercisable in full. 

                                       20
<PAGE>

   The Director Plan may be terminated, suspended or modified at any time by 
the Board of Directors. However, no such termination, suspension or 
modification may adversely affect any right acquired by any grantee under the 
terms of his option granted before the date of such termination, suspension 
or modification without the consent of the grantee. Furthermore, any 
modification of the Director Plan to increase the aggregate number of shares 
for which options may be granted under the Director Plan, to change the 
designation of the class of persons eligible to receive options under the 
Director Plan, to permit the exercise of an option after ten years from the 
date of grant or to increase materially the benefits accruing to participants 
under the Director Plan will require stockholder approval. 

   Options granted under the Director Plan do not qualify as incentive stock 
options under the Internal Revenue Code. For the federal income tax 
consequences relating to such options, see the discussion of the tax 
treatment of Non-Qualified Options under the heading "Approval of Amendments 
to Amended and Restated 1990 Stock Plan" above. 

   The following sets forth the total number of shares of Common Stock 
underlying options that have been granted to date to the current outside 
directors of the Company under the Director Plan. Also set forth is the 
number of such shares of Common Stock underlying options that are subject to 
approval of the amendments to the Director Plan by the stockholders of the 
Company at the 1997 Annual Meeting. 

                                       Number of Shares Underlying Options 
                                  ------------------------------------------- 
                                                          Subject to Approval 
Name                                Total                    of Amendments 
- ----                                -----                    ------------- 
Claire W. Gargalli .............    6,000                        6,000 
Patrick T. Ryan ................    3,144                           -- 
Michael R. Walker ..............    6,954                           -- 


   Options granted under the Director Plan to purchase an aggregate of 6,954 
shares had been exercised as of March 14, 1997, at exercise prices of $9.94 
and $11.25 per share (954 and 4,000 shares, respectively). The market value 
of the Common Stock of the Company as of March 27, 1997 was $23.25 per share, 
based on the closing sales price on that date for the Common Stock on the New 
York Stock Exchange. 

   The affirmative vote of a majority of the shares of Common Stock, present 
in person or represented by proxy at the meeting and entitled to vote with 
respect to approval of the amendments to the Director Plan, is required for 
approval of the amendments to the Director Plan. Abstentions are considered 
shares of stock present in person or represented by proxy at the meeting and 
entitled to vote and are counted in determining the number of votes necessary 
for a majority. An abstention will therefore have the practical effect of 
voting against approval of the amendments to the Director Plan because it 
represents one fewer vote for approval. Broker non-votes are not considered 
shares present in person or represented by proxy and entitled to vote on 
approval of the amendments to the Director Plan, and will have no effect on 
the vote. 

                THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" 
               APPROVAL OF THE AMENDMENTS TO THE DIRECTOR PLAN 

                                       21
<PAGE>

                           INDEPENDENT ACCOUNTANTS 
                            (ITEM 4 ON PROXY CARD) 

   The Board of Directors of the Company has selected the firm of Coopers & 
Lybrand L.L.P. as the Company's independent accountants for the fiscal year 
ending December 31, 1997. Representatives of Coopers & Lybrand L.L.P. are 
expected to be present at the Company's Annual Meeting with the opportunity 
to make a statement, if they desire to do so, and will be available to 
respond to appropriate questions. 

   If the stockholders do not ratify the appointment of Coopers & Lybrand 
L.L.P., other certified public accountants will be considered by the Board of 
Directors. 

                   THE BOARD OF DIRECTORS RECOMMENDS A VOTE 
                 "FOR" THE RATIFICATION OF THE APPOINTMENT OF 
             COOPERS & LYBRAND L.L.P. AS INDEPENDENT ACCOUNTANTS 
                           FOR THE COMPANY FOR 1997 

                                ANNUAL REPORT 

   A copy of the Company's Annual Report for 1996 is being mailed to the 
Company's stockholders with this Proxy Statement. 

                            STOCKHOLDER PROPOSALS 

   To be considered for presentation to the next Annual Meeting of 
Stockholders, a stockholder proposal must be received by the Secretary of 
Renal Treatment Centers, Inc., 1180 West Swedesford Road, Suite 300, Building 
2, Berwyn, Pennsylvania 19312, no later than December 1, 1997. 


                                OTHER MATTERS 

   The Board of Directors knows of no other business that will be presented 
to the Annual Meeting. If any other business is properly brought before the 
Annual Meeting, it is intended that proxies in the enclosed form will be 
voted in respect thereof in accordance with the judgments of the persons 
voting the proxies. WHETHER OR NOT YOU INTEND TO BE PRESENT AT THE ANNUAL 
MEETING, YOU ARE URGED TO COMPLETE, SIGN, AND RETURN YOUR PROXY PROMPTLY. 


                                  By Order of the Board of Directors, 


                                  Thomas J. Karl 
                                  Vice President, Secretary and General Counsel 
March 31, 1997 

                                      22 
<PAGE>


                          RENAL TREATMENT CENTERS, INC.

              ANNUAL MEETING OF STOCKHOLDERS TO BE HELD MAY 7, 1997

          THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS.

         The undersigned hereby constitutes and appoints Ronald H. Rodgers, Jr.
and Thomas J. Karl, and each or any of them, proxies of the undersigned, with
full power of substitution, to vote all of the shares of Common Stock of Renal
Treatment Centers, Inc. (the "Company") that the undersigned may be entitled to
vote at the Annual Meeting of Stockholders of the Company to be held at the
Sheraton Valley Forge Hotel, North Gulph Road and First Avenue, King of Prussia,
Pennsylvania on Wednesday, May 7, 1996, at 10:00 a.m., local time, and at any
adjournments thereof, as follows:

1.  ELECTION OF DIRECTORS

  [ ]  FOR ALL NOMINEES LISTED               [ ]  WITHHOLD AUTHORITY
       BELOW (except as marked to                 to vote for all nominees
       the contrary below)                        listed below

(INSTRUCTION: To withhold authority to vote for any individual nominee, strike
a line through the nominee's name in the list below.)

                Patrick T. Ryan, Michael R. Walker

2.  PROPOSAL TO APPROVE AMENDMENTS TO THE RENAL TREATMENT CENTERS, INC. AMENDED
    AND RESTATED 1990 STOCK PLAN.  The Board of Directors recommends a vote FOR
    this proposal.

            [ ] FOR             [ ] AGAINST             [ ] ABSTAIN

3.  PROPOSAL TO APPROVE AMENDMENTS TO THE RENAL TREATMENT CENTERS, INC. EQUITY
    INCENTIVE PLAN FOR OUTSIDE DIRECTORS. The Board of Directors recommends a
    vote FOR this proposal.

            [ ] FOR             [ ] AGAINST             [ ] ABSTAIN

4.  PROPOSAL TO RATIFY THE APPOINTMENT OF COOPERS & LYBRAND L.L.P. AS
    INDEPENDENT ACCOUNTANTS FOR THE COMPANY FOR 1997. The Board of Directors
    recommends a vote FOR this proposal.

            [ ] FOR             [ ] AGAINST             [ ] ABSTAIN

                           (continued on reverse side)
<PAGE>

                          (continued from reverse side)


5.  In their discretion, the proxies are authorized to vote upon such other
    business as may properly come before the Annual Meeting and any
    adjournments thereof.


    THIS PROXY, WHEN PROPERLY EXECUTED, WILL BE VOTED IN THE MANNER DIRECTED
HEREIN BY THE UNDERSIGNED STOCKHOLDER. IF NO DIRECTION IS MADE, THIS PROXY WILL
BE VOTED FOR THE NOMINEES FOR DIRECTOR SET FORTH IN PROPOSAL 1 AND FOR PROPOSALS
2, 3 AND 4.

    THIS PROXY SHOULD BE DATED, SIGNED BY THE STOCKHOLDER EXACTLY AS HIS NAME
APPEARS BELOW AND RETURNED PROMPTLY TO THE COMPANY IN THE ENCLOSED ENVELOPE.
PERSONS SIGNING IN A FIDUCIARY CAPACITY SHOULD SO INDICATE.


                                       Dated:                           , 1997
                                             ---------------------------


                                       ---------------------------------------

                                       ---------------------------------------
<PAGE>

The following appendices are being filed as Appendices to the Proxy Statement
pursuant to Instruction 3 of Item 10, Schedule 14A, and are not being provided
to the stockholders of Renal Treatment Centers, Inc. with the Proxy Statement.
<PAGE>

                                                                    Appendix 1


                          RENAL TREATMENT CENTERS, INC.

                      AMENDED AND RESTATED 1990 STOCK PLAN
                      ------------------------------------



         1. Purpose. This 1990 Stock Plan (the "Plan") is intended to provide
incentives: (a) to the officers and other employees of Renal Treatment Centers,
Inc. (the "Company"), its parent (if any) and any present or future subsidiaries
of the Company (collectively, "Related Corporations") by providing them with
opportunities to purchase stock in the Company pursuant to options granted
hereunder which qualify as "incentive stock options" under Section 422(b) of the
Internal Revenue Code of 1986 (the "Code") ("ISO" or "ISOs"); (b) to directors,
officers, employees and consultants of the Company and Related Corporations by
providing them with opportunities to purchase stock in the Company pursuant to
options granted hereunder which do not qualify as ISOs ("Non-Qualified Option"
or "Non-Qualified Options"); (c) to directors, officers, employees and
consultants of the Company and Related Corporations by providing them with
awards of stock in the Company ("Awards"); and (d) to directors, officers,
employees and consultants of the Company and Related Corporations by providing
them with opportunities to make direct purchases of stock in the Company
("Purchases"). Both ISOs and Non-Qualified Options are referred to hereinafter
individually as an "Option" and collectively as "Options". Options, Awards and
authorizations to make Purchases are referred to hereinafter collectively as
"Stock Rights". As used herein, the terms "parent" and "subsidiary" mean "parent
corporation" and "subsidiary corporation", respectively, as those terms are
defined in Section 424 of the Code.

         2.     Administration of the Plan.

                A. Board or Committee Administration. The Plan shall be
         administered by the Board of Directors of the Company (the "Board").
         The Board may appoint a Stock Plan Committee (the "Committee") of two
         or more directors to administer the Plan. A director of the Company
         shall be eligible to serve on the Committee only if he or she qualifies
         as a "non-employee director" for purposes of Rule 16b-3 under the
         Securities Exchange Act of 1934. In addition, each member of the
         Committee shall be an "outside director" within the meaning of Section
         162(m) of the Code. Hereinafter, all references in this Plan to the
         "Committee" shall mean the Board if no Committee has been appointed.
         Subject to ratification of the grant or authorization of each Stock
         Right by the Board (if so required by applicable state law), and
         subject to the terms of the Plan, the Committee shall have the
         authority to (i) determine the employees of the Company and Related
         Corporations (from among the class of employees eligible under
         paragraph 3 to receive ISOs) to whom ISOs may be granted, and to

<PAGE>

         determine (from among the class of individuals and entities eligible
         under paragraph 3 to receive Non-Qualified Options and Awards and to
         make Purchases) to whom Non-Qualified Options, Awards and
         authorizations to make Purchases may be granted; (ii) determine the
         time or times at which Options or Awards may be granted or Purchases
         made; (iii) determine the option price of shares subject to each
         Option, which price shall not be less than the minimum price specified
         in paragraph 6, and the purchase price of shares subject to each
         Purchase; (iv) determine whether each Option granted shall be an ISO or
         a Non-Qualified Option; (v) determine (subject to paragraph 7) the time
         or times when each Option shall become exercisable and the duration of
         the exercise period; (vi) determine whether restrictions such as
         repurchase options are to be imposed on shares subject to Options,
         Awards and Purchases and the nature of such restrictions, if any; and
         (vii) interpret the Plan and prescribe and rescind rules and
         regulations relating to it. If the Committee determines to issue a
         Non-Qualified Option, it shall take whatever actions it deems
         necessary, under Section 422 of the Code and the regulations
         promulgated thereunder, to ensure that such Option is not treated as an
         ISO. The interpretation and construction by the Committee of any
         provisions of the Plan or of any Stock Right granted under it shall be
         final unless otherwise determined by the Board or except as may be
         specified in the instrument evidencing the grant of a stock right. The
         Committee may from time to time adopt such rules and regulations for
         carrying out the Plan as it may deem best. No member of the Board or
         the Committee shall be liable for any action or determination made in
         good faith with respect to the Plan or any Stock Right granted under
         it.

                B. Committee Actions. The Committee may select one of its
         members as its chairman, and shall hold meetings at such time and
         places as it may determine. Acts by a majority of the Committee, or
         acts reduced to or approved in writing by a majority of the members of
         the Committee, shall be the valid acts of the Committee. From time to
         time the Board may increase the size of the Committee and appoint
         additional members thereof, remove members (with or without cause) and
         appoint new members in substitution therefor, fill vacancies however
         caused, or remove all members of the Committee and thereafter directly
         administer the Plan.

                C. Authority of the Board. Notwithstanding anything to the
         contrary set forth in the Plan, all authority granted hereunder to the
         Committee may be exercised at any time and from time to time by the
         Board at its election. All decisions, determinations and
         interpretations of the Board shall be final and binding on all
         Optionees and Grantees and all other holders of Options, Stock
         Appreciation Rights and Awards granted under the Plan.

                                      -2-
<PAGE>


        3. Eligible Employees and Others. ISOs may be granted to any employee
of the Company or any Related Corporation. Those officers and directors of the
Company who are not employees may not be granted ISOs under the Plan.
Non-Qualified Options, Awards and authorizations to make Purchases may be
granted to any employee, officer or director (whether or not also an employee)
or consultant of the Company or any Related Corporation. The Committee may take
into consideration a recipient's individual circumstances in determining whether
to grant an ISO, a Non-Qualified Option, an Award or an authorization to make a
Purchase. Granting of any Stock Right to any individual or entity shall neither
entitle that individual or entity to, nor disqualify him from, participation in
any other grant of Stock Rights.

         4. Stock. The stock subject to Options, Awards and Purchases shall be
authorized but unissued shares of Common Stock of the Company, par value $.01
per share (the "Common Stock"), or shares of Common Stock reacquired by the
Company in any manner. The aggregate number of shares which may be issued
pursuant to the Plan is 3,987,000, subject to adjustment as provided in
paragraph 13. Moreover, for the period commencing on January 1, 1994 until
September 27, 2000, no employee shall be granted options for more than 500,000
shares pursuant to this Plan. Any such shares may be issued as ISOs,
Non-Qualified Options or Awards, or to persons or entities making Purchases, so
long as the number of shares so issued does not exceed such number, as adjusted.
If any Option granted under the Plan shall expire or terminate for any reason
without having been exercised in full or shall cease for any reason to be
exercisable in whole or in part, or if the Company shall reacquire any unvested
shares issued pursuant to Awards or Purchases, the unpurchased shares subject to
such Options and any unvested shares so reacquired by the Company shall again be
available for grants of Stock Rights under the Plan.

         5. Granting of Stock Rights. Stock Rights may be granted under the Plan
at any time on or after September 28, 1990 and prior to September 27, 2000. The
date of grant of a Stock Right under the Plan will be the date specified by the
Committee at the time it grants the Stock Right; provided, however, that such
date shall not be prior to the date on which the Committee acts to approve the
grant. The Committee shall have the right, with the consent of the optionee, to
convert an ISO granted under the Plan to a Non-Qualified Option pursuant to
paragraph 16.

         6.     Minimum Option Price; ISO Limitations.

                A. Price for Non-Qualified Options. The exercise price per share
         specified in the agreement relating to each Non-Qualified Option
         granted under the Plan shall in no event be less than the lesser of (i)
         the book value per share of Common Stock as of the end of the fiscal
         year of the Company immediately preceding the date of such grant, or
         (ii) fifty percent (50%) of the fair market value per share of Common
         Stock on the date of such grant.

                                      -3-
<PAGE>

                B. Price for ISOs. The exercise price per share specified in the
         agreement relating to each ISO granted under the Plan shall not be less
         than the fair market value per share of Common Stock on the date of
         such grant. In the case of an ISO to be granted to an employee owning
         stock possessing more than ten percent (10%) of the total combined
         voting power of all classes of stock of the Company or any Related
         Corporation, the price per share specified in the agreement relating to
         such ISO shall not be less than one hundred ten percent (110%) of the
         fair market value per share of Common Stock on the date of grant.

                C. $100,000 Annual Limitation on ISOs. Each eligible employee
         may be granted ISOs only to the extent that, in the aggregate under
         this Plan and all incentive stock option plans of the Company and any
         Related Corporation, such ISOs do not become exercisable for the first
         time by such employee during any calendar year in a manner which would
         entitle the employee to purchase more than $100,000 in fair market
         value (determined at the time the ISOs were granted) of Common Stock in
         that year. Any options granted to an employee in excess of such amount
         will be granted as Non-Qualified Options.

                D. Determination of Fair Market Value. If, at the time an Option
         is granted under the Plan, the Company's Common Stock is publicly
         traded, "fair market value" shall be determined on the date such Option
         is granted (or on the first preceding business day for which the prices
         or quotes discussed in this sentence are available, if the date of
         grant is not a business day) and shall mean (i) the closing price (on
         that date) or the average of the high and low prices (on that date) of
         the Common Stock on the principal national securities exchange on which
         the Common Stock is traded, if the Common Stock is then traded on a
         national securities exchange; or (ii) the last reported sale price (on
         that date) of the Common Stock on the NASDAQ National Market List, if
         the Common Stock is not then traded on a national securities exchange;
         or (iii) the closing bid price (or average of bid prices) last quoted
         (on that date) by an established quotation service for over-the-counter
         securities, if the Common Stock is not reported on the NASDAQ National
         Market List.

         7. Option Duration. Subject to earlier termination as provided in
paragraphs 9 and 10, each Option shall expire on the date specified by the
Committee, but not more than (i) ten years and one day from the date of grant in
the case of Non-Qualified Options, (ii) ten years from the date of grant in the
case of ISOs generally, and (iii) five years from the date of grant in the case

                                      -4-
<PAGE>

of ISOs granted to an employee owning stock possessing more than ten percent
(10%) of the total combined voting power of all classes of stock of the Company
or any Related Corporation. Subject to earlier termination as provided in
paragraphs 9 and 10, the term of each ISO shall be the term set forth in the
original instrument granting such ISO, except with respect to any part of such
ISO that is converted into a Non-Qualified Option pursuant to paragraph 16.

         8. Exercise of Option. Subject to the provisions of paragraphs 9
through 12, each Option granted under the Plan shall be exercisable as follows:

                A. Vesting. The Option shall either be fully exercisable on the
         date of grant or shall become exercisable thereafter in such
         installments as the Committee may specify. The Committee may also
         establish certain conditions, including, without limitation,
         performance criteria with respect to the Company and/or the optionee,
         which must be satisfied before an Option may be exercised.

                B. Full Vesting of Installments. Once an installment becomes
         exercisable it shall remain exercisable until expiration or termination
         of the Option, unless otherwise specified by the Committee.

                C. Partial Exercise. Each Option or installment may be exercised
         at any time or from time to time, in whole or in part, for up to the
         total number of shares with respect to which it is then exercisable.

                D. Acceleration of Vesting. The Committee shall have the right
         to accelerate the date of exercise of any installment of any Option
         upon such circumstances and upon such terms and conditions as the
         Committee shall deem appropriate; provided that the Committee shall
         not, without the consent of an optionee, accelerate the exercise date
         of any installment of any Option granted to any employee as an ISO (and
         not previously converted into a Non-Qualified Option pursuant to
         paragraph 16) if such acceleration would violate the annual vesting
         limitation contained in Section 422(d) of the Code, as described in
         paragraph 6(C).

         9. Termination of Employment. If an ISO optionee ceases to be employed
by the Company and all Related Corporations other than by reason of death or
disability as defined in paragraph 10, no further installments of his ISOs shall
become exercisable, and his ISOs shall terminate after the passage of ninety
(90) days from the date of termination of his employment, but in no event later
than on their specified expiration dates, except to the extent that such ISOs
(or unexercised installments thereof) have been converted into Non-Qualified
Options pursuant to paragraph 16. Employment shall be considered as continuing
uninterrupted during any bona fide leave of absence (such as those attributable

                                      -5-
<PAGE>

to illness, military obligations or governmental service) provided that the
period of such leave does not exceed 90 days or, if longer, any period during
which such optionee's right to reemployment is guaranteed by statute. A bona
fide leave of absence with the written approval of the Committee shall not be
considered an interruption of employment under the Plan, provided that such
written approval contractually obligates the Company or any Related Corporation
to continue the employment of the optionee after the approved period of absence.
ISOs granted under the Plan shall not be affected by any change of employment
within or among the Company and Related Corporations, so long as the optionee
continues to be an employee of the Company or any Related Corporation. Nothing
in the Plan shall be deemed to give any grantee of any Stock Right the right to
be retained in employment or other service by the Company or any Related
Corporation for any period of time.

         10.      Death; Disability.

                A. Death. If an ISO optionee ceases to be employed by the
         Company and all Related Corporations by reason of his death, any ISO of
         his may be exercised, to the extent of the number of shares with
         respect to which he could have exercised it on the date of his death
         (or to such greater extent as may be specified in the instrument
         evidencing the grant of such ISO), by his estate, personal
         representative or beneficiary who has acquired the ISO by will or by
         the laws of descent and distribution, at any time prior to the earlier
         of the specified expiration date of the ISO or 180 days from the date
         of the optionee's death.

                  B. Disability. If an ISO optionee ceases to be employed by the
         Company and all Related Corporations by reason of his disability, he
         shall have the right to exercise any ISO held by him on the date of
         termination of employment, to the extent of the number of shares with
         respect to which he could have exercised it on that date (or to such
         greater extent as may be specified in the instrument evidencing the
         grant of such ISO), at any time prior to the earlier of the specified
         expiration date of the ISO or 180 days from the date of the termination
         of the optionee's employment. For the purposes of the Plan, the term
         "disability" shall mean "permanent and total disability" as defined in
         Section 22(e)(3) of the Code or successor statute.

         11. Assignability. No Option or right to make Purchases shall be
assignable or transferable by the optionee or grantee thereof except by will or
by the laws of descent and distribution, and during the lifetime of the optionee
or grantee, each Option or right to make Purchases shall be exercisable only by
him or his guardian.

         12. Terms and Conditions of Options. Options shall be evidenced by
instruments (which need not be identical) in such forms as the Committee may
from time to time approve. Such instruments shall conform to the terms and

                                      -6-
<PAGE>

conditions set forth in paragraphs 6 through 11 hereof and may contain such
other provisions as the Committee deems advisable which are not inconsistent
with the Plan, including restrictions applicable to shares of Common Stock
issuable upon exercise of Options. In granting any Non-Qualified Option, the
Committee may specify that such Non-Qualified Option shall be subject to the
restrictions set forth herein with respect to ISOs, or to such other termination
and cancellation provisions as the Committee may determine. The Committee may
from time to time confer authority and responsibility on one or more of its own
members and/or one or more officers of the Company to execute and deliver such
instruments. The proper officers of the Company are authorized and directed to
take any and all action necessary or advisable from time to time to carry out
the terms of such instruments.

         13. Adjustments. Upon the occurrence of any of the following events, an
optionee's rights with respect to Options granted to him hereunder shall be
adjusted as hereinafter provided, unless otherwise specifically provided in the
written agreement between the optionee and the Company relating to such Option:

                  A. Stock Dividends and Stock Splits. If the shares of Common
         Stock shall be subdivided or combined into a greater or smaller number
         of shares or if the Company shall issue any shares of Common Stock as a
         stock dividend on its outstanding Common Stock, the number of shares of
         Common Stock deliverable upon the exercise of Options shall be
         appropriately increased or decreased proportionately, and appropriate
         adjustments shall be made in the purchase price per share to reflect
         such subdivision, combination or stock dividend.

                  B. Consolidations or Mergers. If the Company is to be
         consolidated with or acquired by another entity in a merger, sale of
         all or substantially all of the Company's assets or otherwise (an
         "Acquisition"), the Committee or the board of directors of any entity
         assuming the obligations of the Company hereunder (the "Successor
         Board"), shall, as to outstanding Options, either (i) make appropriate
         provision for the continuation of such Options by substituting on an
         equitable basis for the shares then subject to such Options the
         consideration payable with respect to the outstanding shares of Common
         Stock in connection with the Acquisition; or (ii) upon written notice
         to the optionees, provide that all Options must be exercised, to the
         extent then exercisable (or to such greater extent as may be specified
         in the instrument evidencing the grant of the Option), within a
         specified number of days of the date of such notice, at the end of
         which period the Options shall terminate; or (iii) terminate all
         Options in exchange for a cash payment equal to the excess of the fair
         market value of the shares subject to such Options to the extent then
         exercisable (or to such greater extent as may be specified in the
         instrument evidencing the grant of the Option) over the exercise price
         thereof.

                                      -7-
<PAGE>


                  C. Recapitalization or Reorganization. In the event of a
         recapitalization or reorganization of the Company (other than a
         transaction described in subparagraph B above) pursuant to which
         securities of the Company or of another corporation are issued with
         respect to the outstanding shares of Common Stock, an optionee upon
         exercising an Option shall be entitled to receive for the purchase
         price paid upon such exercise the securities he would have received if
         he had exercised his Option prior to such recapitalization or
         reorganization.

                  D. Modification of ISOs. Notwithstanding the foregoing, any
         adjustments made pursuant to subparagraphs A, B or C with respect to
         ISOs shall be made only after the Committee, after consulting with
         counsel for the Company, determines whether such adjustments would
         constitute a "modification" of such ISOs (as that term is defined in
         Section 425 of the Code) or would cause any adverse tax consequences
         for the holders of such ISOs. If the Committee determines that such
         adjustments made with respect to ISOs would constitute a modification
         of such ISOs, it shall offer the holder of such ISOs the option to
         convert the ISOs into Non-Qualified Options as provided in paragraph 16
         or refrain from making such adjustments.

                E. Dissolution or Liquidation. In the event of the proposed
         dissolution or liquidation of the Company, each Option will terminate
         immediately prior to the consummation of such proposed action or at
         such other time and subject to such other conditions as shall be
         determined by the Committee.

                  F. Issuances of Securities. Except as expressly provided
         herein, no issuance by the Company of shares of stock of any class, or
         securities convertible into shares of stock of any class, shall affect,
         and no adjustment by reason thereof shall be made with respect to, the
         number or price of shares subject to Options. No adjustments shall be
         made for dividends paid in cash or in property other than securities of
         the Company.

                G. Fractional Shares. No fractional shares shall be issued under
         the Plan and the optionee shall receive from the Company cash in lieu
         of such fractional shares.

                  H. Adjustments. Upon the happening of any of the events
         described in subparagraphs A, B or C above, the class and aggregate
         number of shares set forth in paragraph 4 hereof that are subject to
         Stock Rights which previously have been or subsequently may be granted
         under the Plan shall also be appropriately adjusted to reflect the
         events described in such subparagraphs. The Committee or the Successor
         Board shall determine the specific adjustments to be made under this
         paragraph 13 and, subject to paragraph 2, its determination shall be
         conclusive.

                                      -8-
<PAGE>


         If any person or entity owning restricted Common Stock obtained by
exercise of a Stock Right made hereunder receives shares or securities or cash
in connection with a corporate transaction described in subparagraphs A, B or C
above as a result of owning such restricted Common Stock, such shares or
securities or cash shall be subject to all of the conditions and restrictions
applicable to the restricted Common Stock with respect to which such shares or
securities or cash were issued, unless otherwise determined by the Committee or
the Successor Board.

         14. Means of Exercising Stock Rights. A Stock Right (or any part or
installment thereof) shall be exercised by giving written notice to the Company
at its principal office address. Such notice shall identify the Stock Right
being exercised and specify the number of shares as to which such Stock Right is
being exercised, accompanied by full payment of the purchase price therefor
either (a) in United States dollars in cash or by check, or (b) at the
discretion of the Committee, through delivery of shares of Common Stock having a
fair market value equal as of the date of the exercise to the cash exercise
price of the Stock Right, or (c) at the discretion of the Committee, by delivery
of the grantee's personal recourse note bearing interest payable not less than
annually at no less than 100% of the lowest applicable Federal rate, as defined
in Section 1274(d) of the Code, or (d) at the discretion of the Committee, by
any combination of (a), (b) and (c) above. If the Committee exercises its
discretion to permit payment of the exercise price of an ISO by means of the
methods set forth in clauses (b), (c), or (d) of the preceding sentence, such
discretion shall be exercised in writing at the time of the grant of the ISO in
question. The holder of a Stock Right shall not have the rights of a shareholder
with respect to the shares covered by his Stock Right until the date of issuance
of a stock certificate to him for such shares. Except as expressly provided
above in paragraph 13 with respect to changes in capitalization and stock
dividends, no adjustment shall be made for dividends or similar rights for which
the record date is before the date such stock certificate is issued.

         15. Term and Amendment of Plan. This Plan was originally adopted by the
Board and approved by the stockholders on September 28, 1990. The Plan shall
expire at the end of the day on September 27, 2000 (except as to Options
outstanding on that date). Subject to the provisions of paragraph 5 above, Stock
Rights may be granted under the Plan prior to the date of stockholder approval
of the Plan or any amendment thereto for which stockholder approval is required
under this paragraph 15. The Board may terminate or amend the Plan in any
respect at any time, subject to any required stockholder approval or any
stockholder approval that the Board may deem advisable for any reason, such as
for the purpose of obtaining or retaining any statutory or regulatory benefits
under tax, securities or other laws or satisfying any stock exchange listing
requirements. In no event may action of the Board or stockholders alter or
impair the rights of a grantee, without his consent, under any Stock Right
previously granted to him.

                                      -9-
<PAGE>


         16. Conversion of ISOs into Non-Qualified Options; Termination. The
Committee, at the written request of any optionee, may in its discretion take
such actions as may be necessary to convert such optionee's ISOs (or any
installments or portions of installments thereof) that have not been exercised
on the date of conversion into Non-Qualified Options at any time prior to the
expiration of such ISOs, regardless of whether the optionee is an employee of
the Company or a Related Corporation at the time of such conversion. Such
actions may include, but not be limited to, extending the exercise period or
reducing the exercise price of the appropriate installments of such ISOs. At the
time of such conversion, the Committee (with the consent of the optionee) may
impose such conditions on the exercise of the resulting Non-Qualified Options as
the Committee in its discretion may determine, provided that such conditions
shall not be inconsistent with this Plan. Nothing in the Plan shall be deemed to
give any optionee the right to have such optionee's ISOs converted into
Non-Qualified Options, and no such conversion shall occur until and unless the
Committee takes appropriate action. The Committee, with the consent of the
optionee, may also terminate any portion of any ISO that has not been exercised
at the time of such termination.

         17. Application of Funds. The proceeds received by the Company from the
sale of shares pursuant to Options granted and Purchases authorized under the
Plan shall be used for general corporate purposes.

         18. Governmental Regulation. The Company's obligation to sell and
deliver shares of the Common Stock under this Plan is subject to the approval of
any governmental authority required in connection with the authorization,
issuance or sale of such shares.

         19. Withholding of Additional Income Taxes. Upon the exercise of a
Non-Qualified Option, the grant of an Award, the making of a Purchase of Common
Stock for less than its fair market value, the making of a Disqualifying
Disposition (as defined in paragraph 20) or the vesting of restricted Common
Stock acquired on the exercise of a Stock Right hereunder, the Company, in
accordance with Section 3402(a) of the Code, may require the optionee, Award
recipient or purchaser to pay additional withholding taxes in respect of the
amount that is considered compensation includible in such person's gross income.
The Committee in its discretion may condition (i) the exercise of an Option,
(ii) the grant of an Award, (iii) the making of a Purchase of Common Stock for
less than its fair market value, or (iv) the vesting of restricted Common Stock
acquired by exercising a Stock Right, on the grantee's payment of such
additional withholding taxes.

                                      -10-
<PAGE>


         20. Notice to Company of Disqualifying Disposition. Each employee who
receives an ISO must agree to notify the Company in writing immediately after
the employee makes a Disqualifying Disposition of any Common Stock acquired
pursuant to the exercise of an ISO. A Disqualifying Disposition is any
disposition (including any sale) of such Common Stock before the later of (a)
two years after the date the employee was granted the ISO, or (b) one year after
the date the employee acquired Common Stock by exercising the ISO. If the
employee has died before such stock is sold, these holding period requirements
do not apply and no Disqualifying Disposition can occur thereafter.

         21. Governing Law; Construction. The validity and construction of the
Plan and the instruments evidencing Stock Rights shall be governed by the laws
of the State of Delaware, or the laws of any jurisdiction in which the Company
or its successors in interest may be organized. In construing this Plan, the
singular shall include the plural and the masculine gender shall include the
feminine and neuter, unless the context otherwise requires.

         22. Compliance with Rule 16b-3. The provisions of the Plan are intended
to comply in all respects with the provisions of Rule 16b-3 under the Securities
Exchange Act of 1934 and any amendments thereto, and, if the Plan shall not so
comply, whether on the date of adoption or by reason of any later amendment to
or interpretation of Rule 16b-3, the provisions of the Plan shall be deemed to
be automatically amended so as to bring them into full compliance with such
rule.



Amended and Restated by the Board of Directors on January 8, 1997.


                                      -11-
<PAGE>

                                                                    Appendix 2


                          RENAL TREATMENT CENTERS, INC.

                              EQUITY INCENTIVE PLAN
                              FOR OUTSIDE DIRECTORS


         RENAL TREATMENT CENTERS, INC., a corporation organized under the laws
of the State of Delaware, hereby sets forth the Equity Incentive Plan for
Outside Directors. The Plan provides for the grant of nonqualified stock options
to Outside Directors.

         1. Definitions. Whenever the following terms are used in this Plan they
shall have the meanings specified below unless the context clearly indicates to
the contrary:

         "Board" shall mean the Board of Directors of the Company.

         "Change in Control" shall mean a change in the power to direct or
cause the direction of the management and policies of the Company arising from
(1) any "person" (as defined in Sections 13(d) and 14(d) of the Securities
Exchange Act of 1934, as amended (the "Exchange Act")) becoming the "beneficial
owner" (as defined in Rule 13d-3 under the Exchange Act), directly or
indirectly, of securities of the Company representing 35% or more of the
combined voting power of the Company's then outstanding securities or (2) more
than 50% of the assets of the Company being disposed of by the Company pursuant
to a partial or complete liquidation of the Company, a sale of assets (including
stock of a subsidiary or subsidiaries) of the Company or otherwise.

         "Code" shall mean the Internal Revenue Code of 1986, as amended.
Reference to a specific section of the Code shall include such section, any
valid regulation promulgated thereunder and any comparable provision of any
future legislation amending, supplementing or superseding such section.

         "Committee" shall mean the committee that has been appointed to
administer the Plan pursuant to Section 2 of the Plan.

         "Company" shall mean Renal Treatment Centers, Inc., a Delaware
corporation.

         "Director" shall mean a member of the Board.

         "Fair Market Value" shall mean the following: if the Company's common
stock shall not be publicly traded at the time fair market value is to be
determined, the fair market value shall be determined in good faith by the
Committee and, if the Company's common stock shall be publicly traded at the
time fair market value is to be determined, the fair market value shall be the
average on such date of the highest and lowest reported sales price of the
<PAGE>

common stock of the Company on the principal established domestic securities
exchange, if any, on which such stock is listed, or as reported in the
over-the-counter market. If no sale prices are quoted for such date, the next
preceding date for which such sale prices are quoted shall be used.

         "Option" shall mean an option granted under the provisions of Section 4
of the Plan to purchase common stock of the Company.

         "Optionee" shall mean an Outside Director to whom an Option is granted.

         "Outside Director" shall mean a Director who, at the time he becomes a
Director, is not also an employee of the Company or any affiliate of the
Company.

         "Plan" shall mean the Equity Incentive Plan for Outside Directors.

         "Secretary" shall mean the Corporate Secretary or an Assistant
Secretary of the Company.

         "Subsidiary" shall mean any corporation in an unbroken chain of
corporations beginning with the Company if each of the corporations other than
the last corporation in the unbroken chain then owns stock possessing 50% or
more of the total combined voting power of all classes of stock in one of the
other corporations in such chain.

         "Termination of Service" shall mean a cessation of an Outside
Director's service as a member of the Board, whether as a result of resignation,
failure to be reelected, removal for cause or any other reason.

         "Total Disability" shall mean a permanent and total disability as
determined in accordance with Section 72(m)(7) of the Code.

         2. Administration.

            (a) Appointment of Committee. The Committee shall consist of at
least one Director, appointed by and holding office at the pleasure of the
Board. No Options may be granted to any member of the Committee during the term
of his or her membership on the Committee. A Director shall be eligible to serve
on the Committee only if he or she is not then eligible to be granted an Option
and has not at any time within one year prior thereto been eligible for
selection as a person to whom Options may be granted under this Plan.

            (b) Duty and Power of Committee. It shall be the duty of the
Committee to conduct the general administration of the Plan in accordance with
its provisions. The Committee shall have the power to interpret the Plan, the
Options and to adopt rules for the administration, interpretation and

                                       -2-
<PAGE>

application of the Plan as are consistent therewith and to interpret, amend or
revoke any such rules. The Committee shall not have any discretion to determine
who will be granted Options or to determine the number of Options to be granted
to any Outside Director, the timing of such grant or the exercise price of the
Option.

            (c) Committee Actions. The Committee may act either by vote of a
majority of its members at a meeting or by a memorandum or other written
instrument signed by all members of the Committee.

            (d) Compensation; Professional Assistance; Good Faith Actions.
Members of the Committee shall not receive any compen sation for their services
as members, but all expenses and liabilities they incur in connection with the
administration of the Plan shall be borne by the Company. The Committee may,
with the approval of the Board, employ attorneys, consultants, accountants, or
other persons. The Committee, the Company, and its officers and directors shall
be entitled to rely upon the advice, opinions or valuations of any such persons.
All actions taken and all interpretations and determinations made by the
Committee in good faith shall be final and binding upon all Optionees, the
Company and all other interested persons. No member of the Committee shall be
personally liable for any action, determination, or interpretation made in good
faith with respect to the Plan and all members of the Committee shall be fully
protected and indemnified by the Company in respect to any such action,
determination or interpretation.

         3. Shares Subject to Plan.

            (a) Limitations. The shares of stock issuable pursuant to Options
shall be shares of the Company's $.01 par value common stock. The total number
of such shares which may be subjected to Options granted under the Plan shall
not exceed 30,000 in the aggregate.

            (b) Effect of Unexercised or Cancelled Options. If an Option expires
or is cancelled for any reason without having been fully exercised or vested,
the number of shares subject to such Option which were not purchased or did not
vest prior to such expiration or cancellation may again be made subject to an
Option granted hereunder (to the same Optionee or to a different Optionee).

            (c) Changes in the Company's Shares. In the event that the
outstanding shares of common stock of the Company are hereafter increased or
decreased or changed into or exchanged for a different number or kind of shares
or other securities of the Company, or of another corporation, by reason of
reorganization, merger, consolidation, recapitalization, reclassification,
stock split-up, stock dividend (either in shares of the Company's common stock

                                       -3-
<PAGE>

or of another class of the Company's stock), spin-off or combination of shares,
appropriate adjustments shall be made by the Committee in the aggregate number
and kind of shares that may be issued on exercise of Options.

         4. Stock Options.

            (a) Granting of Options.

                (i) Eligibility. Each Outside Director shall be eligible to be
granted Options.

                (ii) Granting of Options. Each Outside Director on November 15,
1993 shall, on such date, be granted an Option for the purchase of that number
of shares as shall be determined by multiplying by 1,000 the number of years of
such Outside Director's then current term as a Director. Each person appointed,
elected or re-elected an Outside Director after November 15, 1993 but before
December 31, 1999 shall, on the business day following the date of appointment
or election to the Board, be granted an Option for the purchase of that number
of shares as shall be determined by multiplying by 1,000 the number of years of
such Outside Director's then current term as a Director. In the event that the
term for which an Outside Director is elected or appointed includes a portion
of a year, the number of shares for which such Option shall be granted shall be
reduced accordingly.

            (b) Terms of Options.

                (i) Option Agreement. Each Option shall be evidenced by a
written stock option agreement which shall be executed by the Optionee and the
Company and which shall contain such terms and conditions as the Committee
determines are required by the Plan.

                (ii) Option Price. The price of the shares subject to each
Option shall be 100% of the Fair Market Value for such shares on the date the
Option is granted.

                (iii) Date of Grant. The date on which an Option shall be
granted shall be the date determined under Section 4(a)(ii).

                (iv) Commencement of Exercisability.

                     (A) No Option may be exercised in whole or in part during
the first year after such Option has been granted. Thereafter, except as
otherwise provided in Section 4(b)(vii), the Option shall become exercisable in
cumulative annual installments on each anniversary of the date of grant in an
amount equal to the lesser of 1,000 shares or the number of shares under the
Option then remaining unexercisable, until all of the shares under the Option
have become exercisable.

                                       -4-
<PAGE>

                     (B) No portion of an Option that is unexercisable at the
time of the Optionee's Termination of Service shall thereafter become
exercisable; provided, however, in the event Optionee's Termination of Service
is due to the expiration of Optionee's term as a Director, all Options
attributable to such term shall become exercisable, if not otherwise
exercisable, on the date of such Termination of Service.

                     (C) Notwithstanding anything to the contrary set forth
herein, no Option may be exercised until the Plan shall have been approved by
the affirmative vote of the holders of a majority of the shares of the Company
present or represented and entitled to vote at a duly convened meeting of
stockholders.

                 (v) Expiration of Options.

                     (A) Except as otherwise provided in Section 4(b)(v)(B),
each Option shall terminate on the expiration of ten years from the date the
Option was granted.

                     (B) Each Option, or portion thereof, which has become
exercisable may be exercised until the first to occur of the following events:

                         (1) The expiration of ninety days from the Optionee's
Termination of Service, unless such Termination of Service results from the
Optionee's death or Total Disability; or

                         (2) The expiration of three years from the date of the
Optionee's Termination of Service by reason of Total Disability; or

                         (3) The expiration of one year from the date of the
Optionee's death, if such death occurs while the Optionee is an Outside
Director or within the three-year period referred to in paragraph (2) above,
whichever is applicable.

                (vi) Adjustment in Outstanding Options. In the event that the
outstanding shares of the common stock of the Company are increased or decreased
or changed into or exchanged for a different number or kind of shares of the
Company, or other securities of the Company, or of another corporation, by
reason of reorganization, merger, consolidation, recapitalization,
reclassification, stock split-up, stock dividend (either in shares of the
Company's common stock or of another class of the Company's stock), spin-off or
combination of shares, the Committee shall make an appropriate and equitable
adjustment in the number and kind of shares as to which all outstanding Options,
or portions thereof then unexercised, shall be exercisable, to the end that
after such event the Optionee's proportionate interest shall be maintained as
before the occurrence of such event. Such adjustment in an outstanding Option
shall be made without change in the total price applicable to the Option or the
unexercised portion of the Option (except for any change in the aggregate price
resulting from rounding-off of share quantities or prices) and with any

                                       -5-
<PAGE>

necessary corresponding adjustment in Option price per share. Any such
adjustment made by the Committee shall be final and binding upon all Optionees,
the Company and all other interested persons.

                (vii) Change in Control. In the event of a Change in Control all
outstanding Options shall become immediately exercisable, regardless of whether
the Option had otherwise become exercisable pursuant to Section 4(b)(iv).

            (c) Exercise of Options.

                (i) Person Eligible to Exercise. During the lifetime of the
Optionee, only he or she may exercise an Option granted to him or her or any
portion thereof. After the death of the Optionee, any exercisable portion of an
Option may be exercised by his or her personal representative or by any person
empowered to do so under the deceased Optionee's will or under the then
applicable laws of descent and distribution. The Company may require appropriate
proof from any such other person of his or her right or power to exercise the
Option or any portion thereof.

                (ii) Fractional Shares. The Company shall not be required to
issue fractional shares on exercise of an Option.

                (iii) Manner of Exercise. An exercisable Option, or any
exercisable portion thereof, may be exercised solely by delivery to the
Secretary or his or her office of all of the following:

                     (A) Notice in writing signed by the Optionee or other
person then entitled to exercise such Option or portion thereof, stating that
such Option or portion is exercised, such notice complying with all applicable
rules established by the Committee;

                     (B) Full cash payment for the shares with re spect to which
such Option or portion is thereby exercised and which are to be delivered to him
or her pursuant to such exercise; and

                     (C) Such representations and documents as the Committee, in
its absolute discretion, deems necessary or advisable to effect compliance with
all applicable provisions of the Securities Act of 1933, as amended, and any
other federal or state securities laws or regulations. The Committee may, in its
absolute discretion, also take whatever additional actions it deems appropriate
to effect such compliance including, without limitation, placing legends on
share certificates and issuing stop-transfer orders to transfer agents and
registrars.

                (iv) Conditions to Issuance of Stock Certificates. The shares of
common stock deliverable upon exercise of an Option, or any part thereof, may be
either previously authorized but unissued shares or issued shares which have

                                       -6-
<PAGE>

then been reacquired by the Company. The Company shall not be required to issue
or deliver any certificate or certificates for shares of common stock purchased
upon the exercise of any Option or portion thereof prior to fulfillment of all
of the following conditions:

                     (A) The admission of such shares to listing on all stock
exchanges on which such class of stock is then listed;

                     (B) The completion of any registration or other
qualification of such shares under any state or federal law or under the rulings
or regulations of the Securities and Exchange Commission or any other
governmental regulatory body, which the Company shall, in its absolute
discretion, deem necessary or advisable;

                     (C) The obtaining of any approval or other clearance from
any state or federal governmental agency which the Company shall, in its
absolute discretion, determine to be necessary or advisable;

                     (D) The provision for any income tax withholding which the
Company shall, in its absolute discretion, determine to be necessary or
advisable; and

                     (E) The lapse of such reasonable period of time following
the exercise of the Option as the Company may determine, in its absolute
discretion, from time to time to be necessary or advisable for reasons of
administrative convenience.

                (v) Rights of Stockholders. An Optionee shall not be, nor have
any of the rights of, a stockholder of the Company in respect to any shares
which may be purchased upon the exercise of any Option or portion thereof unless
and until certificates representing such shares have been issued by the Company
to such Optionee.

         5. Miscellaneous Provisions.

            (a) Options Not Transferable. No Option or interest or right therein
or part thereof shall be liable for the debts, contracts, or engagements of the
Optionee or his or her successors in interest or shall be subject to disposition
by transfer, alienation, anticipation, pledge, encumbrance, assignment or any
other means, whether such disposition is voluntary or involuntary or by
operation of law by judgment, levy, attachment, garnishment, or any other legal
or equitable proceedings (including bankruptcy) and any attempted disposition
thereof shall be null and void and of no effect; provided, however, that nothing
in this Section 5(a) shall prevent transfers by will or by the applicable laws
of descent and distribution.

                                       -7-
<PAGE>

            (b) Amendment, Suspension or Termination of the Plan. The Plan may
be wholly or partially amended or otherwise modified, suspended, or terminated
at any time or from time to time by the Board. However, without approval of the
Company's stockholders given within 12 months before or after the action by the
Board, no action of the Board may, except as provided in Section 4(b)(vi),
materially modify the requirements as to eligibility to participate in the
Plan, increase the limits imposed in Section 3(a) on the maximum number of
shares which may be the subject of Options granted under the Plan, amend Section
4(b)(v)(A) or (B) to permit the exercise of an Option after expiration of 10
years from the date the Option was granted or otherwise materially increase the
benefits accruing to participants under the Plan. The provisions of the Plan
relating to the amount, price and timing of the grants of Options shall not be
amended more than once in any six-month period, other than to comport with
changes in the Code. Neither the amendment, suspension, nor termination of the
Plan shall, without the consent of the Optionee, alter or impair any rights or
obligations under any Option theretofore granted. No Option may be granted
during any period of suspension nor after termination of the Plan.

            (c) Titles. Titles are provided herein for convenience only and are
not to serve as a basis for interpretation or construction of the Plan.

Adopted by the Board of Directors on November 12, 1993.

Amended by the Board of Directors on March 28, 1994.

Approved by the Stockholders on May 3, 1994.

                                       -8-
<PAGE>

                                                                    Appendix 3



                             AMENDMENT NO. 1 TO THE
                          RENAL TREATMENT CENTERS, INC.
                   EQUITY INCENTIVE PLAN FOR OUTSIDE DIRECTORS

         Pursuant to the provisions of paragraph 5(b) of the Renal Treatment
Centers, Inc. Equity Incentive Plan for Outside Directors (the "Plan"), Renal
Treatment Centers, Inc. (the "Company") hereby amends the Plan as of the
Effective Date as follows:

         1. Effective Date. The Plan is amended effective as of May 2, 1996 (the
"Effective Date").

         2. Subject to Shareholder Approval. This amendment is subject to
approval by the holders of a majority of the shares of common stock of the
Company present or represented and voting at a meeting duly called and held.
Grants may be made hereunder prior to stockholder approval, provided that any
such grants shall be subject to such stockholder approval. This amendment shall
not be construed to affect in any way the rights or privileges of any optionee
under the Plan unless and until shareholder approval is granted.

         3. Specific Amendments.

            (a) Subparagraph (ii) of Section 4(a) is hereby amended to read in
full as follows:

                "(ii) Granting of Options. Each person appointed, elected or
            re-elected an Outside Director on or after May 2, 1996 but before
            December 31, 1999 shall, on the business day following the date of
            appointment or election to the Board, be granted an Option for the
            purchase of that number of shares as shall be determined by
            multiplying by 3,000 the number of years of such Outside Director's
            then current term as a Director. In the event that the term for
            which an Outside Director is elected or appointed includes a portion
            of a year, the number of shares for which such Option shall be
            granted shall be reduced accordingly."

            (b) Subparagraph (iv)(A) of Section 4(b) is hereby amended to read
in full as follows:

                "(A) No Option may be exercised in whole or in part during the
            first year after such Option has been granted. Thereafter, in the
            case of any Option granted on or after November 15, 1993 but before
            May 2, 1996, and except as otherwise provided in Section 4(b)(vii),
            the Option shall become exercisable in cumulative annual
            installments on each anniversary of the date of grant in an amount
            equal to the lesser of 1,000 shares or the number of shares under
            the Option then remaining unexercisable, until all of the shares
            under the Option have become exercisable. In the case of any Option
            granted on or after May 2, 1996 but before December 31, 1999, and
            except as otherwise provided in Section 4(b)(vii), the Option shall
            become exercisable in cumulative annual installments on each 
            anniversary of the date of grant in an amount equal to the lesser of
            3,000 shares or the number of shares under the Option then remaining
            unexercisable, until all of the shares under the Option have become
            exercisable."

         4. Execution. To record the adoption of this amendment by the Company's
Board of Directors, this amendment has been executed in the manner set forth
below.


                                             RENAL TREATMENT CENTERS, INC.



                                             By: /s/ Robert L. Mayer, Jr.
                                                ----------------------------
                                                Name:  Robert L. Mayer, Jr.
                                                Title: President

Dated: May 2, 1996


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