RENAL CARE GROUP INC
S-8 POS, EX-5.A, 2000-06-02
MISC HEALTH & ALLIED SERVICES, NEC
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                                                                    EXHIBIT 5(a)

                                 ALSTON&BIRD LLP

                               One Atlantic Center
                           1201 West Peachtree Street
                           Atlanta, Georgia 30309-3424

                                  404-881-7000
                                Fax: 404-881-7777


                                  June 2, 2000

Renal Care Group, Inc.
2100 West End Avenue, Suite 800
Nashville, Tennessee  37203

         Re:      Form S-8 Registration Statement --
                  Renal Care Group, Inc.

Ladies and Gentlemen:

         We have acted as counsel for Renal Care Group, Inc., a Delaware
corporation (the "Corporation"), in connection with the referenced Registration
Statement on Form S-8 (the "Registration Statement") being filed by the
Corporation with the Securities and Exchange Commission (the "Commission") under
the Securities Act of 1933, as amended, and covering 65,950 shares of the
Corporation's common stock, $0.01 par value ("Common Stock"), that may be issued
pursuant to the Renal Disease Management by Physicians, Inc. ("RDM") Amended and
Restated 1997/1998 Stock Plan (the "Plan"). This Opinion Letter is rendered
pursuant to Item 8 of Form S-8 and Item 601(b)(5) of Regulation S-K.

         In the capacity described above, we have considered such matters of law
and of fact, including the examination of originals or copies, certified or
otherwise identified to our satisfaction, of such records and documents of the
Corporation, certificates of public officials and such other documents as we
have deemed appropriate as a basis for the opinions hereinafter set forth. The
opinions set forth herein are limited to the laws of the State of Delaware, in
reliance solely on published general compilations thereof as of the date hereof.

         Based upon the foregoing, it is our opinion that the 65,950 shares of
Common Stock covered by the Registration Statement and to be issued pursuant to
the Plan, when issued accordance with the terms and conditions of the Plan, will
be legally and validly issued, fully paid and nonassessable.



<TABLE>
<S>                          <C>                                  <C>
1211 East Morehead Street    3605 Glenwood Avenue, Suite 310      601 Pennsylvania Avenue, N.W.
   P.O. Drawer 34009                P.O. Drawer 31107              North Building, 11th Floor
Charlotte, NC 28234-4009          Raleigh, NC 27622-1107            Washington, DC 20004-2601
      704-331-6000                     919-420-2200                        202-756-3300
    Fax: 704-334-2014               Fax: 919-420-2260                   Fax: 202-756-3333
</TABLE>





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         This Opinion Letter is provided to you for your benefit and for the
benefit of the Commission, in each case, solely with regard to the Registration
Statement, may be relied upon by you and the Commission only in connection with
the Registration Statement, and may not be relied upon by any other person or
for any other purpose without our prior written consent.

         We hereby consent to the filing of this opinion as an exhibit to the
Registration Statement and further consent to the use of our name wherever
appearing in the Registration Statement.


                                    Sincerely,

                                    ALSTON & BIRD



                                    By: /s/ Steven L. Pottle
                                        ----------------------------------------
                                        Steven L. Pottle, Esq.



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