<PAGE>
<TABLE>
<S> <C> <C>
- -------- U.S. SECURITIES AND EXCHANGE COMMISSION --------------------------------
FORM 4 WASHINGTON, D.C. 20549 OMB APPROVAL
- -------- --------------------------------
[_] Check this box if no STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0287
longer subject to Expires: September 30, 1998
Section 16. Form 4 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
or Form 5 obligations Section 17(a) of the Public Utility Holding Company Act of 1935 hours per response.......... 0.5
may continue. See or Section 30(f) of the Investment Company Act of 1940 --------------------------------
Instruction 1(b).
- -----------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of 2. Issuer Name and Ticker or 6. Relationship of Reporting Person to Issuer
Reporting Person Trading Symbol (Check all applicable)
Chaltiel Victor M.G. Total Renal Care Holdings, Inc. (TRL) [X] Director [ ] 10% Owner
- ----------------------------------------------------------------------------------
(Last) (First) (Middle) 3. IRS or Social 4. Statement for [X] Officer (give ____ Other (specify
Security Number of Month/Year title below)
Reporting Person below)
21250 Hawthorne Blvd, Suite 800 (Voluntary) 2/99 Chairman of the Board, Chief Executive
- --------------------------------- ---------------------- Officer and President
(Street) 5. If Amendment, ---------------------------------------
Date of Original
Torrance, California 90503-5517 (Month/Year) 7. Individual or Joint/Group Filing (Check
- --------------------------------- applicable Line)
(City) (State) (Zip)
X Form filed by One Reporting Person
-----
Form filed by More than one Reporting
----- Person
- ------------------------------------------------------------------------------------------------------------------------------------
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
- ------------------------------------------------------------------------------------------------------------------------------------
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of
(Instr. 3) action action or Disposed of (D) Securities ship Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Form: Beneficial
(Instr. 8) Owned at Direct Ownership
(Month/ ------------------------------------------- End of Month (D) or In- (Instr. 4)
Day/ (A) or (Instr. 3 direct (I)
Year) Code V Amount (D) Price and 4) (Instr. 4)
- ------------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If this form is filed by more than one reporting person, see Instruction
(b)(v).
<PAGE>
<TABLE>
FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
- -----------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C>
1. Title of Derivative 2. Cover- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount of
Security (Instr. 3) sion or action action Derivative cisable and Underlying Securities
Exercise Date Code Securities Expiration (Instr. 3 and 4)
Price of (Month/ (Instr. 8) Acquired (A) Date (Month/
Deriv- Day/ or Disposed Day/Year)
ative Year) of (D) (Instr ----------------------------------------
Security 3, 4, and 5) Date Expira- Amount or
-------------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
- ------------------------------------------------------------------------------------------------------------------------------
Options (16b-3 Plan) $32.1875 2/22/99 H 1,000,000 (1) 2/27/08 Common Stock 1,000,000
- ------------------------------------------------------------------------------------------------------------------------------
Options (16b-3 Plan) $18.7500 2/22/99 H 166,667 (2) 4/24/07 Common Stock 166,667
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------
</TABLE>
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BEMEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities) -- CONTINUED
<TABLE>
- -----------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C>
1. Title of Derivative 8. Price 9. Number 10. Ownership 11. Nature of
Security (Instr. 3) of of Form of Indirect
Deriv- Deriv- Derivative Beneficial
ative ative Security: Ownership
Security Securities Direct (D) (Instr. 4)
(Instr. 5) Beneficially or Indirect
Owned at (I)
End of Month (Instr. 4)
(Instr. 4)
- ------------------------------------------------------------------------------------------------------------------------------------
Options (16b-3 Plan)
- ------------------------------------------------------------------------------------------------------------------------------------
Options (16b-3 Plan) 166,667 D
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Explanation of Responses:
(1) Twenty-five percent of the options were to vest and become exercisable on
each of the first four anniversaries of February 27, 1999.
(2) Twenty-five percent of the options were to vest and become exercisable on
each of the first four anniversaries of April 24, 1997.
** Intentional misstatements or /s/ Victor M.G. Chaltiel March 8, 1999
omissions of facts constitute ------------------------ --------------
Federal Criminal Violations. **Signature of Date
See 18 U.S.C. 1001 and Reporting Person
15 U.S.C. 78ff(a).
Victor M.G. Chaltiel
Note: File three copies of
this Form, one of which
must be manually signed.
If space provided is
insufficient, see
Instruction 6 for procedure.
