<PAGE>
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4 OMB APPROVAL
-----------------------------
[_] Check this box if no longer OMB NUMBER: 3235-0287
subject to Section 16. Form 4 Expires: April 30, 1997
or Form 5 obligations may Estimated average burden
continue. SEE Instruction 1(b). hours per response ...... 0.5
-----------------------------
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
1. Name and Address of Reporting Person
Thiry Kent J.
- --------------------------------------------------------------------------------
(Last) (First) (Middle)
21250 Hawthorne Boulevard
- --------------------------------------------------------------------------------
(Street)
Torrance CA 90503
- --------------------------------------------------------------------------------
(City) (State) (Zip)
- --------------------------------------------------------------------------------
2. Issuer Name and Ticker or Trading Symbol
Total Renal Care Holdings, Inc. (TRL)
- --------------------------------------------------------------------------------
3. IRS or Social Security Number of Reporting Person (Voluntary)
- --------------------------------------------------------------------------------
4. Statement for Month/Year
January 2000
- --------------------------------------------------------------------------------
5. If Amendment, Date of Original (Month/Year)
- --------------------------------------------------------------------------------
6. Relationship of Reporting Person to Issuer
(Check all applicable)
X Director 10% Owner
----- ------
X Officer (give Other (Specify
----- title below) ------ below)
Chairman and Chief Executive Officer
--------------------------------------
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
Table 1 -- 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. Ownership 7. Nature
(Instr. 3) action action or Disposed of (D) Securities Form: of Indirect
Date Code Beneficially Direct Beneficial
(Instr. 8) (Instr. 3,4 and 5) Owned at (D) or Ownership
(Month/ ------------ -------------------------- End of Month Indirect (Instr. 4)
Day/ Code V Amount (A) or Price (Instr. 3 (I)
Year) (D) and 4) (Instr. 4)
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
(Over)
SEC 1473 (8-92)
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
FORM 4 (continued)
<TABLE>
<CAPTION>
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security 2. Conversion 3. Transaction 4. Transacation 5. Number of Derivative 6. Date Exercisable
(Instr. 3) or Exercise Date Code Securities Acquired (A) and Expiration
Price of (Month/Day/ (Instr. 8) or Disposed of (D) Date
Derivative Year) (Instr. 3, 4, and 5) (Month/Day/
Security Year)
--------------- -------------------------- -------------------
Code V (A) (D) Date Expiration
Exer- Date
cisable
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
Options (16b-3 Plan; $5.1354/share 1/27/2000 A V 500,000 (1) 1/27/2010
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
right to buy)
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
</TABLE>
<TABLE>
<CAPTION>
7. Title and Amount of 8. Price of Derivative 9. Number of Derivative 10. Ownership Form 11. Nature of Indirect
Underlying Securities Security (Instr. 5) Securities Beneficially of Derivative Security: Beneficial Ownership
(Instr. 3 and 4) Owned at End of Month Direct (D) or (Instr. 4)
Instr. 4) Indirect (I) (Instr. 4)
- ------------------------
Title Amount or
Number of
Shares
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
<S> <C> <C> <C> <C>
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
Common Stock 500,000 1,000,000 D
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
- ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
</TABLE>
Explanation of Responses:
(1) Vests 25% per year on each anniversary of October 18, 1999.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Kent J. Thiry 4/26/2000
------------------------------- ----------------
**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, See Instruction 6 for procedure.
Page 2
SEC 1474 (8-92)
