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 FORM 4                                      WASHINGTON, D.C. 20549                                           OMB APPROVAL          
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[_] 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). 
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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
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(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 
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                                                                                               Form filed by More than one Reporting
                                                                                         ----- Person
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                              TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED 
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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)
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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). FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ----------------------------------------------------------------------------------------------------------------------------------- 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 II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BEMEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) -- CONTINUED - ----------------------------------------------------------------------------------------------------------------------------------- 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 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
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.