AMENDMENT TO EMPLOYMENT AGREEMENT
This document is to amend the Employment Agreement (the "Agreement"), entered into as of October 18, 1999,
by and between Total Renal Care Holdings Corp. and Kent J. Thiry ("Executive"). Specifically, the parties agree
to delete the following sentence from Section 1 of the Agreement: "Executive shall use his best efforts to establish
a residence in the greater Los Angeles metropolitan area no later than December 31, 1999, but shall establish
such a residence in any event no later than January 31, 2000." In all other respects, the Agreement remains
unchanged and in full force and effect.
TOTAL RENAL CARE HOLDINGS, INC.
By _____________________________________ ___________________ Maris Andersons, Director Date