Tenet Healthcare#Acquired from Vanguard

{{Infobox company

| name = Tenet Healthcare Corporation

| logo = Tenet Health logo.png

| type = Public company

| traded_as = {{ubl|{{NYSE|THC}}|S&P 400 component}}

| founded = {{Start date and age|1969}}

| founder =

| predecessors = {{ubl|American Medical Holdings|National Medical Enterprises}}

| hq_location = Dallas, Texas, U.S.

| key_people = Saum Sutaria (chairman and CEO)

| area_served =

| industry = Healthcare

| products =

| services = Healthcare services

| revenue = {{nowrap|{{increase}} {{US$|20.7 billion|link=yes}} (2024)}}

| operating_income = {{increase}} {{US$|5.96 billion}} (2024)

| net_income = {{increase}} {{US$|3.20 billion}} (2024)

| assets = {{increase}} {{US$|28.9 billion}} (2024)

| equity = {{increase}} {{US$|4.17 billion}} (2024)

| num_employees = 98,000 (2024)

| subsid = {{ubl|United Surgical Partners International|Conifer Health Solutions}}

| website = {{URL|https://tenethealth.com/}}

| footnotes = {{cite web|url=https://www.sec.gov/ix?doc=/Archives/edgar/data/70318/000007031825000009/thc-20241231.htm |title=Tenet Healthcare Corporation 2024 Annual Report (Form 10-K) |date=February 18, 2025|publisher=U.S. Securities and Exchange Commission |website=Sec.gov}}

}}

Tenet Healthcare Corporation is an American for-profit multinational healthcare services company based in Dallas, Texas. Through its brands, subsidiaries, joint ventures, and partnerships, including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities.{{Cite web|url=https://www.reuters.com/companies/THC1.MU|title=Tenet Healthcare Corp Key Metrics|website=reuters.com|access-date=2 August 2021}} Tenet also operates Conifer Health Solutions, which provides healthcare support services to health systems and other clients.

Since its founding in 1969, Tenet has expanded significantly. Among other major acquisitions and formations, Tenet founded Conifer Health Solutions in 2008, MedPost Urgent Care in 2014, and in 2013 acquired Vanguard Health Systems, Inc., an investor-owned hospital company whose operations complemented Tenet's existing business.{{cite web| last=Jacobson| first=Gary| title=Tenet completes $4.3 billion acquisition of Vanguard Health Systems| url=http://www.dallasnews.com/business/health-care/20131001-tenet-completes-4.3-billion-acquisition-of-vanguard-health-systems.ece| date=1 October 2013| work=The Dallas Morning News| access-date=22 April 2014}} The acquisition created the third-largest investor-owned hospital company in the United States in terms of revenue and the third-largest in number of hospitals owned.{{cite web|last1=Pearson|first1=Bradford|title=Tenet Healthcare Closes $4.3B Vanguard Acquisition|url=http://healthcare.dmagazine.com/2013/10/01/tenet-healthcare-closes-4-3b-vanguard-acquisition/|publisher=D Healthcare Daily|access-date=17 June 2014}} In 2015, Tenet acquired USPI, which created the largest operator of outpatient surgery centers in the United States. In 2021, the company ranked 167th in the Fortune 500.{{Citation |year=2020 |title=Tenet Healthcare |publisher=Fortune |url=https://fortune.com/company/tenet-healthcare/fortune500/ |access-date=2 August 2021}}

The company has settled a number of multimillion dollar settlements related to defrauding Medicare, Medicaid, and patients, which includes admitting psychiatric patients who did not need hospitalization and then charging these patients inflated prices.

History

=1967–1999=

Tenet was first incorporated in 1969,http://www.hoovers.com/company-information/cs/company-profile.tenet_healthcare_corporation.9910d64d82410ec3.html?aka_re=2 {{Dead link|date=August 2022}} by attorneys Richard Eamer, Leonard Cohen and John Bedrosian, as National Medical Enterprises, (NME) and headquartered in Los Angeles, California.{{cite web|last1=Law|first1=Ann|title=Tenet Healthcare Corporation: History|url=http://www.hoovers.com/company/Tenet_Healthcare_Corporation/rrfhhi-1-1njhxk.html|publisher=Hoovers|access-date=17 June 2014}} By 1975, NME owned, operated, and managed 23 hospitals and a home health care business.{{cite book|title=Vault Guide to the Top Health Care Employers|date=2005|publisher=Vault Inc.|isbn=9781581313383|page=202|url=https://books.google.com/books?id=1uKoVWE0ukkC&q=tenet+healthcare+expansion+1990s|access-date=17 June 2014}} By 1981, NME owned or managed 193 hospitals and nursing homes, and became the third-largest healthcare company in the U.S. In the mid-1980s, NME shifted its focus to specialty hospitals. By 1990, the company had 200 hospitals in its network, and was the second-largest hospital company in the U.S.

After some scandals in the early 1990s (see below), NME divested its specialty facilities. Tenet possessed a dominant market share in Southern California at the time and envisaged the same prospects in South Florida, Louisiana, Texas, and the Philadelphia, Pennsylvania area. In 1994, NME bought American Medical Holdings for $3.35 billion, which strengthened its presence in Southern California and South Florida, and extended into New Orleans, Louisiana and Texas.{{cite web|title=NME Renames Newly Merged Company, to Cut Jobs|url=https://www.latimes.com/archives/la-xpm-1995-03-02-fi-37977-story.html|work=Los Angeles Times|date=2 March 1995 |access-date=17 June 2014}}{{cite web|last1=Olmos|first1=David R.|title=NME to Buy Rival Chain American Medical|url=https://www.latimes.com/archives/la-xpm-1994-10-12-fi-49430-story.html|work=Los Angeles Times|date=12 October 1994 |access-date=17 June 2014}} Following completion of the acquisition, NME changed its name to Tenet Healthcare Corporation. In 1996, Tenet CEO Jeffrey Barbakow moved Tenet's headquarters from Santa Monica, California to Santa Barbara.{{cite web|last1=Vrana|first1=Debora|title=Tenet to Move Its Headquarters to Dallas|url=https://www.latimes.com/archives/la-xpm-2004-may-06-fi-tenet6-story.html|work=Los Angeles Times|date=6 May 2004 |access-date=17 June 2014}} Also that year, Tenet acquired OrNda, then the third-largest investor-owned hospital chain.{{cite web | url=https://californiahealthline.org/morning-breakout/tenet-healthcare-to-acquire-ornda-healthcorp/ | title=Tenet Healthcare: To Acquire Ornda Healthcorp }} In 1998, Tenet purchased eight Philadelphia hospitals owned by the bankrupt Allegheny Health, Education & Research Foundation for $345 million.{{cite web|title=Judge OKs Tenet's Purchase of 8 Facilities|url=https://www.latimes.com/archives/la-xpm-1998-sep-30-fi-27791-story.html|work=Los Angeles Times|date=30 September 1998 |access-date=17 June 2014}}

=2000–2013=

In 2002, one of Tenet's hospitals came under scrutiny for its surgical practices and another was investigated in a kickback scheme.{{cite web| url=http://www.thestreet.com/story/10570319/1/best-in-class-why-tenet-is-the-healthiest-play-in-hospitals.html| title=Best in Class: Why Tenet Is the Healthiest Play in Hospitals| last=Moss| first=David| date=August 11, 2009| work=TheStreet.com| access-date=22 April 2014}} Federal investigations into the company's billing practices, particularly those related to Medicare, began late in 2002, leading to a decline in Tenet's stock price of about 70%. In 2003, Trevor Fetter became CEO of Tenet and started Commitment to Quality, an initiative to improve the "quality, safety, service and outcomes of the care and services" provided by Tenet.{{cite web| title=Deep healing: How Trevor Fetter turned around Tenet Healthcare| url=http://www.sbnonline.com/component/k2/7-dallas-editions/13573| date=25 June 2009| publisher=Smart Business Magazine| access-date=22 April 2014}}{{cite web|title=Quality Care|url=http://www.tenethealth.com/about/qualitycare/pages/qualitycare.aspx|publisher=Tenet Healthcare|access-date=17 June 2014}} To rebuild its ethics and compliance programs, Tenet hired a chief compliance officer to report directly to the company's board of directors.{{cite news| url=https://www.latimes.com/archives/la-xpm-2003-aug-05-fi-tenet5-story.html| title=Tenet Moves to Beef Up Compliance| work=Los Angeles Times| date=5 August 2003| access-date=22 April 2014}}{{cite web|title=Ethics and Compliance|url=http://www.tenethealth.com/about/pages/ethicscompliance.aspx|publisher=Tenet Healthcare|access-date=17 June 2014}} In 2003, Tenet sold or closed 14 hospitals and closed more than 20 facilities in 2004 to achieve its financial performance goals.{{cite news|last1=Rundle|first1=Rhonda L.|title=Tenet Healthcare to Sell Hospitals And Take Charge of $1.4 Billion|url=https://online.wsj.com/news/articles/SB107525313219613663|newspaper=Wall Street Journal|date=28 January 2004|access-date=17 June 2014}}{{cite news|last1=Pollack|first1=Andrew|title=Tenet Healthcare Is Planning to Sell 27 Hospitals in a Turnaround Move|url=https://www.nytimes.com/2004/01/28/business/tenet-healthcare-is-planning-to-sell-27-hospitals-in-a-turnaround-move.html|work=New York Times|date=28 January 2004|access-date=17 June 2014}} Also in 2004, Tenet moved its headquarters from Santa Barbara, California to Dallas, Texas. In 2006, Tenet agreed to pay $725 million to the Justice Dept. to settle allegations of unusually high Medicare payments to Tenet hospitals in 2000 to 2002.{{cite news|last1=Rundle|first1=Rhonda L.|title=Tenet to Pay $725 Million To Settle Medicare Case|url=https://online.wsj.com/news/articles/SB115154714611293878|newspaper=Wall Street Journal|date=29 June 2006|access-date=17 June 2014}}{{cite news|title=Tenet CEO Tries To Erase Effects Of Scandals|url=https://online.wsj.com/news/articles/SB115188818659396751|newspaper=Wall Street Journal|date=3 July 2006|access-date=17 June 2014|last1=Rundle|first1=Rhonda L.}} Tenet also entered into a five-year corporate integrity agreement with the U.S. Department of Health & Human Services that required the company to provide detailed financial reports on its patient mix, collection rates and accounts receivables.{{cite web| url=https://oig.hhs.gov/fraud/cia/agreements/TenetCIAFinal.pdf| title=Corporate Integrity Agreement| date=27 September 2006| publisher=Office of Inspector General, U.S. Department of Health and Human Services| access-date=22 April 2014}}{{cite press release| url=http://www.tenethealth.com/News/Documents/2006%20Press%20Releases/Tenet%20Enters%20Into%20Five-Year%20Corporate%20Integrity%20Agreement.pdf| title=Tenet Enters Into Five-Year Corporate Integrity Agreement| publisher=Tenet Healthcare| date=28 September 2006| access-date=22 April 2014}} In 2007, Tenet appointed former Florida governor Jeb Bush to its board of directors to improve its reputation.{{cite news| url=https://www.reuters.com/article/idUSN1231662320070412| title=Jeb Bush joins board of Tenet Healthcare| publisher=Reuters| date=12 April 2007| access-date=22 April 2014}}

In 2008, Tenet launched Conifer Health Solutions, a healthcare services company.{{cite web|url=http://coniferhealth.com/about-us/|title=About Us|publisher=Conifer Health Solutions|access-date=22 April 2014}}{{cite web|url=http://www.tenethealth.com/About/Pages/ConiferHealthSolutions.aspx|title=Conifer Health Solutions|publisher=Tenet Healthcare Corporation|access-date=22 April 2014}} As of 2018, Conifer served approximately 800 clients in the United States{{cite web|url=https://www.coniferhealth.com/about-us_history/|title=Our History|first=Jay|last=Worman|access-date=22 May 2019}} and processed $30 billion in net revenue annually.{{cite web|url=https://www.coniferhealth.com/|title=Conifer Health Solutions - Healthcare Business Solutions|website=Conifer Health Solutions|access-date=22 May 2019}} In early 2009, the price of Tenet stock briefly dipped below $4 per share after cresting above $200 per share in 2002.{{cite web|title=Tenet Healthcare Corp. stock price|url=https://finance.yahoo.com/echarts?s=THC+Interactive#symbol=THC;range=my|publisher=Yahoo! Finance|access-date=18 June 2014}} By the end of 2009, the company rebounded to become the S&P 500's number 2 performer, with an operating revenue and net profit of $9 billion and $181 million, respectively.{{cite news| title=Many near-death stocks revived in '09| url=https://www.usatoday.com/money/markets/2010-01-04-stocks-revived-in-2009_N.htm| last=Krantz| first=Matt| date=4 January 2010| work=USA Today| access-date=22 April 2014}}{{cite web|title=Earnings Roundup: Tenet Healthcare; Hospital operator swings to a loss|url=https://www.latimes.com/archives/la-xpm-2009-nov-04-fi-earns4.s3-story.html|work=Los Angeles Times|date=4 November 2009 |access-date=18 June 2014}}{{cite web|title=Tenet Healthcare Corp.|url=http://www.marketwatch.com/investing/stock/thc/financials|publisher=MarketWatch|access-date=18 June 2014}} On July 24, 2019, Tenet announced it intended to spin off Conifer Health Solutions into an independent publicly traded company.{{cite web |last1=Cornell |first1=Joe |title=Tenet To Spin-Off{{sic|nolink=y}} Conifer |url=https://www.forbes.com/sites/joecornell/2019/08/07/tenet-to-spin-off-conifer/#8d0217163178 |website=Forbes |access-date=31 October 2019}}{{cite news |last1=Kellaher |first1=Colin |title=Tenet Healthcare to Spin Off Conifer Unit |url=https://www.wsj.com/articles/tenet-healthcare-to-spin-off-conifer-unit-11563994792 |website=The Wall Street Journal |date=24 July 2019 |access-date=31 October 2019}}

In May 2011, Tenet's board rejected a $7.3 billion takeover bid from Community Health Systems.{{cite news|last1=Nussbaum|first1=Alex|title=Tenet Rejects Community Health's $7.3 Billion Takeover Bid|newspaper=Bloomberg.com|date=9 May 2011|url=https://www.bloomberg.com/news/2011-05-09/tenet-rejects-community-health-s-7-3-billion-takeover-bid-2-.html|publisher=Bloomberg News|access-date=18 June 2014}} The deal would have created the largest hospital company in the U.S. In April 2012, Tenet agreed to pay $42.75 million to resolve allegations that it improperly billed Medicare between 2005 and 2007.{{cite web|last1=Korosec|first1=Thomas|title=Behind the Rebirth of Tenet Healthcare|date=28 February 2014 |url=http://www.dmagazine.com/publications/d-ceo/2014/march/behind-the-rebirth-of-tenet-healthcare|publisher=D CEO|access-date=18 June 2014}} An internal investigation by Tenet revealed Medicare billing irregularities, and the company reported itself to the U.S. government. In May 2012, Tenet sold Diagnostic Imaging Services, Inc., its former diagnostic imaging center business in Louisiana. In August 2012, Tenet sold its Creighton University Medical Center in Nebraska.{{cite web| title=Form 10-K for Year Ended December 31, 2015| url=http://investor.tenethealth.com/press-release/financial-announcements/tenet-reports-adjusted-ebitda-646-million-quarter-ended-decemb| publisher=Tenet Healthcare Corporation| date=24 February 2015| access-date=24 February 2015}} In 2013, Tenet acquired Vanguard Health Systems, based in Nashville, Tennessee, in a deal worth $4.3 billion.{{cite news |last=Jacobson |first=Gary |date=1 October 2013 |title=Tenet completes $4.3 billion acquisition of Vanguard Health Systems |url=http://www.dallasnews.com/business/health-care/20131001-tenet-completes-4.3-billion-acquisition-of-vanguard-health-systems.ece |work=The Dallas Morning News| access-date=22 April 2014}}{{cite web|title=Tenet to Acquire Vanguard Health Systems for $1.8 Billion|url=https://dealbook.nytimes.com/2013/06/24/tenet-to-acquire-vanguard-health-systems-for-1-8-billion/|work=New York Times|date=24 June 2013 |access-date=18 June 2014}} Through its acquisition of Vanguard, Tenet acquired 28 hospitals and 39 outpatient centers that served communities in Arizona, California, Illinois, Massachusetts, Michigan and Texas.{{cite news|last1=Anna Wilde Mathews and Jon Kamp|title=Tenet to Acquire Vanguard Health for $1.73 Billion|url=https://online.wsj.com/news/articles/SB10001424127887324183204578565224238764156|newspaper=Wall Street Journal|date=24 June 2013|access-date=18 June 2014}} The acquisition created the third-largest for-profit hospital chain in the U.S. in terms of revenue and the third-largest in number of hospitals owned. Through the end of 2013, Tenet's stock price increased 816 percent, from $4.60 to $42.12, over the previous five years.{{cite web|title=2013 Sustainability Report: Tenet Cares|url=http://www.tenethealth.com/Community/Documents/2013%20Corporate%20Sustainability%20Report/2013Tenet-SustainabilityReport-PUBLISH.pdf|publisher=Tenet Healthcare|access-date=18 June 2014}}

=2014=

In 2014, Tenet ranked #229 in the annual Fortune 500 list of the largest American companies.{{cite web|title=Fortune 500: Tenet Healthcare|url=http://fortune.com/fortune500/tenet-healthcare-corporation-229/|publisher=CNNMoney|access-date=17 June 2014}} In March 2014, Tenet formed a partnership with the Yale New Haven Health System to create a healthcare delivery network in Connecticut.{{cite web|last1=Kutscher|first1=Beth|title=Tenet, Yale New Haven join forces in Connecticut|date=5 March 2007|url=http://www.modernhealthcare.com/article/20140306/NEWS/303069961|publisher=Modern Healthcare|access-date=18 June 2014}} Then in May 2014, Tenet announced plans to partner with the Texas Tech University Health Sciences Center in El Paso to develop a new 140-bed teaching hospital on the city's west side.{{cite web|last1=Herman|first1=Bob|title=Tenet to Build Teaching Hospital in El Paso|date=7 May 2014 |url=http://www.beckershospitalreview.com/finance/tenet-to-build-teaching-hospital-in-el-paso.html|publisher=Becker's Hospital Review|access-date=18 June 2014}} Tenet launched MedPost Urgent Care in May 2014, which is a national network of urgent care centers.{{cite web|last1=Gales|first1=Arselia|title=Tenet rebrands its urgent care centers|url=http://www.dallasnews.com/business/health-care/20140519-tenet-rebrands-its-urgent-care-centers.ece|publisher=Dallas Morning News|access-date=18 June 2014}} Previously, Tenet's urgent care locations often took on the names of nearby Tenet hospitals. At the time of the rebranding, MedPost had 23 facilities, with six in Texas, and others in Arizona, California, Florida, Georgia, Mississippi, Missouri and Tennessee.

{{cite news

| title =Tenet rebrands its urgent care centers

| first =Arselia

| last =Gales

| url =http://www.dallasnews.com/business/health-care/20140519-tenet-rebrands-its-urgent-care-centers.ece

| newspaper =Dallas News

| date =May 19, 2014

| access-date = 2015-05-25

}}

{{cite news

| title =Many families opt for urgent care over hospital emergency rooms

| first =Victor R.

| last =Martinez

| url =http://www.elpasotimes.com/living/ci_28224837/urgent-vs-emergency

| newspaper =El Paso Times

| date =May 31, 2015

| access-date = 2015-06-05

}} In June 2014, Tenet acquired a majority interest in Texas Regional Medical Center, a 70-bed community hospital in Sunnyvale, Texas, east of downtown Dallas.{{cite web|last1=Hethcock|first1=Bill|title=Tenet acquires Texas Regional Medical in Sunnyvale, "bullish on Texas"|url=http://www.bizjournals.com/dallas/blog/morning_call/2014/06/tenet-acquires-texas-regional-medical-in-sunnyvale.html?page=all|publisher=Dallas Business Journal|access-date=18 June 2014}} Also that month, Tenet opened Resolute Health Hospital in New Braunfels, Texas. The 128-bed hospital is located on a 56-acre "wellness" campus near San Antonio, Texas, and was Tenet's 79th hospital and 19th in Texas at the time.{{cite web|title=Tenet Opens New Hospital in New Braunfels, Texas|url=http://www.tenethealth.com/News/Documents/2014%20Press%20Releases/Tenet%20Opens%20New%20Hospital%20in%20New%20Braunfels,%20Texas.pdf|publisher=Tenet Healthcare|access-date=25 June 2014}}{{cite web|last1=Bailey|first1=W. Scott|title=Tenet's Resolute Health Hospital is open for business in New Braunfels|url=http://www.bizjournals.com/sanantonio/blog/2014/06/tenet-s-resolute-health-hospital-is-open-for.html|publisher=San Antonio Business Journal|access-date=25 June 2014}}

In July 2014 Tenet announced that Saint Mary's Hospital in Waterbury, Connecticut would be acquired by a subsidiary of the company, with the hospital's religious directives and uncompensated care policies remaining intact. This continued a trend of Tenet allowing a model of common ownership, where each acquired hospital has its own agreement conditions.{{cite news

| title = Saint Mary's Hospital in Waterbury to be acquired by Tenet Healthcare Corp.

| url = http://www.nhregister.com/general-news/20140708/saint-marys-hospital-in-waterbury-to-be-acquired-by-tenet-healthcare-corp

| newspaper = New Haven Register

| date = July 8, 2014

| access-date = 13 July 2014

}} This deal, and three others Tenet had planned in the state, unraveled when Tenet expressed concern with the conditions on the sale set by the state of Connecticut. The Waterbury hospital was ultimately purchased by Trinity Health.{{cite news

| title = Trinity expands New England footprint with St. Mary's acquisition

| url = http://www.modernhealthcare.com/article/20150918/NEWS/150919885

| newspaper = Modern Healthcare

| date = September 18, 2015

| access-date = 15 December 2016

}}

On August 1, 2014 Tenet acquired Emanuel Medical Center, a 209-bed hospital operated by the Swedish Evangelical Covenant Church located in Turlock, California,{{cite web|last1=Cantatore|first1=Alex|title=Emanuel Medical Center Still Working to Complete Sale to Tenet|url=http://turlockcitynews.com/index.php/life-social/item/2143-emanuel-medical-center-still-working-to-complete-sale-to-tenet|publisher=Turlock City News|access-date=18 June 2014}} bringing the number of Tenet's hospitals at the time to 80 nationwide.{{cite news

|title = Tenet completes purchase of Emanuel Medical Center of Turlock

|first = Ken Carlson

|last = Patty Guerra

|url = http://www.modbee.com/2014/08/01/3468416_tenet-completes-purchase-of-emanuel.html?rh=1

|newspaper = The Modesto Bee

|date = August 1, 2014

|access-date = 2014-08-24

|archive-url = https://web.archive.org/web/20140903051031/http://www.modbee.com/2014/08/01/3468416_tenet-completes-purchase-of-emanuel.html?rh=1

|archive-date = September 3, 2014

|url-status = dead

}} Tenet announced in December 2014 that they had signed a letter of intent with the Baptist hospital system in Birmingham, Alabama to form a joint venture to own and operate the four Baptist hospitals plus Brookwood Medical Center, already owned by Tenet. Tenet would be the joint venture's majority owner.

As of the fourth quarter 2014, Tenet had turned a profit, explained by higher admissions and revenue (admissions through Medicaid increased by 20.5% after the Affordable Care Act). Hospital admissions also saw an increase during the last quarter of 2014, while the company's bad debt expense ratio decreased. At the same time, its full year financial projections affirmed a price of $1.32 to $2.4 per share with revenue of $17.4 to $17.7 billion,{{cite news|last1=ARMENTAL|first1=MARIA|title=Tenet Healthcare Swings to Profit on Higher Admissions|url=https://www.wsj.com/articles/tenet-healthcare-swings-to-profit-on-higher-admissions-1424728163|newspaper=The Wall Street Journal|access-date=25 February 2015}} with its earnings topping $1.95 billion.{{cite news|last1=CHEN|first1=ANGELA|title=Tenet Upbeat on 2014 Results|url=https://www.wsj.com/articles/tenet-upbeat-on-2014-results-1421072166|newspaper=The Wall Street Journal|access-date=25 February 2015}} On May 7, 2015, the Tenet board of directors appointed Trevor Fetter, Tenet's then president and CEO, as chairman of the board.

{{cite news

| title =Movers to Watch – Tenet Healthcare (THC), Comerica (CMA), Fidelity National Financial (FNF), MAXIMUS (MMS)

| url =http://www.techsonian.com/movers-to-watch-tenet-healthcare-thc-comerica-cma-fidelity-national-financial-fnf-maximus-mms/12477695/

| newspaper =Techsonian

| date =May 8, 2015

| access-date = 2015-05-10

}} In 2015, the company moved from No. 229 to No. 170 on the Fortune 500.

{{cite news

| title =Texas is No. 2 for Fortune 500 companies, topping California

| first =Maria

| last =Halkias

| url =http://www.dallasnews.com/business/headlines/20150605-texas-is-no.-2-for-fortune-500-companies-topping-california.ece

| newspaper =Dallas News

| date =June 5, 2015

| access-date = 2015-06-30

}}

=2015–2016=

In March 2015, Tenet announced an agreement to acquire a majority interest in United Surgical Partners International (USPI), which would make Tenet the largest operator of outpatient surgery centers in the United States. The June 2015 acquisition of USPI almost doubled Tenet's prior count of 210 outpatient centers.

{{cite news

| title =Brookwood hospital and Baptist Health System pursue joint venture

| first =Mike

| last =Oliver

| url =http://www.al.com/news/index.ssf/2014/12/brookwood_hospital_joins_bapti.html

| publisher =Alabama Media Group

| date =December 15, 2014

| access-date = 2015-01-19

}}{{cite news

| title = Tenet and Humana Sign New Multi-Year National Agreement

| url = http://www.tenethealth.com/News/Documents/2014%20Press%20Releases/Tenet%20and%20Humana%20Sign%20New%20Multi-Year%20National%20Agreement%207.14.14.pdf

| publisher = Tenet Health

| date = July 14, 2014

| access-date = 15 July 2014

}}{{cite news

| title = San Antonio Tenet hospitals joining Humana coverage networks

| first = James

| last = Aldridge

| url = http://www.bizjournals.com/sanantonio/news/2014/07/15/san-antonio-tenet-hospitals-joining-humana.html

| newspaper = San Antonio Business Journal

| date = July 15, 2014

| access-date = 15 July 2014

}} Tenet also announced an agreement to acquire Aspen Healthcare in Great Britain.

{{cite news

| title =Tenet in deal to create largest outpatient surgery provider

| first =Susan Kelly

| last =Natalie Grover

| url =https://www.reuters.com/article/united-surgical-jointventure-tenet-healt-idUSL3N0WP4GX20150323?feedType=RSS&feedName=rbssHealthcareNews

| newspaper =Reuters

| date =March 25, 2015

| access-date = 2014-03-29

}} On June 16, Tenet finalized their acquisition of Aspen Healthcare Ltd. and USPI. The USPI transaction raised the number of outpatient centers operated by Tenet to over 400, over double what they had operated prior. It also again made Tenet a multinational company, as Tenet acquired nine British healthcare facilities.

{{cite news

| title =Tenet Healthcare Corporation Completes United Surgical Partners International and Aspen Healthcare Transactions

| url =http://investor.tenethealth.com/press-release/acquisition-and-development/tenet-healthcare-corporation-completes-united-surgical-par

| publisher =Tenet Healthcare (press release)

| date =June 16, 2015

| access-date = 2015-06-30

}} Bill Wilcox remained CEO of USPI, and Kyle Burtnett of Tenet joined USPI as chief integration officer, among other roles. Through the deal, USPI retained its independent branding.

Early in September 2015,

{{cite news

| title =Texas-based Tenet to operate Southern Arizona Carondelet hospitals

| first =Stephanie

| last =Innes

| url =http://tucson.com/news/blogs/health/texas-based-tenet-to-operate-southern-arizona-carondelet-hospitals/article_18fcc0de-50dc-11e5-82f3-bb81546ffe7f.html

| newspaper =Arizona Daily Star

| date =September 1, 2015

| access-date = 2015-09-03

}}

{{cite news

| title =Tenet, Dignity Health and Ascension Form Joint Venture to Own and Operate Carondelet Health Network in Arizona

| url =http://investor.tenethealth.com/press-release/acquisition-and-development/tenet-dignity-health-and-ascension-form-joint-venture-own-

| publisher =TenetHealth.com (press release)

| date =September 1, 2015

| access-date = 2015-09-03

}} Tenet acquired a majority interest in a three-hospital system in Tucson, Arizona, when Tenet, Dignity Health and Ascension Health formed a joint venture to own and operate the Carondelet Health Network.

{{cite news

| title = Ascension Health to give up control of Arizona hospitals

| first = Samantha

| last = Liss

| url = http://www.stltoday.com/business/local/ascension-health-to-give-up-control-of-arizona-hospitals/article_27871817-67bf-562d-9098-fa3561ce81ea.html

| newspaper = St. Louis Post-Dispatch

| date = July 22, 2014

| access-date = 2014-08-27

}} The three hospitals' names remained unchanged, with close to 1,000 new beds added to the Tenet healthcare system as a result. The acquisition of Carondelet Health Network raised the total number of Tenet's general acute care hospitals to 83. On May 11, 2015, it was announced that the Tenet-operated Abrazo Health, acquired in 2013 as part of the Vanguard transaction, had been renamed Abrazo Community Health Network.

{{cite news

| title =Abrazo unveils new name

| first =Angela

| last =Gonzales

| url =http://www.bizjournals.com/phoenix/blog/health-care-daily/2015/05/abrazo-unveils-new-name.html

| newspaper =Phoenix Business Journal

| date =May 28, 2015

| access-date = 2015-09-22

}}

After first announcing the deal in March 2015,

{{cite news

| title =Tenet Healthcare, Baylor Scott & White enter partnership for 5 North Texas hospitals

| first =Korri

| last =Kezar

| url =http://www.bizjournals.com/dallas/blog/morning_call/2015/03/tenet-healthcare-baylor-scott-white-enter.html

| publisher =Bizjournals

| date =March 25, 2015

| access-date = 2014-03-25

}} in January 2016 Tenet Healthcare closed a deal to form a joint venture with the non-profit organization

{{cite news

| title = Schnurman: Tenet and Baylor blur the old lines in health care

| first = Mitchell

| last = Schnurman

| url = http://www.dallasnews.com/business/columnists/mitchell-schnurman/20150330-schnurman-tenet-and-baylor-blur-the-old-lines-in-health-care.ece

| newspaper =The Dallas Morning News

| date = March 30, 2015

| access-date = 2016-07-08

}} Baylor Scott & White Health, with plans for the joint venture to own and operate a number of hospitals in North Texas.

{{cite news

| title = Baylor Scott & White and Tenet will co-own Texas hospitals

| first = Michael

| last = Sandler

| url = http://www.modernhealthcare.com/article/20160105/NEWS/160109965

| newspaper =Modern Healthcare

| date = January 5, 2016

| access-date = 2016-07-08

}} The hospitals were all rebranded under the Baylor name over the coming months: Baylor Scott & White Medical Center — Centennial,

{{cite news

| title = Baylor Scott & White Rebrands Final Hospital Under Tenet Joint Venture

| first = Matt

| last = Goodman

| url = http://healthcare.dmagazine.com/2016/07/01/baylor-scott-white-rebrands-final-hospital-under-tenet-joint-venture/

| newspaper =Healthcare Daily

| date = July 1, 2016

| access-date = 2016-07-08

}} Baylor Scott & White Medical Center – White Rock,

{{cite news

| title = Sunnyvale Hospital Rebranded As Baylor Scott & White Facility

| first = Matt

| last = Goodman

| url = http://healthcare.dmagazine.com/2016/06/16/sunnyvale-hospital-rebranded-as-baylor-scott-white-facility/

| newspaper =Dalas Fort Worth Healthcare Daily

| date = June 16, 2016

| access-date = 2016-07-08

}} Baylor Scott & White Medical Center – Lake Pointe,

{{cite news

| title = Lake Pointe becomes Baylor: Hospital rebranding revealed at renaming ceremony

| first = Amber

| last = Hamilton

| url = http://starlocalmedia.com/rowlettlakeshoretimes/lake-pointe-becomes-baylor-hospital-rebranding-revealed-at-renaming-ceremony/article_274487be-33fb-11e6-819f-f759b07c0210.html

| newspaper =Star Local Media / Rowlett Lakeshore Times

| date = June 16, 2016

| access-date = 2016-07-08

}} and Baylor Scott & White Medical Center – Sunnyvale.

{{cite news

| title = Sunnyvale Hospital Rebranded As Baylor Scott & White Facility

| url = http://healthcare.dmagazine.com/2016/06/16/sunnyvale-hospital-rebranded-as-baylor-scott-white-facility/

| newspaper =Dallas Fort Worth Healthcare Daily

| date = June 16, 2016

| access-date = 2016-07-08

}}

On October 3, 2016, it was announced that Tenet had agreed to pay a $514 million settlement in an agreement with the Department of Justice.{{cite news

| title =Tenet Healthcare Finalizes Previously Disclosed Agreement to Resolve Clinica de la Mama Investigation and Litigation

| url =http://investor.tenethealth.com/press-release/financial-announcements/tenet-healthcare-finalizes-previously-disclosed-agreement-reso

| publisher =Tenet Health

| date =October 3, 2016

| access-date = 2016-10-08

}} According to the lawsuit filed in 2014, four hospitals then owned by Tenet had collaborated in a "kickback" scheme with Clinica de la Mama to increase hospital referrals of Medicaid patients, with two of Tenet's former subsidiaries admitting to "conspiring to defraud Medicaid."

{{cite news

| title =Two former Tenet hospitals plead guilty to Medicaid kickbacks; $514M settlement finalized

| first =Erica

| last =Teichert

| url =http://www.modernhealthcare.com/article/20161003/NEWS/161009992

| newspaper =Modern Healthcare

| date =October 3, 2016

| access-date = 2016-10-08

}} According to Modern Healthcare, as part of the agreement, the "federal government acknowledged that individuals at the hospitals withheld information from Tenet about the agreements and circumvented Tenet's policies and procedures to prevent such illegal conduct."

In 2015, Tenet announced the acquisition of Baptist Health System of Birmingham, Alabama. Tenet's own Brookwood Medical Center in Birmingham would be included in the merger. The merger was finalized in 2016 and the new subsidiary was renamed Brookwood Baptist Health.{{cite web |last1=Yurkanin |first1=Amy |title=Brookwood and Baptist merged system unveils new name, logo |url=https://www.al.com/news/index.ssf/2016/04/brookwood_and_baptist_merger_u.html |website=Al.com |date=5 April 2016 |access-date=29 July 2018}}

In September 2016, an agreement between Tenet and Humana Inc, a health insurance company based in Louisville, Kentucky, came to an end, putting Tenet's facilities and physicians out-of-network for patients with Humana insurance, including those covered through commercial plans, Medicare Advantage, Healthcare Marketplace Exchange, Medicaid and TRICARE.{{cite web|url=https://www.dallasnews.com/business/health-care/2017/05/02/tenet-hospitals-will-back-network-humana-october|title=Tenet Healthcare hospitals will be back in-network for Humana by October|last=Rice|first=Sabriya|date=2 May 2017|publisher=Dallas News|access-date=29 September 2018}}{{cite news|url=https://www.mysanantonio.com/news/local/article/Tenet-Healthcare-which-owns-Baptist-Health-9644551.php|title=Tenet Healthcare, which owns Baptist Health System, severs ties with Humana insurance|last=Martin|first=Brittney|newspaper=Mysa |date=4 October 2016|publisher=My San Antonio|access-date=29 September 2018}} A new agreement was reached in May 2017 and hospital outpatient centers and physicians returned to Humana Inc's network in June 2017.{{cite web|url=https://www.bizjournals.com/louisville/news/2017/06/05/humana-renews-deal-with-huge-national-provider.html|title=Humana renews deal with huge national provider|last=Larson|first=Chris|date=5 June 2017|publisher=Louisiana Business First|access-date=29 September 2018}}

=2017–present=

Tenet Healthcare announced that the sale of three Houston hospitals and other facilities to HCA Healthcare was finalized in August 2017. The transaction was reported at $750 million in proceeds.{{cite web| author=Ellison, Ayla| title=Tenet sells 3 Texas hospitals to HCA| publisher=Becker's Hospital Review| date=August 1, 2017| url=https://www.beckershospitalreview.com/hospital-transactions-and-valuation/tenet-sells-3-texas-hospitals-to-hca.html| access-date=2019-02-19}} In August 2017, Glenview Capital Management removed two of its representatives from the Tenet board over strategy disagreements with the board.{{cite web|url=https://www.dmagazine.com/publications/d-ceo/2017/december/tenet-healthcare-dallas/|title=Tenet Healthcare's Fall From Grace|date=11 December 2017 |access-date=22 May 2019}} In September 2017{{cite web|url=https://www.forbes.com/sites/brucejapsen/2017/09/14/tenet-healthcare-sale-could-draw-many-bidders/|title=A Tenet Healthcare Sale Could Draw Many Bidders|first=Bruce|last=Japsen|website=Forbes.com|access-date=22 May 2019}} there were "speculative" press reports{{cite web|url=https://www.bizjournals.com/dallas/news/2018/01/09/tenet-healthcarenow-expects-to-layoff-2-000.html|title=Health Care : Tenet Healthcare now expects to lay off 2,000 workers|website=Bizjournals.com\accessdate=22 May 2019}} that Tenet was considering "strategic options" such as a sale. In October 2017, the press reported that a sale was no longer being considered. Trevor Fetter stepped down as CEO in October 2017, and Ron Rittenmeyer was named CEO in addition to his position of executive chairman.https://www.reuters.com/article/us-tenet-m-a-exclusive/exclusive-hospital-operator-tenet-healthcare-scraps-sale-plans-sources- {{dead link|date=July 2021|bot=medic}}{{cbignore|bot=medic}} Tenet increased its ownership in USPI to 95 percent in April 2018.{{cite web|url=https://www.beckershospitalreview.com/hospital-transactions-and-valuation/tenet-acquires-remaining-stake-in-united-surgical-partners-for-630m.html|title=Tenet acquires remaining stake in United Surgical Partners for $630M|website=Beckershospitalreview.com|date=27 April 2018 |access-date=22 May 2019}}

In August 2018, Tenet divested entirely from the United Kingdom.

[https://investor.tenethealth.com/press-release/acquisition-and-development/tenet-completes-sale-uk-based-aspen-healthcare-nmc-healthc "Tenet Completes Sale of UK-Based Aspen Healthcare to NMC Healthcare UK Limited."] (Tenet Health) (August 20, 2018) Retrieved March 3, 2019. In the United States in 2018, Tenet Healthcare sold the for-profit MacNeal Hospital, in Berwyn, Illinois, to the non-profit regional Roman Catholic Loyola Medicine.{{cite news| publisher=Chicago Tribune| url=https://www.chicagotribune.com/business/ct-biz-macneal-loyola-hospital-sale-property-tax-worries-20180223-story.html| title=Loyola's purchase of MacNeal Hospital could take away Berwyn's biggest source of property tax revenue| author=Elejalde-Ruiz, Alexia| date=February 26, 2018| access-date=2019-02-06}} In January 2019, Tenet Healthcare sold its three remaining Chicago-area for-profit hospitals to Los Angeles-based Pipeline Health, which is partially owned and operated by Eric E. Whitaker. The three hospitals in the sale were Louis A. Weiss Memorial Hospital, Chicago; Westlake Hospital, Melrose Park, Illinois; and West Suburban Medical Center, Oak Park, Illinois.{{cite news| publisher=Chicago Tribune| url=https://www.chicagotribune.com/business/ct-biz-westlake-weiss-suburban-hospital-sale-0129-story.html| title='We can ... save these hospitals': Weiss, Westlake, West Suburban sold for $70 million to for-profit firm| author=Schencker, Lisa| date=July 18, 2018| access-date=2019-02-06}}{{cite news| publisher=Chicago Tribune| url=https://www.chicagotribune.com/business/ct-biz-tenet-hospitals-sale-eric-whitaker-20180718-story.html| title=Weiss, Westlake and West Suburban hospitals to be sold to firm headed by Obama friend| author=Schencker, Lisa| date=January 29, 2018| access-date=2019-02-06}} Then, in February 2019 Whitaker announced that Pipeline Health would close Westlake Hospital within five months, keeping the other two open.{{cite news| publisher=Chicago Tribune| url=https://www.chicagotribune.com/business/ct-biz-state-cant-stop-westlake-closure-20190219-story.html| title=The state can't stop the new owners of Westlake Hospital from closing it. That wasn't always the case.| author=Schencker, Lisa| date=February 19, 2018| access-date=2019-02-20}}

During the COVID-19 pandemic, Tenet made nearly $399 million in profit. At the same time, the company furloughed 11,000 workers.{{Cite news|last=Gelles|first=David|date=2021-04-24|title=C.E.O. Pay Remains Stratospheric, Even at Companies Battered by Pandemic|language=en-US|work=The New York Times|url=https://www.nytimes.com/2021/04/24/business/ceos-pandemic-compensation.html|access-date=2021-04-25|issn=0362-4331}}

J. Roger Davis was appointed president and CEO of Conifer in 2020.{{cite news|url=https://www.dmagazine.com/healthcare-business/2020/12/meet-the-new-ceo-of-conifer-health-solutions/|title=D Magazine|last1=Maddox|first1=Will|date=7 December 2020|access-date=2 August 2021}} That December 2020, Tenet acquired the controlling interest in 45 ambulatory surgery centers from SurgCenter Development.{{cite web|url=https://www.marketwatch.com/investing/stock/thc/SecArticle?guid=15125531|title=SEC Form 10-Q |website=www.marketwatch.com}}

In April 2021, the company sold its urgent care service run by subsidiary United Surgical Partners International.{{cite web|url=https://www.beckersasc.com/asc-transactions-and-valuation-issues/80m-deal-for-uspi-s-urgent-care-platform-closed.html|title=ASC Transactions & Valuation Issues| website=www.beckersasc.com|date=30 April 2021 |access-date=2 August 2021}} That August, Tenet sold five of its Florida hospitals to Steward Health Care: Coral Gables Hospital; Florida Medical Center, Lauderdale Lakes; Hialeah Hospital; North Shore Medical Center, Miami; and Palmetto General Hospital, Hialeah.{{cite web|url=https://www.beckershospitalreview.com/hospital-transactions-and-valuation/tenet-sells-5-florida-hospitals.html|title=Tenet sells 5 Florida hospitals|last1=Paavol|first1=Alia|access-date=2 August 2021}}

Controversies

=Psychiatric fraud=

In the early 1990s as National Medical Enterprises, the company was accused of committing fraud by admitting thousands of psychiatric patients who did not need hospitalization and then charging these patients inflated prices.{{cite news|last=Kerr|first=Peter|date=31 July 1992|title=8 Big Insurers Sue National Medical Enterprises|work=The New York Times|url=https://www.nytimes.com/1992/07/31/business/8-big-insurers-sue-national-medical-enterprises.html?pagewanted=1|access-date=22 April 2014}} In 1991, the federal government investigated the company for fraud and conspiracy.{{cite news|date=8 October 1991|title=COMPANY NEWS; U.S. Investigating National Medical|work=The New York Times|url=https://www.nytimes.com/1991/10/08/business/company-news-us-investigating-national-medical.html?pagewanted=1|access-date=22 April 2014}} In 1993, law enforcement raided company offices in an attempt to show that the company was defrauding patients and insurance companies.{{cite news|date=27 August 1993|title=U.S. Raids Hospital Operator|work=The New York Times|url=https://www.nytimes.com/1993/08/27/business/us-raids-hospital-operator.html?pagewanted=1|access-date=22 April 2014}} In 1994, the company paid total $2.5 million to settle lawsuits from 23 patients at its psychiatric hospitals.{{cite news|date=9 March 1994|title=National Medical Settlement|work=The New York Times|url=https://www.nytimes.com/1994/03/09/business/national-medical-settlement.html?pagewanted=1|access-date=22 April 2014}} Again in 1994, National Medical Enterprises settled fraud charges with the United States and 28 states involving payments of a record $380 million at the time and federal guilty pleas on eight criminal counts by two of its units. The company also agreed to a five-year corporate integrity agreement with the U.S. Department of Health and Human Services.{{cite journal|date=December 1994|title=National Medical Agrees to Settlement of Fraud Charges Totaling $380 Million|url=http://pediatrics.aappublications.org/cgi/content/abstract/94/6/913|journal=Pediatrics|publisher=American Academy of Pediatrics|volume=94|page=913|access-date=22 April 2014|number=6|doi=10.1542/peds.94.6.913|s2cid=245138459|last1=L|first1=J. F.|url-access=subscription}}

=Unnecessary heart surgeries=

In the late 1990s through the early 2000s, Redding Medical Center (at the time, a Tenet-owned hospital), was investigated for performing unnecessary heart surgeries on over 600 patients. To settle these allegations, Tenet agreed to pay a $54 million fine to the federal government and the state of California, without admitting wrongdoing. This settlement did not preclude civil or criminal charges against individuals of the company.{{cite news|last=Appleby|first=Julie|date=6 August 2003|title=Tenet to pay $54M to settle disputed surgery case|work=USA Today|url=https://www.usatoday.com/money/industries/health/2003-08-06-tenet-settlement_x.htm|access-date=22 April 2014}} In order for the hospital to continue receiving Medicare reimbursements, Tenet was compelled by federal regulators to sell the hospital which was subsequently renamed Shasta Regional Medical Center.{{cite news|last=Girion|first=Lisa|date=17 April 2004|title=Tenet Reaches Deal to Sell Redding Hospital|work=Los Angeles Times|url=https://www.latimes.com/archives/la-xpm-2004-apr-17-fi-tenet17-story.html|access-date=22 April 2014}} In 2004, Tenet paid an additional $395 million to 769 patients to settle litigation for the unnecessary surgeries.{{cite news|date=22 December 2004|title=$395 Million Payment to Settle Unnecessary-Surgeries Suits|work=The New York Times|url=https://query.nytimes.com/gst/fullpage.html?sec=health&res=9E05E4DE1030F931A15751C1A9629C8B63|access-date=22 April 2014}} The scandal and subsequent federal investigation are described in the book Coronary: A True Story of Medicine Gone Awry by author Stephen Klaidman.Klaidman, Stephen. Coronary: a true story of medicine gone awry. Simon and Schuster, 2008.{{cite news|last1=Curiel|first1=Jonathan|date=February 18, 2007|title=A heart surgery scandal revisits Redding in print / People trusted their doctors -- a bit too much|publisher=SFGate|url=http://www.sfgate.com/health/article/A-heart-surgery-scandal-revisits-Redding-in-print-2616602.php|access-date=6 February 2015}}DuBois, James M., Elena Kraus, and Meghan Vasher. "The development of a taxonomy of wrongdoing in medical practice and research." American Journal of Preventive Medicine 42.1 (2012): 89-98.

= California Closures =

In the mid 1990s, Tenet had a strategy of buying up community hospitals in Southern California in an effort to capitalize on rising insurance costs in the region. The company and former CEO Jeffrey Barbakow received scrutiny after Tenet began closing these community hospitals, inconsistently citing financial difficulties.{{cite news|url=https://www.nytimes.com/2003/05/27/business/with-no-surprise-chief-leaves-tenet-healthcare.html|title=With No Surprise, Chief Leaves Tenet Healthcare|work=The New York Times |date=27 May 2003 |last1=Gilpin |first1=Kenneth N. }} The City of Pasadena, California publicly attacked Tenet on numerous occasions after their buyout of the Oronda Health group in 1996.{{cite web|url=https://variety.com/2002/scene/people-news/jeffrey-barbakow-lost-found-1117863747/|title=Jeffrey Barbakow: Lost & Found|date=13 March 2002 }}{{cite web|url=https://labusinessjournal.com/news/makeover-on-tap-for-robert-f-kennedy-medical/|title=Makeover on Tap for Robert F. Kennedy Medical Center|date=17 February 2002 }} St. Luke Medical Center at the time was one of only two general care community hospitals to serve the city, Tenet was negatively criticized after numerous complaints accused the company of neglecting the facility after recent renovations.{{cite web|url=https://www.latimes.com/archives/la-xpm-2002-jan-05-me-20507-story.html|title=After 68 years, Money Woes Force the Closure of St. Luke's Medical Center|work=Los Angeles Times|last1=Dimassa|first1=Cara Mia|date=January 5, 2002|access-date=May 2, 2022}} Tenet presented numerous inconsistencies in their quarterly reports as the company claimed St Luke was fiscally underperforming, leading Tenet to shutter the hospital in January 2002. Pasadena city officials expressed widespread anger at Barbakow and Tenet for the closure. Barbakow later received an undisclosed settlement and resigned from the company three months later.{{cite web|url=https://oag.ca.gov/sites/all/files/agweb/pdfs/charities/nonprofithosp/huntington-his.pdf?|title=Huntington Hospital Healthcare Impact Report}}{{cite web|url=https://ww2.cityofpasadena.net/2002%20agendas/Mar_04_02/3a.pdf|title=Closure of St Luke Medical Center: Issues, Impacts, and Responses}}

=Medicare fraud=

In June 2006, Tenet agreed to pay $725 million in cash and give up $175 million of Medicare payments for a total of $900 million in fees to resolve claims it defrauded the federal government for over-billing Medicare claims during the 1990s. To finance the settlement, they sold 11 hospitals in four states including Memorial Medical Center (see below).{{cite news|last=Pettersson|first=Edvard|date=2 August 2007|title=Tenet Healthcare Wins Dismissal of Racketeering Suit|publisher=Bloomberg News|url=https://www.bloomberg.com/apps/news?pid=20601202&sid=aXyMRajt9v38&refer=healthcare|access-date=22 April 2014}}{{cite news|last=Koenig|first=David|date=30 June 2006|title=Tenet to pay $900 million in Medicare settlement|work=San Diego Union-Tribune|agency=Associated Press|url=http://www.utsandiego.com/uniontrib/20060630/news_1b30tenet.html|access-date=22 April 2014}}{{cite press release|url=https://www.justice.gov/opa/pr/2006/June/06_civ_406.html|title=Tenet Healthcare Corporation to Pay U.S. more than $900 Million to Resolve False Claims Act Allegations|date=29 June 2006|publisher=US Department of Justice|access-date=22 April 2014}} In September of that year, Tenet entered into a five-year corporate integrity agreement with the U.S. Department of Health and Human Services. That agreement expired on September 27, 2011.

= Bribery =

In October 2016, Tenet Healthcare and two of its subsidiaries agreed to pay $513M to resolve allegations that they had defrauded the United States and had made use of a kickback scheme to gain patient referrals.{{Cite web|date=2016-10-03|title=Hospital Chain Will Pay over $513 Million for Defrauding the United States and Making Illegal Payments in Exchange for Patient Referrals; Two Subsidiaries Agree to Plead Guilty|url=https://www.justice.gov/opa/pr/hospital-chain-will-pay-over-513-million-defrauding-united-states-and-making-illegal-payments|access-date=2022-02-21|website=www.justice.gov|language=en}} The two subsidiaries pleaded guilty to conspiracy to defraud the United States and to using kickbacks and bribes to refer primarily female undocumented Hispanic patients towards the labor and delivery services of Tenet Healthcare.{{Cite web|title=Tenet Healthcare to Pay $514 Million to Settle Kickback Allegations|url=https://www.policymed.com/2016/11/tenet-healthcare-to-pay-514-million-to-settle-kickback-allegations.html|access-date=2022-02-21|website=Policy & Medicine|language=en-US}}

=Hurricane Katrina=

In August 2005, Tenet-owned Memorial Medical Center in New Orleans, LA was struck by Hurricane Katrina. During and immediately following the storm, several hundred patients, visitors and staff sought medical care and shelter in the building. The hospital became surrounded by flood waters, which submersed the lower floors of the building, rendering the facility's emergency generators inoperable. Hospital staff were left to care for patients without electricity, sanitation, air conditioning, or adequate food and drinking water. The hospital was evacuated over the course of several days, during which time 45 patients died within the hospital building. It was alleged that staff intentionally hastened the death of several patients by administering lethal doses of sedatives and pain medication. In July 2006, Dr. Anna Pou and nurses Lori Budo and Cheri Landry were arrested after being charged by Louisiana Attorney General Charles Foti of second-degree murder in the deaths of four patients.{{cite news|date=11 March 2010|title=Coroner: Post-Katrina hospital death not homicide|publisher=CNN|url=http://www.cnn.com/2010/CRIME/03/11/katrina.hospital.deaths/index.html?hpt=T2|access-date=22 April 2014}} In August 2007, a New Orleans grand jury declined to indict the three women and a New Orleans judge expunged their arrest records. In July 2007, Dr. Pou sued Foti for defamation and damage to her career.{{cite news|last=Fink|first=Shari|date=25 August 2009|title=The Deadly Choices at Memorial|work=The New York Times|url=https://www.nytimes.com/2009/08/30/magazine/30doctors.html|access-date=22 April 2014}} In June 2006, Tenet announced it planned to sell Memorial Medical Center and three other hospitals in the greater New Orleans area.{{cite news|date=29 June 2006|title=Four Area Hospitals For Sale|work=WDSU News|url=http://www.wdsu.com/news/9446265/detail.html|access-date=22 April 2014}} In July 2009, Gov. Bobby Jindal approved a bill passed by the Louisiana Legislature to reimburse Pou's legal fees, which totaled more than $450,000.{{cite web|last1=Moller|first1=Jan|title=Panel recommends paying Dr. Anna Pou's legal fees|date=18 March 2009 |url=http://www.nola.com/news/index.ssf/2009/03/panel_recommends_paying_dr_ann.html|access-date=18 June 2014|publisher=Times-Picayune}}{{cite web|title=Governor Signs Bill To Reimburse Doctor Cleared Of Committing Mercy Killings During Katrina|date=July 2009 |url=http://www.ktbs.com/story/22355271/governor-signs-bill-to-reimburse-doctor-cleared-of-committing-mercy-killings-during-katrina|access-date=18 June 2014|publisher=KTBS.com}}

=Tax dodging and lobbying=

In December 2011, the non-partisan organization Public Campaign criticized Tenet Healthcare for spending $3.43 million on lobbying and not paying any taxes during 2008–2010, instead getting $48 million in tax rebates, despite making a profit of $415 million, and increasing executive pay by 19% to $24 million in 2010 for its top 5 executives.{{cite web|last=Portero|first=Ashley|date=9 December 2011|title=30 Major U.S. Corporations Paid More to Lobby Congress Than Income Taxes, 2008–2010|url=http://www.ibtimes.com/articles/264481/20111209/30-major-u-s-corporations-paid-lobby.htm|url-status=live|archive-url=https://web.archive.org/web/20120107173713/http://www.ibtimes.com/articles/264481/20111209/30-major-u-s-corporations-paid-lobby.htm|archive-date=7 January 2012|access-date=22 April 2014|work=International Business Times}}

=Florida pediatric heart surgery standards=

In 2015, CNN reported that Tenet had lobbied the governor of Florida Rick Scott as well as Republican Party Florida legislators in order to remove hospital standard rules for pediatric heart surgeries after one of its hospitals failed to meet standards. Both the officials and Tenet denied any wrongdoing, with Tenet stating to the press that "at no time have we discussed the pediatric cardiac standards with the governor or his office, or with any elected official or anyone on their staff... our opinion was not sought on the standards nor have we expressed a position on the possible repeal of the standards or the role of the Cardiac Technical Advisory Panel."{{cite news|date=13 January 2016|title=Heart doctors outraged Florida dumps hospital standards after big gifts to GOP|work=CNN News|url=http://www.cnn.com/2016/01/13/health/florida-hospital-standards-republican-gifts/index.html|access-date=13 January 2016}} Florida Health released a statement indicating that the legal basis for the removal of pediatric surgery standards had been revoked in 2001. This revocation invalidated the standards and it was an oversight that they were not formally stricken from record until 2015.{{Cite web|title=Florida Health - Setting the Record Straight|url=http://www.floridahealth.gov/_documents/newsroom/press-releases/2016/01/011416-setting-record-straight.pdf|website=Floridahealth.gov}}

= Children's Hospital of Michigan physician barring =

In late 2019, the physician group, University Pediatricians announced that they were separating from the Wayne State University School of Medicine and joining the Central Michigan University instead.{{Cite web |date=2020-05-06 |title=Detroit Medical Center says it will bar Wayne State pediatricians from Children's Hospital |url=https://www.modernhealthcare.com/physicians/detroit-medical-center-says-it-will-bar-wayne-state-pediatricians-childrens-hospital |access-date=2022-03-10 |website=Modern Healthcare |language=en}} In retaliation, Wayne State announced that they were creating their own physician group, Wayne Pediatrics and gave doctors who taught medicine at the university 30 days to switch over their affiliation to Wayne Pediatrics or lose their access to the Children's Hospital of Michigan. The group University Pediatricians has had an exclusive contract with the Detroit Medical Center and DMC's owner, Tenet Healthcare, decided that doctors from Wayne Pediatrics would lose their affiliation with the hospital and doctors with Wayne Pediatrics would not be able to treat or admit patients at the hospital.{{citation needed|date=August 2022}} In April 2020 Wayne State officials announced that they were taking up legal action against Tenet Healthcare.{{Cite web |last=Dwyer |first=Dustin |title=Wayne State pediatricians being evicted from DMC Children's Hospital, dean says |url=https://www.michiganradio.org/post/wayne-state-pediatricians-being-evicted-dmc-childrens-hospital-dean-says |access-date=2020-05-08 |website=www.michiganradio.org |date=5 May 2020 |language=en}}

= 2021 Saint Vincent Hospital strike =

On March 8, 2021, workers at Saint Vincent Hospital in Worcester, Massachusetts, went on strike.{{Cite web|last1=Bruns-Smith|first1=Alexandra|last2=Erlich|first2=Matthew|date=2021-05-26|title=Nurses in Massachusetts Are Striking for Their Patients|url=https://jacobinmag.com/2021/05/nurses-strike-worcester-saint-vincent|url-status=live|archive-url=https://web.archive.org/web/20210528175841/https://jacobinmag.com/2021/05/nurses-strike-worcester-saint-vincent|archive-date=2021-05-28|access-date=2021-05-28|website=Jacobin|language=en-US}} According to the workers' union, the Massachusetts Nurses Association, the hospital, owned by Tenet Healthcare, has spent over $60,000,000 on the strike,{{Cite web|last=Freyer|first=Felice|date=2021-05-22|title=Saint Vincent strike enters 12th week as both sides dig in|url=https://www.bostonglobe.com/2021/05/22/metro/saint-vincent-strike-enters-12th-week-both-sides-dig/|url-status=live|archive-url=https://web.archive.org/web/20210528181012/https://www.bostonglobe.com/2021/05/22/metro/saint-vincent-strike-enters-12th-week-both-sides-dig/|archive-date=2021-05-28|access-date=2021-05-28|website=The Boston Globe|language=en-US}} hiring scab nurses to replace striking workers, and paying the Worcester Police Department over $30,000 a day for overtime patrol of the picket line. A union spokesperson claimed that this amount was triple the cost of the nurses demands, but the hospital's president disputed the $60,000,000 number. In an interview with the Jacobin magazine, the head of the Massachusetts Nurses Association alleged unsafe conditions at Saint Vincent Hospital, with a work overload of nurses resulting in inadequate care for patients. The union's head also said that with the onset of the Covid-19 pandemic, nurses faced an even higher workload and that Tenet received large amounts of money from the CARES Act while simultaneously furloughing nurses. Tenet made a contract offer in early July.{{cite news|url=https://www.wcvb.com/article/st-vincent-hospital-makes-another-offer-as-nurses-bring-ongoing-strike-to-texas-tenet-healthcare/36940901|title=St. Vincent Hospital in Worcester makes another offer as nurses take ongoing strike to Texas|work=WCVB5|date=6 July 2021|access-date=2 August 2021}} Further negotiations ensued during July 22 and 23, with a subsequent two-day negotiation slated to begin August 2, 2021.{{cite news|url=https://www.prnewswire.com/news/massachusetts-nurses-association/l|title=St. Vincent Nurses to Resume Talks with Dallas-Based Tenet Healthcare Monday and Tuesday, Aug. 2 & 3|website=www.prnewswire.com|date=1 August 2021|access-date=2 August 2021}}

Operations

Tenet Healthcare Corporation employed, in 2021, approximately 110,000 people.{{cite news|url=https://www.wsj.com/market-data/quotes/THC/company-people|title=Tenet Healthcare Corp.|work=The Wall Street Journal|access-date=2 August 2021}} Through its brands, subsidiaries, joint ventures, and partnerships with companies such as United Surgical Partners International (USPI), as of September 30, 2019, Tenet operated 65 hospitals and approximately 500 other healthcare facilities.{{cite web|url=https://www.sec.gov/ix?doc=/Archives/edgar/data/70318/000007031819000056/thc-20190930x10xq.htm| title=Form 10-Q|date=2019-10-31|access-date=31 December 2019|publisher=U.S. Securities and Exchange Commission |website=Sec.gov}}

[http://app.quotemedia.com/data/downloadFiling?ref=12732940&type=HTML&symbol=THC&companyName=Tenet+Healthcare+Corporation&formType=10-K&formDescription=Annual+report+with+a+comprehensive+overview+of+the+company&dateFiled=2019-02-25 "Statement of changes in beneficial ownership of securities."] (Tenet Health) (January 31, 2019) Retrieved 20 July, 2020.

{{cite news|url=https://www.elpasotimes.com/story/news/2018/04/27/healthcare-company-promotes-el-paso-providence-leader-chief-nursing-officer/547519002/|title=Providence top El Paso executive promoted to Tenet hospital chain's chief nursing officer|newspaper=El Paso Times|access-date=22 May 2019}}{{cite web|last1=Greene|first1=Jay|title=DMC Surgery Hospital still closed after flooding, 127 employees to be laid off|date=30 September 2014|url=http://www.crainsdetroit.com/article/20140930/NEWS/140939972/dmc-surgery-hospital-still-closed-after-flooding-127-employees-to-be|publisher=Crain's Detroit Business|access-date=27 February 2015}} Tenet subsidiaries own or lease and operate a number of medical office buildings, all located on or near Tenet hospital campuses. Tenet subsidiaries also operate free-standing and provider-based outpatient centers, including diagnostic imaging centers, ambulatory surgery centers, off-campus emergency departments and urgent care centers.

Awards and recognition

Tenet Healthcare has received various honors for the company, including its operations and leadership.{{cite web|title=Our Awards|url=http://www.tenethealth.com/Community/Documents/2011%20Sustainability%20Report%20Files/Our%20Awards.pdf|publisher=Tenet Healthcare|access-date=18 June 2014}}{{dead link|date=October 2023}} In 2013, the American Heart Association recognized Tenet as a "Platinum Fit-Friendly Company."{{cite web|title=Fit-Friendly Worksites: Platinum Award Recognition|url=http://www.startwalkingnow.org/documents/FFPlatinumApril2013.pdf|publisher=American Heart Association|access-date=18 June 2014}} Tenet's board of directors was named the Outstanding Board of Directors for a Public Company by the Dallas Business Journal

{{cite news

| title =Outstanding Directors Awards 2014

| url =http://www.bizjournals.com/dallas/feature/outstanding-directors-awards-2014.html

| newspaper =Dallas Business Journal

| date =September 25, 2014

| access-date = 2014-11-20

}} in September 2014.

{{cite news

| title =Public Company Board: Tenet Healthcare Corporation

| first =Bill

| last =Hethcock

| url =http://www.bizjournals.com/dallas/print-edition/2014/09/26/public-company-boardtenet-healthcare-corporation.html

| newspaper =Dallas Business Journal

| date =September 26, 2014

| access-date = 2014-11-20

}} Executive chair and CEO Ron Rittenmeyer has been named a "most admired CEO" by the Dallas Business Journal,{{cite web |last1=Schneider |first1=Rob |title=New HQ just part of CEO's transformation of country's largest for-profit health care company |url=https://www.bizjournals.com/dallas/news/2019/09/25/ron-rittenmeyer-tenet-healthcare-most-admired-ceo.html |website=Dallas Business Journal |access-date=6 November 2019}}{{cite web |last1=Schneider |first1=Ron |title=Here are the 2019 Most Admired CEOs in North Texas |url=https://www.bizjournals.com/dallas/news/2019/08/20/most-admired-ceo-awards-2019.html |website=Dallas Business Journal |access-date=6 November 2019}} and in 2019, Rittenmeyer was named fifty-ninth among the 100 Most Influential People in Healthcare by Modern Healthcare.{{cite web | title= 100 Most Influential People in Healthcare - 2019 |url=https://www.modernhealthcare.com/awards/100-most-influential-people-healthcare-2019|website=Modern Healthcare|date=6 February 2019|access-date=December 31, 2019}} In April 2021, the Tenet Board of Directors was again recognized by the Dallas Business Journal{{'}}s Outstanding Directors Awards.{{cite news|url=https://www.bizjournals.com/dallas/news/2021/04/28/tenet-board-ron-rittenmeyer-bob-kerrey.html|title=Board is at the center of Tenet Healthcare's recent transformation (Video)|last1=Schneider|first1=Rob|work=Dallas Business Journal| date=28 April 2021|access-date=2 August 2021}}

Philanthropy

In 2002, the Tenet Healthcare Foundation awarded a $1 million grant to provide financial support to Latino nursing students.{{cite book|last1=Kingma|first1=Mireille|title=Nurses on the Move: Migration and the Global Health Care Economy|date=2006|publisher=Cornell University Press|isbn=9780801472596|page=88|url=https://books.google.com/books?id=1dH2yjTehUEC&q=Tenet+Healthcare+Foundation+Awards+%241+Million+Grant+to+Address+California%27s+Latino+Nurse+Shortage|access-date=18 June 2014}} In 2004, Tenet Healthcare Foundation, Tenet's charitable giving arm, awarded $2.78 million to support accelerated undergraduate and graduate nursing degree programs at five nursing colleges in Southern California, South Florida, Georgia and Texas.{{cite web|last1=Nelson|first1=Frank|title=Grants to address nursing shortage|url=http://www.newspress.com/Top/Article/article.jsp?Section=ARCHIVESW&ID=564159000405475343&Archive=true|publisher=Santa Barbara News-Press|access-date=18 June 2014}} In 2012, Tenet joined GE and Verizon in supporting the launch of the Clinton Health Matters Initiative, created by the William J. Clinton Foundation to build on its work on global health and childhood obesity.{{cite web|title=President Clinton announces launch of the Clinton Health Matters Initiative|work=Clinton Foundation |url=http://www.clintonfoundation.org/main/news-and-media/press-releases-and-statements/president-clinton-announces-launch-of-the-clinton-health-matters-initiative.html|access-date=18 June 2014}} In Tenet's "2013 Sustainability Report: Tenet Cares," the company stated that its support for local communities that year totaled $545 million in uncompensated care and $158 million in charity care. In 2014, Tenet Healthcare was a presenting sponsor of the third annual Clinton Foundation Health Matters Conference in La Quinta, California.{{cite web|title=2014 Health Matters Conference|url=http://www.clintonfoundation.org/get-involved/take-action/attend-an-event/2014-health-matters-conference|archive-url=https://web.archive.org/web/20140112011158/http://www.clintonfoundation.org/get-involved/take-action/attend-an-event/2014-health-matters-conference|url-status=dead|archive-date=January 12, 2014|publisher=Clinton Foundation|access-date=18 June 2014}}