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Greed, Scandal & Wrongful Deaths at Tenet Healthcare Corp.
Part One
Part Two
Part Three
Part Four
Greed, Scandal & Wrongful Deaths at Tenet Healthcare Corp.
 
January 31, 2005
 
A multi part series from the Tenet Shareholder Committee
 
As the Tenet Shareholder Committee enters its sixth year, we have prepared a summary of what, from our point of view, went wrong at Tenet and a history of our effort to reform this company. We are publishing this multi part series on our web site.
 
Today: Part 1 – Past and Present Scandals
 
Find below a brief description of each section in Part 1.
 
Tenet Healthcare – Repeat Offender
  • The criminal history of Tenet Healthcare Corp., operating under the name of National Medical Enterprises
  • The abuse of patients
  • A guilty plea on seven federal felonies
  • The 1994 Corporate Integrity Agreement (CIA), which the federal government now alleges the company knowingly violated
  • The team, brought in as reformers, are later shown to be recidivists as Tenet is caught up in a new round of scandals involving credible allegations that patient’s lives had been sacrificed on the altar of corporate profits. [For example: Redding Medical Center & Palm Beach Gardens Medical Center]
The Tenet Shareholder Committee
  • The formation of the Tenet Shareholder Committee
  • Background of the committee’s chairman.
A Name Change and a Shopping Spree
  • The growth of Tenet with the acquisition of AMI and OrNda
  • The strategy to dominate regional markets and raise prices
  • Charging 3 times more for bypass surgery than the average payment in other hospitals
  • Having 64 hospitals on the list of the country’s 100 most expensive hospitals.
Corporate Healthcare Laggard
  • How before the pricing strategy fully kicked in, Tenet had written off .4 billion after tax
  • Had debt below investment grade
  • Had negative cash flow after capital expenditures
  • Tenet chairman and CEO Jeffrey Barbakow assembles his team
  • The aggressive price increase strategy is fully launched as the Corporate Integrity Agreement expired in June of 1999.
  • The 2000 proxy contest
  • Reform promises made, and not kept.
Earnings Took Flight Like a Mythical Phoenix
  • The accelerated growth of earnings, margins, and cash flow in 2000 to 2002
  • Barbakow’s frequent claims that these results were directly related to the strategies his team had adopted.
Like Icarus, Tenet Flew Too Close to the Sun
  • The bursting of the bubble, beginning with questions, raised by an industry analyst, about Medicare outlier reimbursements and the FBI raid on Redding Medical Center in late October 2002.
  • Barbakow’s incredible claim that he did not know about the abuse of Medicare
  • The remarkable recovery revealed to be a scam, far more abusive and destructive than the NME scandal.
“Wall Street Medicine” Meets Dr. Seuss
  • The aggressive corporate culture at Tenet is exposed
  • The harmful impact of greed on Tenet’s patients.
Senior Management Gets the Ax
  • The highest paid CEO in America departs
  • Others on the Barbakow team also go out the door with bags of money, while shareholders take it on the chin.
  • Unfortunately, Barbakow’s dysfunctional Board of Directors has not followed senior management out the door. Barbakow era directors are still a majority of the current Board.
  
 
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