tenet complaint april 2011
TRANSCRIPT
-
8/7/2019 Tenet Complaint April 2011
1/70
!
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8*
2%$&01*)&0)*1$)&.$+&*+,2.&*
',.*&90*%,.&90.%*1$)&.$+&*,'*&0:#)*
*
"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"!"
#$%$#!&$'(#&)'*$!)+*,+*'#-+%.!
,/0123144.!
56!
)+778%-#9!&$'(#&!:9:#$7:.!-%)6.!;'9%$!#6!:7-#&.!02
=>4>2
-
8/7/2019 Tenet Complaint April 2011
2/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=*
V6! WM!401/12O!3F!!13?!1SGEFG>E!LN?12>??!GE0D31D>?!02?.!)&:!C0?!S0!40/?>!020S>23?!02E10/!FS1??1F2?!3F!13?!FP2!?C0E>CF/E?6!!
%FP.!0?!)&:!033>SG3?!3F!0DUN1E>!#>2>3!4FE!XY6ZZ!G>E!?C0E>.!XQ6ZZ!F4!PC1DC!PFN/!G01
)&:!?3FDR!3F!#>2>3T?!?C0E>CF/E?.!)&:!1?!S0R12O!40/?>!020S>23?!3F!#>2>3T?!
?C0E>CF/E?!12!3C>!CFG>!3C03!3C>M!P1//!>@>E3!GE>??NE>!NGF2!#>2>3!3F!0DD>G3!02!120UN03>!F44>E.!
FE!>/>D3!)&:"2FS1203>D3FE?!PCF!P1//!0GGEF5>!0!3E02?0D31F2!P13C!)&:6!!:12D>!/03>!VZQZ.!4FE!
>@0SG/>.!)&:!C0?!?303>441D1>23J!C>0/3CD0E>!
?>E51D>?6!!)&:!C0?!0/?F!D/01S>E>!P0?!I?1O2141D023!?M2>EOM!GF3>2310/J!12!13?!GEFGF?>
0DUN1?131F2!F4!#>2>3.!?1S1/0E!3F!3C>!?M2>EO1>?!)&:!D/01S?!3F!C05>!0DC1>5>
0DUN1?131F2!F4!F3C>E!CF?G130/?6!!)&:!0/?F!C0?!D0//>/4!02!I-20E!12!'!^02N0EM!VZQQ6!!
_6! WN3!PC03!)&:!C0?!401/>`02!)&:T?!GEF@M!?F/1D13031F2!S03>E10/?Q!S03>E10//M!S1?/>00/1a>!I?M2>EO1>?J!
4EFS!13?!CF?G130/!0DUN1?131F2?A!!4FE!03!/>0?3!0!D0.!)&:!C0?!1SG/>S>23>E10!
N31/1a>S031D0//M!?3>>E!S>D>??0EM!12G031>23!00?>?!12G031>23!0!GNEGF?>!F4!E>D>1512O!
?NL?302310//M!C1OC>E!0223?!4EFS!7>!02E!?FNED>?6!!#C1?!
0!1?!3C>!DFE>!I?M2>EOMJ!02E!F4!)&:T?!?3E03>OM!4FE!0DUN1E12O!CF?G130/?6!!
:G>D141D0//M.!)&:!C0?!S020O>!3C>!G>E4FES02D>!F4!13?!0DUN1E>
OEFP12O!3C>!LN?12>??.!LN3!LM!12DE>0?12O!S0EO12?!3CEFNOC!DC02O12O!3C>!0DUN1E>
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! Q! '?!?>3!4FE3C!C>E>12.!3C>!GEF@M!?F/1D13031F2!S03>E10/?!03!1??N>!12!3C1?!)FSG/0123!0E>!)&:T?!:$)!41/12O?!DF2301212O!)&:T?!GNL/1D!?303>S>23?!S0!12!?NGGFE3!F4!13?!?F/1D13031F2!F4!GEF@1>?!4FE!3C>!>/>D31F2!F4!D3FE?!03!#>2>3T?!2>@3!022N0/!S>>312O6!
-
8/7/2019 Tenet Complaint April 2011
3/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>*
0E10!02E12O!3C>!E03>!03!PC1DC!13?!CF?G130/?!N31/1a>!IFL?>E5031F2J!
?303N?6!!#F!30R>!bN?3!F2>!>@0SG/>.!)&:!3ENSG>3?!3C>!?M2>EO1>?!3C03!13!DE>03>
0DUN1?131F2!F4!#E10?!2F3!!1?!3C03!13!0DC1>5>
3C>?>!?M2>EO1>?!LM!?/0?C12O!3C>!N?>!F4!FL?>E5031F2!03!3C>!4FES>E!#E10!3C02!
dZe!12!F2>!M>0E.!020!PFN/
G>E1F231F2!?!3F!F3C>E!G0M>E?!02!3>2?!F4!3CFN?02
-
8/7/2019 Tenet Complaint April 2011
4/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?*
>@D/N?1F2!4EFS!G0E31D1G0312O!12!7>!0/3FO>3C>E.!PC1DC!DFN/03>2!3C>!510L1/13M!F4!3C>!
DFSG02M!>231E>/M6!!
d6! '?!0!E>?N/3!F4!3C>!E>5>2N>?!O>2>E03>?>!1SGEFG>E!0!C0?!4FE!S02M!M>0E?!L>>2!0E3141D10//M!124/03>>R?!3F!N?>!13?!0E3141D10//M!
124/03>!3F!G0M.!12!G0E3.!4FE!3C>!GEFGF?>2>36!!
Y6! #>2>3.!3C>E>4FE>.!LE12O?!3C1?!0D31F2!3F!DFSG>/!)&:!3F!!4N//M!13?!0?!02!41202D10/!02O0/!E1?R?!12C>E>23!12!3C>S6!!+2/M!3CEFNOC!4N//!!D02!
#>2>3T?!?C0E>CF/E?!0GGEFGE103>/M!>50/N03>!3C>!DNEE>23!)&:!0DUN1?131F2!GEFGF?0/!FE!02M!
?NL?>UN>23!GEFGF?0/?!LM!)&:6!!#>2>3!0/?F!?>>R?!3F!E>DF5>E!3C>!?NL?302310/!DF?3?!12DNEE>E!
3F!C05>!)&:!DFEE>D3!13?!S1?/>0E10/?6!!!
j!j!j!j!j!!
c6! #C1?!/131O031F2!0?!DFE>!GE12D1G/>?!F4!G031>23!D0E>!3C03!)&:`02!0SF2O!13?!G>>E?!12!3C>!12E!3F!1SGEF5>!13?!FP2!LF33FS!
/12>6!!)&:!C0?!G/0D>4FE>!G031>23?.!02!12!G>E1/6!!-2!
G0E31DN/0E.!03!3C>!D>23>E!F4!3C1?!/131O031F2!1?!02!1??N>!3C03!CF?G130/?!025>EM!23!1?!0GGEFGE103>/M!3E>03>!>@3>23!3C03!G031>23!1?!
DF5>E>.!CFP!3C03!3E>03S>23!?CFN/!L1//>6!!!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!![iFF32F3>!DF2312N>51FN?!G0O>\!
1SGEFG>E/M!0/M!YV.ZZZ"gV.ZZZ!G031>23?!3F!)&:!CF?G130/?.!)&:!E>D>15>/M!XVgZ"X_cc!S1//1F2!L>3P>>2!VZZY!02D0N?>!3C>!8213>?!
=>G0E3S>23!F4!^N?31D>!S0M!1SGF?>!3E>L/>!?!4FE!40/?>!7>!D/01S?.!02!4>E0/!i0/?>!)/01S?!'D3!1SGF?>?!0!G>20/3M!F4!NG!3F!XQQ.ZZZ!G>E!D/01S!4FE!1SGEFG>E/M!L1//>!P>//!F5>E!XQ!L1//1F2!12!N2?`02!i>>"4FE":>E51D>!G031>23?.!PC1DC!S0!NG!0GGEF@1S03>/M!Vce!F4!)&:T?!2>3!FG>E0312O!E>5>2N>!12!VZQZ6!!#C>?>!/10L1/131>?!2310/!/10L1/13M!3F!F3C>E!G0M>E?!PCF!S0M!C05>!L>>2!C0ES>?.!12D/N!DFSG021>?.!?303>!7>E?.!0223?6!!!
-
8/7/2019 Tenet Complaint April 2011
5/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@*
g6! ;C>2!0!G031>23!51?13?!0!CF?G130/.!GCM?1D102?!SN?3!3>ES12>.!L0?>!?>5>E13M!F4!3C>!G031>23T?!DF2D3>03S>23.!PC>3C>E!3C>!G031>23!?CFN/A!!1K!0
3C>!CF?G130/!4FE!12G031>23!3E>03S>23k!11K!FL?>E5>23!4FE!0!G>E1F
3F!Vf!CFNE?.!LN3!E0E>/M!SFE>!3C02!fg!CFNE?.!L>4FE>!0!D1?1F2!D02!L>!S0!PC>3C>E!3C>!G031>23!
E>UN1E>?!CF?G130/!0!23!4FE!S12FE!DF223!L0?1?!022!1SS>/M!!D1?1F2!F4!PC>3C>E!3F!023!FE!3E>03!3C>!G031>23!12!FN3G031>23!FL?>E5031F2!?303N?!C0?!?1O2141D023!41202D10/!E0S141D031F2?!
4FE!3C>!CF?G130/6f!!:G>D141D0//M.!CF?G130/?!0E>!G01!LM!3C>!7>!GEFOE0S!
02E3012!F3C>E!G0M>E?!3F!3E>03!0!G031>23!PCF!C0?!L>>2!L1//>23!E03C>E!3C02!
F2>!PCF!C0?!L>>2!L1//>23!12!FL?>E5031F2!?303N?6!!'DDFE!7>!
,0MS>23!'!'!)F23E0D3FE?!PCF!GEFD>??!7>!
G0MS>23?!0E>!GEFC1L13>!4N2E51D>?!14!3CF?>!?>E51D>?!P>E>!2F3!
IS>D>??0EM.!E>0?F20L/>.!02!4FE!3C>!
L>2>41D10EM6J!!7>!,EFOE0S!-23>OE13M!702N0/.!)C0G3>E!Y.!:>D31F2!Y6d6V6!!:1S1/0E/M.!N2E!
3C>!7>!,EFOE0S!-23>OE13M!702N0/.!I[1\2G031>23!D0E>.!E03C>E!3C02!FN3G031>23!D0E>.!1?!E>UN1E>
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! f! '?!?>3!4FE3C!12!3C1?!)FSG/0123.!3C>!020/M?>?!DF2G>223!DF2?N/3023?!>??>2310//M!3FFR!0//!G031>23?!3E>03>E>!L1//>E5031F2J!02E>!L1//>
-
8/7/2019 Tenet Complaint April 2011
6/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*A*
F2/M!14!3C>!L>2>41D10EMT?!S>0/3C!PFN/!?1O2141D023/M!02D3/M!
3CE>03>2>!P0?!GEF51??!123>2?15>!?>3312O6J!!!"#!!
QZ6! =>?G13>!3C>?>!7>!GEF51?1F2?.!)&:!C0?!5>/FG>E10!3C03!?M?3>S031D0//M!?3>>E!G031>23?!123F!S>D>??0EM!12G031>23!02!3CF?>!G031>23?!
?CFN/!?04>/M!0244>D315>/M!3E>03>23?!12!FL?>E5031F2!?303N?6!!)&:!0DDFSG/1?C>
3C1?!12DE>0?>!12!G031>23!0S>2312O.!12!FE!0EFN2"OEFP2!?>3!F4!
G031>23!0E10!D0//>!W/N>!WFFR.!PC1DC!P0?!DFGME1OC3>
0501/0L/>!03!3C>!8213>?!)FGME1OC3!+441D>6!!#C>!GNEGF?>!F4!3C>!W/N>!WFFR!1?!?1SG/>A!3F!
GEF51!0!S>DC021?S!4FE!)&:!S020O>S>23!3F!bN?314M!3F!13?!S>E10!4FE!3C>!
023?!PCF!F3C>EP1?>!DFN/!L>>2!FL?>E5>/>0?>
-
8/7/2019 Tenet Complaint April 2011
7/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*B*
DF23012!F5>E!QY.ZZZ!E>4>E>2D>?!3F!S>?.!02!N?>!
DFN23EM6!!=>5>/FGS>23!F4!3C>!71//1S02!)0E>!]N1/12>?.!PC1DC!C05>!SFE>!3C02!Qd.ZZZ!S>4>E>2D>?!02!N?>E!Q.ZZZ!CF?G130/?.!P0?!F5>E?>>2!LM!02!>@G>E1>2D>0S!F4!
GCM?1D102?!0251>P>/M!QZZ!12G>223!!3C>M!0E>!?1O2>!12G031>23!0!W/N>!WFFR!DE13>E10!0E>!2F3!>5>2!ION1/12>?.J!LN3!0E>!0!?>E1>?!F4!PC03!3C>!W/N>!WFFR!D0//?!I'!40E!SFE>!?NLb>D315>!02E0/!3C02!3C>!>512D>"L0?>E10!
N?>E03FE?!12!3C>!DFN23EM6!!iFE!DFN23/>??!DFSSF2!G031>23!
DF2?3!G012.!?M2DFG>.!G2>NSF210.!O0?3EF123>?3120/!L/>>41LE1//031F2.!3C>!W/N>!WFFR!?>3?!4FE3C!40E!/>??!E1OFEFN?!H02K!DE13>E10!4FE!
023!3F!3C>!CF?G130/!3C02!3C>!12?!3C>!
W/N>!WFFR!DF23012?!0E10!4FE!PC1DC!3C>E>!1?!2F!D/121D0/!L0?1?!3F!0!G031>236!!!
Qf6! iFE!>@0SG/>.!N2E!3C>!W/N>!WFFR!'?3!G012!G031>23!P13C!2F3C12O!SFE>!3C02!CMG>E3>2?1F2.!0213C>E!?CFE32>??!F4!LE>03C.!4031ON>.!?/>>G/>??2>??!023M!S0M!L>!0!3>/>S>3EM!N213!F4!0!)&:!CF?G130/6!!#C>!W/N>!WFFR!0/?F!bN?3141>?!
0?3!G012!G031>23!3F!3C>!D0E!N213!HI))8JK`PC1DC!1?!E>?>E5>
G031>23?!P13C!3C>!SF?3!DE131D0/!S>!123>2?15>!0203S>23!4FE!
?NE5150/`L0?>E10!3C03!C05>!2F!L>0E12O!F2!3C>!?>5>E13M!F4!3C>!G031>23T?!>@1?312O!1//2>??.!
LN3!E03C>E.!0!G031>23T?!S>?3!G012!G031>23?6!!#C>!-23>EnN0/!)E13>E10.!F2!3C>!F3C>E!C02b>D3!3C>?>!/1L>E0/!W/N>!WFFR!
'!CF?G130/6!!
Qd6! iFE!02F3C>E!>@0SG/>.!0!G031>23!P13C!02!1EE>ON/0E!C>0E3L>03.!PC1DC!S0M!L>!D0N?>!0!CF?G130/!N2E!3C>!W/N>!WFFR!S>E>/M!PC>2!3C>!
-
8/7/2019 Tenet Complaint April 2011
8/70
-
8/7/2019 Tenet Complaint April 2011
9/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*D*
DFEE>?GF20?>!F4!FL?>E5031F2!?303N?K!3CEFNOC!3C>!0GG/1D031F2!F4!3C>!W/N>!WFFR!
DE13>E10!C05>!L>>2!5>EM!>44>D315>6d!!#C>!020/M?1?!0/?F!?CFP?!3C03!)&:T?!0?!0E>!
N21UN>!12!3C>!CF?G130/!12E5031F2!E03>Y!1?!?NL?302310//M!/FP>E!3C02!3C03!F4!
F3C>E!GNL/1D/M!3E0S?.!P>//"R2FP2!2F2"GNL/1D/M!3E0S?.!02!
CF?G130/!126!
VZ6! W0?>!D/01S?!!FL?>E5031F2!E03>!03!)&:`3C>!2NSL>E!F4!G031>23?!PCF!0E>!3E>03>E5031F2!L0?1?!0?!0!G>ED>230O>!F4!G031>23?!>13C>E!
0E5>/M!YZe!/>??!3C02!3C>!2031F20/!05>E0O>.!02
L>/FP!F3C>E!GNL/1D/M!3E0S?!02//"R2FP2!2F2"GNL/1D/M!3E0
?M?3>S?6!!#C1?!S>02?!3C03!0!G031>23!1?!40E!SFE>!/1R>/M!3F!L>!3E>03>!C1OC>E"G0M12O!12G031>23!
0/M!3F!L>!3E>03>E"G0M12O!FL?>E5031F2!?303N?.!14!3C>!G031>23!
51?13?!0!)&:!CF?G130/!3C02!14!3C>!G031>23!51?13>E03>>E?6!!
VQ6! )&:T?!02FS0/FN?!FL?>E5031F2!E03>!1?!2F3!2!LM!0!?S0//!2NSL>E!F4!)&:!CF?G130/?6!!*03C>E.!hde!F4!)&:T?!?CFE3"3>ES!0DN3>!D0E>!CF?G130/?!C05>!FL?>E5031F2!E03>?!L>/FP!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! d! iF//FP12O!)&:T?!GEFGF?0/!3F!0DUN1E>!#>2>3!4FE!XY6ZZ.!S0!NG!F4!LF3C!D0?C!022>3!N2E3FFR!02!>44FE3!3F!N2E?302!4N//M!)&:T?!LN?12>??!GE0D31D>?!02?N/3?6!!-2!G0E31DN/0E.!#>2>3!3NE2>00/3CD0E>!0E>JK.!3F!?3N!E5031F2!E03>!02/03>E!F4!GNL/1D/M!3E0S?.!P>//"R2FP2!2F2"GNL/1D/M!3E0S?.!02!CF?G130/!126!!#C>?>!DF2?N/312O!41ES?!E>/1>G0E03>!?6!!+2>!N?>!'S>E1D02!&F?G130/!=1E>D3FEM.!PC1/>!'50/>E>!N?>!)>23>E?!4FE!7>!r!7>?T!HI)7:JK!+N3G031>23!:30223!,EF?G>D315>!
,0MS>23!:M?3>S!:'i?.!PC1DC!DF23012?!?FNED>!!7>!,EF51E!'20/M?1?!0251>P!HI7>E>T?!020/M?1?.!PC1DC.!0O012.!N?>!E5031F2!E03>!1?!3C>!2NSL>E!F4!7>!FN3G031>23!FL?>E5031F2!D/01S?!!FN3G031>23!FL?>E5031F2!D/01S?!G/N?!7>!12G031>23!D/01S?6!
-
8/7/2019 Tenet Complaint April 2011
10/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8E*
3C>!2031F20/!05>E0O>6!!'2/FP.!)&:T?!/FP!FL?>E5031F2!E03>!D022F3!L>!
>@G/012>!3MG>!F4!G031>23?!51?1312O!)&:!CF?G130/?.!LM!O>FOE0GC1D!DF2?1E031F2?!FE!LM!
1?F/0312O!?G>D141D!3MG>?!F4!CF?G130/6!!-2!40D3.!PC>2!30R12O!3C>?>!40D3FE?!123F!DF2?1E031F2.!)&:!
0D3N0//M!?CFN/!02!FL?>E5031F2!E03>!P>//!12!>@D>??!F4!3C>!2031F20/!05>E0O>.!E03C>E!3C02!/>??!
3C02!C0/4!3C>!2031F20/!05>E0O>.!LN3!3C>!FL?>E5031F2!@0D3/M!3C>!FGGF?13>!1?!3EN>6!
VV6! #C>!?3031?31D0/!020/M?1?!0250/N031F2!F4!)&:T?!LN?12>??!GE0D31D>?!/>0.!12>?D0G0L/>!DF2D/N?1F2A!!G031>23?!PCF?>!S>>E5031F2!?303N?!P>E>!?M?3>S031D0//M!0E"G0M12O!12G031>23!3E>03S>23!
03!)&:!CF?G130/?6!
V_6! )&:!C0?!E>0G>2FESFN?!?NS?!3CEFNOC!13?!0?6!!'50/>E>.!0!/>00/3CD0E>!0?31S03>?!3C03.!L>3P>>2!VZZY!02D>15>
0GGEF@1S03>/M!XVgZ!S1//1F2!3F!X_cc!S1//1F2!4EFS!3E>0312O!12G031>23!0!G031>23?!12!
)&:!CF?G130/?!PCF`14!)&:!N31/1a>E5031F2!?303N?!03!3C>!?0S>!E03>!0?!3C>!2031F20/!05>E0O>!
FE!03!3C03!F4!02F3C>E!CF?G130/!?M?3>S.!(14>,F123`PFN/!L>>2!3E>03>E5031F2!E03C>E!
3C02!0!CF?G130/6!!'?!0!E>?N/3!F4!)&:T?!0?!P13C!E>?G>D3!3F!3C>?>!
7>!G031>23?.!)&:!/1R>/M!P1//!L>!?NLb>D3!3F!?1O2141D023!?6!!82E!3C>!4>E0/!i0/?>!
)/01S?!'D3.!3C>!8213>?!=>G0E3S>23!F4!^N?31D>!S0M!1SGF?>!3E>L/>!?!0220/3M!F4!
NG!3F!XQQ.ZZZ!G>E!D/01S!4FE!40/?>!D/01S?!?NLS133>E0/!C>0/3CD0E>!GEFOE0S?.!S>0212O!3C03!
)&:!C0?!GF3>2310/!>@GF?NE>!F4!P>//!F5>E!XQ!L1//1F26!
Vf6! )E131D0//M.!O15>2!3C03!)&:T?!GE0D31D>?!/1R>/M!0/?F!1SG0D3>!12?NE02D>!DFSG021>?.!?303>!7>E?.!2F3!3F!S>231F2!3C>!3>2?!F4!3CFN?02
-
8/7/2019 Tenet Complaint April 2011
11/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*88*
LM!)&:!0?!0!E>?N/3!F4!13?!0?6!!#F!GN3!)&:T?!GF3>2310/!/10L1/13M!3F!2F2"7>!
G0M>E?!12!G>E?G>D315>.!12!VZQZ.!)&:!>0E2>/M!Vce!F4!13?!2>3!FG>E0312O!E>5>2N>!4EFS!
7>!i>>"4FE":>E51D>!G0MS>23?.!FE!X_6f!L1//1F26!!'2F5>E.!3C>?>!GF3>2310/!?!4/>D3!3C>!E1?R!3C03!)&:.!L0?>"E02O12O!1SGEFG>E!L1//12O!GE0D31D>?.!S0M!L>!
>@D/N!0/3FO>3C>E6!
Vd6! -2!13?!>44FE3!3F!30R>!DF23EF/!F4!#>2>3.!)&:!C0?!S0!2NS>EFN?!?303>S>23?!3F!#>2>3!?C0E>CF/E?!12!)&:T?!GEF@M!?F/1D13031F2!S03>E10/?!3C03!0E>!40/?>!020!3F!!13?!0?6!!+2>!GEFS12>23!>@0SG/>!1?!)&:T?!D/01S?!F4!
?NDD>??!12!E>0/1a12O!?M2>EO1>?!4EFS!3C>!0DUN1?131F2!F4!#E10S>23?!3C03!)&:!
PFN/0/1a>!?1S1/0E!?M2>EO1>?!P13C!#>2>36!!)&:!401/>.!CFP>5>E.!3C03!0!GF3>2310//M!
S03>E10/!GFE31F2!F4!3C>?>!?NGGF?>EO1>?!P13C!#E10E>!E>0/1a>S031D!
E>!FL?>E5031F2!E03>!03!3C>!4FES>E!#E10!M>0E!
4F//FP12O!3C>!0DUN1?131F26!!)&:T?!F43"?303>??!12!LFF?312O!GEF413?!3CEFNOC!3C>!#E10
0DUN1?131F2!2FP!0GG>0E?!3F!C05>!E>?N/3>/1S120312O!E>0S>2312O!3C>!120GGEFGE103>!0E10!DF23012>!W/N>!WFFR6!
VY6! '2M!?1S1/0E!?M2>EO1>?!3C03!)&:!>@G>D3?!3F!E>0/1a>!4EFS!0DUN1E12O!#>2>3!PFN/!D02!0??NS>.!L>!E>0/1a>@0D3/M!3C>!?0S>!P0M!0?!3C>M!P>E>!03!#E10S>2312O!
)&:T?!W/N>!WFFR!03!3C>!#>2>3!CF?G130/?6!!#C>?>!GE0D31D>?!D022F3!L>!?N?3012>!=>G0E3S>23!
F4!^N?31D>!02!0N!5F3>0?>231F2!3F!125>?31O0312O.!0NGEF?>DN312O!CF?G130/?!3C03!0E>!1SGEFG>E/M!L1//12O!FN3G031>23!FL?>E5031F2!D0E>!0?!12G031>23!
0
-
8/7/2019 Tenet Complaint April 2011
12/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8=*
E>DF5>EM!0N23!12bN2D315>!E>/1>4.!#>2>3!
02CF/E?!P1//!L>!1EE>G0E0L/M!C0ES>2>3T?!?C0E>CF/E?!3F!
0GGEF5>!FE!E>b>D3!3C>!?/03>!F4!D3FE?!2FS1203>G/0D>!3C>!DNEE>23!#>2>3!WF0E
L>!L0?>??!3C02!4N//!124FES031F2!0LFN3!)&:!!3F!13?!40/?>!020S>23?!02
S03>E10/!FS1??1F2?.!PC1DC!C05>!0E3141D10//M!124/03>6!!'2G0E03>/M.!#>2>3!
-
8/7/2019 Tenet Complaint April 2011
13/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8>*
?>>R?!3F!E>DF5>E!13?!?1O2141D023!DF?3?!12DNEE>?31O0312O!)&:T?!LN?12>??!GE0D31D>?!02
E>UN1E12O!)&:!3F!DFEE>D3!13?!S1??303>S>23?6!
F2.$)1$+&$,%*#%1*/0%20*
Vh6! #C1?!)FNE3!C0?!?NLb>D3!S033>E!F5>E!3C1?!0D31F2!GNE?N023!3F!Qd!86:6)6!ll!cg00.!cgSH2N>!1?!GEFG>E!12!3C1?!=1?3E1D3!GNE?N023!3F!Qd!86:6)6!l!cg00!02
_Q6! =>D/0E03FEM!E>/1>4!1?!0GGEFGE103>!GNE?N023!3F!Vg!86:6)6!l!VVZQ!L>D0N?>!02!0D3N0/!DF23EF5>E?M!>@1?3?!E>O0E!GEFGE1>3M!F4!=>4>2S>23?!02?!N2E!
:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3.!02!Qf0"h6!!!
!#.&$0)*
_V6! ,/0123144!#>2>3!1?!0!DFEGFE031F2!12DFEGFE03>E!3C>!/0P?!F4!%>50!F4!LN?12>??!03!Qffd!*F??!'5>2N>.!=0//0?.!#>@0?!cdVZV6!!#>2>3!1?!0!C>0/3C!D0E>!
?>E51D>?!DFSG02M!PCF?>!?NL?1?!02?!FG>E03>!O>2>E0/!CF?G130/?!02/03>0/3C!
D0E>!40D1/131>?.!12D/N2>E0/!CF?G130/?!02!DE131D0/!0DD>??!CF?G130/!12!QQ!?303>?6!!#>2>3!
>SG/FM?!0GGEF@1S03>/M!dc.dZZ!G>E?F22>/.!12D/N0E/M!QZ.ZZZ!12!#>@0?.!020E/M!_.ZZZ!12!
3C>!=0//0?!m!i36!;FE3C!0E>06!!
__6! =>4>2E!3C>!/0P?!F4!=>/0P0E>!P13C!13?!GE12D1G0/!G/0D>!F4!LN?12>??!03!fZZZ!7>E150E22>??>>!_cZYc6!!)&:!
GEF51?!C>0/3CD0E>!?>E51D>?!3CEFNOC!Q_Z!CF?G130/?!3C03!13!FP2?!FE!/>0?>?!12!Vh!?303>?6!!!
_f6! =>4>2!#6!:S13C!1?!3C>!)C01ES02!024!$@>DN315>!+441D>E!F4!)&:.!0!GF?131F2!C>!C0?!C>/!Qhhc6!!!
-
8/7/2019 Tenet Complaint April 2011
14/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8?*
_d6! =>4>2SL>E!F4!3C>!)&:!WF0ED3FE?!02E5>?!0?!3C>!)C1>4!i1202D10/!+441D>E!F4!)&:.!0!GF?131F2!C>!C0?!C>/!Qhhc6!!
+9)()*!,"$+!C>0E3!F4!3C>!40/?>!020S>23?!12!)&:T?!GEF@M!?F/1D13031F2!S03>E10/?!1?!)&:T?!>?DC>P0/!F4!D>E3012!4N2230/!GE12D1G/>?!F4!S>A!!3F!3E>03!G031>23?!
0DDFE1E!D/121D0/!2>>!
?>E51D>?!3C03!0E>!E>0?F20L/>!02D>??0EM!3F!?>E5>!3C>!G031>236!!#C>!7>!GEFOE0S!
FG>E03>?!4N2230//M!F2!02!CF2FE!?M?3>S!M>3.!4FE!03!/>0?3!0!D0.!)&:!C0?!3NE2>
3C>?>!L0?1D!GE12D1G/>?!02EDC0EO>!02E!G0M>E?!LM!03!/>0?3!CN2E1FN?!D0?>?.!0!G031>23!S0M!L>!0!CF?G130/!?F!
3C03!3C>!G031>23!S0M!E>D>15>!D0E>!3C03!1?!>@G>D3>6!!:>DF22!0!
G031>23T?!S>D>??0E1/M!E>UN1E>!12G031>23!3E>03S>23.!LN3!0UN1E>/M!D0E>!4FE!3C>!G031>23.!0!G031>23!1?!G/0D>
123F!FN3G031>23!IFL?>E5031F2J!?303N?!4FE!D0E>!02@G>D3>??!3C02!Vf!
CFNE?.!LN3!PC1DC!S0M!30R>!0?!/F2O!0?!fg!CFNE?!14!3C>!GCM?1D102!1?!N20L/>!3F!S0R>!0!3>ES12031F2!
P13C12!0!Vf"CFNE!G>E1FE5031F2!G031>23?!0E>!E>ON/0E/M!0??>??>!
DFNE?>!F4!3C>1E!?30M`F43>2!E>D>1512O!3C>!1231D0/!D0E>!FE!3E>03S>23!0?!G031>23?!PCF!0E>!0
3F!3C>!CF?G130/`N231/!3C>!GCM?1D102!3>ES12>?!3C03!3C>E>!1?!2F!S>>!G031>23!3F!
E>S012!12!3C>!CF?G130/!FE!3C03!3C>!G031>23!?CFN/!0/0315>/M!
-
8/7/2019 Tenet Complaint April 2011
15/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8@*
S12FE!S>>?!S0M!GEF51!3E>03S>23!F2!02!FN3G031>23!L0?1?!02
!3C>!G031>23!P13CFN3!3C03!G031>23!L>12O!0!CF?G130/!FE!G/0D>
FL?>E5031F26!!!
_g6! #C>!N?>!F4!FL?>E5031F2!?303N?!3F!3E>03!G031>23?!1?!P1/M!E>DFO21a>??>2310/!3FF/!4FE!1SGEF512O!D/121D0/!D1?1F2!S0R12O!0244>D315>!S>6!!82E!3C>!
7>!W>2>413!,F/1DM!702N0/A!
+L?>E5031F2!D0E>!1?!0!P>//"412>3!F4!?G>D141D.!D/121D0//M!0GGEFGE103>!?>E51D>?.!PC1DC!12D/N!F2OF12O!?CFE3!3>ES!3E>03S>23.!0??>??S>23.!020??>??S>23!L>4FE>!0!D1?1F2!D02!L>!S0!E>O0E3C>E!G031>23?!P1//!E>UN1E>!4NE3C>E!3E>03S>23!0?!CF?G130/!12G031>23?!FE!14!3C>M!0E>!0L/>!3F!L>!!CF?G130/6!
+L?>E5031F2!?>E51D>?!0E>!DFSSF2/M!FEE>23?!PCF!GE>?>23!3F!3C>!>S>EO>2DM!G0E3S>23!022!E>UN1E>!0!?1O2141D023!G>E1F03S>23!FE!SF213FE12O!12!FEE!3F!S0R>!0!D1?1F2!DF2D>E212O!3C>1E!0!W>2>413!,F/1DM!702N0/.!)C0G3>E!Y.!:>D31F2!VZ6Y'6!!!
_h6! #C>E>!0E>!?>5>E0/!3MG>?!F4!G031>23?!PCF!?CFN/!G/0D>E5031F2!?303N?!E03C>E!3C02!0!CF?G130/6c!!iFE!>@0SG/>.!FL?>E5031F2!D0E>!1?!0GGEFGE103>!4FE!G031>23?!
PCF?>!S>!50/N031F2!
L>D0N?>!1K!3C>!L0/02D>!L>3P>>2!3C>!GEFL0L1/13M!F4!3C>!0?>!02!EFN?2>??!F4!3C>!
0?>!P0EE023?!4NE3C>E!>50/N031F2k!11K!3C>!G031>23!GE>?>23?!0!DF2!E>0!GCM?1D102!?1SG/M!2>>E5031F2!D0E>!0/?F!1?!0GGEFGE103>!4FE!G031>23?!PCF!E>UN1E>!?CFE3"3>ES!3E>03S>23!F4!>S>EO>23!DF2?>!0E>!G031>23?!P13C!DF2E>!1?!0!C1OC!GEFL0L1/13M!
F4!3C>E0G>N31D!?NDD>??!P13C!0!/1S13>E51D>?.!?NDC!0?!G031>23?!P13C!0?3CS0.!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! c! $%%&'%(%)*++,!(FN1?!]E044.!7=.!-).(/.0+%1&23&451%)6*7.2(&8%"./.(%.!.(&+L?>E5031F2!7>!H(FN1?!]E044!>G6FEOmDF23>2360?G@s1ES?t+L?>E5031F2eVZ7>6!!!!
-
8/7/2019 Tenet Complaint April 2011
16/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8A*
CMD31F26!!-2!0UN1E>!3C>E0G>N31D!GEFD>?!3C03!D>??1303>!12G031>23!03C>/>??!E>UN1E>!?FS>!G>E1F.!0E>!
L>?3!3E>03>E5031F26!!iFE!D>E3012!GEFD>?!G>E4FES>E0G>N31D!H?NDC!0?!
3E02?4N?1F2?K!FE!0?F2?.!FL?>E5031F2!3E>03S>23!D02!>@G>!3C>!
G>E4FES02D>!F4!3C>?>!GEFD>?6!!
fQ6! #C>!D/>0E>?3!L>2>41D10E1>?!F4!FL?>E5031F2!3E>03S>23!0E>!G031>23?6!!;C>2!0!G031>23!1?!12!FL?>E5031F2.!GCM?1D102?!S0M!G>E4FES!2>D>??0EM!3>?312O!FE!F3C>E!GEFD>?!022!
DF2312N0//M!0??>??!020??>??!3C>!G031>23T?!DF2ES12>!PC>3C>E!3C>!G031>23!?CFN/!
?>23!CFS>!FE!0!CF?G130/6!!-2>!S02M!G031>23?T!DF2!3CEFNOC!
UN1DR.!0OOE>??15>!3E>03S>23.!02D0N?>!3>?312O!S0M!>/1S1203>!?>E1FN?!E1?R?!0223?!3F!
E>3NE2!CFS>.!3C>!50?3!S0bFE13M!F4!FL?>E5031F2!G031>23?!0E>!?>23!CFS>!P13CFN3!>5>E!L>12O!0
3F!3C>!CF?G130/6g!!
fV6! #C>!F3C>E!GE12D1G0/!L>2>413!F4!FL?>E5031F2!D0E>!1?!13?!DF?3!>44>D315>2>??!E>/0315>!3F!12G031>23!3E>03S>236!!;13C!?CFE3>E!?30M?!02??!3>?312O!0203S>23?!4FE!FL?>E5031F2!
G031>23?!0?!DFSG0E>23?.!FL?>E5031F2!D0E>!D02!L>!5>EM!DF?3!>44>D315>!4FE!G0M>E?6!!
#C>!D1?1F2!F4!PC>3C>E!3F!3E>03!0!G031>23!F2!02!12G031>23!FE!FN3G031>23!FL?>E5031F2!L0?1?!C0?!
?1O2141D023!41202D10/!E0S141D031F2?!4FE!3C>!CF?G130/6!!-2>223!
7>22>!]E>>2.!
7=.!)C01E.!9:%&451%)6*7.2(&;(.7&32)&7:%&?210.7*+.17..!*6*.+*5+%&*7!!C33GAmmPPP6CF?G130/S>6FEOm'7m#>SG/03>6D4Ss:>D31F2t;C13>B,0G>E?r#>SG/03>tm)7m)F23>23=1?G/0M6D4Sr)F23>23-=tVQghZk!(FN1?!]E044.!7=.!>3!0/6.!-SG0D3!F2!3C>!D0E>!F4!3C>!>S>EO>2DM!G0E3S>23!DC>?3!G012!G031>23!4EFS!3C>!DC>?3!G012!>50/N031F2!E>O1?3EM!H)&$,$*K!?3N
-
8/7/2019 Tenet Complaint April 2011
17/70
-
8/7/2019 Tenet Complaint April 2011
18/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8C*
12G031>23!L0?1?.!E03C>E!3C02!12!FN3G031>23!FL?>E5031F2.!7>!1?!2F3!E>?GF2?1L/>!4FE!G0MS>23!F4!
12G031>23!3E>03S>236QQ!!!
ff6! &FP!)&:!?FNOC3!3F!>50!3C>?>!7>!GEFOE0S!E>UN1E>S>23?!3CEFNOC!5>/FG12O!02!12G031>23!0E10.!PC1DC!E>?N/3>
G031>23?!P13C!2F!S>>23!3E>03S>23.!1?!03!3C>!C>0E3!F4!)&:T?!1SGEFG>E!
0?6!
H;* +9)(S*)QK5Q76U*,V*$NIK75SRN6*.7W7NM7*&XKLM6X*$YZKLZ7K*!5QR7NQ*
#OYRSSRLNS**
8;* $N*+LNQK5W7NQRLN*LV*-7ORI5K7*.MT7S[*+9)*17W7TLZS*#OYRSSRLNS*
+KRQ7KR5*&X5Q*)USQ7Y5QRI5TTU*)Q77K*-7ORI5TTU*2NN7I7SS5KU*$NZ5QR7NQ*#OYRSSRLNS*#Q*$QS*9LSZRQ5TS**
5;* +9)(S*HTM7*HLLJ*+KRQ7KR5*95W7*%LN7*,V*&X7*#QQKR\MQ7S*,V*
+KRQ7KR5*2S7O*&XKLM6XLMQ*&X7*$NOMSQKU**
fd6! 82E!7>!E>ON/031F2?.!CF?G130/?!0E>!E>UN1E>3!F4!0E10!4FE!3>ES1212O!PC>3C>E!0!G031>23T?!DF2E1FN?!>2FNOC!3F!P0EE023!12G031>23!
3E>03S>236!!:NDC!DE13>E10!0E>!E>UN1E>03S>23!3C03!1?!S>D>??0EM6!!fV!)6i6*6!
l!fgV6_ZHDK6!
fY6! -2!FE!0EFN25>/FG>3!F4!0E10!R2FP2!0?!3C>!IW/N>!WFFRJ!4FE!)&:!GCM?1D102?!02!S020O>E?!3F!N?>[email protected],!3C>!023!
123F!0!)&:!CF?G130/6!!!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!QQ! iFE!>@0SG/>.!F2>!7>!)F23E0D3FE!?303>?!12!13?!DF5>E0O>!GF/1DM!3C03!I[D\>E3012!?!02?!O>2>E0//M!23!0
412131F2?!F4!FN3G031>23!FL?>E5031F26!6!6!6!82DFSG/1D03>?>23031F2?!F4!DC>?3!G012!HEN/>!FN3!7-K.!S1/!02DE>0?>?GF2?15>2>??.!03E10/!0EECM3CS10?!0220/!DF/1D!0E>!0//!4E>UN>23/M!0??FD103>!>@G>D3031F2!F4!0!LE1>4!H/>??!3C02!Vf"CFNEK!?30M!N2/>??!?>E1FN?!G03CF/FOM!1?!N2DF5>E>!:>E51D>?.!B2/*+&C26%)*'%&D%7%)E.(*7.2(&BCD&BFGHIJ&K&=/A7%&C*)%
-
8/7/2019 Tenet Complaint April 2011
19/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*8D*
fc6! 82/1R>!3C>!W/N>!WFFR.!PC1DC!1?!N?>!-23>EnN0/!)E13>E10!4EFS!7Do>??F2!)FEGFE031F2!P0?!5>/FG>4>E>2D>?!3F!S>E03NE>!12!?NGGFE3!F4!3C>!D/121D0/!DE13>E10!LM!PC1DC!
GCM?1D102?!02E!D0E>!GEF51E?!3>ES12>!PC>3C>E!0!G031>23!?CFN/!0!
CF?G130/!FE!3E>03>23!FL?>E5031F2!L0?1?6!!!
fg6!
:1S1/0E/M.!3C>!71//1S02!)0E>!]N1/12>?!GEFE>!
F5>E?>>2!LM!02!>@G>E1>2D>0S!F4!GCM?1D102?!0251>P>/M!QZZ!12G>223!
GCM?1D102?!L>4FE>!L>12O!E>/>0?>!SFE>!3C02!Q.ZZZ!CF?G130/?!0223?.!
12D/N!>1OC3!/0EO>?3!86:6!C>0/3C!G/02?.!PCF!N?>!3C>S6!!(1R>!
-23>EnN0/.!3C>!71//1S02!)0E>!]N1/12>?!0E>!>512D>"L0?>E>2D>?!3F!
F5>E!Qd.ZZZ!S>?.!3>@3LFFR?.!S>?6!!!
fh6! #FO>3C>E.!-23>EnN0/!02!N?>/M!3CE>>"UN0E3>E?!F4!0//!CF?G130/?!12!3C>!8213>?.!P13C!0GGEF@1S03>/M!YZe!N?12O!-23>EnN0/!02/M!QYe!
N?12O!71//1S026!!
dZ6! #C>!W/N>!WFFR!C0?!2F2>!F4!3C>!033E1LN3>?!F4!3C>!12!W/N>!WFFR!1?!S>E>/M!0!fZ"G0O>!23!3C03!?>3?!4FE3C!3C>!I'!SF?3!DFSSF2!S>23>23?6!!#C>!W/N>!
WFFR!1?!2F3!12G>223!FE!FLb>D315>.!LN3!E03C>E!P0?!5>/FG>
L>/1>4.!C0?!2>5>E!L>>2!>@3>E20//M!3>?3>
-
8/7/2019 Tenet Complaint April 2011
20/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=E*
0DEF??!3C>!DFN23EM.!3C>!W/N>!WFFR!/0DR?!0!?12O/>!E>4>E>2D>!3F!0!S>E!E>?FNED>!
02
dQ6! #F!>!)&:!ID0?>!S020O>E?J`)&:">SG/FM>?!E>?GF2?1L/>!4FE!0E12O!3C>!W/N>!WFFR!03!>0DC!F4!)&:T?!CF?G130/?`F2!CFP!3F!N31/1a>!3C>!W/N>!WFFR!
DE13>E10!3F!IbN?314MJ!023?!123F!3C>!CF?G130/.!)&:!5>/FG>?>23031F2!12!
PC1DC!)&:!0DR2FP/>?!3C03!13?!D0?>!S020O>E?!C05>!C0?>E5031F2?!0LFN3!0GG/M12O!3C>!2F2"
?302E10!3F!023?!123F!3C>!CF?G130/6!!!
dV6! iFE!>@0SG/>.!12!0!?>D31F2!F4!3C>!3E01212O!GE>?>23031F2!>2313/>!W/N>!WFFR.J!)&:!P0E2?!3C03!I[D\0?>![S\020O>E?!?FS>31S>?!L>DFS>!F5>E/M!DF2D>E2>D0N?>!P>!!-23>EnN0/!DE13>E10.J!02!G/02?.!02!DFSG021>?!P1//!
?FS>31S>?!033>SG3!3F!S0R>!MFN!3C12R!3C03!MFN!SN?3!N?>!3C>1E!DE13>E106J!!-2!3C>?>!?13N031F2?.!D0?>!
S020O>E?!0E>!12?3END3>/M.!LN3!41ES/M.!0!3C>S!3C03!MFNE!CF?G130/!C0?!0
FP2!DE13>E10!02!3C>!?0S>!4FE!13?!123>E20/!E>51>P?6J!
d_6! ]15>2!3C03!3C>!W/N>!WFFR!1?!?1O2>23!0E!3C02!GEFG>E/M!>UN1G!GCM?1D102?!02?!3F!3E>03!G031>23?!0DDFE1E!S>>!3C03!3C1?!3E01212O!GE>?>23031F2!2>5>E!F2D>!S>231F2?!3C>!PFEE5031F26J!!
=;* &X7*HTM7*HLLJ*#OYRSSRLNS*FMSQRVRI5QRLN*+KRQ7KR5*.7SMTQ*$N*#OYRSSRLN*
,V*-5NU*!5QR7NQS*3XL[*2NO7K*)Q5NO5KO*+TRNRI5T*!K5IQRI7[*3LMTO*
,KORN5KRTU*H7*!T5I7O*$NQL*,\S7KW5QRLN*)Q5QMS*,K*)7NQ*9LY7**
df6! #C>!W/N>!WFFR!2F3!F2/M!/0DR?!S>4>E>2D>?.!12G>223!3>?312O!FE!N?>!FN3?1!F4!)&:.!LN3!13?!DE13>E10!4FE!023?!123F!3C>!CF?G130/!0E>!SF2?3E0L/M!SFE>!
/>21>23.!O>2>E0/.!02D315>!3C02!3C>!>512D>"L0?>E10!N?>!E>?3!F4!3C>!
12
-
8/7/2019 Tenet Complaint April 2011
21/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=8*
dd6! #C>!W/N>!WFFR!1?!FEO021a>!SF?3!DFSSF2!G031>23!DF2?>23>k!111K!
=1?DC0EO>!*>0??k!0223031F2!]N1/12>?6!!!
dY6! #C>!5>EM!?3END3NE>!F4!3C>!W/N>!WFFR`P13C!13?!4FDN?!F2!I'?!3C03!13!1?!2F3!02!FLb>D315>!?>3!F4!DE13>E10!4FE!3>ES1212O!PC>3C>E!13!1?!
SFE>!0GGEFGE103>!3F!3E>03!0!G031>23!12!FL?>E5031F2!FE!3F!0!G031>23!123F!3C>!CF?G130/6!!
-2>E>!1?!LN3!F2>!E>4>E>2D>!3F!IFL?>E5031F2!?303N?J!12!3C>!>231E>!W/N>!WFFR`4FE!I5>EM!/FP!
E1?R!DC>?3!G0126J!!!
dc6! '?!?>3!4FE3C!L>/FP.!4FE!S02M!DF2!DFSSF2!0SF2O!7>!G031>23?.!3C>!W/N>!WFFR!12D/N?!0E10!3C03!L>0E!/133/>!E>/>502D>!3F!
3>ES1212O!3C>!?>5>E13M!F4!0!G031>23T?!DF2!03!F
-
8/7/2019 Tenet Complaint April 2011
22/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*==*
S>D>??0EM!3F!0?3!G012!G031>23!3F!3C>!CF?G130/.!PC>E>!12!3C>!CF?G130/!3C>!G031>23!
?CFN/!003>3C>E!3C>!G031>23!?CFN/!3E>03>E5031F26!!
dh6! 82E!?3022!0!G031>23!GE>?>23?!3F!3C>!CF?G130/!P13C!DC>?3!G012?.!3C>E>!0E>!50EM12O!/>5>/?!F4!D0E>!3C03!S0M!L>!GEF51!G031>23.!G>2!
?>5>E13M!F4!3C>!G031>23T?!DF22!3C03!DC>?3!G012!1?!0!5>EM!2F2"?G>D141D!DFSG/0123.!
S>0212O!3C03!3C>E>!0E>!S02M!D0N?>?!F4!DC>?3!G012!F3C>E!3C02!0!C>0E3!0330DR.!G031>23?!F43>2!0E>!
121310//M!>50/N03>E5031F2!12!FEE!3F!3>ES12>!PC>3C>E!FE!2F3!3C>M!0E>!12!40D3!C0512O!0!
C>0E3!0330DR!FE!?N44>E12O!4EFS!0!/0DR!F4!F@MO>2!3F!3C>!C>0E36!!702M!DC>?3!G012!G031>23?!0E>!
0GGEFGE103>/M!3E>03>E5031F2.!PC>E>!?302!EN2!3F!3>ES12>!PC>3C>E!3C>!
G031>23!C0?!C00E3!0330DR.!12!PC1DC!D0?>!3C>!G031>23!/1R>/M!PFN/!0!CF?G130/.!
02!G031>23!PFN//M!L>!!0!D1?1F2!1?!S0!3F!023!3F!
3C>!CF?G130/.!3C>E>!0E>!50EM12O!/>5>/?!F4!D0E>!12!3C>!CF?G130/!G>2!?>5>E13M!F4!3C>!
G031>23T?!D/121D0/!DF2!121310/!/>5>/!F4!D0E>!4FE!?30L/>!G031>23?!E>UN1E12O!0!
12G031>23!O>2>E0/!S>!FE!?NEO1D0/!4/FFE!?>3312O6!!#CF?>!E>UN1E12O!0!C1OC>E!/>5>/!F4!D0E>!S0M!
L>!G/0D>/>S>3EM!FE!123>ES>!D0E>!?>3312O6!!(0?3/M.!3CF?>!G031>23?!3C03!0E>!SF?3!
DE131D0//M!1//!S0M!L>!G/0D>!DE131D0/!D0E>!N2136!!!
YZ6! #C>!W/N>!WFFR!?>3?!4FE3C!3CE>>!/>5>/?!F4!D0E>.!025>/?!F4!0?3!G012!G031>23?.!>0DC!P13C!?>G0E03>!I'EM!(FP!*1?RA!
+L?>E5031F2!FE!=1?DC0EO>kJ!VK!I/FP>E!E1?Rm3>/>S>3EM!H]E>>2mW/N>!D0?>?KkJ!_K!IC1OC!02E03>!
E1?R!/>5>/?m))8!H+E02O>m*>?K6J!!'?!?>3!4FE3C!L>/FP.!4FE!>0DC!F4!3C>?>!D03>OFE1>?!F4!D0E>.!
3C>!W/N>!WFFR!DF23012?!0E10!3C03!0E>!LF3C!120GGEFGE103>!0223!P13C!
?302
-
8/7/2019 Tenet Complaint April 2011
23/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=>*
+X7SQ*!5RN*,\S7KW5QRLN*
YQ6! ;C>2!0!G031>23!GE>?>23?!3F!3C>!CF?G130/!P13C!DC>?3!G012`F2>!F4!3C>!SF?3!DFSSF2!GE>?>2312O!>S>EO>2DM!EFFS!DFSG/0123?`13!1?!0DD>G3>!3F!EN2!3PF!3F!3CE>>!?>3?!
F4!L/FF?3?!F2!3C>!G031>23!>5>EM!?1@!3F!>1OC3!CFNE?!3F!S>0?NE>!3C>!/>5>/?!F4!D0E2aMS>?!
H?G>D141D0//M.!0!D0EE!R2FP2!0?!3EFGF212K!12!3C>!L/FF
-
8/7/2019 Tenet Complaint April 2011
24/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=?*
+X7SQ*!5RN*&7T7Y7QKU*#OYRSSRLNS*
Yf6! #C>!W/N>!WFFR!'E10!4FE!DC>?3!G012.!/FP>E!E1?Rm3>/>S>3EM!0E>!03!F!02E>.!
N2E!0DD>G3>.!G031>23?!PFN/!0E!G/0D>E5031F2!FE!
@0SG/>.!0!G031>23!P13C!DC>?3!G012!S0M!L>!0!3>/>S>3EM!N213!E03C>E!
3C02!G/0D>E5031F2!14!C>!FE!?C>!S>E>/M!C0?!0!O>2>E0/!E1?R!40D3FE!4FE!D0E!H>6O6!
CMG>E3>2?1F2.!3>?.!FE!CMG>E/1G1S10K!DFNG/>!F4!3C>!4F//FP12OA!
16! %>P!DC>?3!G012!12!3C>!GE>?>2D>!F4!0!?1O2141D023!C1?3FEM!F4!DFEF20EM!0E3>EM!0?>k!!
116! 0!E>D>23!51?13!3F!3C>!CF?G130/!P13C!DFSG/0123?!F4!DC>?3!G012k!!1116! DC>?3!G012!3C03!S0M!L>!E>GEF??12O!F2!3C>!DC>?3k!FE!156! I03MG1D0/!?MSG3FS?.J!?NDC!0?!?CFE32>??!F4!LE>03C.!4031ON>.!?/>>G/>??2>??!023M6!!
Yd6! #C>?>!'E10!0E>!P>1OC3>!12DF2?1?3>23!P13C!0DD>G3>23!05>E.!L>D0N?>!S02M!
G031>23?!PCF!GE>?>23!P13C!DC>?3!G012!C05>!0!C1?3FEM!F4!0!D0EE3>2?1F2!
H0!5>EM!DFSSF2!!86:6!GFGN/031F2!02D>??0E1/M!12!F4!0!S>>23!D0E>K6!!iNE3C>ESFE>.!3C>!DE13>E10!123141>
-
8/7/2019 Tenet Complaint April 2011
25/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=@*
P13C!DC>?3!G012!3F!3C>!CF?G130/6!!82E!-23>EnN0/.!SFE>F5>E.!3C>?>!W/N>!WFFR!DE13>E10!PFN/
?NGGFE3!3C>!023!3F!3C>!CF?G130/6!
+X7SQ*!5RN*++2*#OYRSSRLNS*
YY6! #C>!?0S>!1?!3EN>!4FE!3C>!W/N>!WFFR!DE13>E10!4FE!0!))86!!#C>!))8!1?!E>?>E5>23?!P13C!3C>!SF?3!DE131D0/!S>!123>2?15>!02
3E>03S>23!4FE!?NE5150/6!!#C>!W/N>!WFFR!'E10.!CFP>5>E.!12D/N!S02M!
?!3C03!C05>!2F!L>0E12O!F2!3C>!?>5>E13M!F4!3C>!G031>23T?!>@1?312O!1//2>??.!LN3!E03C>E.!0!G031>23T?!S>?3!G012!
G031>23?`DF20E12O.!N2E!?3023C>E!0!
G031>23!?CFN/!G/0D>!))8!E03C>E!3C02!?1SG/M!0!O>2>E0/!S>@0SG/>.!3C>!W/N>!WFFR!'E10!4FE!0!))8!12D/N!
?>5>E0/!DE13>E10.!3PF!FE!SFE>!F4!PC1DC!SN?3!L>!S>3!3F!bN?314M!02!0!))86!!:>5>E0/!
F4!3C>?>!DE13>E10.!CFP>5>E.!0E>!FN3!F4!/12>!P13C!?302
-
8/7/2019 Tenet Complaint April 2011
26/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=A*
>G1?F?!F4!G012.!S>0212O!3C03!3C1?!DE13>E10!1?!2F3!12!F4!3C>!?>5>E13M!F4!0!G031>23T?!DC>?3!
G012!2>D>??0EM!3F!E>UN1E>!3C>!C1OC>?3!/>5>/!F4!D0E>6!!,031>23?!P13C!02!F@MO>2!?03NE031F2!/>??!3C02!
hZ!1?!>@3E>S>/M!DFSSF2.!2F3!12!02/4!/14>!3CE>03>212O.!020?1/M!3E>030L/>!P13C!
?NGG/>S>230/!F@MO>26!!;C>2!0!?CFE3!G>E1F?3!02O120!FDDNE?!02?F/5>?3!FE!
213E03>!3C>E0GM.!3C>E>!1?!2F!S>D>??13M!F4!3E>0312O!?NDC!G031>23?!12!02!123>2?15>!D0E>!?>3312O.!
PC1DC!1?!E>?>E5>!SF?3!DE131D0//M!1//!G031>23?6!!'23C>E!3C>!E>?N/3?!F4!0!G031>23T?!
)o7W!FE!3EFGF212!/>5>/?!1?!I123>ES12023J!1?!2F3.!N2E!?302
bN?3141D031F2!4FE!0!G031>23!123F!3C>!))8.!LN3!E03C>E.!02!12E!3>?312O!
?CFN/!G>E4FES>?!PC>E>!3C>!W/N>!WFFR!DE13>E10!120GGEFGE103>/M!P0EE023!0!CF?G130/!0?3!G012!G031>23.!DNEE>23!0DD>G3>!?302E5031F2!?303N?6!!-2!3C>!D0?>!PC>E>!G031>23?!GE>?>23!P13C!DC>?3!G012.!3C>!
?302/>D3EFD0E!L/FF?312O!S0M!L>!N?>
3>ES12>!PC>3C>E!FE!2F3!0!G031>23!S0M!L>!C0512O!0!C>0E3!0330DR6!!-4!?F.!3C>2!G031>23?!S0M!3C>2!L>!
0!0GGEFGE103>!12G031>23!?>3312O!02!/>5>/!F4!D0E>!123>2?13M6!!,031>23?!3C03!
0E>!EN/>!C>0E3!0330DR.!0?!3C>!50?3!S0bFE13M!F4!IDC>?3!G012J!G031>23?!0E>.!S0M!L>!
6!!
)UNILZ7*,K*!K74)UNILZ7*
Yh6! -2!0!WFFRT?!'E10!3C03!0E>!120GGEFGE103>!4FE!3>ES1212O!PC>3C>E!0!G031>23!P13C!GE>"?M2DFG>!FE!?M2DFG>!H??!FE!
4012312OK!?CFN/!0!CF?G130/!FE!?CFN/0!3E>03>E5031F26!
-
8/7/2019 Tenet Complaint April 2011
27/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=B*
cZ6! 82E!?3022!0!G031>23!GE>?>23?!3F!3C>!CF?G130/!DFSG/01212O!F4!??!HGE>"?M2DFG>K!FE!4012312O!H?M2DFG>K.!3C>!GCM?1D102!G>E4FES?!?>5>E0/!
3>?3?!3F!>/1S1203>!02M!DE131D0/!D0N?>?!3C03!S0M!L>!E>?GF2?1L/>!4FE!3C>?>!>G1?F?.!?NDC!0?!3C>!
GF3>2310/!4FE!0!C>0E3!0330DR.!0!?3EFR>!12!3C>!LE012.!FE!?FS>!4FES!F4!?3END3NE0/!C>0E3!0?>!FE!0DN3>!
C>0E3!0EECM3CS106!!#C>?>!3>?3?!0E>!?302!G>E4FES>
0!Vf"CFNE!G>E1F23?!3MG1D0//M!0E>!G/0D>E5031F2!?F!3C03!3C>?>!DE131D0/.!3CFNOC!
E0E>.!D0N?>?!F4!?M2DFG>!S0M!L>!EN/>!3C>M!C05>!L>>2.!?M2DFG>!FE!GE>"?M2DFG>!1?!F43>2!
!3F!CMES12>0?NE12O!0!G031>23T?!!L>3P>>2!/M12O!
EM!DFSSF2!D0N?>!F4!4012312O!12!0?>!>31F/FO1>?!0E>!SNDC!/>??!DE131D0/!02!3E>03>E5031F26!!,031>23?!
P13C!CM!E>CM1E!FL?>E5031F2!?30M!3CEFNOC!-q!4/N123!CFS>6!!,031>23?!P13C!50?F50O0/!>G1?F?!P1//!4F//FP!
NG!P13C!3C>1E!GE1S0EM!D0E>!GCM?1D102!0?!02!FN3G031>23.!P13C!4NE3C>E!3E>03S>23!14!3C>!>G1?F?!E>DNE6!!
*>O0E??.!3C>?>!G031>23?!3MG1D0//M!0E>!3E>03>E5031F26!!
cQ6! #C>!W/N>!WFFR!'E10.!CFP>5>E.!D0//!4FE!3C>!023!PCF!C0?!02!>G1?F!F4!4012312O!02E!3C>!0O>!F4!YZ6!!'O>.!CFP>5>E.!1?!1EE>/>5023!
12!3C>!D0?>!F4!?M2DFG>6!!*>O0E??!F4!3C>!>31F/FOM.!0O>!1?!2F3!0!E1?R!40D3FE!4FE!?M2DFG>.!02
G031>23?.!E>O0E??!F4!0O>.!P1//!N2EOF!3C>!?0S>!PFERNG!02EM!F4!3>?312O!!
GE>51FN?!G0E0OE0GC.!PC1DC!0E>!0GGEFGE103>/M!DF2E5031F26!!'!
WFFR!0E10!12D/N!G031>23?!PCF!C05>!0!I,F?3NE0/!W,!OE>03>E!3C02!Qd!SS.J!
1223?!4FN2!0!GF?1315>!IFE3CF?3031D!3>?312OJ!H?NDC!0?!0!03!3C02!Qd!SS&O!L>3P>>2!0!?3025>E.!?NDC!0!
L/FF??NE>!0?1/M!3E>03>E5031F2!
-
8/7/2019 Tenet Complaint April 2011
28/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*=C*
?303N?!P13C!123E05>2FN?!4/N1E5031F2!0E>.!0?!?DE1L>.!GE>"?M2DFG>!FE!?M2DFG>!F4!N2R2FP2!>31F/FOM6!!#C1?!1?!0GGEFGE103>!0223!P13C!
0DD>G3>6!!+2D>!0!G031>23!1?!4FN2!0!SFE>!DE131D0/!D0N?>!F4!
?M2DFG>.!?NDC!0?!?3END3NE0/!C>0E3!0?>!FE!02!0EECM3CS10.!3C>!-23>EnN0/!)E13>E10!12!3C03!13!
1?!E>0?F20L/>!3F!023?!3F!3C>!CF?G130/.!LN3!3C>!S0bFE13M!F4!G031>23?!0E>!?1SG/M!
CM03>E5031F2.!026!!!
+LYYMNRQU*#I]MRK7O*!N7MYLNR5*^_+#!`a**
c_6! #C>!W/N>!WFFRT?!'E10!1O2FE>!0DD>G3>?!4FE!3>ES1212O!PC>3C>E!0!G031>23!GE>?>2312O!P13C!)',!1?!1//!>2FNOC!3F!E>UN1E>!12G031>23!
3E>03S>23.!FE!PC>3C>E!3C>!G031>23!DFN/0/M!L>!3E>03>E5031F26!!
cf6! '23!P13C!)',!1?!bN?3141>E!3C>!W/N>!WFFR!14!3C>!G031>23!GE>?>23?!P13C!0!DFNOC!02?!H3C>!GE>?>2D>!F4!4/N1!/N2O?K6!!WN3!S02M!G031>23?!PCF!C05>!
G2>NSF210`E>O0E??!F4!?>5>E13M`C05>!3C>!GE>?>2D>!F4!0!DFNOC!02?!F2!>@0S6!!#CN?.!3C>!
S>E>!>@1?3>2D>!F4!3C>?>!412//?!3C>!GCM?1D102!2F3C12O!0LFN3!PC>3C>E!0!G031>23!GE>?>2312O!
P13C!0!DFNOC!02?!C0?!0!D/121D0/!G1D3NE>!3C03!DFEE>/03>?!P13C!?>5>E13M!F4!1//2>??!E>UN1E12O!
0!CF?G130/6!!
cd6! :1S1/0E/M.!02!023!P13C!)',!1?!bN?3141>E!3C>!W/N>!WFFR!14!3C>!G031>23!GE>?>23?!P13C!0!DFNOC!02!FE!03>/>D30?1?6!!'O012.!3C>!S>E>!>@1?3>2D>!F4!0!
DFNOC!02?3!p"E0M!1?!F2/M!E>/>5023!3F!124FES12O!3C>!GCM?1D102!3C03!3C>!G031>23!S0M!
C05>!)',k!?302.!3C>!GE>?>2D>!F4!3C>?>!412!
-
8/7/2019 Tenet Complaint April 2011
29/70
-
8/7/2019 Tenet Complaint April 2011
30/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>E*
#QKR5T*'R\KRTT5QRLN*
cg6! #C>!W/N>!WFFR!'E10!DF23012!2F2"?30223?!P13C!03E10/!41LE1//031F2.!PC1DC!1?!02!
1EE>ON/0E!L>0312O!F4!3C>!C>0E36!!!
ch6! iFE!>@0SG/>.!N2E!3C>!W/N>!WFFR.!G031>23?!P13C!02!1EE>ON/0E!C>0E3!L>03!S0M!L>!0!CF?G130/!14!3C>M!0/?F!C05>!GF30??1NS!/>5>/?!C1OC>E!FE!/FP>E!3C02!2FES0/.!FE!14!0!
DC>?3!p"E0M!?CFP?!02!I12DE>0?>0E3!?1/CFN>33>6J!!WN3!N2E!?30213C>E!
F4!3C>?>!40D3FE?!L>0E?!02M!D3!E>/031F2!3F!3>ES1212O!PC>3C>E!FE!2F3!0!G031>23T?!03E10/!
41LE1//031F2!1?!?>E1FN?!>2FNOC!3F!P0EE023!3E>03S>23!0?!0!CF?G130/!12G031>236!!'DDFE13C>E!F4!
3C>?>!DE13>E10!1?!12D/N!-23>EnN0/!)E13>E10!0?!0!L0?1?!4FE!0!G031>23!3F!3C>!
CF?G130/6!!
gZ6! ,031>23?!12!3C>!CF?G130/!F43>2!GE>?>23!P13C!0L2FES0//M!/FP!GF30??1NS!/>5>/?`0!DF2!>0?1/M!3E>03>S>236!!W>D0N?>.!12!SF?3!G031>23?!
P13C!2FES0//M!4N2D31F212O!R1M?.!GF30??1NS!/>5>/?!3MG1D0//M!2FES0/1a>!P13C12!0!4>P!CFNE?!F4!
3E>03S>23.!03E10/!41LE1//031F2!G031>23?!P13C!0L2FES0/!GF30??1NS!/>5>/?!S0M!F43>2!L>!3E>03>
FL?>E5031F2!02P!CFNE?!/03>E!PC>2!3C>1E!DF2?6!!82E!3C>!
W/N>!WFFR!DE13>E10.!CFP>5>E.!0!G031>23!P13C!02!1EE>ON/0E!C>0E3L>03!025>/?!S0M!
L>!0!CF?G130/!5%32)%!E>D>1512O!0!?1SG/>!GF30??1NS!?NGG/>S>236!!:NDC!G031>23?!P13C!
F2/M!03E10/!41LE1//031F2!025>/?!P1//!3MG1D0//M!E>DF5>E!P13C12!0!4>P!CFNE?!
02!?>23!CFS>.!LN3!P1//!?31//!L>!L1//>23.!0?!02!FL?>E5031F2!?30M6!!
gQ6! '2!>2/0EO>33>.!02F3C>E!W/N>!WFFR!DE13>E1F2!4FE!03E10/!41LE1//031F2!0ES1212O!3C>!?>5>E13M!F4!0!G031>23T?!03E10/!41LE1//031F26!!#C>!
0GG>0E02D>!F4!02!>2/0EO>0E3!?1/CFN>33>!1?!5>EM!2F2"?G>D141D!02!0E3141D10//M!
-
8/7/2019 Tenet Complaint April 2011
31/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>8*
E>GE>?>23>E1F2!3MG1D0//M!1?!2F3!E>4/>D315>!F4!02M!S>ES1212O!PC>3C>E!02!03E10/!41LE1//031F2!
G031>23!?CFN/!0!CF?G130/!E03C>E!3C02!3E>03>E5031F2!FE!
!P13C!FN3G031>23!>50/N031F26!!!
G$4HT77O*
gV6! #C>!W/N>!WFFR!0/?F!401/?!3F!DF2?1E!R>M!DE13>E10!3C03!0E>!D/121D0//M!2>D>??0EM!3F!3>ES12>!PC>3C>E!13!1?!S>D>??0EM!3F!0!CF?G130/!0!G031>23!GE>?>2312O!3F!3C>!
CF?G130/!P13C!0!O0?3EF123>?3120/!L/>>!?3FF/!FE!5FS13N?K6!!
g_6! #C>!W/N>!WFFR!1O2FE>?!>??>2310/!3>?312O!3C03.!N2E!?302!G>E4FES>ES12>!PC>3C>E!0!G031>23T?!O0?3EF123>?3120/!
L/>>E1FN?!>2FNOC!3F!E>UN1E>!12G031>23!3E>03S>23!FE.!12?3>03C>E!3C>!G031>23!S0M!L>!
3E>03>E5031F2!02S>236!!702M!
G031>23?!PCF!C05>!?30L/>!C>SFO/FL12!/>5>/?!F5>E!Vf!CFNE?!F4!FL?>E5031F2!S0M!L>!?>23!CFS>!02
4F//FP>23!P13C!?>5>E0/!3>?3?!3F!12314M!3C>!?FNED>!F4!L/>>
-
8/7/2019 Tenet Complaint April 2011
32/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>=*
gf6! WM!1O2FE12O!3C>?>!P1/M!N?>?3?.!3C>!W/N>!WFFR!GEF51?!M>3!02F3C>E!D/>0E.!2F2"?30223?!PCF.!N2E!?302!
SF?3!0GGEFGE103>/M!3E>03>E5031F2!P13C!-q!4/N1!0E10!40//!FN3?1!0DD>G3>
D/121D0/!GE0D31D>!0?!3C>M!12!?>5>E13M!F4!0!G031>23T?!
D>//N/131?6!!'!G031>23!GE>?>2312O!P13C!F2/M!3C>?>!DF2EnN0/.!L>!
0!CF?G130/6!!:NDC!G031>23?!PFN/13C>E!L>!>44>D315>/M!3E>03>
FL?>E5031F2!4FE!Vf!CFNE?!022!3C>1E!DF2//N/131?!F43>2!?!
P13C!Vf!CFNE?!F4!0231L1F31D!3E>03S>23.!FE!PFN/!O15>2!F2>!!F4!-q!0231L1F31D?!12!3C>!
>S>EO>2DM!EFFS!0223!CFS>!P13C!0231L1F31D?!LM!SFN3C!0223!?FF2!
043>E!3C>!$*!51?136!!!
gc6! ;C03!3C>!W/N>!WFFR!'E10!0/3FO>3C>E!1O2FE>!1?!3C>!DE131D0/!UN>?31F2!E>O0E@13M!025>E13M!F4!D>//N/131?.!0!UN>?31F2!3C03!2!40D>!
PC>2!3>ES1212O!PC>3C>E!0!G031>23!S0M!L>!3E>03>E5031F2!FE!0!CF?G130/!4FE!
3E>03S>23.!02!/>2O3C!F4!31S>!3C03!PFN/!E>UN1E>03!0!D>//N/131?!G031>23!P13C!-q!
0231L1F31D?6!!#C1?!3>ES12031F2!1?!2!LM!3C>!G0E3!F4!3C>!LFD3>//N/131?!F4!3C>!
-
8/7/2019 Tenet Complaint April 2011
33/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>>*
40D>.!C02!03!3C02!3C>!NGG>E!0ES.!3C1OC.!FE!D0/4Kk!DF">@1?312O!
S>23!HG031>23?!P13C!3>?!40D>!OE>03>E!E1?R!0??FD103>
D>//N/131?.!F43>2!?NGGFE312O!12G031>23!3E>03S>23Kk!02G?1?!FE!?CFDR!HG031>23?!P13C!/FP!
L/FF??NE>.!0DN3>!DF24N?1F2.!FE!L0D3>E10!12!3C>!L/FF!03!3C>!C1OC>?3!E1?R!4FE!
DFSG/1D031F2?K6!!#C>?>!P1/M!0DD>G3>!GE1S0EM!DF2?1E031F2?!N2E!3C>!
-23>EnN0/!0E10.!LN3!N2E!3C>!W/N>!WFFR.!/>??!D/121D0//M!E>/>5023!40D3FE?!0E>!
DF2?1E>23!0E>4FE>.!40E!SFE>!
E>023!0?!02!12G031>23!3C02!14!3C>!G031>23!P>E>!>50/N03>
N?12O!0DD>G3>E10!02?6!!
>;* +9)(S*!K5IQRI7*,V*HRTTRN6*!5QR7NQS*#S*#OYRQQ7O*3XL*)XLMTO*H7*
&K75Q7O*$N*,\S7KW5QRLN**
gh6! '?!?>3!4FE3C!0LF5>.!3C>!W/N>!WFFR!DF23012?!40E!SFE>!?NLb>D315>!02E0/!DE13>E10!4FE!023?!123F!3C>!CF?G130/!3C02!0DD>G3>D1?1F2"S0R12O!02!>512D>"
L0?>E10!N?>>E!CF?G130/!?M?3>S?!0DEF??!3C>!DFN23EM6!!#CN?.!0!G031>23!PCF!
51?13?!0!)&:!CF?G130/!1?!SNDC!SFE>!/1R>/M!3F!L>!0!CF?G130/!3C02!14!3C>!?0S>!G031>23!
51?13>E!CF?G130/!3C03!0E/M!G031>23?!F2!3C>!L0?1?!F4!D/121D0/!2>>E5031F2!?303N?!E15>?!2F3!?1SG/M!4EFS!3C>!0GG/1D031F2!F4!/1L>E0/!W/N>!WFFR!I'E106!!*03C>E.!F2!124FES031F2!02
L>/1>4.!)&:!C0?!0OM!F4!?>3312O!03?.!12D>23151a12O!GCM?1D102?!3F!S>>3!
03?.!02!4FE!401/NE>!3F!S>>3!3CF?>!
-
8/7/2019 Tenet Complaint April 2011
34/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>?*
30EO>3?6!!iFE!>@0SG/>.!)&:!?>3?!30EO>3?!4FE!13?!CF?G130/?!4FE!DF25>E312O!>S>EO>2DM!EFFS!51?13FE?!
123F!023?6!!8GF2!124FES031F2!02/1>4.!)&:!GCM?1D102?!02EO>2DM!
=>G0E3S>23!HI$=JK!D>15>!LF2N?>?!L0?>!
2NSL>E!F4!G031>23?!0!CF?G130/`G0E3!F4!)&:T?!OF0/!F4!DF25>E312O!L>3P>>2!Qce!02
VZe!F4!0//!$=!51?13?!3F!12G031>23?6!!-2!>?30L/1?C12O!3C>?>!0E3141D10/!30EO>3?.!)&:!C0?!1O2FE>
G031>23?!?CFN/!0!CF?G130/!4EFS!3C>!$=!L0?>1E!D/121D0/!122>>
hQ6! '?!0!E>?N/3.!)&:!C0?!DE>03>!03!13?!CF?G130/?!PC>E>!G031>23?!0E>!040N/3!02E>!FL?>E5031F2!1?!C1OC/M!5>2!12!D0?>?!PC>E>!?312O!FE!
?CFE3!3>ES!3E>03S>23!1?!3C>!S>!02?3!DFNE?>!F4!D0E>!4FE!3C>!G031>236!
hV6! iFE!>@0SG/>.!G031>23?!PCF!51?13!0!)&:!CF?G130/!3CEFNOC!3C>!$=!4E>UN>23/M!0E>!120GGEFGE103>/M!!E>20/!401/NE>!H0223?K!
PC>2!3C>M!GE>?>23!P13C!>/>503>031212>!/>5>/?6!!&FP>5>E.!>/>503>031212>!/>5>/?!F43>2!0E>!
GE>?>23!12!D0?>?!F4!CM??!?>E1FN?!DF2D>??1303>!
0!0DD>G3>!4FE!G031>23?!P13C!>/>503>031212>!/>5>/?!1?!3F!
G/0D>!3C>S!12!FL?>E5031F2!02!3C>S!4/N1.!3C>!G031>23T?!
DE>031212>!/>5>/?!E>3NE2!3F!2FES0/!P13C12!Vf!CFNE?!F4!E>D>1512O!-q!4/N12!G031>23!CFS>6!!;C03!)&:!GCM?1D102?!F43>2!23?.!CFP>5>E.!1?!0S.!E03C>E!3C02!3E>03!3C>S!P13C!4/N1E5031F26!!#C>2.!043>E!
3C>!023!C0?!L>>2!3E>03>E!DE>031212>!/>5>/?!C05>!E>3NE2>
2FES0/!P13C12!Vf!CFNE?.!3C>!G031>23!1?!?>23!CFS>6!!&FP>5>E.!)&:!?31//!L1//?!7>!4FE!02!
023!N2E!3C>!121310/!!E>20/!401/NE>.!03!0!?1O2141D023/M!C1OC>E!DF?3!
3C02!14!3C>!G031>23!C02!3E>03>E5031F26!
-
8/7/2019 Tenet Complaint April 2011
35/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>@*
h_6! '2F3C>E!>@0SG/>!F4!3C>!GE0D31D>!03!)&:!CF?G130/?!F4!023?!P13C!?MSG3FS?!L>?3!3E>03>E5031F2!?303N?!DF2D>E2?!G031>23?!GE>?>2312O!3F!3C>!$=!P13C!DC>?3!
G012.!?DE1L>!GE>51FN?!?>D31F26!!W>D0N?>!3C>!L033>EM!F4!3>?3?!EN2!F2!51E3N0//M!0//!DC>?3!
G012!G031>23?!S0M!L>!DFSG/>3>??!3C02!Vf!CFNE?.!13!1?!?302?>!3>?3?!3F!L>!
EN2!F2!G031>23?!12!FL?>E5031F2!?303N?6!!'3!)&:!CF?G130/?.!CFP>5>E.!G031>23?!DFSG/01212O!F4!DC>?3!
G012!F43>2!0E>!0!CF?G130/!E03C>E!3C02!3E>03>E5031F26!!-4!3C>!D/121D0/!3>?3?!
E>5>0/!3C03!3C>!G031>23!C0?!2F3!C00E3!0330DR.!3C>!G031>23!P1//!L>!!)&:!
CF?G130/!043>E!F2/M!0!?CFE3!?30M!03!3C>!CF?G130/!HF43>2!F2/M!0!?12O/>!23!?31//!P1//!
L>!L1//>!0?!02!12G031>23.!03!40E!OE>03>E!DF?3!3C02!14!3C>!?0S>!3E>03S>23!C0>2!
GEF51!G031>23!12!FL?>E5031F26!!!
hf6! -2!>0DC!F4!3C>?>!>@0SG/>?.!3C>E>!1?!2F!S>>!G031>23!3F!3C>!CF?G130/6!!-2>!D/121D0//M!0GGEFGE103>!D1?1F2!1?!3F!G/0D>!3C>!G031>23!123F!FL?>E5031F2.!EN2!
3C>!2>D>??0EM!3>?3?!FE!GEF51!3C>!2>D>??0EM!3E>03S>23!3C03!P1//!0//FP!3C>!GCM?1D102!3F!EN/>!FN3!3C>!
SFE>!?>E1FN?!DF2!3C>!G031>236!!-2!3C>!>5>23!3C03!3C>!3>?3?!FE!3E>03S>23!
?!2F3!>/1S1203>!3C>!SFE>!?>E1FN?!DF2!GCM?1D102!P1//!3C>2!0!G031>23!3F!3C>!
CF?G130/!4FE!4NE3C>E!3E>03S>236!!#CEFNOC!3C>!W/N>!WFFR.!)&:!3NE2?!S>!F2!13?!C>0
LM!?3>>E12O!3C>!0?>!G031>23?!1SS>/M.!UN1DR/M!!G031>23?!043>E!
3>?3?!0203S>23!EN/>!FN3!3C>!?>E1FN?!DF2!4FE!3C>!40E!SFE>!
>@G>2?15>`02D>??0EM`12G031>23!3E>03S>236!!
hd6! -2!?CFE3.!)&:!C0?!1O2FE>!EN/>?!LM!DE>0312O!DE13>E10!0224FED12O!GE0D31D>?!N2E!PC1DC!3C>!0E10!0GG/1>>E!3C>!GCM?1D102?!3F!
120GGEFGE103>/M!DF2D/N!3C03!0!G031>23T?!D0E>!E>UN1E>?!12G031>23!00?F20L/>!02D>??0EMJ!FE!IS>D>??0EMJ!D0E>6!!!
-
8/7/2019 Tenet Complaint April 2011
36/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>A*
hY6! '?!?>3!4FE3C!12!3C>!4F//FP12O!?>D31F2.!3C>E>!1?!2F!UN>?31F2!3C03.!0?!0!E>?N/3!F4!3C>!0?!12!G/0D>!03!)&:T?!CF?G130/?.!)&:!C0?!?M?3>S031D0//M!N2EN31/1a>
FL?>E5031F2!?303N?!02E/M!0/M!
YV.ZZZ!3F!gV.ZZZ!7>!G031>23?!123F!)&:!CF?G130/?!bN?3!12!3C>!M>0E?!VZZY"VZZh.!02
0GGEF@1S03>/M!VZ.ZZZ!3F!_Q.ZZZ!12!VZZh!0/F2>6!!
?;** +9)(S*#OYRSSRLNS*)IX7Y7*95S*H77N*0NLKYLMSTU*0VV7IQRW7*#Q*
"Lb7KRN6*,\S7KW5QRLN*.5Q7S*#NO*$NIK75SRN6*#OYRSSRLN*.5Q7S*#Q*
+9)*9LSZRQ5TS**
hc6! +2!13?!40D>.!3C>!W/N>!WFFR`P13C!13?!2F2"FLb>D315>.!2F2">512D>!L0?>E10!4FE!023?!123F!CF?G130/?`SF2?3E03>?!3C03!)&:!1?!0D315>/M!PFER12O!
3F!!NG!12G031>23!023!FL?>E5031F26!!;C>2!)&:T?!
FL?>E5031F2!!122>E0/!02//"R2FP2!CF?G130/!FG>E03FE?!3C03!
DFSG>3>!P13C!)&:.!3C>!4N//!1SG0D3!F4!3C1?!DF2
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!QV! #C>!?/1?!?>3!4FE3C!12!3C>!E>S012E!F4!3C1?!?>D31F2!F4!3C>!)FSG/0123!P>E>!GE>G0E>
'50/>E>!L0?>!)7:!+N3G031>23!:'i?!02!-2G031>23!,EF?G>D315>!,0MS>23!:M?3>S!:'i?.!3C>!/033>E!F4!PC1DC!DF23012?!?FNED>!!7$=,'*!!1?!DF2?3END3>E1D02!&F?G130/!=1E>D3FEM6!!
-
8/7/2019 Tenet Complaint April 2011
37/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>B*
hg6! -2!VZZh.!4FE!>@0SG/>!H3C>!/0?3!4N//!M>0E!4FE!PC1DC!!0501/0L/>K.!)&:T?!FL?>E5031F2!E03>!P0?!/>??!3C02!C0/4!3C>!12E0O>6Q_!!!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!Q_! #C1?!020/M?1?!>@D/N!CF?G130/!?0SG/>!H12D/NE3012!)&:!CF?G130/?K!2F2"?CFE3!3>ES!0DN3>!D0E>!CF?G130/?!H.#%#.!G?MDC103E1D.!DC1/2T?.!/F2O!3>ES.!02C0L1/13031F2K.!DE131D0/!0DD>??!CF?G130/?.!02S>EO>2DM!G0E3S>23!51?13?!02E5031F26!!W>D0N?>!3C>!/0?3!4N//!M>0E!4FE!PC1DC!!1?!VZZh.!3C>!)&:!CF?G130/?!12D/N!020/M?1?!
-
8/7/2019 Tenet Complaint April 2011
38/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>C*
hh6! )&:T?!/FP!FL?>E5031F2!E03>!E>/0315>!3F!3C>!122!LM!0!?S0//!?0SG/>!F4!)&:!CF?G130/?6!!#F!3C>!DF23E0EM.!2>0E/M!hde!F4!)&:T?!?CFE3"3>ES!
0DN3>!D0E>!CF?G130/?!12D/N!020/M?1?!C05>!FL?>E5031F2!E03>?!L>/FP!3C>!2031F20/!05>E0O>.!
P13C!2>0E/M!cZe!F4!)&:T?!CF?G130/?!40//12O!SFE>!3C02!dZe!L>/FP!3C>!2031F20/!05>E0O>6!!
!
QZZ6! )&:T?!FL?>E5031F2!E03>!0/?F!1?!?1O2141D023/M!L>/FP!3C>!E03>?!03!?FS>!F4!3C>!SF?3!C1OC/M!E>?G>D3>!DFN23EM6!!
!
-
8/7/2019 Tenet Complaint April 2011
39/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*>D*
QZQ6! )&:T?!ENE0/!CF?G130/!L0?>!12!2F!P0M!>@G/012?!13?!/FP!FL?>E5031F2!E03>!E>/0315>!3F!3C>!12!CF?G130/?!12!3C>!1SS>!51D1213M!F4!)&:!C05>!0!?NL?302310//M!C1OC>E!
FL?>E5031F2!E03>!3C02!)&:!CF?G130/?6!
! !
-
8/7/2019 Tenet Complaint April 2011
40/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?E*
QZV6! )&:T?!/FP!FL?>E5031F2!E03>!E>/0315>!3F!3C>!12!3MG>!F4!)&:!40D1/13M!12D/N!?0SG/>6Qf!!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!Qf! -2G031>23!,EF?G>D315>!,0MS>23!:M?3>S!HI-,,:JK!CF?G130/?!E>D>15>!41@>23?!4FE!0DN3>!D0E>!CF?G130/!?30M?.!L0?>D315>/M!?>3!E03>?6!!'!7>!=>G>223!*NE0/!&F?G130/!HI7=*&JK!1?!HQK!/FD03>0k!HVK!C0?!2F!SFE>!3C02!QZZ!L>
-
8/7/2019 Tenet Complaint April 2011
41/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?8*
QZ_6! )&:T?!N?>!F4!13?!W/N>!WFFR!DE13>E10!3F!1SGEFG>E/M!!NG!0E5031F2!E03>?!1?!SF?3!0GG0E>23!3CEFNOC!)&:T?!0DUN1?131F2!F4!#E10
-
8/7/2019 Tenet Complaint April 2011
42/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?=*
QZf6! WN3!P13C12!0!M>0E!F4!)&:T?!0DUN1?131F2!F4!#E10!FL?>E5031F2!E03>!03!3C>!4FES>E!#E10!1SG/>S>23031F2!F4!13?!W/N>!WFFR!
0?6!
!
QZd6! 'DDFE>?!/FP>E!0DN13M!G031>23?!3C02!3C>!2031F20/!05>E0O>6!!:G>D141D0//M.!3C>!05>E0O>!)&:!CF?G130/!C0?!0!/FP>E!D0?>!S1@!12@!HI)7-JK!
HQ6VgK!3C02!3C>!2031F20/!05>E0O>!12G031>23!?CFE3"?30M!0DN3>!D0E>!CF?G130/!HQ6f_K6!!&F?G130/?!P13C!
/FP>E!)7-!0E>!>@G>D3>!0!C1OC>E!FL?>E5031F2!E03>.!LN3!)&:!C0?!0!/FP>E!3C02!05>E0O>!
FL?>E5031F2!E03>!02E!3C02!05>E0O>!)7-6!!#C03!)&:T?!FL?>E5031F2!E03>!1?!?F!/FP!?G13>!
13?!/FP>E!0DN13M!G031>23?!4NE3C>E!SF2?3E03>?!3C>!>@3>23!F4!)&:T?!1SGEFG>E!0?6!
QZY6! #CN?.!N2E!02M!S>0?NE>.!)&:T?!1SGEFG>E!GE0D31D>?!3F!124/03>!12G031>23!0E5031F2!E03>?!03!13?!CF?G130/?.!3CN?!DE>0312O!>@D>??15>!E>5>2N>?!
02!L>>2!E>S0ER0L/M!>44>D315>6!!
-
8/7/2019 Tenet Complaint April 2011
43/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?>*
@;* +9)(S*#OYRSSRLNS*!K5IQRI7S*.7SMTQ*$N*#Q*"75SQ*9MNOK7OS*,V*-RTTRLNS*
,V*1LTT5KS*$N*$YZKLZ7K*HRTTRN6S*
QZc6! )&:!C0?!L1//>@D>??!?NS?!LM!23!0!G031>23?.!)&:!
E>D>15>?!F2!05>E0O>!F5>E!X_._ZZ`FE!Vdce`SFE>!G>E!023!3C02!13!PFN/D>15>!14!
3C>?>!G031>23?!P>E>!3E>03>E5031F26!
QZg6! )&:T?!>44FE3?!3F!124/03>!3C>!0!02DE>0?>!3C>!FL?>E5031F2!E03>!03!13?!CF?G130/?!C05>!L>>2!E>S0ER0L/M!GEF4130L/>6!!-2!3C>!M>0E?!VZZY!3F!VZZh.!)&:!C0?!GEF51
12G031>23!D0E>!3F!L>3P>>2!0GGEF@1S03>/M!YV.ZZZ!02!G031>23?!PCF.!N2E!
12!L>>2!3E>03>E5031F26!!#C>!3E>03S>23!
F4!3C>?>!7>!G031>23?!F2!02!12G031>23!L0?1?!C0?!E>?N/3>D>1512O!L>3P>>2!XVgZ!
S1//1F2!02!2>3!12DE>S>230/!E>5>2N>!3C03!)&:!L1//>
GE0D31D>!1?!0!?1O2141D023.!N2?N?30120L/>.!02E!?FNED>!F4!E>5>2N>!3F!)&:6!!!
QZh6! WN3!3C>?>!1SGEFG>E!E>5>2N>?!/1R>/M!E>GE>?>23!F2/M!0!4E0D31F2!F4!3C>!3F30/!L>2>413!3C03!)&:!C0?!E>D>15>E!L1//12O?.!?12D>!)&:T?!/1L>E0/1a>E10!C05>!
N2?N/3>E!L1//12O?!3F!GE1503>!G0M>E?!02!7>!02
7>QQZ6! ]15>2!)&:T?!>44>D315>2>??!12!1SG/>S>2312O!13?!0E10!0DEF??!13?!CF?G130/?.!)&:T?!41202D10/!OF0/?!2FP!G>2!CF?G130/?!3C03!13!D02!0DUN1E>!?F!3C03!
)&:!D02!?N?3012!3C>!GE0D31D>!F4!?!02?!
3CEFNOC!3C>!N?>!F4!3C>!W/N>!WFFR`bN?3!/1R>!)&:!'DDFE3!13?!?1OC3?!F2!#>2>3.!PCF?>!FL?>E5031F2!E03>!1?!0GGEF@1S03>/M!03!
3C>!2031F20/!05>E0O>6!!!!
-
8/7/2019 Tenet Complaint April 2011
44/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*??*
+9)P**&90*)0.$#"*9,)!$"*#+c2$.0.*
QQQ6! iFE!F5>E!0!D0.!)&:!C0?!?3>0E031F20/!?3E03>OM!F4!0DUN1E12O!CF?G130/?!020?12O!E>5>2N>!4EFS!3C>?>!CF?G130/?!LM!1SS>/M!/FP>E12O!3C>1E!
FL?>E5031F2!E03>?!020?12O!12G031>23!0?!3CEFNOC!13?!PEF2O4N/!GE0D31D>?6!!!
QQV6! )&:T?!?3E03>OM!F4!OEFP3C"3CEFNOC"0DUN1?131F2!1?!L>?3!1//N?3E03>@0?!L0?>E03>?.!12D/N@0?6!!'43>E!0DUN1E12O!#E10/1S1203>!4FES>E!#E100E?!
>SG/FM>>?6!!-SS>/M!4F//FP12O!3C>!0DUN1?131F2.!3C>!50?3!S0bFE13M!F4!3C>!4FES>E!#E10
CF?G130/?!P>E>!4FED>
0DUN1?131F2!0E10.!PFN/!L>>2!0GGEFGE103>/M!3E>03>E5031F2!L0?1?6!!
QQ_6! #C>!GEFL/>S!4FE!)&:.!CFP>5>E.!1?!3C03!13?!0?!D022F3!DF2312N>!L>D0N?>!3C>!=>G0E3S>23!F4!^N?31D>!02!0N!/FFR>0?>
CF?G130/?!P13C!C1OC!F2>"!E>23?!PCF!?CFN/!L>>2!3E>03>
F2!02!FN3G031>23!FL?>E5031F2!L0?1?!E03C>E!3C02!0!CF?G130/6!!iFE!>@0SG/>.!?12D>!VZZc.!
3C>!=>G0E3S>23!F4!^N?31D>!C0?!022FN2D>0?3!4FNE!SN/31"S1//1F2!33/>S>23?!P13C!
CF?G130/?!F5>E!1SGEFG>E!L1//12O!F4!FL?>E5031F2!G031>23?!0?!02C02D>
1SGEFG>E!CF?G130/!L1//12O!0/?F!C0?!L>>2!2!LM!)7:.!PC1DC!E>D>23/M!?NL?302310//M!>@G02
2031F2P1!3C>!N?>!F4!*>DF5>EM!'N
-
8/7/2019 Tenet Complaint April 2011
45/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?@*
QQf6! iFE!3C>!/0?3!?1@!UN0E3>E?.!SFE>F5>E.!)&:!C0?!022FN2D>D/0??141>23?!0?!FL?>E5031F2!PCF!C0>2!L1//>"@0?!1?!L>12O!125>?31O03>!+441D>!F4!
-2?G>D3FE!]>2>E0/!F4!3C>!86:6!=>G0E3S>23!F4!&>0/3C!02E51D>?.!PC1DC!C0?!E>UN>?3>
23?!E>/03>E?!12D/N!S020O>S>23.!E>?FNED>!S020O>S>23.!0E10.!G031>23!S>DFE
-
8/7/2019 Tenet Complaint April 2011
46/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?A*
DFSL12031F2J!L0?>E!3C12O?.!)&:T?!I0L1/13M!3F!/>5>E0O>!3C>!FG>E0312O!>441D1>2D1>?!
02?3!GE0D31D>?!F4!0!DFSL12>
H;* #VQ7K*+5K7VMT*+LNSRO7K5QRLN[*&X7*&7N7Q*HL5KO*.7d7IQS*+9)(S*$N5O7]M5Q7*
HRO*
QQY6! #>2>3T?!WF0ED3FE?.!12!DF2?N/3031F2!P13C!13?!41202D10/!02O0/!0ES12>!L>?3!123>E>?3!F4!#>2>3!FE!13?!
?C0E>CF/E?6!!
+;* +9)*GL7S*!M\TRI*3RQX*$QS*#I]MRSRQRLN*!KLZLS5T*#NO*+LYY7NI7S*$QS*!KLeU*
)LTRIRQ5QRLN*!KLI7SS*
QQc6! +2!=>D>SL>E!h.!VZQZ.!3C>!E!E>D>1512O!#>2>3T?!E>b>D31F2.!)&:!1??N>??!E>/>0?>.!PC1DC!13!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.QY!022FN2D12O!3C03!13!
C0!02!F44>E!3F!0DUN1E>!#>2>3!4FE!XY6ZZ!G>E!?C0E>!12!D0?C!02!#>2>3!
WF0ED3FE?!C0D/12>G3!3C03!F44>E6!!#C>!GE>??!E>/>0?>!?3E>??>
IE>GN3031F2!4FE!?NG>E1FE!FG>E0312O!G>E4FES02D>J!02??4N/!3E0DR!E>DFEOE0312O!
0DUN1?131F2?6J!!)&:!0/?F!?303>!GE>??!E>/>0?>!3C03!13?!GEFGF?0/!P0?!I?3E03>O1D0//M!
DFSG>//12OJ!L>D0N?>.!0SF2O!F3C>E!3C12O?.!3C>!IFG>E0312O!>441D1>2D1>?!02?3!GE0D31D>?!F4!0!
DFSL12>20L/>!13!3F!GEF51!>5>2!C1OC>E!UN0/13M!D0E>!4FE!G031>23?!6!6!6J!!
;13C!13?!GE>??!E>/>0?>.!)&:!0/?F!41/>!:$)!0!GE>?>23031F2!>2313/>0/3C!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!QY! )&:!41/>!GE>??!E>/>0?>!P13C!3C>!:$)!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__6!!703>E10/?!41/>E!*N/>!fVd!0/?F!0E>!>S>E10/?!N2E!*N/>!Qf0"QV!F4!3C>!:>DNE131>?!02!'D3!F4!Qh_f6!!-2!G0E31DN/0E.!%F3>!V!3F!*N/>!fVd!N2E!3C>!:>DNE131>?!'D3!F4!Qh__!?303>?A!I%F!41/12O!1?!E>UN1E>E!*N/>!Q_>"fHDK.!*N/>!Qf0"QVHLK.!*N/>!Qf!DFSSN21D031F2!1?!41/>E!3C1?!?>D31F26!)FSSN21D031F2?!41/>E!3C1?!?>D31F2!0/?F!0E>!>S>E!3C>!F3C>E!0GG/1D0L/>!?>D31F2?6J!
-
8/7/2019 Tenet Complaint April 2011
47/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?B*
:M?3>S?!022>3!&>0/3CD0E>A!'!)FSG>//12O!+GGFE3N213M!4FE!q0/N>!)E>031F2.J!PC1DC!FN3/12>
)&:T?!E031F20/>!4FE!?>>R12O!3F!0DUN1E>!#>2>36!!!
QQg6! #C>!4F//FP12O!D>SL>E!QZ.!VZQZ.!)&:!CF?3>!:S13C!S0!50E1FN?!?303>S>23?!0LFN3!3C>!GEFGF?>0/.!12D/NE>!P0?!
I?1O2141D023!?M2>EOM!GF3>2310/J!12!0!DFSL12>
QVZ6! +2!=>D>SL>E!VZ.!VZQZ!)&:!1??N>??!E>/>0?>.!PC1DC!13!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!
F4!3C>!:>DNE131>?!$@DC02O>!'D3!F4!Qh_f.!022FN2D12O!3C03!)&:!G/022>!D3FE?!4FE!
>/>D31F2!03!3C>!VZQQ!#>2>3!022N0/!S>>312O6!!#C>!GE>??!E>/>0?>!UNF3>!:S13C!0?!?30312O!3C03!
)&:!P0?!DF2512D>!IGFP>E4N/!/FO1DJ!F4!3C>!GEFGF?>
DFSS133>312OJ!3C>!0DUN1?131F26!!!
QVQ6! +2!^02N0EM!QV.!VZQQ.!)&:!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!F4!3C>!:>DNE131>?!$@DC02O>!
'D3!F4!Qh_f.!0!GE>?>23031F2!/15>E>!:S13C!F2!^02N0EM!QQ.!VZQQ!03!3C>!^,!7FEO02!
-25>?3FE!)F24>E>2D>!12!:02!iE02D1?DF.!)0/14FE210!H3C>!I^02N0EM!QV3C!,EF@M!:F/1D13031F2JK6!!
QVV6! #PF!E.!F2!^02N0EM!Qf.!VZQQ.!)&:!1??N>??!E>/>0?>.!PC1DC!13!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!
02!Qf0"QV!F4!3C>!:>DNE131>?!$@DC02O>!'D3!F4!Qh_f.!022FN2D12O!0!?/03>!F4!3>2!D3FE?!3C03!
-
8/7/2019 Tenet Complaint April 2011
48/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?C*
)&:!?012!3F!E>G/0D>!#>2>3T?!3>2"S>SL>E!WF0E2>3T?!%F5>SL>E!_.!
VZQQ!022N0/!S>>312O6!!
QV_6! +2!i>LEN0EM!g.!VZQQ.!;0M2>!:S13C!/15>E>?>23031F2!03!3C>!8W:!]/FL0/!&>0/3CD0E>!:>E51D>?!)F24>E>2D>.!0!GFE31F2!F4!PC1DC!E>S0ER?!P>E>!41/>!:$)!0?!GEF@M!
?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!F4!3C>!
:>DNE131>?!$@DC02O>!'D3!F4!Qh_f6!!!
QVf6! +2!i>LEN0EM!Vf.!VZQQ.!)&:!1??N>??!E>/>0?>.!PC1DC!13!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!
F4!3C>!:>DNE131>?!$@DC02O>!'D3!F4!Qh_f.!022FN2D12O!13?!>0E212O?!4FE!3C>!4FNE3C!UN0E3>E!F4!VZQZ6!!
#C>!4F//FP12O!/>DF24>E>2D>!P13C!125>?3S>23!020/M?3?!3F!E/M!>0E212O?6!!+2!i>LEN0EM!Vg.!VZQQ.!)&:!41/>@D>EG3?!F4!3C>!>0E212O?!D0//!3E02?DE1G3!P13C!
3C>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!0O012!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!
02!Qf0"QV!F4!3C>!:>DNE131>?!$@DC02O>!'D3!F4!Qh_f6!!
QVd6! +2!70EDC!Q.!VZQQ.!)&:!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!F4!3C>!:>DNE131>?!$@DC02O>!
'D3!F4!Qh_f.!0!GE>?>23031F2!/15>E>!:S13C!03!3C>!)131!]/FL0/!&>0/3CD0E>!)F24>E>2D>.!
02@D>EG3?!F4!3C>!E>S0ER?!/15>E>!DF24>E>2D>6!!!
QVY6! +2!70EDC!V.!VZQQ.!)&:!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!GNE?N023!3F!*N/>!fVd!F4!3C>!:>DNE131>?!'D3!F4!Qh__!02!Qf0"QV!F4!3C>!:>DNE131>?!$@DC02O>!
'D3!F4!Qh_f.!>@D>EG3?!F4!E>S0ER?!LM!;0M2>!:S13C!02!70EDC!V.!VZQQ!*W)!
)0G130/!70ER>3?!&>0/3CD0E>!)F24>E>2D>6!!!
-
8/7/2019 Tenet Complaint April 2011
49/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*?D*
-#&0.$#"*-$))&0-0%&)*#%1*,-$))$,%)*$%**
+9)()*!.,://12O!+GGFE3N213M!iFE!q0/N>!
)E>031F26JQc!!-2!3C03!GE>?>23031F2.!)&:!S0!?>5>E0/!F4!3C>!?0S>!?303>S>23?!DF23012>
GE>??!E>/>0?>6!!#C>!GE>?>23031F2!DF23012>S>23?!0LFN3!3C>!GNEGFE3>!F4!0!
DFSL12>
-
8/7/2019 Tenet Complaint April 2011
50/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@E*
E>0/1a031F26J!!)&:!0/?F!?303>!I#E02?0D31F2!W>2>413?!o>M!)F2?313N>23?.J!12D/N23?.!PCF!PFN/@G>E1>2D>!I[1\SGEF5>!4EFS!?302?!02
D/121D0/!GEF3FDF/?.J!02E?m>SG/FM>E?.!PCF!PFN/D>15>!0!I[D\FSGE>C>2?15>!E02O>!F4!
C>0/3CD0E>!?>E51D>?!GEF512>3!PFN/!>5>2!C1OC>E!UN0/13M!C>0/3CD0E>!4FE!G031>23?!P0?!40/?>!020?>!?0S>!S03>E10/!
FS1??1F2?!0LFN3!)&:T?!0?6!!-2!40D3.!0!DFSL12>
-
8/7/2019 Tenet Complaint April 2011
51/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@8*
Q_Q6! #C>?>!?303>S>23?!0/?F!P>E>!S03>E10//M!40/?>!020!3F!!3C03!13?!E>?N/3?!043>E!0DUN1E12O!#E10E>!2!LM!)&:T?!1SG/>S>23031F2!F4!
13?!0?!03!4FES>E!#E10301/!0LF5>.!3F!?3>>E!G031>23?!123F!
12G031>23!3E>03S>23!?G13>!3C>!0L?>2D>!F4!02M!D/121D0/!L0?1?!4FE!3C>?>!G031>23?!3F!L>!0
3C>!CF?G130/6!!!
Q_V6! #C>?>!?303>S>23?!P>E>!4NE3C>E!S03>E10//M!40/?>!020D0N?>!)&:!401/>!3C03!#>2>3!?C0E>CF/E?!PFN/!?NLb>D3>
3C>!3E02?0D31F2!P>E>!0GGEF5>D0N?>!3C>!G>E4FES02D>!F4!0!DFSL12>
-
8/7/2019 Tenet Complaint April 2011
52/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@=*
H;* +9)*#NO*17V7NO5NQS*)YRQX*#NO*+5SX*-5O7*%MY7KLMS*-5Q7KR5T*
-RSSQ5Q7Y7NQS*#NO*,YRSSRLNS*1MKRN6*&X7*17I7Y\7K*8EQX*#N5TUSQ*+5TT*
Q_Y6! +2!=>D>SL>E!QZ.!VZQZ.!)&:!CF?3>4>2!?0S>!S1??303>S>23?!0LFN3!3C>!GEFGF?>0/!0?!DF23012>
GE>??!E>/>0?>!02?3FE!GE>?>23031F2!41/>!:$)!F2!=>D>SL>E!h.!VZQZ6!!-2!0DFEE0312O!G>E4FES02D>.J!12D/NOE03>!3F!>44>D315>/M!123>OE03>!#E10D0N?>!IP>!C05>!0!5>EM!?302E0312O!G/034FES6!!'2!SFE>!P>!0!SFE>!
GEF!>441D1>2DM!P>!O>36J!!:S13C!0??>E3>?>!?0S>!IDFEGFE03>!
?M2>EO1>?!02E0312O!?M2>EO1>?J!PFN/2>3!0DUN1?131F26!!)0?C.!E>4>E>2D12O!
)&:T?!GNEGFE3>??!P13C!3C>!#E10EO1>?\!D02!
GEFL0L/M!L>!0DC1>5>2>36!!7FE>F5>E.!:S13C!?303>!
>@>DN31F2!F4!0!4121315>!0OE>>S>23.!P>!P1//!E>D>15>!0!41202D12O!DFSS13S>23!3F!4N//M!4N2
3E02?0D31F26J!
Q_c6! #C>?>!?303>S>23?!P>E>!S03>E10//M!40/?>!020!?0S>!S03>E10/!FS1??1F2?!DF2D>E212O!)&:T?!W/N>!WFFR!0?!?>3!4FE3C!0LF5>6!!-2!
0!?303>S>23?!P>E>!S03>E10//M!40/?>!020D0N?>!=>4>2
!3C03!#>2>3!?C0E>CF/E?!PFN/!?NLb>D3>
3C>!3E02?0D31F2!P>E>!0GGEF5>D0N?>!3C>!G>E4FES02D>!F4!0!DFSL12>
-
8/7/2019 Tenet Complaint April 2011
53/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@>*
L>!0L/>!3F!E01?>!?N441D1>23!4N2!0202!
3C>!S0O213N!F4!)&:T?!N2??!GE0D31D>?!02?.!13!1?!C1OC/M!N2/1R>/M!3C03!
)&:!P1//!L>!0L/>!3F!E01?>!?N441D1>23!4N2
-
8/7/2019 Tenet Complaint April 2011
54/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@?*
1;* +9)(S*F5NM5KU*8=QX*)LTRIRQ5QRLN*#NO*)Q5Q7Y7NQS*HU*)YRQX*1MKRN6*&X7*
$NW7SQLK*+LNV7K7NI7*37K7*-5Q7KR5TTU*'5TS7*#NO*-RST75ORN6**
Qff6! +2!^02N0EM!QV.!VZQQ.!)&:!41/>!:$).Qg!0!DFSG/>3>!DFGM!F4!3C>!GE>?>23031F2!/15>E>4>2!:S13C!03!3C>!^,!7FEO02!-25>?3FE!)F24>E>2D>!F2!
^02N0EM!QQ.!VZQQ6!!-3!DF23012>EFN?!S03>E10//M!40/?>!020S>23?!02
FS1??1F2?.!0?!?>3!4FE3C!L>/FP6!!!
8;* )Q5Q7Y7NQS*#\LMQ*+9)(S*#OYRSSRLNS*GKLbQX[*0.*)QK5Q76U[*5NO*
,Z7K5QRN6*)QK5Q76U*
Qfd6! -2!3C>!^02N0EM!QV3C!,EF@M!:F/1D13031F2.!)&:!?303>0E!12!'4/>D3!3C03!)&:T?!0023!0EM!M>0E!4EFS!VZZZ!3F!VZZh6!!-2!03C03!F2>!F4!13?!I:1O2141D023!+GGFE3N2131>?!4FE!]EFP3C!12!*>5>2N>!02E0312O!,EF413J!1?!3F!
I-2DE>0?>!-2G031>23!$*!q1?13?6J!!)&:!4NE3C>E!?303>OMJ!C0?!I[D\F23E1LN3>
?0S>!?3FE>!0F5>E.!P13C!E>O0EE0312O!?3E03>OM.!)&:!S0!
?303>S>23?!0LFN3!13?!GNEGFE3>??!03!I-SGEF5[12O\!&F?G130/!+G>E031F2?J!3CEFNOC!
I:302
InN0/13Mm*>?FNED>m)0?>!7020O>S>23J!4N2D31F2?6!!=NE12O!;0M2>!:S13CT?!^02N0EM!QQ.!VZQQ!
GE>?>23031F2.!SFE>F5>E.!:S13C!?303>EM!?FN2E0312O!?3E03>OM.J!0!I5>EM!
D/>0E!>@>DN30L/>!?3E03>OM.![3C03\!1?!GE>.![02.!0?!P>T5>!GEF5>2!F5>E!3C>!/0?3!
3>2!M>0E?.J!022!FG>E0312O!4FESN/0!02OM!3C03!PFER?!P13C!DF2?1?3>23!41202D10/!
G>E4FES02D>!02S>236J!!!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
!Qg! #C1?!41/12O.!0DDFES>!Qf0"QV!N2E!3C>!:>DNE131>?!$@DC02O>!'D3!F4!Qh_f6J!
-
8/7/2019 Tenet Complaint April 2011
55/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@@*
QfY6! #C>?>!?303>S>23?!P>E>!S03>E10//M!40/?>!020!3F!!3C03!13?!0E?.!$*!?3E03>OM.!02E0312O!?3E03>OM!G>2
1SGEFG>E!0?.!301/!0LF5>6!!-2!G0E31DN/0E.!4FE!03!/>0?3!0!D0.!3C>!
2NSL>E!F4!G031>23?!0!GEF!
0!F4!?3>>E12O!G031>23?!123F!12G031>23!3E>03S>23!?G13>!3C>!0L?>2D>!F4!02M!
D/121D0/!L0?1?!4FE!3C>?>!G031>23?!3F!L>!0!CF?G130/6!!:G>D141D0//M.!)&:!401/>
!3C03!)&:!C02O0O>S1D!GE0D31D>!F4!12DE>0?12O!13?!G031>23!0S>23031F2!F4!3C>!W/N>!WFFR!DE13>E10!3C03!E>?N/3>!023?!123F!)&:!
CF?G130/?!PCF.!N2E!12>2!3E>03>E5031F26!!!
Qfc6! #C>?>!S03>E10//M!40/?>!020S>23?!02!G0E3!F4!0!DF2312NFN?!G/02!3F!>2DFNE0O>!#>2>3!?C0E>CF/E?.!N2E!40/?>!GE>3>2?>?.!3F!
>/>D3!3C>!)&:!?/03>!F4!D3FE?!03!#>2>3T?!2>@3!022N0/!S>>312O!F2!%F5>SL>E!_.!VZQQ6!
Qfg6! =>4>2E10//M!40/?>!020S>23?!!DF2?313N3>!0!51F/031F2!F4!:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3!02!Qf0"h6!!
=;* '5TS7*5NO*-RST75ORN6*)Q5Q7Y7NQS*#NO*,YRSSRLNS*#\LMQ*+9)(S*
#I]MRSRQRLN*LV*&KR5O**
Qfh6! =NE12O!;0M2>!:S13CT?!^02N0EM!QQ.!VZQQ!GE>?>23031F2!03!3C>!^,!7FEO02!-25>?3FE!)F24>E>2D>.!:S13C!S0!0441ES0315>!?303>S>23?!0LFN3!)&:T?!?NDD>??!0?!02!0DUN1E>E!F4!CF?G130/?.!
02??!12!0DUN1E12O!02OE0312O!CF?G130/?!0DUN1E>
4EFS!#E10!O>3!0!/F3!F4!UN>?31F2?!0EFN2EO1>?!02!D02!3>//!MFN!1?`02!0/P0M?!3>//!MFN!1?!PC03!P>!C05>!!12!3C>!G0?3!02!G>E4FES>2>!#E10?.!P>T5>!1SGEF5>!S0EO12!0LFN3!VgZ!L0?1?!GF123?!02!OF3!0LFN3!XVcd!S1//1F2!F4!?M2>EO1>?!FN3!F4!3CF?>!40D1/131>?6!
-
8/7/2019 Tenet Complaint April 2011
56/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@A*
QdZ6! -2!05>2N>!02!Qf0"h6!
>;* )Q5Q7Y7NQS*#\LMQ*&X7*/5TM7*,V*+9)(S*!KLZLS5T*&L*#I]MRK7*&7N7Q**
Qdf6! -2!3C>!^02N0EM!QV3C!,EF@M!:F/1D13031F2.!)&:!S0!0441ES0315>!?303>S>23?!0LFN3!3C>!GNEGFE3>!F4!0!)&:"#>2>3!DFSL12>2313M.!S02M!F4!PC1DC!S1??303>S>23?!0/?F!P>E>!
S0!12!)&:T?!>0E/1>E!GEF@M!?F/1D13031F2!S03>E10/?6!!-2!G0E31DN/0E.!)&:!?303>E>!P0?!0!
I)FSG>//12O!:3E03>O1D!*031F20/>J!4FE!13?!GEFGF?>2>3!L>D0N?>.!0SF2O!F3C>E!
3C12O?.!3C>E>!P0?!0!I[?\3EF2O!DFSG/>S>230EM!413!P13C!?1O2141D023!?M2>EOM!GF3>2310/.J!02!
-
8/7/2019 Tenet Complaint April 2011
57/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@B*
I[F\GGFE3N213M!3F!/>5>E0O>!FG>E0312O!>441D1>2D1>?!02?3!GE0D31D>?.J!02!I[3\E02?0D31F2!1?!
0DDE>315>!3F!$,:!12!3C>!41E?3!4N//!M>0E6J!!7FE>F5>E.!)&:!?303>!02!I'33E0D315>!
+44>E!4FE!#>2>3!:C0E>CF/E?.J!02!12D/N?1F2!F4!I[?\3FDR!DF2?1E031F2!GEF51?!#>2>3!
?C0E>CF/E?!3C>!FGGFE3N213M!3F!G0E31D1G03>!12!4N3NE>!NG?1!4EFS!>0E212O?!OEFP3C!02EOM!
E>0/1a031F26J!!:1S1/0E/M.!!:S13CT?!^02N0EM!QQ.!VZQQ!GE>?>23031F2.!C>!?303>
C0!0!I5>EM!033E0D315>!F44>EJ!3F!#>2>3!02E>!1?!0!D/>0E!FGGFE3N213M!LF3C!12!S0EO12!
1SGEF5>S>23!02E>!1?!D/>0E!FGGFE3N213M!4FE!?M2>EO1>?!12!3C1?!0DUN1?131F2!OF12O!4FEP0E?>!?303>S>23?!P>E>!S03>E10//M!40/?>!020!3F!!13?!W/N>!WFFR!0?.!301/!0LF5>6!!-2!0!#>2>3!12D/N2>3T?!?C0E>CF/E?!PFN/DFS>!)&:!
?C0E>CF/E?!14!3C>!0/!P>E>!DF2?NSS03>!WFFR!
GE0D31D>?!124/03>?N/3?!LM!03!/>0?3!CN2
-
8/7/2019 Tenet Complaint April 2011
58/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@C*
Qdc6! #C>?>!S03>E10//M!40/?>!020S>23?!02!G0E3!F4!0!DF2312NFN?!G/02!3F!>2DFNE0O>!#>2>3!?C0E>CF/E?.!N2E!40/?>!GE>3>2?>?.!3F!
>/>D3!3C>!)&:!?/03>!F4!D3FE?!03!#>2>3T?!2>@3!022N0/!S>>312O!F2!%F5>SL>E!_.!VZQQ6!
Qdg6! =>4>2E10//M!40/?>!020S>23?!!DF2?313N3>!0!51F/031F2!F4!:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3!02!Qf0"h6!!
?;* )Q5Q7Y7NQS*#\LMQ*+9)(S*'RN5NIR5T*.7SMTQS**
Qdh6! -2!3C>!^02N0EM!QV3C!,EF@M!:F/1D13031F2.!)&:!S0!?303>S>23?!DF2D>E212O!)&:T?!41202D10/!G>E4FES02D>.!12D/N5>2N>.!$W-#='.!$W-#='!S0EO12.!020E212O?!G>E!
?C0E>.!0SF2O!F3C>E!S>3E1D?6!!)&:!0/?F!?303>0/3CT?!:3E03>OM!&0?!=>/15>E>
*>?N/3?.J!025>2N>!02
-
8/7/2019 Tenet Complaint April 2011
59/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*@D*
3C>!^02N0EM!QV3C!,EF@M!:F/1D13031F2!DF2?313N3>?!0!51F/031F2!F4!:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3!
02!Qf0"h6!!!
0;* +9)(S*'7\KM5KU*CQX*!KLeU*)LTRIRQ5QRLN[*$NITMORN6*)Q5Q7Y7NQS*HU*)YRQX[*
+LNQ5RN7O*%MY7KLMS*-5Q7KR5T*-RSSQ5Q7Y7NQS*#NO*,YRSSRLNS*
QY_6! +2!i>LEN0EM!g.!VZQQ.!;0M2>!:S13C!/15>E>?>23031F2!03!3C>!8W:!]/FL0/!&>0/3CD0E>!:>E51D>?!)F24>E>2D>6!!#C03!?0S>!@D>EG3?!F4!;0M2>!:S13CT?!E>S0ER?!
03!3C>!8W:!DF24>E>2D>!P13C!3C>!:$)6!!#C>?>!S03>E10/?!DF23012>EFN?!S03>E10//M!40/?>!02
S1?/>0S>23?.!?1S1/0E!3F!3CF?>!DF23012>0E/M!GEF@M!?F/1D13031F2!S03>E10/?!4EFS!)&:6!!
iFE!>@0SG/>.!12!3C>!i>LEN0EM!g3C!GEF@M!?F/1D13031F2!S03>E10/?.!;0M2>!:S13C!3FN3>
3F!1SGEF5>!S0EO12?!02E4FES02D>!12!13?!0DUN1E>!#E10!
GE1S0EM!>@0SG/>6!!:S13C!0/?F!E>4>EE>!?NGGF?>EO1>?J!)&:!0DC1>5>!#E10
0DUN1?131F2!02E3>?G>D3!3F!#>2>3.!3C>E>!I1?!0!/F3!F4!FGGFE3N213M!12!3>ES?!F4!3C>!
?M2>EO1>?6J!!!
QYf6! #C>?>!?303>S>23?!P>E>!S03>E10//M!40/?>!020!3F!!3C03!13?!E>?N/3?!043>E!0DUN1E12O!#E10E>!2!LM!)&:!1SG/>S>2312O!13?!0?!03!4FES>E!#E10301/!0LF5>.!3F!?3>>E!G031>23?!123F!12G031>23!
3E>03S>23!?G13>!3C>!0L?>2D>!F4!0!D/121D0/!L0?1?!4FE!3C>?>!G031>23?!3F!L>!0!CF?G130/.!
02EO1>?!)&:!PFN/0/1a>!4EFS!13?!0DUN1?131F2!F4!#>2>3!PFN/G>2
1SG/>S>2312O!3C>!?0S>!0?6!!!
QYd6! #C>?>!S03>E10//M!40/?>!020S>23?!02!G0E3!F4!0!DF2312NFN?!G/02!3F!>2DFNE0O>!#>2>3!?C0E>CF/E?.!N2E!40/?>!GE>3>2?>?.!3F!
>/>D3!3C>!)&:!?/03>!F4!D3FE?!03!#>2>3T?!2>@3!022N0/!S>>312O!F2!%F5>SL>E!_.!VZQQ6!
QYY6! =>4>2E10//M!40/?>!020S>23?!!DF2?313N3>!0!51F/031F2!F4!:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3!02!Qf0"h6!
-
8/7/2019 Tenet Complaint April 2011
60/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*AE*
';* +9)(S*'7\KM5KU*=?QX*!K7SS*.7T75S7*#NO*)Q5Q7Y7NQS*HU*)YRQX*#NO*+5SX*
1MKRN6*&X7*05KNRN6S*+5TT*37K7*-5Q7KR5TTU*'5TS7*#NO*-RST75ORN6*#NO*
+LNQ5RN7O*%MY7KLMS*-5Q7KR5T*,YRSSRLNS*
QYc6! +2!i>LEN0EM!Vf.!VZQQ.!)&:!1??N>0E212O?!E>/>0?>!3C03!13!41/>!:$)6!!#C>!4F//FP12O!0E212O?!D0//!P13C!125>?3S>23!020/M?3?6!!#C>!>0E212O?!E>/>0?>!
02S>23?!S0!LM!;0M2>!:S13C!02!>0E212O?!D0//!P>E>!S03>E10//M!
40/?>!020!S03>E10/!FS1??1F2?!301/!0LF5>6!!
QYg6! iFE!>@0SG/>.!!020/M?3!D0//.!:S13C!02!S03>E10//M!40/?>!020S>23?!0LFN3!G031>23!0D141D0//M.!:S13C!
?303>E>!P0?!0!I2031F20/!3E>223?!PCF!C0>2!L1//>23?!3F!
FL?>E5031F2.!!3F!12DE>0?>??NE>!4EFS!G0M>E?!3F!IE>!DF?3?6J!!:S13C!?303>!
12?NE02D>!DFSG021>?.!I3C>!G0MS>23!F2!FL?>E5031F2!1?!>??>2310//M!3C>!?0S>!0?!PC>2![G031>23?\!?30M!
[12!3C>!CF?G130/\6!!:F!3C>!>DF2FS1D?!F2!13!?FS>31S>?!0E>!2F3!0//!3C03!E>236J!!:S13C!4NE3C>E!
?303>!SF5>S>23!F4!G031>23?!L1//>E5031F2!1?!I02!12
-
8/7/2019 Tenet Complaint April 2011
61/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*A8*
C1OC>?3!5F/NS>!02?3!0DN13M!0!G031>23?!3C02!)&:!PFN/0E2!14!3C>?>!
G031>23?!C0>2!3E>03>E5031F2.!0223?.!3C>!?GE>0E6!!#C>?>!
?303>S>23?!0E>!0/?F!S03>E10//M!40/?>!020D0N?>!F4!:S13CT?!401/NE>!3F!!3C>!
5>EM!S03>E10/!E1?R!F4!1SGEFG>E!L1//12O!N2E!7>.!12!G0E31DN/0E.!3C03!N2E!7>!3C>E>!1?!
02!>2FESFN?!E>2D>!12!G0MS>23?!L>3P>>2!FL?>E5031F2!0223!?303N?.!02!
G>20/31>?!4FE!1SGEFG>E/M!L1//12O!7>!12D/N!3E>L/>!?!0220/3M!F4!NG!3F!XQQ.ZZZ!
G>E!40/?>!D/01S.!G/N?!3C>!E1?R!F4!>@D/N?1F2!4EFS!3C>!7>!GEFOE0S6!
QcZ6! :S13C!0/?F!S0!?303>S>23?!!>0E212O?!D0//!DF2D>E212O!)&:T?!I?NDD>??!0?!02!FG>E03FE!02!12
G>E4FES02D>!03!3C>!12/!12!0//!F4!FNE!S0ER>3?.!>?G>D10//M!03!FNE!SF?3!E>D>23/M!
0DUN1E>?.J!022!FG>E031F20/!>441D1>2D1>?6J!!#C>?>!?303>S>23?!P>E>!
S03>E10//M!40/?>!020!3F!!3C03!13?!?NDD>??!0?!02!
0DUN1E>E.!13?!FG>E031F20/!G>E4FES02D>!02441D1>2D1>?J!P>E>!G>223!NGF2!13?!N2
02!0?!301/!0LF5>6!!!
QcQ6! -2!0!GFE3>!>0E212O?!E>/>0?>!02GFE3>0?>!12!3F30/!0ED>23!
02ED>23!12DE>0?>!12!3F30/!0E>!S03>E10//M!40/?>!
0204>2!3F!!3C03!)&:T?!41202D10/!E>?N/3?!02
0E?!P>E>!G>223!NGF2!)&:T?!1SGEFG>E!0?6!!
QcV6! #C>?>!S03>E10//M!40/?>!020S>23?!02E10/!FS1??1F2?!LM!)&:.!:S13C!02!G0E3!F4!0!DF2312NFN?!G/02!3F!>2DFNE0O>!#>2>3!?C0E>CF/E?.!N2E!40/?>!
GE>3>2?>?.!3F!>/>D3!3C>!)&:!?/03>!F4!D3FE?!03!#>2>3T?!2>@3!022N0/!S>>312O!F2!%F5>SL>E!_.!
VZQQ6!
-
8/7/2019 Tenet Complaint April 2011
62/70
!"#$%&$''()*+,-!"#$%&*',.*/$,"#&$,%)*,'*'010.#"*)0+2.$&$0)*"#3)*4*!567*A=*
Qc_6! =>4>2E10//M!40/?>!020S>23?!!DF2?313N3>!0!51F/031F2!F4!:>D31F2!QfH0K!F4!3C>!$@DC02O>!'D3!02!Qf0"h6!
G;* +9)(S*-5KIX*8SQ*!KLeU*)LTRIRQ5QRLN*+LNQ5RN7O*-5Q7KR5TTU*'5TS7*#NO*
-RST75ORN6*)Q5Q7Y7NQS**
Qcf6! +2!70EDC!Q.!VZQQ.!;0M2>!:S13C!/15>E>?>23031F2!03!3C>!)131!]/FL0/!&>0/3CD0E>!)F24>E>2D>6!!#C03!?0S>!!:$)!0!DFGM!F4!3C>!GE>?>23031F2!02
>@D>EG3?!F4!;0M2>!:S13CT?!E>S0ER?!03!3C>!DF24>E>2D>6!!#C>?>!S03>E10/?!DF23012>EFN?!
S03>E10//M!40/?>!020S>23?.!?1S1/0E!3F!3CF?>!DF23012>0E/M!GEF@M!?F/1D13031F2!
S03>E10/?!4EFS!)&:6!!-2>!GE>?>23031F2!P0?!51E3N0//M!1231D0/!3F!3C>!GE>?>23031F2!
/15>E>!:S13C!03!3C>!^,!7FEO02!-25>?3FE!)F24>E>2D>!F2!^02N0EM!QQ.!VZQQ.!PC1DC!
)&:!41/>!:$)!0?!GEF@M!?F/1D13031F2!S03>E10/?.!02E>4FE>!DF23012?!0//!F4!3C>!?0S>!
S03>E10//M!40/?>!020S>23?!02!^02N0EM!QQ3C!GEF@M!?F/1D13031F2.!
301/!0LF5>6!!-2!00/3CD0E>!
)F24>E>2D>.!;0M2>!:S13C!3FN3>!S0EO12?!02E4FES02D>!12!13?!
0DUN1E>!#E10!GE1S0EM!>@0SG/>6!!!
Qcd6! #C>?>!?303>S>23?!P>E>!S03>E10//M!40/?>!0204>2!3F!!3C03!13?!E>?N/3?!043>E!0DUN1E12O!#E10E>!2!LM!)&:!1SG/>S>2312O!13?!
0?!03!4FES>E!#E10301/!0LF5>6!
QcY6! #C>?>!S03>E10//M!40/?>!020S>23?!02E10/!FS1??1F2?!LM!)&:!02!G0E3!F4!0!DF2312NFN?!G/02!3F!>2DFNE0O>!#>2>3!?C0E>CF/E?.!N2E!40/?>!GE>3>2?>?.!
3F!>/>D