AnnualMeetingofShareholdersFinal

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  • 1. Annual Meeting of Shareholders Trevor Fetter President & Chief Executive Officer Dallas, Texas May 8, 2008
  • 2. 2007: A Year of Many Accomplishments • Got back on a growth track: – First quarter of positive admissions growth in nearly four years – Florida Region back on track – Philadelphia turnaround – Acquired first new hospital in five years – Broke ground on another new hospital — 4th in 5 years • Improved Quality and Service: – Highest overall CMS Core Measures scores among investor-owned systems; third highest among 10 largest U.S. systems; continued improvement in scores – Improved physician, patient and employee satisfaction scores • Increased investment in our hospitals to improve competitiveness • Strong pricing growth; renegotiated nearly half of our managed care contracts • Overhead down by more than 10% vs. prior year and 17% vs. budget; solid contribution to earnings • Reduced employee turnover • Strengthened Board of Directors and maintained high corporate governance ratings 2
  • 3. Tenet Today • 54 acute care hospitals, 2 sub-acute hospitals, 20 surgery centers, 31 imaging centers • 258th on Fortune 500 – $8.9 billion in revenues • 100th largest U.S. employer, with 63,000 employees • 3rd largest investor-owned hospital company and 4th largest hospital system in the U.S. • Treating 4 million patients • Delivering 82,000 babies 3
  • 4. Tenet’s Strategy Stabilization Phase I Differentiation Based on Quality & Service Phase II Selective Investment in Existing Phase III Markets & Outpatient Business 2003 – 2005 2006-2007 2008 and Beyond 4
  • 5. Commitment to Quality Tenet Healthcare vs. National Average* Q104 – Q407 89.9% 88.0% Tenet National Average * Source: CMS Hospital Compare website. ** SCIP measures added to data point of Q106-Q406 timeframe. 5
  • 6. Commitment to Quality Tenet’s Core Hospitals vs. Largest U.S. Systems Q306 – Q207 National Average, 100% 88.0% 92.9% 92.6% 89.9% 89.6% 89.1% 88.8% 87.5% 87.2% 90% 84.0% 83.9% 80% 70% 60% 50% Trinity Health Cathlic Health Catholic Heath HCA HMA Health Systems Tenet Healthcare Hospitals Healthcare West Ascension Lifepoint Health Community Initiatives Partners Catholic 1. Source: CMS Hospital Compare website as of 3/31/08 from Q306 to Q207. 2. This analysis includes all 24 CMS public measures in AMI/HF/PN/SCIP and includes the ten largest 6 U.S. health systems with 30 or more hospitals.
  • 7. HCAHPS Tenet’s Core Hospitals vs. Large Systems (with at least 75% of hospitals reporting) Q406 – Q207 Patients Rating the Hospital Patients Who Would Definitely 9 or 10 (on a 10-point scale) Recommend the Hospital 80% 80% 69.4% 68.1% 68.1% 70% 70% 66.7% 65.6% 64.2% 62.2% 61.3% 59.9% 60% 60% 55.9% 54.9% 0.516 50% 50% 40% 40% Ascension CHP CHW Tenet HCA HMA Ascension CHP CHW Tenet HCA HMA National Average National Average 7
  • 8. Volume Building Strategies • Commitment to Quality (C2Q) – Become the hospital of choice among physicians, patients and nurses – Centers of Excellence strategy (COE) • Attract payer-directed volumes and pursue opportunities for pricing enhancements • Targeted Growth Initiative (TGI) – Emphasize high margin, faster growing service lines consistent with projected community needs • Capital Expenditures Program – Target capital spending on highly visible items of greatest importance to physicians and high margin service lines • Physician Relationship Program (PRP) – Communications program with our physicians to highlight existing and planned capabilities – Identify and resolve service and operational issues 8
  • 9. Admissions Growth Tenet’s Same Hospital Admissions Growth 2003 2004 2005 2007 2006 NOTE: Chart reflects same-hospital admissions growth for 53 hospitals as reported for the respective calendar year quarter over prior year. 9
  • 10. Capital Expenditures Per Bed Capital Expenditures Per Bed (1) (1) Last 12 months for continuing operations, excluding construction of new hospitals. 10
  • 11. Significant Investment in the Latest Technology... Key Technology Investments Across our Hospitals Diagnostic Imaging IS Systems • 20 CT Scanners • 13 PACS Systems • 6 MRIs • 11 ED clinical • 13 Digital Mammos documentation • 19 Digital Ultrasounds systems • 19 Nuclear Medicine • 21 core clinical Cameras system installations/ replacements Radiation Therapy Procedure labs/ORs • 2 Linear accelerators • 9 Cardiac cath Labs • 1 Gamma Knife • 16 C-Arms • 1 Cyber Knife • 2 DaVinci robots 11
  • 12. … and Infrastructure… • 3 new patient towers • 11 unit constructions/renovations and expansions • Refurbishments of patient floors • 6 medical office buildings constructed/ developed • 55 basic clinical equipment replacements New patient tower at Twin Cities Community Hospital. Rendering of East Cooper Replacement Hospital, Rendering of Sierra Providence East Hospital opening 12 planned to open in April 2010. May 2008.
  • 13. …and Outpatient Services • $33 million investment – CY2007 spend = $13.2 million – CY2008 spend = $19.8 million • Acquisition / Development of New Centers – Completed acquisition of Reagan Street Surgical Center, Los Alamitos, October 2007 – Planned acquisition of Sedona Surgery Center, JFK, in May 2008 – Planned acquisition/development of 4 DICs in 2008 • El Paso University Towers Imaging Center • Placentia Linda Imaging Center • Lake Pointe Forney Imaging Center • Piedmont Baxter Village Imaging Center • Dedicated Outpatient Resources 13
  • 14. Tenet’s 2008 Circle of Excellence Hospitals • Cypress Fairbanks Medical Center Hospital, Houston, TX • Delray Medical Center, Delray Beach, FL • Desert Regional Medical Center, Palm Springs, CA • Hahnemann University Hospital, Philadelphia, PA • Houston Northwest Medical Center, Houston, TX • Lake Pointe Medical Center, Rowlett, TX • Los Alamitos Medical Center, Los Alamitos, CA • North Fulton Regional Hospital, Roswell, GA • North Shore Medical Center, Miami, FL • Spalding Regional Medical Center, Griffin, GA • St. Christopher’s Hospital for Children, Philadelphia, PA • Twin Cities Community Hospital, Templeton, CA 14
  • 15. 2008 Tenet Heroes Hall of Fame Inductees Everett Christensen Ronnie Jennings Edgar Payne Barbara Zurzolo Denise Johnson Supervisor of Plant Operations Maintenance Technician HVAC Mechanic Senior Managing Counsel HR Representative Nacogdoches Medical Center Nacogdoches Medical Center Nacogdoches Medical Center Tenet Philadelphia Doctors Hospital of Manteca Debbie Benitez Esther Valdez Mescal Hunt Lenny Rosenfeld RN Coordinator Registered Nurse NICU Coordinator Vice President USC University Hospital Houston Northwest Medical Center Atlanta Medical Center Quality Management
  • 16. National Nurses Week & National Hospital and Healthcare Week 16