UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

SCHEDULE 14A
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Tenet Healthcare Corporation

(Name of Registrant as Specified in Its Charter)

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2024 Notice of Annual Meeting and Proxy Statement


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MISSION Our mission is to provide quality, compassionate care in the communities we serve. Creating an ethos of good health, wellness and responsibility is central to our mission and an everyday commitment to our neighbors and families. VISION Our Vision is to consistently deliver the right care, in the right place, at the right time and to be a premier organization, where patient care and saving lives remain our focus. Our vision re   ects our aspirations for the future and the goals we work toward – together. We are better together.


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Dear fellow shareholders,Fellow Shareholders,

It has beenIn 2023, Tenet continued to deliver strong financial performance and disciplined operational execution to build long-term value for our shareholders. The year was a year sincetestament to our team’s resilience and commitment to compliance, quality, and safety, as we enteredenhanced healthcare services in the pandemiccommunities we serve. Our commitment to partnership with physicians to build new and the last 12 months clearly have been an extraordinary challenge and learning experience. This has broughtcutting edge healthcare services is a marked increase to the pacedistinctive feature of our business model.

Each quarter in 2023, Tenet exceeded the performance expectations we set. This was a result of continued demand for our care and our ability to effectively manage resources in the right place at the right time such that we could optimize the performance across our operations. This resulted in improvement in cash flow generation during the year which helped us find opportunities to invest in our communities and reduce leverage on the balance sheet.

Tenet maintained its positive momentum this past year, marking it as one of exceptional performance and continued strategic transformation. Let me share highlights.

Accelerating Tenet’s portfolio transformation. We continued to transform towards a more value-based care enterprise with a leading specialty care platform. In 2023, we announced the divestiture of three Coastal South Carolina hospitals and related entities, continued to develop a new hospital campus in San Antonio, Texas and added thirty lower-cost ambulatory surgery centers to USPI. USPI’s M&A engine, under the Tenet umbrella, continues to be an industry-leading differentiator and we maintain a robust pipeline. We continue to execute strategic acquisitions, de novo developments and divestitures to advance our business transformation, reduce leverage and enhance free cash flow over time.

Meeting community demand for high-quality care and access to care. We delivered exceptional growth in 2023. USPI had 9.2% growth in same-facility revenues, well above our long-term goal of 4-6% growth. USPI also increased higher acuity procedures with joint replacements up nearly 20% in the fourth quarter. The hospitals enhanced access to high-acuity care across cardiovascular, neurosciences, surgical services and more. This resulted in sustained acuity growth with fourth quarter 2023 revenue per adjusted admissions up 6.5% over the prior year. Conifer also announced new clients and renewals, including the continuation of an end-to-end revenue cycle management partnership with Dartmouth Health.

Delivering the right resources at the right time, supported by data-driven decisions. Each of our business segments enhanced operational efficiency in 2023. Our operations delivered industry-leading margins in our ambulatory segment and made a strong commitment to deliver care with our own workforce via best-in-class contract labor management and strong hiring results through local partnerships with nursing and allied health professional schools. For the year, Tenet’s consolidated adjusted EBITDA margin reached a multi-decade high above 17%.

Expanding Tenet’s ecosystem of high-quality physicians. We continue to enhance our network of physicians with a shared commitment to innovation, quality and safety, and patient experience. In 2023, we welcomed nearly two hundred new physicians to our employed physician group. USPI also continued to welcome new physician partners as well as new physicians to its active medical staff.

Continuing a needpurpose-driven approach to handle an equally significant increase of information effectively and efficiently coupled with many emotional ups and downs never experienced in our past. Our company was at the front line across our system experiencing the frustrations, fear and the other external and internal pressures that resulted from dealing with what started as an unknown. I am pleased to report that your company took on these challenges directly, struggled through the early days, never lost a step in responding — and today we are a stronger, leaner, and more focused business, driven by an experienced and highly qualified team of professionals. We had a renewed commitment to operate as a closer and more engaged organization, shedding the truly unnecessary costs and aggressively seeking out effective solutions that had strength and sustainability.

2020 started with positive upward trends in January and February building on solid momentum from the prior year and seeing the positive impact of our multi-year turnaround work. The virus was in the news, but minimal actionable information was available, so we decided to pre-purchase additional PPE and review in detail each facilities’ infection control processes. We established our headquarters clinical team to be the single source of truth with daily group calls with the field, and they had the responsibility of monitoring and disseminating both clinical and regulatory information. We added support personnel to this team to ensure we had adequate and skilled personnel dedicated to areas such as HR policies, reimbursement methods directly related to COVID and our government relations team on policies that seemed to be forthcoming daily.

As with others, we faced challenges never experienced in the history of our company. We believe the transformation we started in late 2017 played a major role in our ability to respond quickly, pivot immediately and ensure we had companywide clarity on what steps were needed. As we stated in the last two years, we had upgraded many key roles, established processes tightly tied to data-driven metrics and a decision process that was efficient with streamlined accountability and ownership. Our ability to perform under such difficult and constantly evolving circumstances underscores the effectiveness of the changes we had made, the strength and commitment of our people and the ability to grasp and respond to the unknown.

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Ronald A. Rittenmeyer

Executive Chairman and CEO

This last year demonstrated how a clear strategy and actionable and accountable teams will come together successfully amid a tumultuous environment. Not only were we able to continue providing vital healthcare, but we also executed well on multiple strategic initiatives. We did not stray from our stated plans because they were the right ones for our patients, our physicians, our shareholders and our people. We pride ourselves on being accountable – and we were.

First and foremost, we kept our hospital doors open at all times, building every protocol around the delivery of safe care and committing our resources where they were needed most. We met critical care needs, instituted COVID-safe infrastructure, advanced medical technology improvements and implemented strong infection control policies to keep our extended communities safe. Richer data for our operators, open and constant lines of communication and a cohesive response were critical to our recovery.


We advanced top-tier clinical programs to serve growing needs across our hospitals. This included the launch of market-wide programs and new offerings, while also receiving awards for excellence in service lines that address highly acute and chronic conditions.

Our ambulatory business achieved many milestones, not just in terms of performance but also by earning trust and distinction through recognitions that focus on quality and patient experience. We expanded our relationships with our universe of physician and health system partners and demonstrated how those collaborations were vital.

Our most transformational move came with the acquisition of 45 quality ambulatory surgery centers in December, in addition to the eight centers acquired throughout the rest of 2020. Through this transaction, we can now offer our communities additional access points for more affordable, consumer-friendly outpatient surgeries performed by leading physicians. corporate responsibility. We continue to own a small portionadvance our programs that support the key aspects of a fragmented industry, and as we selectively expand our network,corporate responsibility, with each integration we maintain the intimacy and neighborhood feel of these smaller, lower cost of care settings.

For Conifer, we achieved a high level of margin performance, providing outstanding support to our clients during a particularly challenging time and raising the bar on cash collection expectations. We also added new talent to the leadership bench and promoted from within.

Board oversight. Our Global Business Center continued to perform through 2020 and we added an additional 1,000 associates to improve our response to our individual business units on a 24-hour basis. This group continues to operate at 90% plus effectiveness with a very high level of accuracy.

We maintained stability of performance through our ongoing recovery. With the mandated shut-down of elective care early in the pandemic, along with the uncertainty surrounding surges that moved rapidly, we experienced significant troughs and peaks last spring through the end of 2020. We are very appreciative of the stimulus funding we received, which while measurably short of our losses created by the pandemic, helped mitigate these losses to our system and allowed us to remain focused on patient and staff needs. At the same time, we proactively managed our liquidity to preserve financial stability and made a series of operational changes to cement our recovery. Our performance speaks to this, along with the market confidence we gained throughout the year.

Across our network of more than 600 facilities, we are extremely proud that we were able to carry forward a cohesive response while remaining true to the commitments set forth before the virus took hold. Those include supporting our employees, giving back to local and national causes,2024 ESG report will share our approach to foster a diverse and inclusive culture, strengthen the health of our communities, support climate sustainability, lead with integrity, and apply sound governance.

Maintaining a high-performance culture. In 2023, we ensured a seamless management transition of our Chief Financial Officer from Daniel Cancelmi to Sun Park, consistent with our expectations. Our high-performing leadership team continues to drive strategic priorities, taking a data-driven and governance, fosteringoutcomes-focused approach. Furthermore, our organization promotes a culture of inclusivityquality, safety, and cultivating programs that mitigate our impact on the environment. They all fit together to create sustainable business across every level.

Solidifying our commitment to the values and goals of ESG (Environmental, Social and Governance), we have formally established a new committee of our Board of Directors consisting of independent directors to focus directly on our company’s increasing efforts in the areas of ESG. We believe this topic is of the utmost importance and deserves special attention by our Board. Unlike many industries, delivery of healthcare has many unique requirements. We believe we can continuously improve over time and have launched in our facilities several engineering efforts to outline opportunities in

sustainability. We also created a Diversity Council and are building Employee Resource Groups to foster, develop and ensure a more sustainable inclusive environment throughout our business. Our Board of Directors, which has been refreshed by over 70%, since the fourth quarter of 2017, represents the commitment we have to a balanced, effective and diverse organization. We will, with the addition of the ESG Committee of our Board and the development of other programs, measure improvements and address opportunities ensuring this commitment is an enduring part of the fabric of the company.

In 2020, our resilience as an organization was tested, and we outperformed, delivered on our commitments and continued building a framework for our future growth and success.This was possible because of our team members and their selfless commitment to our patients, each other and our communities. Together, they have fostered a very strong character for Tenet – and we are incredibly grateful.

In closing, we are also grateful to our shareholders, the communities we serve and the many partners we engage to deliver the care we provide. Our mission is of the highest order, and we approach every day grateful for these points of support and with a determination to provide the best possible care with humility, dignity and professionalism. From our patients, our team, our Board and our many partners, thank you for your confidence and support as we advance our mission.

With gratitude,

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Ronald A. Rittenmeyer

Executive Chairman and CEOcompliance.



 

   

 

   

 

 

LOGOThe accomplishments of 2023 reflect the collective effort and dedication of our entire team. I would like to extend my appreciation to all our physicians, caregivers, and staff for their steadfast commitment to providing high-quality, compassionate care for our communities. On behalf of Tenet’s Board of Directors and leadership team, we are grateful for the support of our shareholders and our partners as we continue to pursue our valuable mission.

Respectfully,

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Saum Sutaria, M.D.

Chairman and Chief Executive Officer

Tenet Healthcare

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TENET HEALTHCARE CORPORATION

14201 Dallas Parkway

Dallas, Texas 75254

(469) 893-2200

Notice of Annual Meeting of Shareholders

to be held on Thursday,Wednesday, May 6, 202122, 2024

March 26, 2021April 12, 2024

To our Shareholders:

Our 20212024 Annual Meeting of Shareholders (the “Annual Meeting”) will be held on May 6, 2021,22, 2024, at 8:00 a.m. Central Time. You will be able to attend and participate in the Annual Meeting by visiting www.virtualshareholdermeeting.com/THC2021,registering at www.proxydocs.com/THC. After you complete your registration, you will receive further instructions via email, including a unique link that will provide you access to the Annual Meeting, where you will be able to listen to the meeting live, submit questions and vote,vote. Our Annual Meeting is being held for the following purposes:

 

1.

To elect the eleven13 directors named in the accompanying Proxy Statement, each to serve until the next annual meeting of shareholders or until his or her successor is duly elected and qualified, whichever is later, or until the director’s earlier resignation or removal.

 

2.

To vote, on an advisory basis, to approve the Company’s executive compensation.

 

3.

To ratify the selection of Deloitte & Touche LLP as our independent registered public accountants for the year ending December 31, 2021.2024.

 

4.

To transactvote on two shareholder proposals, if properly presented at the meeting.

We will also consider and take action on any other business that properly comes before the meeting or any adjournment or postponement of the meeting.

Only shareholders of record of our common stock at the close of business on March 12, 2021,27, 2024 are entitled to notice of and to vote at the Annual Meeting.

It is important that your shares be represented and voted at the Annual Meeting. You may vote your shares via the Internet, by telephone or by completing and returning a proxy card. Specific voting instructions are set forth in the “General Information Regarding the Annual Meeting and Voting” section of the accompanying Proxy Statement and on the proxy card.

 

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Audrey T. AndrewsThomas W. Arnst
Executive Vice President, Chief Administrative Officer, General Counsel and Corporate Secretary

 

Important Notice Regarding the Availability of Proxy Materials

for the Annual Meeting of Shareholders To Be Heldto be held on May 6, 202122, 2024

The accompanying Proxy Statement and the Company’s proxy card, as well as our Annual

Report on Form 10-K for the year ended December 31, 2020,2023, are available at www.proxyvote.comwww.proxydocs.com/THC.

 

As provided above, due to the public health impact of the COVID-19 pandemic, weWe have adopted a virtual meeting format for our Annual Meeting, conducted via a live audio webcast. You will be able to attend the Annual Meeting online, listen to the meeting live, submit questions and vote your shares electronically during the meeting by visiting www.virtualshareholdermeeting.com/THC2021.registering at www.proxydocs.com/THC. We have designed the format of the Annual Meeting to provide shareholders with substantially the same rights and opportunities to participate as they would at an in-person meeting. As always, we encourage you to vote your shares prior to the Annual Meeting.

 


2021 Proxy Statement

 

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Table of Contents

 

This Proxy Statement includes certain financial measures not in accordance with generally accepted accounting principles in the United States (GAAP), such as Adjusted EBITDA, Adjusted Free Cash Flow and Adjusted EPS. Definitions of these measures are contained in Appendix A to this Proxy Statement.


 

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Proxy Statement Summary

Below are highlights of certain information in this Proxy Statement. Please refer to the complete Proxy Statement and our Annual Report on Form 10-K for the year ended December 31, 2020,2023 before you vote.

20212024 ANNUAL MEETING OF SHAREHOLDERS

 

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Date and Time:

Thursday,Wednesday, May 6, 2021,22, 2024,

at 8:00 a.m. Central Time

 

 

Place:

Online by registering at

www.proxydocs.com/THC

 

  

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Place:

Online at www.virtualshareholdermeeting.com/
THC2021

 

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Record Date:

March 12, 202127, 2024

 

Information:

The Notice of Internet Availability, this Proxy Statement and related proxy materials are being mailed or made available to shareholders on or about March 26, 2021.April 12, 2024. Copies of this Proxy Statement, the Company’s proxy card and our Annual Report on Form 10-K for the year ended December 31, 2023 are available at www.proxyvote.comwww.proxydocs.com/THC.

VOTING MATTERS AND BOARD RECOMMENDATIONS

 

Proposals

 

Board’s

Recommendation

 

Page    

Proposal

Proposal

  

 

 

Board’s

Recommendation

 Page

1

1

 

 

Election of Eleven Director Nominees

 

 

Vote FOR each nominee

 

 

5    

 

 

Election of 13 Director Nominees

 

 

Vote FOR Each Nominee

 

 

6

2

 

 

Advisory Approval of the Company’s Executive Compensation

 

 

Vote FOR

 

 

63    

2

 

 

Advisory Approval of the Company’s Executive Compensation

 

 

Vote FOR

 

 

78

3

 

 

Ratification of the Selection of Deloitte & Touche LLP as Independent Registered Public Accountants for the Year Ending December 31, 2020

 

 

Vote FOR

 

 

66    

3

 

 

Ratification of the Selection of Deloitte & Touche LLP as Independent Registered Public Accountants for the Year Ending December 31, 2024

 

 

Vote FOR

 

 

81

4

4

 

 

Shareholder Proposal to Report on Risk Mitigation Regarding State Restrictions for Emergency Abortions

 

 

Vote AGAINST

 

 

82

5

5

 

 

Shareholder Proposal to Report on Plans to Integrate ESG Metrics Into Executive Compensation

 

 

Vote AGAINST

 

 

84

 

2024 PROXY STATEMENT

 2021 PROXY STATEMENT1


Proxy Statement Summary

 

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Business Overview

Tenet is a diversified healthcare services company focused on our mission to provide quality, compassionate care in the communities we serve. At December 31, 2023, Tenet hashad approximately 110,000106,500 employees delivering and supporting care through two business segments — Hospital Operations and Services (Hospital Operations) and Ambulatory Care. As of December 31, 2023, our three business units – Hospitals, Ambulatory Care and Conifer. We operate an expansive network across the country, with 65Hospital Operations segment was comprised of our 61 acute care and specialty hospitals, a network of employed physicians and over 550 other healthcare164 outpatient facilities, including ambulatory surgeryimaging centers, urgent care centers, imaging centers, surgical hospitals, off-campusancillary emergency departmentsfacilities and micro-hospitals. Through our subsidiary United Surgical Partners International (USPI), Tenet operates the nation’s largest ambulatory platform in the country that includes partnerships with more than 50 prominent health systems and close to 5,000 physicians. In addition, our subsidiary Conifer Health Solutions is a leading provider of Our Hospital Operations segment also provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients.clients through our Conifer Health Solutions, LLC joint venture. Our Ambulatory Care segment is comprised of the operations of our subsidiary USPI Holding Company, Inc. (USPI), which held indirect ownership interests in 461 ambulatory surgery centers and 24 surgical hospitals at December 31, 2023.

Repositioned Care Delivery Portfolio

We continue to execute on the ongoing transformation of our care delivery offerings. Strategic investments in USPI remain a top priority, and we established new ownership positions in approximately 30 ambulatory surgery centers in 2023. We also continue our strategic deployment of capital to enhance high-acuity hospital services. Our efforts include capacity expansion, new construction in high-growth, attractive locations and investments in innovation. Additionally, we announced the sale of certain hospitals in order to further deleverage, strengthen our balance sheet and provide enhanced financial flexibility. Across our comprehensive network of facilities, we are focused on introducing new services at a lower cost and offering patients excellent service in the most clinically appropriate setting. Our focus is on markets where we can provide a strong value to consumers and payers, and the evolution of our care delivery locations reflects our strategy to grow USPI.

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Strong Long-Term Performance

 

 

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Our Resilience in Responding to COVID-19

COVID-19 presented some of the most difficult challenges we have ever witnessed for our business, our healthcare workers and our families. The response demonstrated by our caregivers and staff was nothing short of heroic. They worked tirelessly on the frontlines and through a support network to adjust to a fluid and uncertain environment, and they demonstrated compassion for patients and fellow team members, as well as a determination to bring us all to the other side of this crisis.

Every protocol in our response was built to maintain the highest standards for quality and safety and meet the needs of our communities. We adapted at every step, including facing reduced demand for services from the shut-down of elective care across our network, investing in the establishment of COVID-safe infrastructure throughout our hospitals and facilities, managing numerous community surges and supporting our healthcare workers in providing excellent care at all times.

Our Incident Command Center served as the hub of this effort, including close coordination across a network of more than 600 facilities and thoughtful calibration of strategy. Our response was also informed by the use of custom, real-time dashboards, allowing us to constantly have a pulse on critical metrics, such as supply inventory, PPE, medication, equipment and ICU availability.

 

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Proxy Statement Summary

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Overview of Director Nominees

Name and Occupation

 Age 

Director

Since

 Independent 

Other Public  

Boards

 Committee Memberships
 AC ESG HR NCG QCE

Saumya Sutaria, M.D.

Chairman and CEO, Tenet Healthcare

 51 2020 No            

J. Robert Kerrey

Lead Director, Tenet Healthcare;

Managing Director, Allen & Company;

Former U.S. Senator

 80 2012* Yes       Chair   

Vineeta Agarwala, M.D., PhD

General Partner,

Andreessen Horowitz (a16z)

 37 2023 Yes          

James L. Bierman

Former President and CEO,

Owens & Minor, Inc.

 71 2017 Yes 2        Chair

Roy Blunt

Chairman, Leadership Advisory Strategies

Group, Husch Blackwell Strategies;

Former U.S. Senator;

Former Member of the U.S. House of

Representatives

 74 2023 Yes 1       

Richard W. Fisher

Former President and CEO,

Federal Reserve Bank of Dallas

 75 2017 Yes 1  Chair     

Meghan M. FitzGerald, DrPH

Adjunct Professor,

Columbia University

 53 2018 Yes 1      Chair 

Cecil D. Haney

Admiral, U.S. Navy (Ret.) and

Former Commander of U.S. Strategic

Command and U.S. Pacific Fleet

 68 2021 Yes 1        

Christopher S. Lynch

Former National Partner in Charge

of the Financial Services practice

at KPMG, LLC

 66 2019 Yes 1        

Richard J. Mark

Former Chairman and President,

Ameren Illinois Company

 68 2017 Yes 1       

Tammy Romo

Executive Vice President and

CFO, Southwest Airlines Co.

 61 2015 Yes   Chair       

Stephen H. Rusckowski

Former Chairman, CEO and President,

Quest Diagnostics Incorporated

 66 2023 Yes 2        

Nadja Y. West, M.D.

Lieutenant General, U.S. Army (Ret.)

and 44th Surgeon General

of the U.S. Army

 63 2019 Yes 

2

       

AC: Audit Committee

ESG: Environmental, Social and Governance Committee

HR: Human Resources Committee

NCG: Nominating and Corporate Governance Committee

QCE: Quality, Compliance & Ethics Committee

= Member

*

Senator Kerrey served as a director from March 2001 to March 2012 prior to his appointment in November 2012.

2024 PROXY STATEMENT

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Proxy Statement Summary

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Director Nominees’ Experience and Diversity

Having an independent Board is a core element of our governance philosophy. Under our Corporate Governance Principles, at least two-thirds of the Board must consist of independent directors. Of our 13 Board nominees, 12 are independent in accordance with the requirements set forth in our Corporate Governance Principles. Moreover, our Board believes that having a diverse mix of directors with complementary qualifications, expertise and attributes is essential to meeting its oversight responsibility. The following highlights the core skills and experience of our Board nominees:

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Executive Leadership

 

 

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Regulatory and Public Sector

lllllllllllll 13 

 

 lllllllll 9

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Healthcare Industry

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Public Company Board Service
lllllll 7

llllllllll 10

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Accounting and Finance

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Cybersecurity and Information Technology

lllll 5

lll 3

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Crisis and Risk Management

lllllll 7

 

 

Every day, but especially during this challenging time, our team members have led by example and done what they have been called upon and trained to do – with honor and professionalism.

Governance Highlights

Formed ESG
Committee
in 2021 to
formally oversee
growing ESG initiatives

Significant Board
refreshment
with nine

new independent
directors added since
fall 2017

Strong independent
Lead Director
role with
robust responsibilities
Active shareholder
outreach and
engagement
Shareholder right to
call special meetings
with 25% vote threshold
Proxy access
right adopted in
2019 with market
standard terms

Board Refreshment

In response to specific shareholder feedback, the Board accelerated its refreshment process in the fall of 2017, recruiting nine independent directors since that time. On November 4, 2020, the Board appointed the Company’s President and Chief Operating Officer, Saum Sutaria, M.D., as a director. Dr. Sutaria’s leadership has been especially pivotal in accelerating the Company’s growth and successfully navigating the many challenges posed by the pandemic. In addition, on January 7, 2021, the Board appointed Admiral Cecil D. Haney, a retired four-star Admiral, as a director. Admiral Haney complements the Board given his leadership and experience, particularly in the areas of cybersecurity and systems planning. Further, on January 22, 2021, following his confirmation by the U.S. Senate as Secretary of Defense, General Lloyd J. Austin III resigned from the Board. We are grateful to General Austin for his service as our Board member. Altogether, these new directors have brought a diversity of viewpoints, approaches and experiences to the Board as it addresses the risks and pursues the long-term strategies in front of the Company.

Sound Governance Practices

Our Board is committed to sound corporate governance policies that protect the long-term interests of shareholders, promote accountability, and give shareholders a voice. The Board has long maintained many best practices, including annual election of directors by majority standard, a robust annual self-evaluation process, and frequent shareholder engagement. In recent years, the Board has further enhanced the Company’s governance practices. That includes an amendment to our Bylaws in 2018 that provides shareholders with beneficial ownership of 25% of Tenet’s outstanding shares with the right to call a special meeting, as well as an amendment in 2019 that allows for shareholders to nominate directors via proxy access on market standard terms.

ESG Committee

In 2021, the Board formed an ESG Committee. The ESG Committee’s purpose is to oversee and support the Company’s commitment to social, environmental and other public policy initiatives, including, among other things, climate change impacts, sustainability, and diversity and inclusion. The formation of the ESG Committee and our other recent governance enhancements, driven in large part by shareholder feedback, are intended to ensure the continued alignment of our corporate governance policies and practices with the long-term interests of our business and our shareholders.

Active Shareholder Engagement Program

Our Board regularly solicits input from investors and governance groups to better inform decision-making and gain insight into shareholder perspectives on a broad range of topics, including corporate governance practices. We value our shareholders’ perspectives on our business and interact with them through a variety of shareholder engagement activities. As we engage with shareholders, feedback is regularly reviewed by our Board.

2021 PROXY STATEMENT3


Proxy Statement Summary

Board Characteristics

Tenet’s recent Board refreshment activities have cultivated a balanced mix of diversity, age, tenure and viewpoints in the boardroom. The Board believes that a range of backgrounds, viewpoints, beliefs, ethnicities and ages, in addition to gender diversity, contributes to strong governance and successful oversight of the Company.

 

Diversity, Age and Tenure of
Board Nominees

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Diversity
Gender DiversityEthnic Diversity
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Director Nominees

Age Distribution

 

Tenure

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Proxy Statement Summary

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Corporate Governance and Board Practices

INDEPENDENT, EFFECTIVE BOARD OVERSIGHT

  12 of 13 director nominees are independent

  Independent Lead Director with clearly defined responsibilities

  All committee chairs and members are independent

  Highly diverse and experienced Board

  Annual self-evaluation of all directors using third-party facilitator

  Regular executive sessions of independent directors for Board and committee meetings

  All Audit Committee members have been designated as financially literate within the meaning of the New York Stock Exchange listing standards, and three members are audit committee financial experts under the Securities and Exchange Commission rules

  Commitment to Board refreshment practices, with five new independent directors added since mid-2019, including three new independent directors added in 2023

  Board and committees may hire outside advisors independently of management

SOUND CORPORATE GOVERNANCE AND BOARD PRACTICES

  “Overboarding” limits for directors

  Board oversight of political contributions

  Board-level oversight of ESG matters and separate ESG Committee

  Annual review ofCorporate Governance Principles

  Anti-hedging and anti-pledging policy

  Active shareholder outreach and engagement with feedback regularly reviewed by Board

SHAREHOLDER

RIGHTS

  Annual election of directors

  Shareholder right to call special meetings at 25% threshold

  Proxy access with market standard terms

  One-year limit on “poison pills” unless approved by shareholders

  Single class of stock with equal voting rights

  Majority vote standard and director resignation policy in uncontested elections

2024 PROXY STATEMENT

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Proposal 1

- Election of

Directors

Nominees for Election to the Board of Directors

Tenet’s Board of Directors is elected annually by our shareholders. Our nominees for election include nine12 independent directors and our Executive Chairman and Chief Executive Officer as well as our President and Chief Operating Officer. The Board has selected the nominees listed belowthat follow to serve as directors until the 20222025 annual meeting, or until their successors are elected or appointed. Each of the nominees, listed below, other than Admiral Haney and Dr. Sutaria, wereAgarwala, Senator Blunt, Mr. Rusckowski, was last elected by the Company’s shareholders at the 20202023 annual meeting of shareholders. The nominees for director will be elected if the votes cast for the nominee exceed the votes cast against the nominee, with abstentions and broker non-votes not counted either for or against a nominee.

 

LOGO The Board recommends that you vote “FOR” the election of each of the following nominees.

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The Board recommends that you vote “FOR” the election of each of the following nominees.

 

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Director Nominees

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Saumya Sutaria, M.D.  | 51

Chairman

Chairman and Chief Executive Officer

Tenet Healthcare Corporation

Director Since

2020

Board Committees

None

  

 

RONALD A. RITTENMEYERIndependent

Executive Chairman and Chief Executive OfficerNo


Career Highlights:

 

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Age: 73

Director Since: 2010

Other Public
Company
Directorships:

Current: IQVIA Holdings Inc.

Others in Past Five Years:

American International Group, Inc., Avaya Holdings Corp. and IMS Health Holdings, Inc.

Career Highlights:

Mr. RittenmeyerDr. Sutaria was named Executiveappointed Chairman of Tenetthe Board in August 2017 and2023. He was appointed as the Company’s Chief Executive Officer in October 2017. He has served on our Board since 2010, including servingSeptember 2021, and as Lead Director before he became Executive Chairman. He previously served as Chairmana member of the Board andin November 2020.

Prior to becoming Chief Executive Officer, of Millennium Health, LLC, a health solutions company. Hehe served as the Chairman, President and Chief Executive Officer of Expert Global Solutions, Inc., a provider of business process outsourcing services, from 2011 to 2014. From 2005 to 2008, Mr. Rittenmeyer held a number of senior management positions with Electronic Data Systems Corporation, including Chairman and Chief Executive Officer, President,Company’s Chief Operating Officer and Executive Vice President, Global Service Delivery. Priorfrom January 2019 to that, he was a managing director of the Cypress Group, a private equity firm, serving from 2004 to 2005. He served as Chairman, Chief Executive OfficerSeptember 2021 and President from November 2019 to September 2021.

Before joining the Company, Dr. Sutaria worked for McKinsey & Company, a global management consulting firm, for 18 years, most recently as a Senior Partner providing advisory support for hospitals, healthcare systems, physicians groups, ambulatory care models, integrated delivery, and government-led delivery, while also working with institutional investors in healthcare.

He previously held an associate clinical faculty appointment at the University of Safety-Kleen Corp. from 2001 to 2004. He formerly served as Chairman of the Federation of American Hospitals’ board of directors. Mr. RittenmeyerCalifornia at San Francisco, where he also engaged in postgraduate training with a focus in internal medicine and cardiology.

Dr. Sutaria received his Bachelor of Science degreeBachelor’s Degree in commercemolecular and economics from Wilkes Universitycellular biology and his M.B.A.Bachelor’s Degree in economics, both from Rockhurst University.the University of California, Berkeley, as well as his Medical Degree from the University of California, San Diego.

Skills and Qualifications:

 

SkillsDr. Sutaria brings tremendous experience in healthcare leadership both within Tenet and Qualifications:prior to joining Tenet in 2019.

OurThe Board values Mr. Rittenmeyer’s deep experiencehis strategic prowess in transformational leadership. As Chief Executive Officer of Safety Kleen, he lednavigating complex matters, his ability to thoughtfully consider the company out of bankruptcy with pivotal strategic changes. He also led a turnaround at EDS in the same roleimpact on different stakeholders and previously served as the Chief Executive Officer of other public companies, including Millennium Health and Expert Global Solutions. Mr. Rittenmeyer also brings to the Board his knowledge of the healthcare industry, information technology, business process outsourcing, public company board governance, and crisisinnate capacity for effective change management.

 

2024 PROXY STATEMENT

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Director Nominees

 

2021 PROXY STATEMENT5


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J. Robert Kerrey | 80

Lead Director

Managing Director

Allen & Company

Former U.S. Senator

Director Since

March 2012*

Board Committees

Human Resources (Chair)

Quality, Compliance & Ethics

  

 

J. ROBERT KERREYIndependent

Lead Director since October 2017Yes



Career Highlights:

 

 
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Age: 77

Director Since: 2012*

Other Public
Company Directorships:

Current: Lux Health Tech Acquisition Corp.

Others in Past Five Years:

None

Committee Membership:

Human Resources (Chair)

QCE

Career Highlights:

Senator Kerrey is a former governor and U.S. Senator from Nebraska.

He has served as managing director at Allen & Company, an investment banking firm, since 2014.

He has also served as Executive Chairman of The Minerva Institute for Research and Scholarship, a non-profit that offers exceptional educational experiences to students and advances faculty research, since 2013.

From 2011 to 2013, he was President Emeritus of The New School University in New York City, where he served as President from 2001 to 2010.

From 2011 to 2012, he served as the Chairman of M & F Worldwide Education Holdings.

From 1989 to 2000, he served as a U.S. Senator for the State of Nebraska.

Previously, Senator Kerrey was Governor of the State of Nebraska from 1982 to 1987.

Prior to public service, he founded and operated a chain of restaurants and health clubs.

A former member of the elite Navy SEAL Team, Senator Kerrey is a highly decorated Vietnam veteran who was awarded the Congressional Medal of Honor – America’s highest military honor.

He holds a degree in pharmacy from the University of Nebraska.

Skills and Qualifications:

 

Skills and Qualifications:

Senator Kerrey’s 18 years of experience in the public sector as a former U.S. Senator and Governor of Nebraska provide a key perspective to the Board in the highly regulated healthcare industry.

Further, he has extensive experience in finance and public policy from his service at the investment banking firm Allen & Company and as a leader of a major university.

The Board also values Senator Kerrey’s prior service on public company boards and crisis management.

Prior Public Company Directorships Within the Past Five Years:

 

Lux Health Tech Acquisition Corp.

*

Senator Kerrey served as a director from March 2001 to March 2012 prior to his appointment in November 20122012.

 

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Director Nominees

 

  

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Vineeta Agarwala, M.D., PhD | 37

General Partner

Andreessen Horowitz (a16z)

Director Since

2023

Board Committees

Human Resources

Quality, Compliance & Ethics

  

 

JAMES L. BIERMANIndependent

Yes





Career Highlights:

 

Since January 2020, Dr. Agarwala has served as a General Partner at Andreessen Horowitz (a16z), where she leads investments for the firm’s Bio + Health fund across biotech and digital health.

In addition, she has served as an Adjunct Clinical Assistant Professor at Stanford University School of Medicine since 2020.

From August 2016 to June 2018, Dr. Agarwala served as Director of Product Management at Flatiron Health, where she led the company’s partnership with Foundation Medicine to integrate real-world clinical and genomic data into national-scale data products to accelerate research and development in oncology.

Between March 2015 and December 2019, she was a venture investor on the GV (Google Ventures) life sciences team.

Dr. Agarwala holds M.D. and Ph.D. degrees from Harvard Medical School / MIT, and a B.S. degree in biophysics from Stanford University.

She completed her clinical residency at Stanford and is board certified in internal medicine.

Skills and Qualifications:

Dr. Agarwala brings to the Board a broad range of experience in the healthcare industry, including her clinical background and as an investor focused on partnering with companies leveraging unique technologies and datasets to advance drug development, personalized medicine, and novel approaches to patient care delivery.

In addition to her experience in a variety of healthcare positions, the Board values Dr. Agarwala’s expertise in innovative technologies, including applications of artificial intelligence.

2024 PROXY STATEMENT

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Director Nominees

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James L. Bierman | 71

 

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Age: 68

Director Since: 2017

Other Public
Company Directorships:

Current: KL Acquisition Corp., MiMedx Group, Inc. and Novan, Inc.

Others in Past Five Years:Former President & CEO

Owens & Minor, Inc. and Team Health Holdings, Inc.

Committee Membership:

Governance

QCE (Chair)

  

Director Since

2017

Board Committees

Nominating and Corporate Governance

Quality, Compliance & Ethics (Chair)

  

Career Highlights:

Independent

Yes





Career Highlights:

Mr. Bierman served as President and Chief Executive Officer of Owens & Minor, Inc., a Fortune 500 company and a leading distributor of medical and surgical supplies, from September 2014 to June 2015.

Previously, he served in various other senior roles at Owens & Minor, including President and Chief Operating Officer from August 2013 to September 2014, Executive Vice President and Chief Operating Officer from March 2012 to August 2013, Executive Vice President and Chief Financial Officer from April 2011 to March 2012, and as Senior Vice President and Chief Financial Officer from June 2007 to April 2011.

From 2001 to 2004, Mr. Bierman served as Executive Vice President and Chief Financial Officer at Quintiles Transnational Corp. Prior to joining Quintiles Transnational, Mr. Biermanhe was a partner at Arthur Andersen LLP.

Mr. Bierman earned his B.A. from Dickinson College and his M.B.A. atfrom Cornell University’s Johnson Graduate School of Management.

Skills and Qualifications:

 

Skills and Qualifications:

Mr. Bierman brings to the Board the skillsets he developed serving in multiple leadership positions at Owens & Minor, Inc., including as Chief Executive Officer.

The Board values his significant operational and financial experience in the healthcare industry.

Other Current Public Company Directorships:

 

MiMedx Group, Inc.

Prior Public Company Directorships Within the Past Five Years:

KL Acquisition Corp.

Novan, Inc.

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Director Nominees

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Roy Blunt | 74

Chairman of Leadership Advisory Strategies

Husch Blackwell Strategies

Former U.S. Senator

Director Since

2023

Board Committees

Audit

ESG

Nominating and Corporate Governance

  

 

RICHARD W. FISHERIndependent

Yes





Career Highlights:

 

Senator Blunt has served as the Chairman of the Leadership Advisory Strategies group at Husch Blackwell Strategies since April 2023.

From 2011 to 2023, he served as a U.S. Senator for the State of Missouri. This includes service as Chairman of the Senate Rules Committee, as well as serving on the Senate Appropriations Committee, Senate Commerce, Science and Transportation Committee, and the Senate Select Committee on Intelligence.

He served as a member of the U.S. House of Representatives from 1997 to 2011, representing Missouri’s 7th Congressional District.

Prior to his tenure in Congress, Senator Blunt served four years as the president of Southwest Baptist University from 1993 to 1996.

Senator Blunt also served as Missouri’s Secretary of State from 1985 to 1993.

Skills and Qualifications:

Senator Blunt’s distinguished career as an elected official, government executive and legislator, including his 25 years of experience as a former U.S. Senator and member of the U.S. House of Representatives, provides a valuable perspective to the Board on government, regulatory and public policy issues.

The Board also values Senator Blunt’s leadership experience, which includes advising U.S. Presidents and helping to pass consequential legislation for the country in healthcare and national security.

Other Current Public Company Directorships:

Southwest Airlines Co.

2024 PROXY STATEMENT

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Director Nominees

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Age: 72Richard W. Fisher | 75

 

Director Since: 2017

               

Other Public
Company Directorships:

Former President & CEO

Current: AT&T Inc. and PepsiCo, Inc.Federal Reserve Bank of Dallas

Director Since

2017

 

Others in Past Five Years:

None

Committee Membership:Board Committees

Audit

ESG (Chair)

Human Resources

  

Independent

Yes




Career Highlights:

 

Career Highlights:

Mr. Fisher served as President and Chief Executive Officer of the Federal Reserve Bank of Dallas from 2005 until 2015. During his tenure, he served as a member of the Federal Open Market Policy Committee, as the chair of the Conference of Federal Reserve Bank Presidents, and as the chair of the Information Technology Oversight Committee for the 12 Federal Reserve banks.

Previously, from 2001 to 2005, Mr. Fisherhe was Vice Chairman of Kissinger McLarty Associates, a strategic advisory firm.

From 1997 to 2001, Mr. Fisher served as Deputy U.S. Trade Representative with the rank of Ambassador. Mr. Fisher currently serves

From 2015 to 2024, he served as a Senior Advisor for Barclays PLC, a leading investment bank, and as a Trustee of the University of Texas Southwestern Medical Foundation.

Mr. Fisher received his B.A. in economics from Harvard University and earned his M.B.A. from Stanford University.

Skills and Qualifications:

 

Skills and Qualifications:

Mr. Fisher offers valuable financial and policy perspectives from his experience as President and Chief Executive Officer of the Dallas Federal Reserve.

The Board values his insight in public finance, trade, technology and risk management.

Other Current Public Company Directorships:

 

Warner Bros. Discovery, Inc.

Prior Public Company Directorships Within the Past Five Years:

AT&T Inc.

Beneficient

PepsiCo, Inc.

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Director Nominees

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Meghan M. FitzGerald, DrPH | 53

Adjunct Professor

Columbia University

Director Since

2018

Board Committees

ESG

Nominating and Corporate Governance (Chair)

Quality, Compliance & Ethics

  

 

MEGHAN M. FITZGERALD, DrPHIndependent

Yes




Career Highlights:

 

 
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Age: 50

Director Since: 2018

Other Public
Company Directorships:

Current: Thimble Point Acquisition Corp

Others in Past Five Years:

Arix Bioscience plc and Concert Pharmaceuticals, Inc.

Committee Membership:

Governance (Chair)

ESG

QCE

Career Highlights:

Ms. FitzGerald is a private equity investor, whereand she serves as an advisor to several firms, including Goldman Sachs, TowerBrook and Wellspring Capital. Capital, a private equity firm focused on leveraged buyout investments.

In addition, Ms. FitzGeraldshe serves as an Adjunct Associate Professor of Health Policy at Columbia University. University, a private university.

Ms. FitzGerald served from December 2016 to January 2020 as the CEO and managing partner at Letter One’s inaugural health vehicle.

Prior to that, she served for nearly 20 years as an operator and strategist working for many healthcare firms, including Merck, Pfizer and Medco.

From May 2015 to October 2016, Ms. FitzGerald served as Executive Vice President of Strategy and Policy at Cardinal Health, a healthcare services and product company. From 2010 to 2015, she served as President of Cardinal’s Specialty Solutions division.

Ms. FitzGerald also currently serves as a director of Thimblepoint Acquisition Corp and previously served as a director of Thimble Point Acquisition Corp. from February to December 2021 and Arix Bioscience plc from July 2017 to April 2019.

She is the founder of K2HealthVentures, a life science investment fund as well as an advisor and volunteer at TrekMedics, an international tech non-profit. fund.

She holds a DrPH in Healthcare Policy from New York Medical College, a BSN in Nursing from Fairfield University, and a Master of Public Health from Columbia University.

Skills and Qualifications:

 

Skills and Qualifications:

Ms. FitzGerald brings to the Board a broad range of experience in the healthcare industry, including senior strategic leadership, public policy, care delivery from her service as a nurse, and transactions and investments in a variety of healthcare fields from technology to life sciences.

Other Current Public Company Directorships:

 

Roivant Sciences Ltd.

Prior Public Company Directorships Within the Past Five Years:

Thimble Point Acquisition Corp.

2024 PROXY STATEMENT

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Director Nominees

 

2021 PROXY STATEMENT7


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Cecil D. Haney | 68

Retired Four-Star Admiral

U.S. Navy

Director Since

2021

Board Committees

Audit

Nominating and Corporate Governance

  

 

CECIL D. HANEYIndependent

Yes





Career Highlights:

 

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Age: 65

Director Since: 2021

Other Public
Company Directorships:

Current: General Dynamics Corporation

Others in Past Five Years:

Committee Membership:

Audit

Governance

Career Highlights:

Cecil D.Admiral Haney is a retired four-star Admiral, who completed 38 years of service in the U.S. Navy in 2017.

Between 2013 and 2016, he also served as commander of the U.S. Strategic Command, where he was responsible for strategic capabilities involving nuclear forces, missile defense, space and cyberspace.

In addition, between 2012 and 2013, he also served as commander of the U.S. Pacific Fleet, leading the U.S. Navy’s operations and the manning, operations and maintenance of the U.S. Navy fleet located in the Pacific and Indian oceans.

He currently serves on the Johns Hopkins University Applied Physics Board of Managers, the Penn State University Applied Research Lab Advisory Board, the Naval Studies Board, the Aerospace Corporation Board of Trustees, and the Board of Directors for General Dynamics Corporation, Systems Planning and Analysis Inc., and the Center for New American Security.

He also serves as Chairman of the Board of Directors for the Military Child Education Coalition. Mr.

Admiral Haney is a graduate of the U.S. Naval Academy and holds Master’s degrees in National Security Strategy from the National Defense University and in Engineering Acoustics and System Technology from the Naval Post Graduate School.

Skills and Qualifications:

 

Skills and Qualifications:

The Board values Admiral Haney’s leadership experience as a former four-star Admiral in the U.S. Navy.

He brings to the Board valuable insights into cybersecurity, systems planning, and crisis and risk management.

Other Current Public Company Directorships:

General Dynamics Corporation

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Director Nominees

 

  

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Christopher S. Lynch  | 66

Retired National Partner

KPMG, LLC

Director Since

2019

 

 

CHRISTOPHER S. LYNCH

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Age: 63

Director Since: 2019

Other Public
Company Directorships:

Current: American International Group, Inc.

Others in Past Five Years:

Federal Home Loan Mortgage Company (Freddie Mac)

Committee Membership:Board Committees

Audit

Human Resources

  

Independent

Yes





Career Highlights:

 

Career Highlights:

Mr. Lynch served as National Partner in Charge of the Financial Services practice at KPMG, LLC from 2004 until his retirement in 2007.

Prior to that, Mr. Lynch held a variety of positions at KPMG during his 29-year tenure, including chair of KPMG’s Americas Financial Services Leadership team and a member of the Global Financial Services Leadership and U.S. Industries Leadership teams. He currently serves

From 2009 to 2022, he served as an independent director of American International Group, Inc. (AIG), a position he has held since 2009. .

From 2008 to 2019, he also served as an independent director of Federal Home Loan Mortgage Corporation (Freddie Mac)Freddie Mac and was the Non-Executive Chairman of the Board from 2011 to 2018.

Mr. Lynch has chaired audit committees of both AIG and Freddie Mac and has relevant committee experience on Risk, Compensation, Nomination and Corporate Governance and Technology.

Mr. Lynch is a former member of the Advisory Board of the Stanford Institute for Economic Policy Research and a member of the Audit Committee Chair Advisory Council of the National Association of Corporate Directors.

He received a Bachelor of Science in Accounting and Business Administration from the University of Kansas.

Skills and Qualifications:

 

Skills and Qualifications:

The Board values Mr. Lynch’s deep accounting, financial and corporate governance experience, including serving in leadership positions at KPMG and chairing audit committees at two highly regulated public companies.

Other Current Public Company Directorships:

 

Corebridge Financial, Inc.

Prior Public Company Directorships Within the Past Five Years:

American International Group, Inc.

Federal Home Loan Mortgage Company (Freddie Mac)

2024 PROXY STATEMENT

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Director Nominees

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Richard J. Mark | 68


Director Nominees

               

 

Former Chairman & President

Ameren Illinois Company

Director Since

2017

 

 

Board Committees

Audit

ESG

Human Resources

  

 

RICHARD J. MARKIndependent

Yes




Career Highlights:

 

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Age: 65

Director Since: 2017

Other Public
Company Directorships:

Current: None

Others in Past Five Years:

None

Committee Membership:

Audit

ESG

Governance

Career Highlights:

Mr. Mark servesretired in August 2022 as Chairman and President of Ameren Illinois Company, a multi-billion dollar energy and utility company responsible for electric and natural gas distribution to more than 1.2 million electric and 806,000800,000 natural gas customers in Illinois.

Mr. Mark joined Ameren in 2002 as Vice President of Customer Service before moving up to various senior management roles.

Before joining Ameren, he served for 11 years at Ancilla Systems Inc. While at Ancilla, the parent company to St. Mary’s Hospital in East St. Louis, Illinois, he served as Vice President for Governmental Affairs and Chief Operating Officer before becoming Chief Executive Officer of St. Mary’s Hospital in East St. Louis, Illinois from 1994 to 2002.

Mr. Mark served as Director of Union Electric Company from 2005 until 2012 and has beenwas Chairman of Ameren Illinois (subsidiaries(both subsidiaries of Ameren Corporation) since 2012. from 2012 to 2022.

Mr. Mark earned his B.S. from Iowa State University and his M.S. atfrom National Louis University.

Skills and Qualifications:

 

Skills and Qualifications:

Mr. Mark offers the Board extensive experience as former Chairman and President of Ameren Illinois, Companya company in a highly regulated industry, in addition to multiple leadership positions at an acute care hospital, including service as Chief Executive Officer.

Other Current Public Company Directorships:

 

Sempra

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Director Nominees

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Tammy Romo | 61

Executive Vice President & CFO

Southwest Airlines Co.

Director Since

2015

 

 

TAMMY ROMO

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Age: 58

Director Since: 2015

Other Public
Company Directorships:

Current: None

Others in Past Five Years:

None

Committee Membership:Board Committees

Audit (Chair)

Human Resources

  

Independent

Yes





Career Highlights:

 

Career Highlights:

Ms. Romo is Executive Vice President and Chief Financial Officer of Southwest Airlines Co., a major passenger airline, where she is responsible for strategic planning and overall finance activities, including reporting, accounting, investor relations, treasury, tax, corporate planning, and financial planning and analysis. Ms. RomoShe also oversees supply chain management.

Ms. Romo previously served in a number of financial management and leadership positions at Southwest Airlines, including Senior Vice President of Planning, Vice President and Controller, Vice President and Treasurer, and Senior Director of Investor Relations.

Before joining Southwest Airlines in 1991, Ms. Romo was an audit manager at Coopers & Lybrand, LLP.

Ms. Romo is currently a member of the McCombs School of Business Advisory Council at the University of Texas at Austin.

She received a B.B.A. in accounting from the University of Texas at Austin, and she is a Certified Public Accountant in the State of Texas.

Skills and Qualifications:

 

Skills and Qualifications:

Ms. Romo brings to the Board her experience as Executive Vice President and Chief Financial Officer of Southwest Airlines, where she oversees a broad range of financial activities.

The Board values her deep knowledge of accounting and financial matters, in addition to her understanding of risk management.

 

2024 PROXY STATEMENT

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2021 PROXY STATEMENT9


Director Nominees

 

 

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Stephen H. Rusckowski | 66

Former Chairman, CEO and President

Quest Diagnostics Incorporated

Director Since

2023

Board Committees

Human Resources

Quality, Compliance & Ethics

  

 

SAUMYA SUTARIA M.DIndependent

Yes





Career Highlights:

 

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Age: 48Mr. Rusckowski served as Chief Executive Officer and President of Quest Diagnostics Incorporated from 2012 until 2022.

 

Director Since: 2020

Other Public
Company Directorships:

Current: None

Others in Past Five Years:

None

Committee Membership:

None

 

Career Highlights:He also served as Chairman of the Board of Quest Diagnostics from January 2017 through March 2023.

Dr. Sutaria was appointedFrom 2006 to 2012, Mr. Rusckowski served as the Company’s Chief OperatingExecutive Officer in January 2019, President in November 2019,of Philips Healthcare and as a member of the Board of Management of Royal Philips Electronics and its executive committee.

He joined Philips Healthcare when it acquired Agilent’s Healthcare Solutions Group in November 2020. Prior to joining2001 and was the Company, Dr. Sutaria worked for McKinsey & Company for 18 years, most recentlyCEO of Philips Imaging Systems business group before becoming Chief Executive Officer of Philips Healthcare.

Mr. Rusckowski earned a bachelor’s degree in mechanical engineering from Worcester Polytechnic Institute and a Master of Management Science from the Massachusetts Institute of Technology’s Sloan School of Management.

Skills and Qualifications:

Mr. Rusckowski offers the Board extensive executive experience as a Senior Partner providing advisory support for hospitals,former CEO, including expertise in strategic planning and operations, with multinational corporations operating in the healthcare systems, physicians groups, ambulatory care models, integrated delivery, and government-led delivery, while also working with institutional investors in healthcare. He previously held an associate clinical faculty appointment at the University of California at San Francisco, where he also engaged in postgraduate training with a focus in internal medicine and cardiology. Dr. Sutaria received his Bachelor’s Degree in molecular and cellular biology and his Bachelor’s Degree in economics, both from the University of California, Berkeley, as well as his Medical Degree from the University of California, San Diego.industry.

Other Current Public Company Directorships:

 

Skills and Qualifications:Baxter International Inc.

Dr. Sutaria brings tremendous experience in healthcare leadership both within Tenet and prior to joining the company in 2019. The Board values his strategic prowess in navigating complex matters, his ability to thoughtfully consider the impact on different stakeholders and his innate capacity for effective change management.Qiagen N.V.

Prior Public Company Directorships Within the Past Five Years:

Quest Diagnostics Incorporated

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Director Nominees

 

  

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NADJANadja Y. WEST,West, M.D.| 63

 

 
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Retired Lieutenant General and 44th Surgeon General

U.S. Army

  

Age: 60Director Since

2019

 

Director Since: 2019

Other Public
Company Directorships:

Current: Johnson & Johnson and Nucor Corporation

Others in Past Five Years:

None

Committee Membership:Board Committees

ESG

Nominating and Corporate Governance

QCEQuality, Compliance & Ethics

  

Independent

Yes

 

Career Highlights:






Career Highlights:

Dr. West is a retired Lieutenant General in the U.S. Army, the 44th44th Surgeon General of the U.S. Army and the former Commanding General of the U.S. Army Medical Command.

Previously, she served as Joint Staff Surgeon at the Pentagon, where she acted as chief medical advisor to the Chairman of the Joint Chiefs of Staff and coordinated all related health services issues, including operational medicine, force health protection, and readiness within the military.

Dr. West has served in combat deployment, as well as in leadership positions in multiple hospitals, both in the United States and abroad.

She is the recipient of numerous U.S. military awards, including the Distinguished Service Medal, the Defense Superior Service Medal, and the Legion of Merit with three Oak Leaf Clusters.

She has served as an independent director on the board of Nucor Corporation since 2019. 2019 and Johnson & Johnson since 2020.

Dr. West has served as a trustee on the boardBoard of the National Recreation Foundation, a non-profit organization dedicated to enhancing the role of recreation as a positive force in improving the quality of life of youth, since 2019.

Dr. West is a graduate of the U.S. Military Academy and earned her medical degree from The George Washington University School of Medicine in Washington, D.C.

She has completed residencies in both family medicine and dermatology.

Skills and Qualifications:

 

Skills and Qualifications:

The Board values Dr. West’s comprehensive experience in healthcare, including her service as the 44th44th Surgeon General of the U.S. Army.

Her experience in a variety of healthcare leadership positions and her clinical background offer the Board valuable perspectives on healthcare delivery, policy, and crisis and risk management.

Other Current Public Company Directorships:

 

Johnson & Johnson

Nucor Corporation

2024 PROXY STATEMENT

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Proposal 1-Election of Directors

 

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Proposal 1: Election of Directors

 

Director Nomination and Qualifications

Our Board regularly reviews its composition and is committed to recommending a group of directors who represent a diverse mix of viewpoints, skills, experience and backgrounds that align with the Company’s business and strategic goals. The Nominating and Corporate Governance Committee (Governance Committee) is responsible for nominating individuals, and the entire Board is responsible for selecting those who hold these characteristics to stand for shareholder election at each annual meeting, as well as to fill any vacancies on the Board as they arise.

Since late 2017, the Governance Committee has focused its refreshment efforts on identifying candidates to further strengthen the Board’s effectiveness. To date, this process has resulted in the identification and appointment of nine new independent directors (eight of whom are up for election this year) who collectively bring deep healthcare, financial, public sector, operational expertise, cybersecurity, systems planning and crisis management skills that complements the current skillsets and enhances the effectiveness of the overall Board. In addition, each of our directors has the dedication and leadership qualities that enable them to exercise robust oversight of the Company, especially as the Company navigates a transformation amidst the challenges and opportunities in the healthcare industry.

Nomination Process

The Governance Committee considers candidates based on the recommendation of, among others, our Board members and our shareholders. Board members recommended Dr. Sutaria in 2020 and Admiral Haney in 2021 to the Governance Committee. The Governance Committee may also engage professional search firms and other consultants to assist in identifying, evaluating and conducting due diligence on potential candidates. We intend to continue to actively engage with our shareholders regarding Board composition and director qualifications, including considering their input on potential director candidates. Once potential candidates have been identified, they typically meet with each member of the Board and pass a thorough screening process before the Governance Committee makes a final recommendation to the Board. This process involves a rigorous evaluation that assesses attributes beyond specific business skills, including character, diversity, and personal and professional integrity.

Shareholders may propose nominees for election in accordance with the terms of our bylaws or recommend candidates for consideration by the Board by writing to the Governance Committee in care of the Corporate Secretary at Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254, or by email to boardofdirectors@tenethealth.com. For more detailed information regarding the process by which shareholders may nominate directors, including under our proxy access provisions, please refer to “Other Information—Shareholder Proposals” below and our bylaws. Our bylaws may be found under the “Governance” heading in the “For Investors”Investors section on our website at www.tenethealth.com.www.tenethealth.com*.

*

Information included on our website and in any reports on our website shall not be deemed a part of, and is not incorporated by reference into, this Proxy Statement.

CANDIDATE

RECOMMENDATIONS

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GOVERNANCE  

COMMITTEE  

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BOARD OF DIRECTORS  

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SHAREHOLDERS  

From Shareholders, Management,
Directors, Professional Search
Firms and Other Sources

Discusses and Reviews
Qualifications and Expertise
Enterprise Strategy

Board Needs

Diversity

Interviews

Recommends Nominees

Discusses Governance
Committee Recommendations
Analyzes Independence
Selects Nominees
Vote on Nominees at
Annual Meeting

Assessment of Board Composition and Criteria for Board Membership

The Governance Committee evaluates the composition of the Board on an ongoing basis and considers potential nominees to the Board as appropriate. As part of this process, the Governance Committee reviews the composition of the Board as a whole, including the balance of business backgrounds, diversity, qualifications, skillsets and other qualities represented on the Board to ensureprovide the right balance to effectively oversee management. The Governance Committee also reviews updated biographical information for each incumbent director on an annual basis, including information relating to changes in professional status, independence, other professional commitments and public company directorships. In light of our current structure and

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Proposal 1-Election of Directors

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operations, and in consideration of the evaluation of the Board’s composition, the Governance Committee believes the following criteria best represent the qualities required for serviceshould be represented on the Company’s Board:

 

Professionalism, dedication, business judgment, integrity and commitment to the Company’s mission

   

Diversity of personal and occupational backgrounds, including ethnicity, gender, background, experience and viewpoints

 

Service as the chief executive officer or in other senior leadership positions in a company or major governmental, professional or non-profit organization

Experience in the healthcare industry or other relevant industry experience

 

Expertise in financial and accounting matters and familiarity with the regulatory and corporate governance requirements applicable to public companies

 

Service as the chief executive officer or in other senior leadership positions in a company or major governmental, professional or non-profit organization

Experience in the healthcare industry or other relevant industry experience

Diversity of personal and occupational backgrounds, including ethnicity, gender, experience and viewpoints

 

Government, regulatory and public sector experience

 

  

Ability and willingness to commit adequate time to Board and committee matters

  

Degree to which the individual’s skills complement those of other directors and potential nominees

  

Familiarity with the communities in which we do business

2021 PROXY STATEMENT11


Proposal 1: Election of Directors

Board Evaluations

The Governance Committee oversees the Board’s annual performance evaluation to determine whether the Board, its committees and individual directors are functioning well in view of their responsibilities and the Company’s business. To ensure thatconduct the self-evaluation process is conducted with greater transparency and rigor, the Board has for many years retained a third partythird-party advisor to interview each director, review theirthe directors’ collective feedback, and facilitate a discussion based on the results at a special executive session of the Board. This comprehensive and disciplined approach to evaluation has proven to bebeen an important element to maintainmaintaining a high-performing and collaborative Board that can properly address risk management and execution of Company strategy.

On an annual basis, the Board and each committee conduct self-evaluations. The evaluations focus discussions on, among other things, the composition and effectiveness of the Board in light of changes in membership, the effectiveness of Mr. RittenmeyerDr. Sutaria and Senator Kerrey in their respective leadership roles,positions, and the performance of each committee and committee chair. The Lead Director, in conjunction with the Governance Committee, also takes an oversight role in the Board performance evaluation process. Directors alsoIn addition, directors provide input on key focus areas for the Board in the upcoming year. The results of the evaluation are reviewed by the Lead Director, who reports the results to the Board. As part of the annual performance evaluation process, each committee also compares its performance with the requirements of its charter. As part of the Board’s last annual evaluation, the Board noted, among other things, that its processes and committees were functioning properly, noting healthy levels of debate, collaboration and respect among directors.

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2024 PROXY STATEMENT

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Proposal 1-Election of Directors

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Director Nominees’ Qualifications and Experience

Based on the review process described above, the Governance Committee concluded that our eleven13 director nominees possess the diversity of experience, skills and other characteristics best suited to meet the needs of the Board and the Company in light of our current business and operating environment. The following table highlights several core skills and experiences of our current nominees, in addition to those described in the director biographies outlinedunder “Nominees for Election to the Board of Directors” beginning on page 5.6.

 

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Executive Leadership

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Regulatory and Public Sector

lllllllllllll 13

lllllllll 9

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Healthcare Industry

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Public Company Board Service
lllllll 7

llllllllll 10

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Accounting and Finance

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Cybersecurity and Information Technology

lllll 5

lll 3

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Crisis and Risk Management

lllllll 7

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Personal Qualities and Diversity.The Governance Committee determined that each nominee has demonstrated a commitment to professionalism and high integrity. In particular, the Governance Committee noted that each nominee has the ability to provide candid and direct feedback, as well as effective oversight of the Company’s operations and management, on behalf of all shareholders. Additionally, our Board includes a diverse group of individuals of differing ages, genders, ethnicities and backgrounds. ThreeFour of our eleven13 director nominees are women, and in 2019 the Board appointed TammyMs. Romo and MegMs. FitzGerald to chair our Audit and Governance committees, respectively.

Special Considerations Regarding Service on Other Boards.Our directors must seek the approval of the Governance Committee prior to serving on another public company’s board. In addition, the Governance Committee limits the number of public boards on which a director may serve in addition to our Board to three, or two in the case of directors currently serving as chief executive officers or in equivalent positions of public companies. All of the Company’s directors are in compliance with these requirements, and Mr. Rittenmeyer servesrequirements. Dr. Sutaria does not serve on only oneany other public company board of directors.board.

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Proposal 1: Election of Directors

Director Independence

OurThe independence requirements for our Board are set forth in our Corporate Governance Principles, available under the “Governance” heading in the “For Investors”Investors section on our website at www.tenethealth.com*. Under our Corporate Governance Principles, at least two thirdstwo-thirds of the Board must consist of “independent” directors. The Board will not consider a director to be independent unless the Board affirmatively determines that the director has no material relationship with Tenet and the director otherwise qualifies as independent under the corporate governance standards of the New York Stock Exchange (NYSE). The Board reviews each director’s independence at least annually and has made the affirmative determination that each of our current the following non-employee directors (Messrs. Kerrey, Bierman, Fisher, Haney, Lynch and Mark and Mses. FitzGerald, Romo and West) hashave no material relationship with the Company and is independent. In addition, the Board determined that General Austin was independent during the time he servedare independent: Senator Kerrey, Dr. Agarwala, Mr. Bierman, Senator Blunt, Mr. Fisher, Ms. FitzGerald, Admiral Haney, Mr. Lynch, Mr. Mark, Ms. Romo, Mr. Rusckowski and Dr. West. The only non-independent director who serves on our Board during 2020 when the Board last assessed his independence. The only two non-independent directors who serve onis our Board are our Chief Executive Officer, Mr. Rittenmeyer, and our PresidentChairman and Chief OperatingExecutive Officer, Dr. Sutaria.

In making its independence determinations, the Board broadly considers all relevant facts and circumstances and focuses on the organizations with which each director has an affiliation. If a director or member of the director’s immediate family has a material relationship with the Company, the Board reviews the interest to determine if it would preclude an independence determination.

The Audit Committee, the Human Resources Committee (HR Committee) and the Governance Committee are comprisedcomposed exclusively of independent directors as required by the NYSE. In addition, allAdditionally, the Environmental, Social and Governance (ESG) Committee and the Quality, Compliance & Ethics Committee (QCE Committee) are composed exclusively of independent directors. All directors serving on the Audit Committee meet the more stringent independence standards for audit committee members required by the Securities and Exchange Commission (SEC), and all directors serving on the HR Committee meet the more stringent independence standards for compensation committee members required by the NYSE.

 

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Corporate Governance and Board Practices

Commitment to Sound Corporate Governance Policies and Practices

Tenet is committed to maintaining corporate governance policies and practices that protect the long-term interests of our shareholders and promote Board and management accountability. Our Board recognizes that this requires us to continually review and refine our corporate governance practices on an ongoing basis to ensure their continued alignmentcontinue to align with evolving market practices and the best interests of our Company and shareholders. Some of our key corporate governance policies and practices include:

 

Shareholder RightsSHAREHOLDER

RIGHTS

  Annual election of directors

  Shareholder right to call special meetings at 25% threshold

  Proxy access with market standard terms

  One-year limit on “poison pills” unless approved by shareholders

  Single class of stock with equal voting rights

  Majority vote standard and director resignation policy in uncontested elections

  Shareholder right to call special meetings at 25% thresholdBOARD

  Proxy access

  One-year limit on “poison pills” unless approved by shareholders
PRACTICES

 

Board Practices

  All directors are independent other than our Chief Executive Officer and President and Chief Operating Officer

  Highly diverse and experienced Board

  Independent Lead Director with clearly defined and robust responsibilitiesresponsibilites

  Commitment to Board refreshment practices, including committee chair rotation

  Self-evaluation of all directors using third-party facilitator

  Board oversight of political contributions

  Regular executive sessions of independent directors for Board and committee meetings

  Ongoing engagement with shareholders

  Increased focus on ESG matters with recently formedseparate ESG Committee

Our Board has also adopted Corporate Governance Principles that provide the framework for our existing corporate governance policies and practices, which the Board reviews annually.practices. These Corporate Governance Principles address in detail matters such as director independence, director qualifications and responsibilities, director compensation, and director and officer stock ownership and retention guidelines.retention. For more information, please see our Corporate Governance Principles under the “Governance” heading in the “For Investors”Investors section on our website at www.tenethealth.com.www.tenethealth.com*.

Board Leadership Structure

Senator Kerrey has served as our independent Lead Director since October 2017, shortly after Mr. Rittenmeyer became Executive Chairman on August 31, 2017. The Company’s governing documents give the Board the flexibility to determine the appropriateperiodically evaluates our leadership structure for the Company based onupon our best interests and particular circumstances at the time. The Governance Committee regularly reviewsIn August 2023, the Board’s leadership structureBoard decided to assess whether to separate or combine the roles of Chairman and Chief Executive Officer based on applicable facts and circumstancesappoint Dr. Sutaria, our Chief Executive Officer, to the role of Chairman, as well. Also at the time. By retaining the flexibility to adjust the Company’s leadership structure,that time, the Board appointed Senator Kerrey as Lead Director, a role he held previously from October 2017 to October 2022.

The Board thoroughly considered a range of factors, including, among others, our strategic priorities and the complexity our business, Dr. Sutaria’s knowledge of the industry, the various capabilities of our directors, the highly independent composition of the Board, the meaningful responsibilities of the independent Lead Director, and the current environment of our industry. The Board has a high level of confidence in Dr. Sutaria’s leadership and ability to work closely and transparently with our independent directors. Moreover, the Board believes that, in the role of Chairman and Chief Executive Officer, Dr. Sutaria is best ablepositioned to provide appropriate managementbe aware of key issues facing the Company and oversightto serve as a highly effective bridge between the Board and management. The Board concluded that combining the Chairman and Chief Executive Officer roles, together with the strong independent leadership provided by our Lead Director role, serves the best interests of the Company as well as address any circumstances the Company may face, as no single leadership model is universally or permanently appropriate in all circumstances. The Board believes thatand our stockholders at this flexibility has served the Company and its shareholders well during recent turnaround efforts and that Mr. Rittenmeyer’s current leadership of both the Board and the management team is effective.time.

 

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Corporate Governance and Board Practices

 

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Role of Independent Lead Director of the Board

The role of our Lead Director is set forth in our Corporate Governance Principles. Senator Kerrey, as independent Lead Director of the Board, coordinates the activities of the Board and exercises athe robust set of duties described below. Specifically, in his role as independent Lead Director, Senator Kerrey:

Presides at all meetings at which the Chairman is not present

Chairs executive sessions of independent directors of the Board

Serves as the liaison between the Chairman and independent directors

Presides at all meetings at which the Chairman is not present

Chairs executive sessions of independent directors of the Board

Serves as the liaison between the Chairman and independent directors

Reviews and approves information sent to the Board

Reviews and approves Board meeting agendas and schedules

Calls meetings of independent directors ifas necessary

Participates in consultation and direct communication with shareholders

Advocates on behalf of the Board in meetings with investors, legislators, regulators and other government officials

Serves an oversight role, in conjunction with the Governance Committee, in the Board performance evaluation process

In addition to his formal duties, Senator Kerrey has participated in in-person engagement meetings with a number of our significant shareholders to discuss and seek feedback on various matters regarding the Company’s strategy and governance practices, establishing a direct line of communication between shareholders and independent members of our Board. Senator Kerrey shares the feedback with the full Board so that it may be incorporated into the Board’s decision-making processes.

Board and Committee Organization and Responsibilities

Board Meetings and Attendance

We are governed by our Board. Members of our Board are kept informed of our business through discussions with our Chief Executive Officer and other senior officers, by reviewing materials provided to them and by participating in meetings of the Board and its committees. Directors are also encouraged to attend continuing education courses relevant to their service on the Company’s Board. Significant business decisions are generally considered by the Board as a whole. The Board met 11 times during 2020. The independent directors of the Board, the Board and each committee of the Board frequently meet in executive sessions, including at least once during each regularly scheduled Board meeting.

Each incumbent director who served during 2020 participated in at least 75% of the aggregate meetings of the Board and the committees on which he or she served during the period he or she served as a director and committee member. Board members are encouraged to attend our annual meeting of shareholders. All 10 directors elected at last year’s annual meeting were in attendance at the 2020

Senator Kerrey has participated in in-person engagement meetings with a number of our significant shareholders to discuss and seek feedback on various matters regarding the Company’s strategy and governance practices, establishing a direct line of communication between shareholders and independent members of our Board. Senator Kerrey shares the feedback with the full Board so that it may be incorporated into the Board’s decision-making processes.

Board and Committee Organization and Responsibilities

Board Meetings and Attendance

We are governed by our Board. Members of our Board are kept informed of our business through discussions with our Chief Executive Officer and other senior officers, by reviewing materials provided to them, and by participating in meetings of the Board and its committees. Directors are also encouraged to attend continuing education courses relevant to their service on the Company’s Board. Significant business decisions are generally considered by the Board as a whole. The Board met six times during 2023. The independent directors of the Board, the Board and each committee of the Board frequently meet in executive sessions, including at least once during each regularly scheduled Board meeting.

Each director who served during 2023 participated in at least 75% of the aggregate meetings of the Board and the committees on which he or she served during the period he or she served as a director and committee member. Board members are encouraged to attend our annual meeting of shareholders. All directors elected at last year’s annual meeting were in attendance at the 2023 Annual Meeting.

 

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2021 PROXY STATEMENT15


Corporate Governance and Board Practices


Corporate Governance and Board Practices

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Committees

Tenet’s Board has four standing committees: Audit Committee, HR Committee, Governance Committee and QCE Committee. The Board also has one special committee: ESG Committee. The following table identifies the current members of each of our committees.

 

Director

Audit*

Human

Resources

GovernanceQCEESG

Vineeta Agarwala, M.D., PhD

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CommitteesLOGO

Tenet has four standing committees: Audit Committee, HR Committee, Governance Committee, and Quality, Compliance & Ethics Committee (QCE Committee). Tenet also has one special committee: ESG Committee. The following table identifies the current members of each of our committees.James L. Bierman

 

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Chair

Roy Blunt

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Director

Audit*

Human

Resources

GovernanceQCEESG

James L. Bierman

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Chair

Richard W. Fisher

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Chair

Meghan M. FitzGerald

Chair

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Cecil D. Haney

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J. Robert Kerrey

Chair

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Christopher S. Lynch

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Richard J. Mark

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Tammy Romo

Chair

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Stephen H. Rusckowski

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Saumya Sutaria, M.D.

Nadja Y. West, M.D.

    

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Chair

Meghan M. FitzGerald

Chair

    

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Cecil D. Haney

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J. Robert Kerrey

Chair

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Christopher S. Lynch

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Richard J. Mark

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Ronald A. Rittenmeyer

Tammy Romo

Chair

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Saum Sutaria

Nadja Y. West

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*

All members of the Audit Committee have been designated as financially literate within the meaning of the NYSE listing standards. Mr. Fisher, Mr. Lynch and Ms. Romo have been designated as audit committee financial experts, as defined by SEC rules.

Each of the Board’s standing committees operates under a written charter that is reviewedAudit Committee have been designated as financially literate within the meaning of the NYSE listing standards. Mr. Fisher, Mr. Lynch and approved annuallyMs. Romo have been designated as audit committee financial experts, as defined by the respective committee. The charters are available for viewing under the “Governance” heading in the “For Investors” section on our website at www.tenethealth.comSEC rules.

Each of the Board’s standing committees operates under a written charter that is reviewed and approved annually by the respective committee. The charters are available for viewing under the “Governance” heading in the Investors section on our website at www.tenethealth.com*. The Board and each committee may retain independent advisors and consultants, at the Company’s cost, to assist the directors in carrying out their responsibilities.

 

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Corporate Governance and Board Practices

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 The Audit Committee

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Corporate Governance and Board Practices

The Audit Committee

Membership: Romo (Chair), Austin, Fisher, Lynch, Mark (All Independent)

Meetings held in 2020:

8

Primary Responsibilities:

  Assist the Board in oversight of:

  Accounting, reporting and financial practices

  The integrity of financial statements

  Compliance with legal and regulatory requirements with respect to applicable accounting and auditing matters

  Independent registered public accountants’ qualifications, independence and performance

  Internal audit function

  Cybersecurity

  Establish and maintain policies and procedures for the receipt, retention and treatment of complaints and concerns regarding accounting, internal accounting controls and auditing matters

  Authority to select, retain and review the independent registered public accountants qualifications, independence and performance

  Oversee the performance of the Company’s chief internal auditor, who reports directly to the Audit Committee

Key Skills and Experience:

  Expertise in auditing, accounting and tax-related matters

  Preparation or oversight of financial statements

  Extensive knowledge of compliance and relevant regulatory issues

The ESG Committee

Membership: Fisher (Chair), FitzGerald, Mark, West (All independent)

Committee formed in 2021

Primary Responsibilities:

  Review and discuss with management the Company’s ESG strategy, initiatives, and policies

  Review and monitor the operational, regulatory, and reputational risks and impacts of ESG on the Company and provide insight and guidance with respect to the Company’s management of such risks and impacts

  Review and discuss reports from management regarding the Company’s progress toward its key ESG objectives

  Provide input and guidance with respect to communications with employees, investors, and other stakeholders, as appropriate, regarding the Company’s position on or approach to ESG matters

Key Skills and Experience:

  Experience with governance, social and sustainability matters

  Knowledge of the Company’s ESG strategy, initiatives, and policies, including those related to sustainability, diversity and inclusion

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Corporate Governance and Board Practices

 

 

Meetings held in 2023:

The Human Resources Committee

Membership: Kerrey (Chair), Austin, Fisher, Lynch, Romo (All Independent)

Meetings held in 2020:

7

Primary Responsibilities:

  Establish general compensation policies for the Company that:

  Support overall business strategies and objectives

  Enhance efforts to attract and retain skilled employees

  Link compensation with business objectives and organizational performance

  Provide competitive compensation opportunities for key executives

  Oversee the administration of executive compensation programs with responsibility for establishing and interpreting the Company’s compensation policies and approving compensation paid to executive officers

  Review, approve and make recommendations regarding compensation of non-employee directors, the Company’s executive officers and other members of the senior management team

  Review the performance of the Chief Executive Officer and, either as a committee or together with other independent directors, determine and approve the CEO’s compensation level based on this evaluation

  Discuss and evaluate, in consultation with the Chief Executive Officer, the performance of other executives

  Oversee the Company’s policies and procedures regarding harassment in the workplace and sexual misconduct matters, including reporting systems and treatment of received complaints, and monitor compliance with such policies and applicable law

  Provide perspectives to management regarding the Company’s talent management, which may include performance management, succession planning, leadership development, diversity, recruiting, retention and employee training

Key Skills and Experience:

  Extensive knowledge of executive compensation best practices

  Human capital management

  Expertise in evaluating executive performance and determining appropriate compensation programs

  Leading cultural change

The Nominating and Corporate Governance Committee

Membership: FitzGerald (Chair), Bierman, Mark, West (All Independent)

Meetings held in 2020:

4

Primary Responsibilities:

  Identify and evaluate existing and potential corporate governance issues, and make recommendations to the Board concerning our Corporate Governance Principles and other corporate governance matters

  Review and recommend individuals qualified to become Board members and recommend to the Board candidates to stand for election or re-election to the Board

  Consider amendments to the Company’s articles of incorporation and bylaws with respect to corporate governance and make recommendations to the Board concerning such proposed amendments

  Review and make recommendations to the Board regarding Board size, composition and structure

  Review and approve proposed related-person transactions

Key Skills and Experience:

  Corporate governance expertise

  Board succession planning

  Public company board service and experience overseeing large organizations

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Membership: Romo (Chair), Blunt, Fisher, Haney, Lynch, Mark (All Independent)

Primary Responsibilities:

  Assist the Board in oversight of:

  accounting, reporting and financial practices

  the integrity of financial statements

  compliance with legal and regulatory requirements with respect to applicable accounting and auditing matters

  independent registered public accountant’s qualifications, independence and performance

  internal audit function

  cybersecurity

  Establish and maintain policies and procedures for the receipt, retention and treatment of complaints and concerns regarding accounting, internal accounting controls and auditing matters

  Authority to select, retain and review the independent registered public accountant’s qualifications, independence and performance

  Oversee the performance of the Company’s chief internal auditor, who reports directly to the Audit Committee

Key Skills and Experience:

  Expertise in auditing, accounting and tax-related matters

  Preparation or oversight of financial statements

  Extensive knowledge of compliance and relevant regulatory issues

 The ESG Committee

Meetings held in 2023:

2

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Membership: Fisher (Chair), Blunt, FitzGerald, Mark, West (All Independent)

Primary Responsibilities:

  Review and discuss with management the Company’s ESG strategy, initiatives and policies

  Review and monitor the operational, regulatory, and reputational risks and impacts of ESG on the Company, and provide insight and guidance with respect to the Company’s management of such risks and impacts

  Review and discuss reports from management regarding the Company’s progress toward its key ESG objectives

  Provide input and guidance with respect to communications with employees, investors and other stakeholders, as appropriate, regarding the Company’s position on or approach to ESG matters

Key Skills and Experience:

  Experience with governance, social and sustainability matters

  Knowledge of the Company’s ESG strategy, initiatives and policies, including those related to sustainability and diversity and inclusion

 

 

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Corporate Governance and Board Practices

 

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Corporate Governance and Board Practices

The Quality, Compliance & Ethics Committee

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Membership: Bierman (Chair), FitzGerald, Kerrey, West (All Independent)

Meetings held in 2020:

4

Primary Responsibilities:

  Assist the Board with overseeing and reviewing Tenet’s significant healthcare-related regulatory and compliance issues, including its compliance programs and the status of compliance with applicable laws, regulations and internal procedures

  Oversee performance under the Company’s Quality, Compliance & Ethics Program Charter

  Receive, and review and consult with management on, periodic reports from the Ethics and Compliance department on all aspects of the compliance program, including efforts in risk assessment, development of policies and procedures, training, auditing and monitoring, and investigations and remediation of compliance matters

  Receive and review periodic reports from the Clinical Quality department regarding efforts to advance quality healthcare

  Oversee performance under the Company’s non-prosecution agreement, including interacting with the independent co-monitors appointed thereunder

  Oversee the performance of the Company’s Chief Compliance Officer, who reports directly to the QCE Committee

Key Skills and Experience:

  Experience in establishing and ensuring adherence to quality and compliance controls

  Expertise in compliance-related policies and procedures

  Knowledge of and commitment to ethical business practices

HR

 The Human Resources Committee Interlocks

Meetings held in 2023:

6

LOGOLOGO    LOGOLOGOLOGOLOGO    LOGO

Membership: Kerrey (Chair), Agarwala, Fisher, Lynch, Mark, Romo, Rusckowski (All Independent)

Primary Responsibilities:

  Establish general compensation policies for the Company that:

  support overall business strategies and Insider Participationobjectives

No member  enhance efforts to attract and retain skilled employees

  link compensation with business objectives and organizational performance

  provide competitive compensation opportunities for key executives

  Oversee the administration of executive compensation programs with responsibility for establishing and interpreting the Company’s compensation policies and approving compensation paid to executive officers

  Review, approve and make recommendations regarding compensation of non-employee directors, the Company’s executive officers and other members of the HR Committee was at any time during 2020 or at any other time an officer or employeesenior management team

  Review the performance of the Company,Chief Executive Officer and, no member had any relationshipeither as a committee or together with other independent directors, determine and approve the CEO’s compensation level based on this evaluation

  Discuss and evaluate, in consultation with the Company requiring disclosure as a related person transaction under “Certain Relationships and Related Person Transactions” on page 21Chief Executive Officer, the performance of this Proxy Statement. None of our executive officers has served on a board of directors or compensation committee of any other entity that has or has had one or more executive officers who served as a member of our Board or HR Committee during 2020.executives

Role of Board and its Committees in Risk Oversight

Management is primarily responsible for the identification, assessment and management of the various risks that we face. The Board oversees this process as an integral and continuous part of the Board’s oversight of our business. The Board receives regular reports from the heads of our principal businesses and corporate functions that include discussions of the risks involved in their respective areas of responsibility. The Board is routinely informed of developments that could affect our risk profile or other aspects of our business. Among other things, the Board has requested that  Oversee the Company’s managementpolicies and its internalprocedures regarding harassment in the workplace and external legal counsel advise it promptlysexual misconduct matters, including reporting systems and treatment of any material developments relating to litigation, regulatory proceedings,received complaints, and investigationsmonitor compliance with such policies and compliance issues. The Board considersapplicable law

  Oversee the oversight of regulatory and litigation risk to be one of its highest priorities. In addition, the Board has identified the oversight of cybersecurity risks to be one of its priorities and receives regular reports from the Company’s management on the securityadministration of the Company’s information technology systems.clawback policy

  Provide perspectives to management regarding the Company’s talent management, which may include performance management, succession planning, leadership development, diversity, recruiting, retention and employee training

Key Skills and Experience:

  Extensive knowledge of executive compensation best practices

  Human capital management

  Expertise in evaluating executive performance and determining appropriate compensation programs

  Leading cultural change

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Corporate Governance and Board Practices

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The Board’s committees oversee risks relatedNominating and Corporate  Governance Committee

Meetings held in 2023:

4
LOGOLOGO    LOGOLOGOLOGO

Membership: FitzGerald (Chair), Bierman, Blunt, Haney, West (All Independent)

Primary Responsibilities:

  Identify and evaluate existing and potential corporate governance issues, and make recommendations to their respective areas, as further described below. Thethe Board is kept informed of its committees’ risk oversightconcerning our Corporate Governance Principles and other activities primarily through reports of the committee chairscorporate governance matters

  Review and recommend individuals qualified to become Board members and recommend to the full Board. These reports are presented at every regular Board meeting in executive session, as well as at other times when appropriate. As risk-related issues sometimes overlap, certain issues are addressed at the full Board level. In addition, as part of its annual self-evaluation process,candidates to stand for election or re-election to the Board discusses

  Consider amendments to the Company’s articles of incorporation and evaluates its ongoing role in enterprise risk oversight.bylaws with respect to corporate governance, and make recommendations to the Board concerning such proposed amendments

2021 PROXY STATEMENT19
  Review and make recommendations to the Board regarding Board size, composition and structure


  Review and approve related-person transactions

Key Skills and Experience:

Corporate Governancegovernance expertise

  Board succession planning

  Public company board service and Board Practicesexperience overseeing large organizations

   

   

Role

 The Quality, Compliance & Ethics Committee

Meetings held in 2023:

4

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Membership: Bierman (Chair), Agarwala, FitzGerald, Kerrey, Rusckowski, West (All Independent)

Primary Responsibilities:

  Assist the Board with overseeing and reviewing Tenet’s significant healthcare-related regulatory and compliance issues, including its compliance programs and the status of Audit Committeecompliance with applicable laws, regulations and internal procedures

  Oversee performance under the Company’s Quality, Compliance and Ethics Program Charter

  Receive, and review and consult with management on, periodic reports from the Ethics and Compliance Department on aspects of the compliance program, including efforts in Risk Oversightrisk assessment, and investigations and remediation of compliance matters

Our Audit Committee is primarily responsible for overseeing risk management processes relating  Receive and review periodic reports from the Quality Management Department regarding efforts to advance quality healthcare

  Oversee the performance of the Company’s Chief Compliance Officer, who reports directly to our accountingCEO, as well as to the QCE Committee

Key Skills and Experience:

  Experience in establishing and ensuring adherence to quality and compliance controls

  Expertise in compliance-related policies and procedures

  Knowledge of and commitment to ethical business practices financial reporting, corporate finance and general business operations. Among other responsibilities, the Audit Committee:

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Corporate Governance and Board Practices

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HR Committee Interlocks and Insider Participation

No member of the HR Committee was at any time during 2023 or at any other time an officer or employee of the Company, and no member had any relationship with the Company requiring disclosure as a related person transaction under “Certain Relationships and Related Person Transactions” on page 35 of this Proxy Statement. None of our executive officers has served on a board of directors or compensation committee of any other entity that has or has had one or more executive officers who served as a member of our Board or HR Committee during 2023.

Role of the Board and its Committees in Risk Oversight

Management is primarily responsible for the identification, assessment and management of the various short-, medium- and long-term risks that we face. The Board oversees this process as an integral and continuous part of the Board’s oversight of our business. The Board receives regular reports from the heads of our principal businesses and corporate functions that include discussions of the risks, and the immediacy of such risks, involved in their respective areas of responsibility. The Board is routinely informed of developments that could affect our risk profile or other aspects of our business. Among other things, the Board has requested that the Company’s management and its internal and external legal counsel advise it promptly of any material developments relating to litigation, regulatory proceedings, and investigations and compliance issues. The Board considers the oversight of regulatory and litigation risk to be one of its highest priorities. In addition, the Board has identified the oversight of cybersecurity risks to be one of its priorities and receives regular reports from the Company’s management on the security of the Company’s information technology systems.

The Board’s committees oversee risks related to their respective areas, as further described below. The Board is kept informed of its committees’ risk oversight and other activities primarily through reports of the committee chairs to the full Board. These reports are presented at every regular Board meeting, as well as at other times when appropriate. As risk-related issues sometimes overlap, certain issues are addressed at the full Board level. In addition, as part of its annual self-evaluation process, the Board discusses and evaluates its ongoing role in enterprise risk oversight.

Role of Audit Committee in Risk Oversight

Our Audit Committee is primarily responsible for overseeing risk management processes relating to our accounting practices, financial reporting and disclosure controls and procedures, corporate finance and general business operations. Among other responsibilities, the Audit Committee:

Receives quarterly reports from management on business and operational risks, internal audit reports relating to the integrity of our internal financial reporting controls and procedures, potential loss contingencies resulting from pending or threatened litigation or regulatory proceedings, and investigations and reports made to the Company from our Ethics Action Line or any other sources relating to allegations of financial fraud or other infractions.

Meets regularly with our Chief Executive Officer, Chief Financial Officer, Controller and General Counsel, and Chief Compliance Officer, as well as our external and internal auditors, to discuss potential risks and other contingencies relating to our business.

Meets on a quarterly basis to review these topics with selected chief executive officers and/or other senior officers of our major operating units.

Reviews financial and enterprise risk exposures, including material risk issues in connection with its review of our quarterly and annual filings with the SEC.

Reviews the Company’s cybersecurity program at least annually and receives frequent updates on cybersecurity matters.

Reports and discusses the outcome of its meetings to the full Board, including any other material risks identified by the Audit Committee in the course of its deliberations that require discussion or action by the full Board.

Role of Quality, Compliance & Ethics Committee in Risk Oversight2024 PROXY STATEMENT

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Corporate Governance and Board Practices

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Role of Human Resources Committee in Risk Oversight

Our HR Committee is responsible for assessing our compensation policies and practices relative to all our employees, including non-executive officers, to determine if the risks arising from these policies and practices are reasonably likely to have a material adverse effect on the Company. In performing its duties, the HR Committee meets at least annually with our management and the HR Committee’s independent compensation consultant to review and discuss potential risks relating to our employee compensation plans and programs. The HR Committee reports to the Board any risks associated with our compensation plans and programs, including recommended actions to mitigate such risks.

The HR Committee has determined that there are no risks arising from our compensation policies and practices that are reasonably likely to have a material adverse effect on the Company. This finding is based upon the HR Committee’s ongoing review of our compensation programs and practices, the mechanisms in our compensation plans and programs intended to reduce the risk of conduct reasonably likely to have a material adverse effect on our Company, and an overall risk assessment of such programs. Among other things, the HR Committee has reviewed our pay philosophy, balance of cash and equity compensation, balance of long-term and short-term performance periods in our plans and programs, and our use of performance metrics that encourage management to act in the long-term interests of our shareholders. The HR Committee has also considered our equity grant administration policy, stock ownership requirements, incentive pay policies on clawbacks and bonus modifiers, as well as our internal financial reporting and regulatory compliance procedures.

Role of Quality, Compliance & Ethics Committee in Risk Oversight

Our QCE Committee is primarily responsible for overseeing our assessment and management of regulatory and compliance risk. In particular, the QCE Committee:

Oversees our information, procedures and reporting systems to provide reasonable assurance that: (1) our operations comply with applicable laws and regulations, particularly those related to healthcare providers; (2) we, including our directors and employees, act in accordance with appropriate ethical standards; and (3) our subsidiaries’ hospitals and other facilities deliver quality medical care to their patients.

Oversees our Compliance Program, which is governed by our Quality, Compliance & Ethics Program Charter. Our Compliance Program is intended to foster compliance with federal and state laws and regulations applicable to healthcare providers and receivesis governed by our Quality, Compliance and Ethics Program Charter.

Receives quarterly reports from our Chief Compliance Officer, (who reports directly to the QCE Committee), our Ethics and Compliance Department, and our internal and external legal, regulatory and other officers and advisors.

Role of ESG Committee in Risk Oversight

Recognizing the importance of ESG matters to the Company and its stakeholders, our Board formed an ESG Committee in February 2021 in order to provide support for the Company’s ongoing efforts in this area. Our ESG Committee, which is a special committee of the Board consisting entirely of independent directors, is responsible for overseeing and supporting the Company’s commitment to ESG matters, such as climate change impacts, energy and natural resources conservation, environmental and supply chain sustainability, human rights, diversity and inclusion, and other ESG issues that are relevant and material to the Company. In addition to discussing with management the Company’s ESG strategy, initiatives, and policies, the Committee monitors the operational, regulatory and reputational risks and impacts of ESG on the Company, and it provides input and guidance on communications with employees, investors and other stakeholders regarding ESG. We publish an annual ESG report that outlines our commitment to the communities we serve and our objectives and progress in the areas of environmental sustainability, social initiatives and governance performance and is available under the “Financials, SEC Filings & ESG” heading in the Investors section on our website at www.tenethealth.com.*

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Corporate Governance and Board Practices

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ESG at Tenet

ESG Highlights

We recognize the importance of making a lasting, positive impact through our operational activities and our intentional environmental, social and governance initiatives. We continue to advance our ESG programs, underlining our commitment to operate responsibly and efficiently. A summary of our ESG priority areas and highlights of our ESG programs and practices are provided below.

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ESG Framework

Our ESG priorities are guided by our stakeholders and third-party frameworks. Tenet’s 2023 ESG Report was prepared using, for the first time, the Sustainability Accounting Standards Board (SASB)’s Health Care Delivery standards and the Task Force on Climate-related Financial Disclosures (TCFD) index. This report detailed our progress as compared to these frameworks and the five pillars of our ESG strategy, which are: (1) Meeting the Need; (2) Supporting Our People; (3) Community Impact; (4) Protecting the Environment; and (5) Leading with Integrity.

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2024 PROXY STATEMENT

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Corporate Governance and Board Practices

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We remain focused on the identification, measurement and mapping of the ESG impacts on our business. Our ESG efforts are sponsored by our leadership and exemplified by employees across the enterprise.

Meeting the Need

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Our goal is to provide high-quality and accessible healthcare to all our patients. We are committed to maintaining a standard of excellence within our facilities, treating all patients with dignity and compassion, and providing care that is necessary and appropriate.

The safety and well-being of our patients and employees is our top priority. We are committed to maintaining an environment that promotes health and safety for all.

We have a comprehensive healthcare program to promote the quality goals of the enterprise. All our facilities focus on:

Delivering services to patients that focus on their specific needs

Utilizing innovative technology and solutions to improve quality care

Establishing a culture that prioritizes patient safety

Creating successful credentialing and peer review mechanisms for our medical staff

We are committed to providing accessible healthcare to the communities in which we operate. We have a dedicated team who provides a range of services, including determining eligibility for healthcare coverage and connecting patients to different financial assistance programs they may need.

We provide health and safety training to all clinical employees during onboarding, including training on respirators, infection prevention, hazard identification and OSHA training. We actively listen to our employees on safety and solicit their concerns through our annual safety survey. The survey seeks to collect responses from our staff on key elements of hazard identification and the results are used to address any identified gaps and catalyze continuous improvement.

Supporting Our People

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At Tenet, our people, caregivers and patients are at the heart of what we do. We seek to provide employees with the resources, tools and support to serve our patients and customers in the best way possible. We are committed to helping team members further develop their career pathways and maximize their potential at every stage of their career.

In general, we seek to attract, develop and retain an engaged workforce, cultivate a high-performance culture that embraces data- driven decision-making, and improve talent management processes to promote diversity and inclusion. To that end, we offer:

a competitive range of compensation and benefit programs (which vary by location and other factors) designed to reward performance and promote well-being;

a transparent and meritocratic evaluation system for performance;

opportunities for continuing education and advancement through a broad range of clinical training and leadership development experiences, including in-person and online courses and mentoring opportunities;

a supportive, inclusive and patient-centered culture aligned with our values and based on respect for others;

company-sponsored efforts encouraging and recognizing volunteerism and community service; and

a code of conduct that promotes integrity, accountability and transparency, among other high ethical standards.

One of our core values is embracing inclusiveness for all people in our workplace and in the communities we serve. As of December 31, 2023, our total workforce was approximately 78% female, and over 52% of our employees self-identified as racially or ethnically diverse. We believe diversity and inclusion (D&I) are an active and engaged part of how we operate.

Our D&I efforts prioritize the following:

a workforce and talent pipeline that reflects the communities we serve;

a leadership team that is comprised of and elevates underrepresented groups;

training, education and engagement to proactively address the best ways to nurture an inclusive and diverse culture; and

a top-down, bottom-up approach to ensure active involvement from leadership and employees across the enterprise.

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Corporate Governance and Board Practices

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Our D&I efforts are guided by the leadership of our Diversity Council and employee resource group (ERG) sponsors, along with support from Tenet’s Board of Directors and executive management. The Diversity Council and ERG sponsors are a diverse group of leaders who represent different parts of our business.

Our commitment to D&I also extends to our business partners. Supplier diversity is part of Tenet’s approach to responsible and sustainable sourcing, and we require our primary suppliers to share their diversity goals.

Tenet employees receive regular and formal performance reviews that provide feedback on their contributions to the organization, as well as actions they can take to invest in their professional development. Tenet offers access to a portfolio of functional, professional and leadership training and development resources to assist employees’ career development.

Community Impact

LOGO

We like to say that we are national in scope, but local at heart. Our philanthropic efforts are centered around strengthening the health of our communities. While we have a vast footprint, each of our care facilities give back to its local community in different ways. From education, to fighting hunger, to health advocacy and awareness, our efforts to give back to our neighbors reflect our mission.

Our efforts to give back to our neighbors reflect our mission. Last year, we continued to provide financial assistance to employees who have experienced hardship due to events beyond their control through The Tenet Care Fund, a 501(c)(3) public charity. We also maintained our long-time support of charities such as the Promise Fund Partnership, Operation Stand Down, and Project Search among other programs.

Protecting the Environment

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We believe caring for the health and well-being of our communities resonates with operating responsibly and efficiently. We continue to integrate sustainability across our enterprise, including the way we operate and the priorities we set. Protecting the environment and managing climate impacts enhances our ability to provide quality, compassionate care in the communities we serve.

We believe that our focus on environmental sustainability, with the objective of reducing costs and improving sustainability of our operations, provides a strategic benefit. Tenet is committed to strengthen our environmental initiatives and collaborate with our suppliers, industry associates and other healthcare partners as we further develop our environmental strategy. Our ESG Committee provides Board oversight and our EVP, Corporate Development, provides managerial oversight of our environmental programs and initiatives.

To identify the sustainability issues most important to our enterprise, we conducted a materiality assessment in 2022. We continue to utilize the findings from the environmental materiality assessment to better inform our ESG strategy. The outputs of our materiality assessment help us address top priorities across our value chain.

We also continue to advance plans to create further efficiencies in our operations and reduce our emissions. Tenet has undertaken several initiatives designed to reduce our impact on the environment and to promote environmentally friendly projects and practices, including:

taking steps to measure the Company’s compliancecarbon footprint and identify reduction opportunities;

exploring Scope 1 and 2 emissions baseline reporting;

increasing our focus on sustainable design for new construction;

accelerating the pace of LED lighting conversions across our hospitals;

continuing to partner with its non-prosecution agreement, includingHealthTrust, our national group purchasing organization, to increase the Company’s ongoing work withsustainability of our supply chain;

2024 PROXY STATEMENT

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Corporate Governance and Board Practices

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expanding our integrated waste management program and streamlining methods for electronic waste disposal; and

promoting sustainability awareness across the independent co-monitors appointed pursuantenterprise through communications and engagement.

Our Environmental Strategy Pillars are focused on:

LOGOLOGOLOGOLOGO

Carbon

Baseline greenhouse gas (GHG) emissions, identify emissions hotspots and initial reduction opportunities

Water

Baseline water consumption and conduct water-risk assessment

Waste

Baseline waste consumption and explore enterprise-reduction options

Sustainable Procurement

Engage Tenet’s Procurement Team and Group Purchasing Organization (GPO) on sustainability programs and initiatives

Leading with Integrity

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We believe sound governance begins at the top, and we are committed to the terms of the agreement.

Role of Human Resources Committee in Risk Oversight

Our HR Committee is responsible for assessing our compensationmaintaining corporate governance policies and practices relative to allthat protect the long-term interests of our employees, including non-executive officers, to determine if the risks arising from theseshareholders and promote Board and management accountability. These policies and practices are reasonably likelydesigned and implemented by the Board to have a material adverse effect on the Company. In performing its duties, the HR Committee meets at least annually with our management and the HR Committee’s independent compensation consultant to review and discuss potential risks relatinghelp us operate effectively while remaining true to our employee compensation plans and programs. The HR Committee reports to the Board any risks associated with our compensation plans and programs, including recommended actions to mitigate such risks.

The HR Committee has determined that there are no risks arising from our compensation policies and practices that are reasonably likely to have a material adverse effect on the Company. This finding is based upon the HR Committee’s ongoing review of our compensation programs and practices, the mechanisms in our compensation plans and programs intended to reduce the risk of conduct reasonably likely to have a material adverse effect on our company, and an overall risk assessment of such programs. Among other things, the HR Committee has reviewed our pay philosophy, balance of cash and equity compensation, balance of long-term and short-term performance periods in our plans and programs, and our use of performance metrics that encourage management to act in the long-term interest of our shareholders. The HR Committee has also considered our equity grant administration policy, stock ownership guidelines, incentive pay policies on clawbacks and bonus modifiers, as well as our internal financial reporting and regulatory compliance procedures.

Role of ESG Committee in Risk Oversight

Recognizing the importance of ESG matters to the Company and its stakeholders, our Board formed an ESG Committee in February 2021 in order to provide support for the Company’s ongoing efforts in this area. Our ESG Committee, which consists entirely of independent directors, is responsible for overseeing and supporting the Company’s commitment to ESG matters, such as climate change impacts, energy and natural resources conservation, environmental and supply chain sustainability, human rights, diversity and inclusion and other ESG issues that are relevant and material to the Company. In addition to discussing withmission.

 

20

Our Board is committed to robust oversight and practices, and the ultimate oversight of sustainability and ESG lies with our Board. We believe our ESG efforts are most effective when embraced by leadership and activated by employees across the enterprise. The Board formed its ESG Committee in 2021 with the primary purpose of overseeing and supporting our commitment to environmental, social and governance initiatives. The ESG Committee consists entirely of independent directors and provides input and guidance to help establish the Company’s overall approach to ESG matters.

Tenet is committed to maintaining corporate governance policies and practices that protect the long-term interests of our shareholders and promote Board and management accountability. Our Board recognizes that this requires us to continually review and refine our corporate governance to align with evolving market practices and the best interests of our Company and shareholders. The corporate governance practices designed and implemented by the Board also help us operate effectively while remaining true to our mission.

We seek to foster a workplace environment that is free from bribery and corruption and to encourage open channels of communication and continuous improvement. We provide annual compliance and ethics, fraud, waste and abuse, and anti- bribery and anti-corruption training for all employees, including part-time employees and contractors.

We routinely engage with our stakeholders to better understand their views on ESG matters, carefully considering the feedback we receive and acting when appropriate. Additional information regarding our approach to and progress in connection with ESG can be found in our most recent ESG Report, which is available under the “Financials, SEC Filings & ESG” heading in the Investors section on our website at www.tenethealth.com.*

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Policies on Ethics and Conduct

Code of Conduct

All of our employees, including our Chief Executive Officer, Chief Financial Officer and Controller, are required to abide by Tenet’s policies on business conduct summarized in our Code of Conduct and conduct our business in a legal and ethical manner. The members of our Board of Directors and all of our contractors having functional roles similar to our employees are also required to abide by our Code of Conduct. Tenet’s policies form the foundation of a comprehensive compliance program that includes compliance with corporate policies and procedures, extensive training, robust auditing and monitoring, an open relationship among colleagues to foster good business conduct, and a high level of integrity. Our policies and procedures cover all major areas of professional conduct, including quality patient care, compliance with all applicable laws and regulations, appropriate use of our assets, protection of patient information, avoidance of conflicts of interest and employment practices.

Employees are required to report any conduct that they believe in good faith to be an actual or apparent violation of Tenet’s policies on business conduct. Retaliation against any employee who in good faith seeks advice, raises a concern, reports misconduct or provides information in an investigation is strictly prohibited. The Code of Conduct is published in the “Our Commitment To Compliance” section under the “About” heading on our website at www.tenethealth.com*. In addition, amendments to the Code of Conduct and any grant of a waiver from a provision of the Code of Conduct requiring disclosure under applicable SEC and NYSE rules will be disclosed at the same location as the Code of Conduct on our website at www.tenethealth.com*.

As part of the program, we provide compliance training at least annually to every employee, as well as to our Board and certain physicians and contractors.

Quality, Compliance and Ethics Program Charter

We operate our ethics and compliance program pursuant to a Quality, Compliance and Ethics Program Charter, which has been approved by our QCE Committee. The Charter requires all Company employees and many of our contractors to:

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Corporate Governance and Board Practices

management the Company’s ESG strategy, initiatives, and policies, the Committee monitors the operational, regulatory and reputational risks and impacts of ESG on the Company, and provides input and guidance on communications with employees, investors and other stakeholders regarding ESG. This year we published a detailed ESG report titled “Commitment to our Communities,” which outlines our commitment to the communities we serve and our objectives and progress in the areas of environmental sustainability, social initiatives and governance performance and is available in the “For Investors” section on our website at www.tenethealth.com.*

Policies on Ethics and Conduct

Code of Conduct

All of our employees, including our Chief Executive Officer, Chief Financial Officer and Controller, are required to abide by Tenet’s policies on business conduct summarized in our Code of Conduct to ensure that our business is conducted in a legal and ethical manner. The members of our Board of Directors and all of our contractors having functional roles similar to our employees are also required to abide by our Code of Conduct. Tenet’s policies form the foundation of a comprehensive compliance program that includes compliance with corporate policies and procedures, extensive training, robust auditing and monitoring, an open relationship among colleagues to foster good business conduct, and a high level of integrity. Our policies and procedures cover all major areas of professional conduct, including quality patient care, compliance with all applicable laws and regulations, appropriate use of our assets, protection of patient information, avoidance of conflicts of interest and employment practices.

Employees are required to report any conduct that they believe in good faith to be an actual or apparent violation of Tenet’s policies on business conduct. Retaliation against any employee who in good faith seeks advice, raises a concern, reports misconduct, or provides information in an investigation is strictly prohibited. The Code of Conduct is published in the “Our Commitment To Compliance” section under the “About Us” heading on our website at www.tenethealth.com. In addition, amendments to the Code of Conduct and any grant of a waiver from a provision of the Code of Conduct requiring disclosure under applicable SEC and NYSE rules will be disclosed at the same location as the Code of Conduct on our website at www.tenethealth.com.

As part of the program, we provide annual ethics and compliance training sessions to every employee as well as to our Board and certain physicians and contractors.

Quality, Compliance & Ethics Program Charter

We operate our ethics and compliance program pursuant to a Quality, Compliance & Ethics Program Charter, which has been approved by our QCE Committee. The Charter requires all Company employees and many of our contractors to:

Follow our Code of Conduct.

Participate in annual ethics training and specialized compliance training tailored to the individual’s job duties.

Work with our hospital, corporate and business unit compliance teams to resolve issues of concern.

Contact the Tenet Ethics Action Line at 1-800-8ETHICS, via email or through our intranet website to report any conduct that they believe in good faith to be an actual or apparent violation of Tenet’s policies.

Our Quality, Compliance & Ethics Program Charter may be found in the “Our Commitment To Compliance” section under the “About Us” heading on our website at www.tenethealth.com.

Certain Relationships and Related Person Transactions

Our written Code of Conduct requires all employees, including our executive officers and members of our Board, to report conflicts of interest and those situations in which there may be the appearance of a conflict of interest. The full text of our Code of Conduct is published on our website at www.tenethealth.com, and a description of our policies on ethics and conduct can be found above. In the event that a related person transaction (as defined under the SEC rules) involving Tenet or its subsidiaries is identified, our policy is to require that any such transaction be reviewed and approved by the Governance Committee, which is comprised entirely of independent directors. Under SEC rules, a related person is a director, executive officer, nominee for director, or 5% shareholder of Tenet, and their immediate family members. There were no “related person” transactions that require disclosure under the SEC rules since the beginning of our last completed fiscal year.

*

Information included on our website and in any reports on our website shall not be deemed a part of, and is not incorporated by reference into, this proxy statement.

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Corporate Governance and Board Practices

Our Quality, Compliance and Ethics Program Charter is available in the “Our Commitment To Compliance” section under the “About” heading on our website at www.tenethealth.com*.

Certain Relationships and Related Person Transactions

Our written Code of Conduct requires all employees, including our executive officers, and members of our Board to report conflicts of interest and those situations in which there may be the appearance of a conflict of interest. The full text of our Code of Conduct is published on our website at www.tenethealth.com*, and a description of our policies on ethics and conduct can be found above. In the event that Tenet or its subsidiaries is a participant in a transaction in which any director, executive officer, holder of more than 5% of our outstanding shares or any immediate family member of any of these persons has a direct or indirect material interest, our policy is to require that any such transaction be reviewed and approved by the Governance Committee, which is composed entirely of independent directors. There were no “related person” transactions that require disclosure under the SEC rules since the beginning of our last completed fiscal year.

Communications with the Board of Directors by Shareholders and Other Interested Parties

Shareholders and interested parties may communicate with the Board of Directors, including our Chairman, by email to boardofdirectors@tenethealth.com or by writing to the Board in care of the Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254. Shareholder communications will be reviewed internally to determine if the shareholder’s concern can best be addressed by referral to a Tenet department, such as Investor Relations. All other communications will be referred to the Corporate Secretary, who will determine if the communication should be brought to the attention of the full Board, the Chairman of the Board or a particular Board committee or Board member.

Other interested parties may make their concerns known to our non-employee directors by following the procedures for reporting concerns to the Audit Committee set forth in our Corporate Governance Principles, which are available under the “Governance” heading in the Investors section on our website at www.tenethealth.com*.

 

 

Communications with the Board of Directors by Shareholders and Other Interested Parties2024 PROXY STATEMENT

Shareholders may communicate with the Board of Directors by email to boardofdirectors@tenethealth.com or by writing to the Board in care of the Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254. Shareholder communications will be reviewed internally to determine if the shareholder’s concern can best be addressed by referral to a Tenet department, such as Investor Relations. All other communications will be referred to the Corporate Secretary, who will determine if the communication should be brought to the attention of the full Board, the Chairman of the Board or a particular Board committee or Board member.

Other interested parties may make their concerns known to our non-employee directors by following the procedures for reporting concerns to the Audit Committee set forth in our Corporate Governance Principles, which are available under the “Governance” heading in the “For Investors” section on our website at www.tenethealth.com.

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Director Compensation

The HR Committee reviews our non-employee director compensation programs each year with the assistance of the HR Committee’s independent compensation consultant. The Board considers any changes recommended by the HR Committee following its review. In May 2020, the committee chair cash retainers were increased for the Nominating and Corporate Governance Committee and the Quality, Compliance & Ethics Committee, from $15,000 to $17,500, in order to align with market practices.

Employee directors do not receive any compensation for their service as a director. All 2020 compensation for our Executive Chairman and Chief Executive Officer, Mr. Rittenmeyer, and our President and Chief Operating Officer, Dr. Sutaria, is shown in the 2020 Summary Compensation Table on page 48.

Each of our non-employee directors donated at least half of their cash fees for the second quarter of 2020 to the Tenet Care Fund, a 501(c)(3) established to assist Company employees who have experienced hardships from the COVID-19 pandemic and other challenges.

Our 2020 annual compensation program for non-employee

Director Compensation

The HR Committee reviews our non-employee director compensation programs each year with the assistance of the HR Committee’s independent compensation consultant. The Board considers any changes recommended by the HR Committee following its review. Following this review in May 2023, the Board did not increase director compensation levels or make any changes to the program.

Employee directors do not receive any compensation for their service as a director. All 2023 compensation for our Chairman and Chief Executive Officer, Dr. Sutaria, is shown in the 2023 Summary Compensation Table on page 58.

Our 2023 annual compensation program for non-employee directors was structured as follows:

 

Annual Compensation Element

Annual Compensation Element

 Amount 

Annual Cash Retainer

 $100,000 

Annual Grant of Restricted Stock Units (RSUs)

 $200,000 

Annual Committee Chair Cash Retainers:

  

 

 

 

 

 

  Audit Committee

 $25,000 

  Human Resources Committee

 $20,000 

  Nominating and Corporate Governance Committee

 $17,500 

  Quality, Compliance & Ethics Committee

 $17,500 

  ESG Committee

 $17,500 

Annual Retainer for Lead Director or Non-Executive Chair:

  

 

 

 

 

 

  Cash Fee

 $150,000 

  Additional Grant of RSUs

 $50,000 

Non-employee directors also receive $2,000 per committee meeting attended and for Board meetings receive:

 Amount

Annual Cash Retainer

$

95,000

Annual Grant of Restricted Stock Units (RSUs)

$

175,000

Annual Committee Chair Cash Retainers:

  Audit Committee

$

25,000

  Human Resources Committee

$

20,000

  Nominating and Corporate Governance Committee

$

17,500

  Quality, Compliance & Ethics Committee

$

17,500

Annual Retainer for Lead Director or Non-Executive Chair:

  Cash Fee

$

150,000

  Additional Grant of RSUs

$

50,000

Non-employee directors also receive $2,000 per committee meeting attended and for Board meetings receive:

no fee for the first seven Board meetings each year; and

for additional meetings, $3,000 per in-person meeting and $1,500 per telephonic meeting attended.

A newly appointed director receives an initial grant of RSUs valued at $65,000 and a prorated annual RSU grant. All annual cash fees are prorated for partial year service. Directors are reimbursed for any travel expenses and other out-of-pocket

A newly appointed director receives a prorated annual RSU grant. All annual cash fees are prorated for partial year service. Directors are reimbursed for any travel expenses and other out-of-pocket costs incurred while attending meetings.

 

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2023 Director Compensation Table

Name

 Fees Earned or
Paid in Cash
($)
 Stock Awards
($)(1)(2)(3)
 

Total

($)

J. Robert Kerrey

   291,500   250,027   541,527

Vineeta Agarwala, M.D., PhD(4)

   5,707   90,143   95,850

James L. Bierman

   133,500   200,043   333,543

Roy Blunt(5)

   14,130   158,283   172,413

Richard W. Fisher

   151,000   200,043   351,043

Meghan M. FitzGerald, DrPH

   139,000   200,043   339,043

Cecil D. Haney

   127,000   200,043   327,043

Christopher S. Lynch

   131,000   200,043   331,043

Richard J. Mark

   135,000   200,043   335,043

Tammy Romo

   156,000   200,043   356,043

Stephen H. Rusckowski

   38,890   200,043   238,933

Nadja Y. West, M.D.

   120,000   200,043   320,043

 

(1)

2020 Director Compensation TableAmounts shown in this column reflect the grant date fair value, computed in accordance with Financial Accounting Standards Board Accounting Standards Codification Topic 718, of RSU awards granted under our 2019 Stock Incentive Plan. Assumptions used in the calculation of these amounts are discussed in the footnotes below and/or in Note 10 to our consolidated financial statements for the year ended December 31, 2023 included in our Annual Report on Form 10-K.

 

Name

 

Fees Earned or
Paid in Cash

($)

 

Stock Awards

($)(1)(2)

 

Total

($)

 

Lloyd J. Austin, III

  

 

 

 

129,000

 

  

 

 

 

175,002

 

  

 

 

 

288,627

 

 

James L. Bierman

  

 

 

 

133,490

 

  

 

 

 

175,002

 

  

 

 

 

294,492

 

 

Richard W. Fisher

  

 

 

 

127,500

 

  

 

 

 

175,002

 

  

 

 

 

286,627

 

 

Meghan M. FitzGerald

  

 

 

 

129,740

 

  

 

 

 

175,002

 

  

 

 

 

291,992

 

 

J. Robert Kerrey

  

 

 

 

292,500

 

  

 

 

 

225,009

 

  

 

 

 

493,298

 

 

Christopher S. Lynch

  

 

 

 

130,500

 

  

 

 

 

175,002

 

  

 

 

 

284,127

 

 

Richard J. Mark

  

 

 

 

125,000

 

  

 

 

 

175,002

 

  

 

 

 

297,002

 

 

Tammy Romo

  

 

 

 

155,500

 

  

 

 

 

175,002

 

  

 

 

 

311,114

 

 

Nadja Y. West

  

 

 

 

117,000

 

  

 

 

 

175,002

 

  

 

 

 

272,320

 

(2)

(1)

Amounts shown in this column reflectAnnual RSU grants applicable to the 2023-2024 board service year valued at approximately $200,000 (or $250,000 for Senator Kerrey). We calculated the grant date fair value of the grant date fair value, computed in accordance with FASB ASC Topic 718, of RSU awards granted under our stock incentive plan. Assumptions used in the calculation of these amounts are discussed in the footnotes below and/or in Note 10 to our consolidated financial statements for the year ended December 31, 2020 included in our Annual Report on Form 10-K.

(2)

The amounts shown in this column reflect annual RSU grants applicable to the 2020-2021 board service year valued at approximately $175,000. We calculated the grant date fair value of these RSUs based on the NYSE closing price per share of our common stock on such date, adjusted for a discount for illiquidity of approximately 28% to reflect the mandatory post-vest holding period applicable to the 2020 annual awards. On May 29, 2020, based on the NYSE closing price of $21.76 per share of our common stock (adjusted as described in the preceding sentence), each non-employee director then serving was granted 11,139 RSUs under the program, and Senator Kerrey was granted an additional 3,183 RSUs in respect of his service as Lead Director. All equity awards then held by our non-employee directors were fully vested s of December 31, 2020. In connection with General Austin’s resignation from the Board on January 22, 2021 following his confirmation by the U.S. Senate as Secretary of Defense, the settlement of his outstanding RSUs, which were fully vested, was accelerated in order to comply with governmental ethics standards.

Compensation Plans Applicable to Directors

Stock Incentive Plans

Each non-employee director receives an annual award under our stock incentive plan of RSUs that is meant to compensate the director for service on the Board beginning on the date of that year’s annual shareholders meeting and ending on the date of the following year’s annual shareholders meeting. These grants are typically made on the first business day following the annual shareholders meeting and vest immediately on the grant date. A mandatory post-vest holding period of three years is applied to these annual RSU awards, which are settled in shares of our common stock on the third anniversary of the date of grant (unless deferred under the Special RSU Deferral Plan, discussed below).

On the first or 15th day of any month (or, if such date is not a trading day, the following date that is a trading day) following the date on which a new non-employee director is elected to the Board, the director receives a grant of that number of RSUs equal to $65,000 divided by the NYSE closing price per share of our common stock on the date of grant, adjusted for a discount for illiquidity of approximately 22.7% to reflect the grant. These one-time awards vest immediatelymandatory post-vest holding period applicable to the 2023 annual awards. On May 26, 2023, based on the grant date and are settled in sharesNYSE closing price of $70.29 per share of our common stock within 60 days of(adjusted as described in the termination of the director’s service on the Board.

Special RSU Deferral Plan

We adopted the Special RSU Deferral Plan to permit directors to defer the settlement of their annual RSU grants under our stock incentive plan for a period of five years as providedpreceding sentence), each non-employee director then serving was granted 3,682 RSUs under the termsprogram, and Senator Kerrey was granted an additional 920 RSUs in respect of the award agreement. In the event of a change of control of the Company, the RSUs will be settled on the subsequent deferral date irrespective of whether the underlying award agreement would provide for earlier settlement by reason of such change in control. As of the record date, none of our current directors have elected to defer settlement of RSU grants pursuant to the terms of the Special RSU Deferral Plan.

2006 Deferred Compensation Plan

Under our 2006 Deferred Compensation Plan (DCP), directors and eligible employees may defer all or a portion of their compensation paid during a given calendar year. For directors, compensation is definedhis service as cash compensation from retainers,

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Director Compensation

Lead Director.

 

(3)

meeting fees and committee fees. Senator KerreyAll equity awards then held by our non-employee directors were fully vested as of December 31, 2023.

(4)

Upon joining the Board in December 2023, Dr. Agarwala was granted a prorated annual director grant of 1,562 RSUs applicable to the only non-employee director who participated in the DCP in 2020. A more complete description of the DCP can be found under “Nonqualified Deferred Compensation—Deferred Compensation Plan” beginning on page  55.

Director Stock Ownership and Retention Requirements

The Board has adopted stock ownership and retention requirements that require each non-employee director with more than one year of2023-2024 board service year. These grants were based on the Board to own sharesNYSE closing price of $71.87 per share of our stock. In addition, each non-employeecommon stock on December 11, 2023 and also reflected the discount for illiquidity of approximately 19.7% to reflect the mandatory post-vest holding period applicable to the 2023 annual director is requiredawards.

(5)

Upon joining the Board in August 2023, Senator Blunt was granted a prorated annual director grant of 2,798 RSUs applicable to own sharesthe 2023-2024 board service year. These grants were based on the NYSE closing price of $73.18 per share of our common stock with a value equalon August 9, 2023 and also reflected the discount for illiquidity of approximately 22.7% to five timesreflect the mandatory post-vest holding period applicable to the 2023 annual cash retainer within five years after the date on which the director joins the Board. Directors who have not satisfied their ownership requirements must retain 100% of any “net shares” received upon the exercise of stock options and the vesting of restricted stock or RSUs until such time as the requirements are met. For this purpose, “net shares” means the number of shares received upon exercise of stock options or upon vesting of restricted stock or RSUs less the number of shares sold or deducted to pay the exercise price (in the case of options), withholding taxes and any brokerage commissions. A detailed discussion of these requirements can be found under “Stock Ownership and Retention Requirements” beginning on page 45. As of the record date, all of our non-employeeawards.

Compensation Plans Applicable to Directors

Stock Incentive Plans

Each non-employee director receives an annual award under our 2019 Stock Incentive Plan of RSUs that is meant to compensate the director for service on the Board beginning on the date of that year’s annual shareholders meeting and ending on the date of the following year’s annual shareholders meeting. These grants are typically made on the first business day following the annual shareholders meeting and vest immediately on the grant date. A mandatory post-vest holding period of three years is applied to these annual RSU awards, which are settled in shares of our common stock on the third anniversary of the date of grant (unless deferred under the Special RSU Deferral Plan, discussed below).

Special RSU Deferral Plan

We adopted the Special RSU Deferral Plan to permit directors to defer the settlement of their annual RSU grants under our 2019 Stock Incentive Plan for a period of five years as provided under the terms of the award agreement. In the event of a change of control of the Company, the RSUs will be settled on the subsequent deferral date irrespective of whether the underlying award agreement would provide for earlier settlement by reason of such change in control. As of the record date, Richard Mark and Nadja West were the only directors who elected to defer settlement of RSU grants pursuant to the terms of the Special RSU Deferral Plan.

2024 PROXY STATEMENT

37


Director Compensation

LOGO

2006 Deferred Compensation Plan

Under our 2006 Deferred Compensation Plan (DCP), directors and eligible employees may defer all or a portion of their compensation paid during a given calendar year. For directors, compensation is defined as cash compensation from retainers, meeting fees and committee fees. No non-employee directors participated in the DCP in 2023. A more complete description of the DCP can be found under “Nonqualified Deferred Compensation—Deferred Compensation Plan” beginning on page 66.

Director Stock Ownership and Retention Requirements

The Board has adopted stock ownership and retention requirements that require each non-employee director with more than one year of service on the Board to own shares of our stock. In addition, each non-employee director is required to own shares of our stock with a value equal to five times the annual cash retainer within five years after the date on which the director joins the Board. Directors who have not satisfied their ownership requirements must retain 100% of any “net shares” received upon the exercise of stock options and the vesting of restricted stock or RSUs until such time as the requirements are met. For this purpose, “net shares” means the number of shares received upon exercise of stock options or upon vesting of restricted stock or RSUs less the number of shares sold or deducted to pay the exercise price (in the case of options), withholding taxes and any brokerage commissions. A detailed discussion of these requirements can be found under “Stock Ownership and Retention Requirements” beginning on page 55. As of the record date, all of our non-employee directors were in compliance with the requirements or within the applicable period to come into compliance.

 

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2021 PROXY STATEMENT25



 

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Executive Officers

Biographical information for the executive officers of the Company is set forth below. Biographical information for Dr. Sutaria can be found under “Nominees for Election to the Board of Directors” beginning on page 6.

 

Executive OfficersLOGO

Biographical information for the executive officers of the Company is set forth below. Biographical information for Mr. Rittenmeyer and Dr. Sutaria can be found under “Nominees for Election to the Board of Directors” on page 5.

Audrey T. Andrews,Executive Vice President, General Counsel and Corporate Secretary

Ms. Andrews, 54, was appointed Tenet’s General Counsel in January 2013 and Executive Vice President in March 2019. In this capacity, she oversees the legal and government relations functions for Tenet, USPI and Conifer. Ms. Andrews was also appointed Corporate Secretary in March 2020. Ms. Andrews previously held the title of Senior Vice President from January 2013 to February 2019. From July 2008 through December 2012, she served as Senior Vice President and Chief Compliance Officer and, prior to that, served as Vice President and Chief Compliance Officer from November 2006. She joined Tenet in 1998 as hospital operations counsel. Ms. Andrews earned her law degree and her bachelor’s degree in government, both from the University of Texas at Austin. She is a member of the American and Texas Bar Associations and the American Health Lawyers Association.

Paola M. Arbour,Executive Vice President and Chief Information Officer

Ms. Arbour, 57,60, was appointed Tenet’s Chief Information Officer in May 2018 and Executive Vice President in March 2019. In this capacity, Ms. Arbour oversees the leadership and strategic direction for Tenet’s information technology (IT) systems and identifies opportunities to support the company’sCompany’s expansive care network through the application of digital technology, data and automation, and customer experience. Ms. Arbour previously held the title of Senior Vice President from May 2018 to February 2019. Prior to Tenet, Ms. Arbour served as President at ProV International, a technology consulting firm, from November 2017 to April 2018, Vice President Services Global Delivery at ServiceNow, a software company, from July 2016 to September 2017, and as Vice President of Service Delivery at Dell Services from December 2010 to April 2016. From 1985 to 2009, Ms. Arbour held several leadership roles within IT operations at Electronic Data Systems – both at the company’s headquarters and also in London and Frankfurt. In July 2021, Ms. Arbour was appointed to the board of directors of Texas Capital Bancshares, Inc. Ms. Arbour earned her bachelor’s degree in telecommunications arts and sciences from Michigan State University.

Daniel J. Cancelmi,LOGO

Thomas W. Arnst,Executive Vice President, Chief Administrative Officer, General Counsel and CorporateSecretary

Mr. Arnst, 61, serves as Tenet’s Executive Vice President, Chief Administrative Officer, General Counsel and Corporate Secretary, where he leads enterprise Human Resources, Legal and Government Relations. He also serves as Chief Risk Officer. Prior to assuming these roles, Mr. Arnst served as Chief Administrative Officer, General Counsel and Corporate Secretary of our Conifer subsidiary. He has more than 30 years of experience working in leadership roles across healthcare, outsourcing and financial services, among other industries. Before joining Conifer in 2018, Mr. Arnst served as Chief Administrative Officer at Millennium Health. Previous positions also include Executive Vice President, Chief Administrative Officer, General Counsel, Head of Global Human Resources and Corporate Secretary at Expert Global Solutions. During his career, Mr. Arnst has also held executive leadership positions at Safety-Kleen, AmeriServe, RailTex and Ryder. He is a graduate of the University of Miami, where he received his Juris Doctor and his Master of Laws. He obtained his Bachelor of Business Administration degree in Finance from Florida Atlantic University.

LOGO

Lisa Y. Foo,Executive Vice President, Commercial Operations

Ms. Foo, 33, was appointed Tenet’s Executive Vice President, Commercial Operations in March 2022. In this capacity, Ms. Foo leads several enterprise functions including strategy, business development, marketing, data and analytics, and procurement. She previously served as Vice President, Chief Commercial and Strategy Officer from April 2019 to March 2022. Prior to that, Ms. Foo held various positions at McKinsey & Company, a global management consulting firm, including Associate Partner from 2017 to 2019 in the San Francisco office. She earned her Bachelor of Science in Biological Engineering from Massachusetts Institute of Technology.

LOGO

Sun Park,Executive Vice President and Chief Financial Officer

Mr. Cancelmi, 58,Park, 48, was appointed Tenet’s Chief Financial Officer in September 2012January 2024 and Executive Vice President in March 2019. HeJuly 2023. Mr. Park previously served as Senior Vice President from April 2009, Principal Accounting Officer from April 2007 and Controller from September 2004. Mr. Cancelmi was a Vice President and Assistant Controller at Tenet from September 1999 until his promotion to Controller. He joined the Companyserved as Chief Financial Officer of Hahnemann University Hospital. Prior to that, he held various positions at PricewaterhouseCoopers, in the Pittsburgh office and in the firm’s National Accounting and SEC office in New York City. Mr. Cancelmi is a certified public accountant licensed in the states of Florida and Texas who received his bachelor’s degree in accounting from Duquesne University in Pittsburgh. He is also a member of the American and Florida Institutes of Certified Public Accountants and the Texas Society of Certified Public Accountants.

Howard B. Hacker,Executive Vice President and Group Chief ComplianceFinancial Officer

for Pharmaceutical Distribution and Strategic Global Sourcing of AmerisourceBergen Corporation (“AmerisourceBergen”), a global pharmaceutical sourcing and distribution services company, beginning in September 2018. From 2012 to September 2018, Mr. Hacker, 49,Park was appointed Tenet’s Chief Compliance Officer in May 2016 and Executive Vice President in March 2019. In this capacity, he is responsible for overseeing the ethics and compliance programs for the Tenet enterprise, reporting directly to the Quality, Compliance and Ethics Committee of Tenet’s board of directors. Mr. Hacker previously held the title of Senior Vice President from May 2016 to February 2019. Mr. Hacker joined Tenet after more than a decade at Pfizer Inc., where he had served in various legal and compliance leadership positions since May 2004. Prior to Pfizer, Mr. Hacker worked for the law firms of Jones Day and Akin Gump Strauss Hauer & Feld, where he specialized in securities law and mergers and acquisitions. Mr. Hacker earned his law degree from the University of Texas at Austin and his bachelor’s degree in Russian and history from Washington University in St. Louis.

Marie Quintana,Executive Vice President of CommunicationsStrategy and Chief Marketing Officer

Ms. Quintana, 64, was appointed Tenet’s Chief Marketing OfficerDevelopment for AmerisourceBergen. Before joining AmerisourceBergen, Mr. Park served in May 2018various leadership roles across corporate development, corporate strategy and Executive Vice PresidentR&D portfolio management at MedImmune, the global biologics division of CommunicationsAstraZeneca. Before joining MedImmune, he held positions at Charterhouse Group International and Merrill Lynch & Company. He earned a Bachelor of Arts in March 2019. Ms. Quintana previously held the title Senior Vice President, CommunicataionsEconomics and a Bachelor of Arts in Biochemistry from July 2018 to February 2019. Under her leadership, Tenet activated its first integrated national marketing campaign, driving strong results in brand recognition and awareness. She also serves as chair of the Tenet Healthcare Foundation and is a director on the Governing Board of the Detroit Medical Center, which is operated by Tenet. Prior to joining Tenet, Ms. Quintana spent 14 years at PepsiCo where she held the positions of Senior Vice President of Sales and Marketing from March 2005 to April 2012, Vice President of Global IT

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Executive Officers

Yale University.

Strategy from July 2003 to March 2005, and Vice President of Technology from October 1998 to July 2003. Ms. Quintana earned her bachelor’s degree from Louisiana State University and her master’s degree from Tulane University. She co-founded the PepsiCo Women of Color Alliance, which was awarded the Catalyst Award in 2007. She is a past founding board member of the Network of Executive Women and previously served on the Board of Catholic Charities of Dallas. She has also been named one of the Top 50 Hispanic Women in Business by Hispanic Business Magazine and one of the Top 50 Women in Grocery by Progressive Grocer. She currently serves on the board of directors for Fetch Rewards, Inc.

2021 PROXY STATEMENT27


 

 

Securities Ownership2024 PROXY STATEMENT

Securities Ownership of Management

The table below discloses the shares, options and other securities beneficially owned by our directors and director nominees, each of our NEOs, and our current directors and executive officers as a group, as of March 15, 2021 (unless indicated below otherwise)

39


LOGO

Securities Ownership

Securities Ownership of Management  

The table below discloses the shares, options and other securities beneficially owned by our directors and director nominees, each of our named executive officers (NEOs), and our current directors and executive officers as a group, as of March 1, 2024 (unless otherwise indicated below). No director or current executive officer has pledged any shares of our common stock.

 Name Shares Beneficially Owned(1)
 

Shares of

Common Stock(2)

 

Shares Underlying
Options/RSUs

Exercisable Within

60 Days of

March 1, 2024

 

Percent

of Class

as of

March 1, 2024

Saumya Sutaria, M.D.

   496,521   -0-   *

Vineeta Agarwala, M.D., PhD

   1,562(3)    -0-   *

Paola M. Arbour

   47,971   -0-   *

Thomas W. Arnst

   8,148   -0-   *

James L. Bierman

   53,720(4)    -0-   *

Roy Blunt

   2,798(5)    -0-   *

Daniel J. Cancelmi

   515,443   61,383   *

Richard W. Fisher

   20,127(6)    -0-   *

Meghan M. FitzGerald, DrPH

   35,269(7)    -0-   *

Lisa Y. Foo

   19,566   -0-   *

Cecil D. Haney

   14,535(8)    -0-   *

J. Robert Kerrey

   60,725(9)    -0-   *

Christopher S. Lynch

   25,620(10)    -0-   *

Richard J. Mark

   47,303(6)    -0-   *

Sun Park

   -0-   20,707(11)    *

Tammy Romo

   61,280(12)    -0-   *

Stephen H. Rusckowski

   3,682(13)    -0-   *

Nadja Y. West, M.D.

   31,462(14)    -0-   *

Current executive officers and directors as a group (17 persons)(15)

   930,289(16)    20,707   0.93%

*

Less than 1%.

(1)

Except as indicated, each individual named has sole control as to investment and voting power with respect to the securities owned.

(2)

As noted below, the totals in this column for each non-employee director include RSUs granted under the terms of our stock incentive plans. These RSUs are settled in shares of our common stock.stock either upon termination of service or upon the third anniversary of the date of grant.

 

Name

Shares Beneficially Owned(1)

Shares of

Common Stock(2)

Options
Exercisable Within
60 Days of

March 15, 2021

Percent

of Class
as of
March 15, 2021

 

Audrey Andrews

 

 

 

65,545

 

 

 

 

 

56,626

 

 

 

 

*

 

 

Paola Arbour

 

 

 

9,029

 

 

 

 

 

-0-

 

 

 

 

*

 

 

James L. Bierman

 

 

 

42,242

 

(3) 

 

 

 

-0-

 

 

 

 

*

 

 

Daniel J. Cancelmi

 

 

 

362,000

 

 

 

 

 

-0-

 

 

 

 

*

 

 

Richard W. Fisher

 

 

 

41,825

 

(4) 

 

 

 

-0-

 

 

 

 

*

 

 

Meghan M. FitzGerald

 

 

 

36,021

 

(5) 

 

 

 

-0-

 

 

Cecil D. Haney

 

 

 

3,057

 

(6) 

 

 

 

-0-

 

 

 

 

*

 

 

Sandra R.A. Karrmann

 

 

 

8,309

 

(7) 

 

 

 

-0-

 

 

 

 

*

 

 

J. Robert Kerrey

 

 

 

75,769

 

(8) 

 

 

 

-0-

 

 

 

 

*

 

 

Christopher S. Lynch

 

 

 

22,120

 

(9) 

 

 

 

-0-

 

 

 

 

*

 

 

Richard J. Mark

 

 

 

41,825

 

(4) 

 

 

 

-0-

 

 

 

 

*

 

 

Ronald A. Rittenmeyer

 

 

 

626,534

 

(10) 

 

 

 

119,260

 

(11) 

 

 

 

*

 

 

Tammy Romo

 

 

 

56,802

 

(12) 

 

 

 

-0-

 

 

 

 

*

 

 

Saumya Sutaria

 

 

 

100,331

 

 

 

 

 

-0-

 

 

 

 

*

 

 

Nadja Y. West

 

 

 

19,984

 

(13) 

 

 

 

-0-

 

 

 

 

*

 

 

Current executive officers and directors as a group (17 persons)

 

 

 

1,538,936

 

(14) 

 

 

 

188,368

 

 

 

 

1.6

 

%

(3)

Represents 1,562 RSUs granted under our 2019 Stock Incentive Plan.

*

Less than 1%.

(4)

Includes 16,030 RSUs granted under our 2019 Stock Incentive Plan.

(5)

Represents 2,798 RSUs granted under our 2019 Stock Incentive Plan.

(6)

Includes 16,088 RSUs granted under our 2019 Stock Incentive Plan.

(7)

Includes 13,313 RSUs granted under our 2019 Stock Incentive Plan.

(8)

Includes 12,850 RSUs granted under our 2019 Stock Incentive Plan.

(9)

Includes 14,397 RSUs granted under our 2019 Stock Incentive Plan.

(10)

Includes 14,481 RSUs granted under our 2019 Stock Incentive Plan.

(11)

Represents 20,707 RSUs that vest in full upon Mr. Park’s relocation of his primary residence to the Dallas, Texas area, provided that such relocation is completed by September 1, 2025.

(12)

Includes 12,789 RSUs granted under our 2019 Stock Incentive Plan.

(13)

Represents 3,682 RSUs granted under our 2019 Stock Incentive Plan.

(14)

Includes 14,044 RSUs granted under our 2019 Stock Incentive Plan.

(15)

Does not include securities owned by Mr. Cancelmi, who retired effective December 31, 2023.

(16)

Includes RSUs granted to non-employee directors under our 2019 Stock Incentive Plan.

 

(1)

40

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Except as indicated, each individual named has sole control as to investment and voting power with respect to the securities owned.


Securities Ownership

 

(2)

As noted below, the totals in this column for each non-employee director include RSUs granted under the terms of our stock incentive plans. These RSUs are settled in shares of our common stock either upon termination of service or upon the third anniversary of the date of grant.

LOGO

(3)

Includes 33,947 RSUs granted under our stock incentive plans.

(4)

Includes 34,005 RSUs granted under our stock incentive plans.

(5)

Includes 29,868 RSUs granted under our stock incentive plans.

(6)

Represents 3,057 RSUs granted under our stock incentive plans.

(7)

Holdings for Ms. Karrmann are reported as of October 24, 2020, the date that she ceased to be an executive officer of the Company.

(8)

Includes 37,794 RSUs granted under our stock incentive plans.

(9)

Represents 22,120 RSUs granted under our stock incentive plans.

(10)

Includes 15,000 shares held by Mr. Rittenmeyer’s spouse.

(11)

Represents 119,260 RSUs granted under our stock incentive plans. These RSUs are scheduled to vest and settle in shares of our common stock on March 31, 2021.

(12)

Includes 30,706 RSUs granted under our stock incentive plans.

(13)

Includes 18,984 RSUs granted under our stock incentive plans.

(14)

Includes RSUs granted to non-employee directors under our stock incentive plans.

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Securities Ownership

 

Securities Ownership of Certain Shareholders

Based on reports filed with the SEC, each of the following entities owns more than 5% of our outstanding common stock as of the dates indicated below. We know of no other entity or person that beneficially owns more than 5% of our outstanding common stock.

Name and Address

 

Number of Shares

Beneficially Owned

 

Percent

of Class

as of

March 1, 2024

 

The Vanguard Group, Inc.

 100 Vanguard Blvd.

 Malvern, PA 19355

   11,110,396(1)    10.91%

 

BlackRock, Inc.

 55 East 52nd Street

 New York, NY 10055

   10,881,666(2)    10.69%

 

Glenview Capital Management, LLC

 767 Fifth Avenue, 44th Floor

 New York, NY 10153

   7,742,322(3)    7.60%

 

T. Rowe Price Associates, Inc.

 100 E. Pratt Street

 Baltimore, MD 21202

   7,124,316(4)    7.0%

 

Investco Ltd.

 1555 Peachtree Street NE, Suite 1800

 Atlanta, GA 30309

   5,422,099(5)    5.32%

(1)

Based on a Schedule 13G/A filed with the SEC eachon February 13, 2024 by The Vanguard Group, Inc., on behalf of the following entities owns more than 5% of our outstanding common stockitself and its named subsidiaries and affiliates (collectively, “Vanguard”), as of the dates indicated below. We know of no other entity or person that beneficially owns more than 5% of our outstanding common stock.

Name and Address

 

Number of Shares

Beneficially Owned

 

Percent

of Class

as of

   March 15, 2021   

 

Glenview Capital Management, LLC

    767 Fifth Avenue, 44th Floor

    New York, NY 10153

   16,225,320(1)    15.24%

 

BlackRock, Inc.

    55 East 52nd Street

    New York, NY 10055

   12,191,094(2)    11.45%

 

The Vanguard Group, Inc.

    100 Vanguard Blvd.

    Malvern, PA 19355

   11,407,086(3)    10.71%

Harris Associates L.P.

 

    111 S. Wacker Drive, Suite 4600

    Chicago IL 60606

   7,114,001(4)    6.68%

(1)

Based on a Schedule 13D/A filed with the SEC on February 4, 2021 by Glenview Capital Management, LLC and its named subsidiaries and affiliates (collectively, “Glenview”), and Lawrence M. Robbins, as of February 2, 2021, and additional information available to the Company as described in this footnote. Glenview Capital Management, LLC serves as an investment manager to various Glenview funds, and Mr. Robbins is the Chief Executive Officer of Glenview Capital Management. Glenview and Mr. Robbins reported shared voting and investment power with respect to all of the shares indicated above.

(2)

Based on a Schedule 13G/A filed with the SEC on January 27, 2021 by BlackRock, Inc., on behalf of itself and its named subsidiaries and affiliates (collectively, “BlackRock”), as of December 31, 2020. BlackRock reported sole voting power with respect to 11,992,806December 29, 2023. Vanguard reported sole voting power with respect to 0 of the shares indicated above, shared voting power with respect to 38,659 of the shares indicated above, sole dispositive power with respect to 10,969,187 of the shares indicated above and shared dispositive power with respect to 141,209 of the shares indicated above.

(2)

Based on a Schedule 13G/A filed with the SEC on February 2, 2024 by BlackRock, Inc., on behalf of itself and its named subsidiaries and affiliates (collectively, “BlackRock”), as of December 31, 2023. BlackRock reported sole voting power with respect to 10,528,387 of the shares indicated above and sole dispositive power with respect to all of the shares indicated above.

(3)

Based on a Schedule 13D/A filed with the SEC on February 14, 2024 by Glenview Capital Management, LLC and its named subsidiaries and affiliates (collectively, “Glenview”), and Lawrence M. Robbins, as of December 31, 2023, and additional information available to the Company as described in this footnote. Glenview Capital Management, LLC serves as an investment manager to various Glenview funds, and Mr. Robbins is the Chief Executive Officer of Glenview Capital Management. Glenview and Mr. Robbins reported shared voting and investment power with respect to all of the shares indicated above.

(4)

Based on a Schedule 13G filed with the SEC on February 14, 2024 by T. Rowe Price Associates, Inc. (T. Rowe Price), as of December 31, 2023. T. Rowe Price reported sole voting power with respect to 3,497,685 of the shares indicated above and sole dispositive power with respect to all of the shares indicated above.

(5)

Based on a Schedule 13G filed with the SEC on February 9, 2024 by Invesco Ltd. (Invesco), as of December 29, 2023. Invesco, together with certain of its subsidiaries and in its capacity as a parent holding company to its investment advisors, reported sole voting power with respect to 5,298,784 shares and sole dispositive power with respect to all of the shares indicated above.

 

(3)

Based on a Schedule 13G/A filed with the SEC on February 10, 2021 by The Vanguard Group, Inc., on behalf of itself and its named subsidiaries and affiliates (collectively, “Vanguard”), as of December 31, 2020. Vanguard reported sole voting power with respect to 0 of the shares indicated above, shared voting power with respect to 116,030 of the shares indicated above, sole dispositive power with respect to 11,210,504 of the shares indicated above and shared dispositive power with respect to 196,582 of the shares indicated above.

2024 PROXY STATEMENT

41


 

(4)

Based on a Schedule 13G/A filed with the SEC on February 12, 2021 by Harris Associates L.P. (Harris), as of December 31, 2020. Harris reported sole voting power with respect to 4,710,340 shares and sole dispositive power with respect to all of the shares indicated above.

Delinquent Section 16(a) Reports

Due to a technical issue, the Form 4 filing reporting one transaction for J. Robert Kerrey was filed one day late.

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2021 PROXY STATEMENT29


Compensation Discussion & Analysis

This CD&A describes our compensation programs and reviews compensation decisions

Compensation Discussion & Analysis

This Compensation Discussion and Analysis (CD&A) describes our executive compensation programs, our process for determining executive compensation and the compensation paid to the following NEOs for 2023:

Named Executive Officers (NEOs) for 2020:Officer

Title

Saum Sutaria

Chairman and Chief Executive Officer

Dan Cancelmi

Former Executive Vice President and Chief Financial Officer(1)

Tom Arnst

Executive Vice President, Chief Administrative Officer, General Counsel and Corporate Secretary

Lisa Foo

Executive Vice President, Commercial Operations

Named Executive Officer

Title

Ron Rittenmeyer

Executive Chairman and Chief Executive Officer (CEO)

Saum Sutaria

President and Chief Operating Officer

Dan Cancelmi

Executive Vice President and Chief Financial Officer

Audrey Andrews

Executive Vice President and General Counsel

Paola Arbour

 

Executive Vice President and Chief Information Officer

(1)

Mr. Cancelmi retired as Executive Vice President and Chief Financial Officer effective December 31, 2023 and was succeeded by Sun Park effective January 1, 2024.

Sandi Karrmann

CD&A Table of Contents

Former Executive Vice President and Chief Human Resources Officer(1)

Overview

43

2023: Advancing our Strategy and Mission to Expand Quality, Compassionate Care

(1)

Ms. Karrmann served as Executive Vice President and Chief Human Resources Officer of the Company until her resignation on October 24, 2020

43

CD&A Table of Contents2023 Compensation Program Highlights

44

2023 Say-on-Pay Vote

Overview

31

2020: Delivering Quality, Compassionate Care While Responding to COVID-19

31

2020 Compensation Program Highlights

32

Say-on-Pay Vote

33

Compensation Elements Link Pay with Performance

3344

Compensation Elements Link Pay with Performance

45 

Best Practices Support Strong Compensation Governance

34

Detailed Description and Analysis

35

2020 Compensation Decisions

35

Base Salary

35

Annual Incentive Plan

35

Long-Term Incentive Compensation

39

The Compensation Process

42

Role of the Human Resources Committee

42

Independent Compensation Consultant

42

Benchmarking Against Peer Companies

42

Other Compensation, Benefits and Considerations

44

Perquisites

44

Executive Severance Plan

44

Executive Retirement Programs

44

Employee Benefits

44

Tax Matters

45

Compensation Governance Practices

45

Stock Ownership and Retention Requirements

45

Equity Grant Timing and Stock Option Exercise Prices

45

Prohibition on Hedging or Pledging Our Stock

46

Clawback Policies

   46 

Detailed Description and Analysis

30LOGO47


2023 Compensation Discussion & AnalysisDecisions

Overview

2020: Delivering Quality, Compassionate Care While Responding to COVID-19

In 2020, Tenet faced challenges never experienced in our history. Our ability to perform under such difficult and constantly evolving circumstances underscored the strength of our colleagues across the enterprise as well as the positive impact of our multi-year turnaround, which began under the leadership of our Board and Executive Chairman and Chief Executive Officer (CEO), Ron Rittenmeyer. We implemented a comprehensive and active response to the pandemic, focused on the safety of our personnel and our patients, and steadily improved performance in each operating segment as we moved through the year. We continued to advance top-tier clinical programs to serve growing acute and chronic care needs in our hospitals, while completing a transformational ambulatory transaction and pivoting our business toward higher-growth, lower cost-of-care settings. And, we continued to post an improved level of margin performance at Conifer, which provided exceptional support to clients throughout the pandemic.

COVID-19 Response

We continued to manage COVID-19 and its impact on operations, and we focused on the highest standards for quality and safety. Our protocols were designed to protect our patients and employees as we all battled the pandemic. Operational teams used real-time data to ensure sufficient staffing, intensive care unit bed capacity and personal protective equipment (PPE), all while adapting to constantly changing federal and state guidelines and managing ongoing surges across the country.

Operational Excellence

Our results in this last year underscore the operational discipline we have put into action on an ongoing basis. As the pandemic has continued to evolve in waves, we met each sharp turn with a carefully coordinated response. Our Incident Command Center has served as the hub of our pandemic response to provide continuity across the enterprise and ensure we always had dedicated resources in place to support caregivers and staff in our facilities.

Transformative Acquisition

In December 2020, we announced the acquisition of a portfolio of 45 ambulatory surgical centers from SurgCenter Development for approximately $1.1 billion. This transaction supports our ongoing commitment to invest in lower cost of care, consumer friendly facilities that improve healthcare affordability; cements Tenet’s position as the preeminent national musculoskeletal services leader across the care continuum; and enhances Tenet’s overall business mix and earnings profile.

Commitment to ESG

In 2020, we accelerated our commitment to environmental, social and governance (ESG) goals. We supported our employees in need, strengthened our sustainability program, and launched additional diversity and inclusion programs. In 2021, our Board formed an ESG Committee that will further support these efforts going forward.

Improved Financial Position

We ensured there was proactive management of liquidity throughout the pandemic by issuing additional notes as well as expanding our revolver debt capacity. We actively and responsibly managed our capital budget across the entire system, and our consistent focus on free cash flow helped deliver excellent results.

Cultivating Talent

Our efforts to ensure strong leadership across the enterprise continued to be a top priority in 2020. We attracted external talent to provide outside perspectives and new thinking. We also elevated strong performers by expanding their scope and by transitioning internal leaders to new opportunities within the enterprise that will support their further growth and development.

2021 PROXY STATEMENT3147 

Base Salary

47


47

Long-Term Incentive Compensation

50

The Compensation Discussion & AnalysisProcess

52

LOGO

Our strong relative TSR performance highlights the successful execution of our multi-year turnaround strategy since our change in leadership a little over three years ago. We believe that our three-year TSR, which captures the effectRole of the intense turnaround effort that began in late 2017, is a more meaningful measure of our longer-term performance than our one-year TSR, which can be significantly impacted by short-term market volatility unrelated to our performance (as occurred at various times during 2020). Despite the challenge and uncertain macroeconomic environment presented during the last year by COVID-19, the achievements highlighted above illustrate the positive impact of our multi-year turnaround as well as our continued momentum in building a framework for our long-term growth and success. Further, our 2021 year-to-date TSR performance (as of March 25, 2021) remains strong and ranks above the 90th percentile of our peer group and the S&P 500.Human Resources Committee

2020 Compensation Program Highlights

Secured Extension of CEO’s Employment

In February 2020, after considering his extraordinary accomplishments in turning Tenet around and his continued importance in implementing the Company’s long-term strategic goals, the Board extended Mr. Rittenmeyer’s term of service from June 2021 through December 2022 through an amendment to his Employment Agreement that:

  Increased Mr. Rittenmeyer’s annual base salary to $1.5 million

  Provided for an award of RSUs, vesting quarterly through December 2022, valued at $10 million to recognize his extended service period

Streamlined

LTI Program

In February 2020, the HR Committee approved a streamlined and simplified long-term equity compensation program, which further aligns NEO and shareholder interests. The 2020 LTI compensation for executive officers other than Mr. Rittenmeyer and Dr. Sutaria consists entirely of RSUs:

  50% time-based awards vesting ratably over three years

  50% performance-based awards earned over a three-year period based on the achievement of Adjusted EPS and Adjusted Free Cash Flow Less Cash NCI. These performance metrics are established at the start of each year of the three-year performance period subject to a cumulative three-year Relative TSR performance modifier.*

Donated Salaries in

Response to

COVID-19

Mr. Rittenmeyer donated 100% of his base salary earned from April through June 2020 to the Tenet Care Fund, a 501(c)(3) established to assist Company employees who have experienced hardships from the COVID-19 pandemic and other challenges. Each of our other NEOs donated 20% of their salaries over the same period. The Tenet Care Fund supported over 1,100 of our employees in 2020, with approximately $2,000,000 raised over the year.

2020 Annual Incentive

Plan Payouts

Our Compensation Committee applied negative discretion after our 2020 annual incentives were earned at 200% of target, based upon our maximum achievement of both performance metrics, Adjusted EBITDA (weighted 70%) and Adjusted Free Cash Flow Less NCI (weighted 30%). As a result of these downward adjustments, corporate performance was deemed achieved at 117% of target and final payouts for our NEOs ranged from 130% to 150% of target payout levels after applying each officer’s individual performance multiplier.**

*

See Appendix A for definitions of Adjusted EPS and Adjusted Free Cash Flow which is then less cash distributions paid to NCI as reflected on the Company’s consolidated statements of cash flow.

**

Ms. Karrmann did not receive a 2020 annual incentive plan payment due to her October 2020 resignation.

32LOGO


Compensation Discussion & Analysis

Say-On-Pay Vote

Our annual Say-on-Pay vote is one of our opportunities to receive feedback from shareholders regarding our executive compensation program, and the HR Committee takes the result of this vote into account when shaping the compensation program for the Company’s NEOs. Our Company has continued to receive strong support for our Say-on-Pay proposal every year since 2017, with 90% of votes cast in favor of such proposal at our 2020 Annual Meeting. In light of the continued strong shareholder support, our HR Committee did not make any changes to the structure of our executive compensation program as a result of the 2020 vote. The HR Committee will continue to consider shareholder feedback, input from our independent compensation consultant and the outcomes of future Say-on-Pay votes when assessing our executive compensation programs and policies and making compensation decisions for our NEOs.

Compensation Elements Link Pay with Performance

The following table outlines the primary components of our NEOs’ 2020 compensation packages (other than Mr. Rittenmeyer and Dr. Sutaria, as discussed above):

ElementDescriptionPurpose

Base Salary

  Fixed cash compensation set annually

  Based on market data, individual performance, internal pay equity and the scope and complexity of the role

  Attracts and retains talented executives with competitive fixed pay

Annual

Incentive Plan

  Compensation tied to achievement of annual performance goals

  Award amount increases with executive’s level of influence on business outcomes and reflects individual performance

  Motivates and rewards executives for meeting annual goals that drive long-term growth

  Challenging, objective performance metrics set annually based on Company’s business plans

Long-Term Incentive Compensation  LOGO

Performance -

Based RSUs

LOGO

  Awards cliff vest in three years based on performance against adjusted earnings per share (EPS)* and adjusted free cash flow (FCF) minus cash distributions paid to noncontrolling interests (NCI).* These goals are established at the beginning of each year within the three-year period

  Relative total shareholder return (TSR) modifier is measured over the full three-year performance period and may reduce or increase earned payouts

  Establishing goals for each year of the three-year performance period provides the Company with flexibility to ensure goals remain relevant and challenging throughout the performance period and avoids awards that weaken retentive value in the event of a single year of below threshold performance

  Relative TSR modifier applied over the full vesting period strengthens long-term shareholder alignment and motivates our executives to achieve long-term share price appreciation

Time-Based RSUs

LOGO

  RSUs vest ratably over three years

  Aligns economic interests of executives and shareholders through equity ownership

  Encourages retention and subject to forfeiture in the event executive terminates employment

*

See Appendix A for definitions of Adjusted EPS and Adjusted Free Cash Flow which is then less cash distributions paid to NCI as reflected on the Company’s consolidated statements of cash flow.

2021 PROXY STATEMENT3352 


Independent Compensation Discussion & Analysis

ConsultantBest Practices Support Strong Compensation Governance

We maintain the following best practices to ensure our governance of executive compensation reflects our pay-for-performance philosophy and aligns the interests of our executives and shareholders.

What We Do

  LOGO   Active engagement with investors

LOGO   Emphasis on pay-for-performance

  LOGO   Meaningful stock ownership and retention requirements

LOGO   Clawback provisions for all performance-based compensation

  LOGO   Conduct an annual compensation risk assessment

LOGO    Double-trigger change-in-control benefits

  LOGO   Cap payouts under annual incentive and performance- based RSU    programs

LOGO    Independent compensation consultant

What We Don’t Do

  Ø  No excise tax gross-ups on change-in-control
   severance benefits

Ø  Directors and executive officers cannot hedge or
 pledge Company securities

  Ø  No excessive perquisites

Ø  No repricing of underwater stock options

  Ø  No single-trigger equity acceleration on a change-in-control

  52

Benchmarking Against Peer Companies

53

Other Compensation, Benefits and Considerations

54

Perquisites

54

Executive Severance Plan

54

Employee Benefits

54

Executive Retirement Programs

54

Compensation Governance Practices

55

Stock Ownership and Retention Requirements

55

Equity Grant Timing and Stock Option Exercise Prices

55

Prohibition on Hedging or Pledging Our Stock

55

Clawback Policies

56

Human Resources Committee Report

57

Executive Compensation Tables

58 

 

42

LOGO


Compensation Discussion & Analysis

LOGO

Overview

2023: Advancing our Strategy and Mission to Expand Quality, Compassionate Care

In 2023, Tenet delivered outstanding operating results driven by strong revenue growth and disciplined cost management. Our strong operational execution during 2023 demonstrates the commitment of our colleagues across the enterprise and our focus on providing quality, compassionate care to the communities we serve. Our Ambulatory Care segment grew through the expansion of service lines and our population of partnered and affiliated physicians, accretive acquisitions and de novo development. In addition, we continue to enhance high-acuity services at our hospitals, including cardiovascular, neurosciences, surgical services and trauma.

Operational Excellence

Our results in 2023 demonstrate our focus on operational excellence. We advanced our high-acuity strategy in our hospital business, leveraging data and analytics to significantly reduce contract labor costs and effectively manage operating costs. We continue to achieve attractive margins across each of our businesses, driven by this operational efficiency.

Financial Performance

We delivered outstanding results across our portfolio in 2023. These results were driven by strong volume growth, pricing yield and disciplined operations that enabled us to manage operating costs in a challenging industry environment. Adjusted EBITDA margins remained strong due to our operational focus and effective execution.

Expanded Ambulatory Care

We added 30 ambulatory surgery centers to our portfolio through acquisitions and the opening of de novo facilities through a continued focus on business development. Many of these new centers specialize in higher-acuity services, including orthopedics, and represent attractive additions to our portfolio.

Refinanced and Retired Debt

During the year ended December 31, 2023, we retired approximately $1.345 billion aggregate principal amount of certain of our senior unsecured notes and senior secured first lien notes. These notes were retired using proceeds from the May 2023 sale of $1.35 billion aggregate principal amount of 6.750% senior secured first lien notes due 2031 and cash on hand.

Workforce Development

We delivered unprecedented reductions in contract labor spend allowing more of our own workforce to work directly with our patients. Our results were achieved by increasing our new graduate hiring pipeline through nursing school relationships, strengthening our internal clinical bench, and delivering facility level workforce targets. We introduced agile frontline staffing models to optimize utilization of skills from entry level to higher specialty competencies. We developed and executed a system-wide wholistic retention strategy that drove facility level accountability to execute leading practices, improve manager quality, and reduce turnover.

Clinical Quality and Patient Safety

We continue to execute our disciplined strategy to prevent life-threatening infections and injuries and deliver high-quality care to our patients. In 2023, we delivered notable improvements in the metrics we track for patient safety and quality care. Our commitment to quality is driving a strong patient experience and continued improvement.

2024 PROXY STATEMENT

43


Compensation Discussion & Analysis

LOGO

2023 Compensation Program Highlights

34LOGO


Compensation Discussion & Analysis

 

Detailed Description and Analysis2023 Annual Incentive

2020 Compensation DecisionsPlan Payouts

Base Salary

Base salary provides our NEOs with a fixed base annual income and helps us attract and retain high-performing executives. The HR Committee sets NEO salaries each year considering individual performance reviews, internal pay equity considerations, the scope and complexity of the executive’s role and an assessment of peer group and market survey data provided by our independent compensation consultant. In addition to the increase in Mr. Rittenmeyer’s base salary as part of his 2020 Employment Agreement extension described above, in February 2020,2024, the HR Committee approved a 4.9% increase in Mr. Cancelmi’s base salary in recognition of his strong performance and to better align with competitive market practices. The HR Committee determined that the base salaries for all other NEOs would remain unchanged for 2020.

As discussed above, to help Company employees facing adversity during the COVID-19 pandemic, Mr. Rittenmeyer donated 100% of his base salary earned from April through June 2020 to the Tenet Care Fund, and each of the other NEOs donated 20% of their salaries to the Tenet Care Fund over the same period.

Named Executive Officer

2020
Annual Base Salary

(As of December 31, 2020) 

Ron Rittenmeyer

$1,500,000

Saum Sutaria

$1,000,000

Dan Cancelmi

$   650,000

Audrey Andrews

$   550,000

Paola Arbour

$   500,000

Sandi Karrmann(1)

$   500,000

(1)

Ms. Karrmann served as Executive Vice President and Chief Human Resources Officer of the Company until her resignation on October 24, 2020.

Annual Incentive Plan

Our AIP provides annual cash incentives tofinal payouts under our executives that drive financial, operational and individual performance. The program is designed to motivate executives to meet objectives that matter to our investors and align with the Company’s long-term strategy. To that end, the HR Committee selects financial and operational metrics that our executives directly influence with challenging targets so that, in order to pay out, the Company must meet the goals communicated to shareholders. The2023 Annual Incentive Plan, also includes anwith corporate performance achieved at 200% of target. Final payouts for our NEOs ranged from 240% to 280% of target payout levels after application of each officer’s individual performance component to focus directly on the contributions of each NEO and to reflect performance on qualitative factors like leadership, integrity, promotion of Company values, and a positive influence on Company culture.multiplier.

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2023 LTI Program Awards 2021 PROXY STATEMENT35


Compensation Discussion & Analysis

2020 Target Annual Incentive Award Levels for Named Executive Officers

In 2020,March 2023, the HR Committee approved the following target bonus award levels for each NEO, none of which were increased relative to the prior year.

Named Executive Officer

Target Award Relative
to Base Salary

Ron Rittenmeyer

150

Saum Sutaria

100

Dan Cancelmi

100

Audrey Andrews

75

Paola Arbour

75

Sandi Karrmann

75

2020 AIP Performance Metrics and Results

Funding for the 2020 AIP pool was based on the Company’s total annual Adjusted EBITDA (weighted 70%) and Adjusted Free Cash Flow Less Cash Payments to Noncontrolling Interests (Adjusted Free Cash Flow Less NCI) (weighted 30%). Payout of these metrics can range from 0% to 200% depending on performance.

The HR Committee continued to use Adjusted EBITDA as the most significant metric because it is the primary measure used by financial analysts and investors to judge the Company’s financial performance. The HR Committee selected Adjusted Free Cash Flow less NCI as a metric because it captures the Company’s ability to sustainably generate cash that can be used for the Company’s long-term strategic goals, including acquisitions, investing in joint ventures, or repurchasing outstanding equity or debt securities, as well as other general corporate purposes. Furthermore, free cash flow generation allows the Company to fund growth without raising additional debt and can also be used to retire existing indebtedness, both of which enhance long-term shareholder value. Given the importance of Adjusted Free Cash Flow less NCI to both short-term and long-term value creation for shareholders, the HR Committee decided to continue using it in both the 2020 AIP and LTI programs.

The HR Committee, on the recommendation of management, determined that it was appropriate to exercise negative discretion to reduce the AIP funding pool from 200% to 117% in order to offset favorability in our overall financial performance resulting from the COVID-19 pandemic, including grants and other benefits the Company received under the CARES Act, that was unrelated to management’s actions. The adjusted payout level reflects the Company’s projected performance before the impact of the COVID-19 pandemic.

Metric

 Threshold
Level
 Target
Level
 Maximum
Level
 Actual
Performance
 Percentage
of Target
 Calculated
Payout

 

Adjusted EBITDA(1)

  

 

$

 

2.650 billion

 

  

 

$

 

2.825 billion

 

  

 

$

 

3.050 billion

 

  

 

$

 

3.146 billion

 

  

 

 

 

200

 

%

 

 

140     

 

Adjusted FCF less NCI(2)

  $390 million  $480 million  $570 million  $2,914 million   200%   60     

Initial Funding Pool

 

 200% 

Negative Discretionary Adjustment

 

 (83%)

Final Funding Pool

 

 117% of Target  

(1)

See Appendix A for definition of Adjusted EBITDA.

(2)

Adjusted Free Cash Flow (see Appendix A for definition) minus cash distributions paid to NCI reflected on the Company’s consolidated statements of cash flow.

Individual Performance Modifiers

After completion of the fiscal year, the HR Committee undertakes a robust individual performance review for our executive officers. These reviews allow the HR Committee to incorporate into the AIP program certain quantitative and qualitative elements tailored specifically to each executive’s role and circumstances. These reviews also allow the HR Committee to take into consideration factors such as integrity, promotion of Company values, and a positive influence on Company culture, which

36LOGO


Compensation Discussion & Analysis

further the Company’s business objectives and strategies. The result is an individual performance multiplier applied to the calculated AIP amount that can range from 0% to 150%. The ratings are calibrated across the entire Company to ensure the AIP funding pool remains fixed.

For the CEO, the HR Committee gathers feedback from select members of management as well as a CEO self-evaluation and discusses the performance of the CEO with the other independent members of the Board in executive session. For reviews of other executive officers, the CEO provides the HR Committee a detailed evaluation and recommendation based in part on a self-assessment completed by each executive officer.

2021 PROXY STATEMENT37


Compensation Discussion & Analysis

The HR Committee applied the following performance modifiers for our NEOs based on the material factors provided below. Ms. Karrmann did not receive a 2020 AIP Payout in light of her October 2020 resignation.

Named Executive Officer

Individual

Performance

Multiplier

Performance Review Summary

Mr. Rittenmeyer

150%

  Focused first and foremost on quality and safety, led a cohesive and coordinated enterprise-wide response to the pandemic while delivering strong financial and operational results in a turbulent year.

  Repositioned the Company’s growth trajectory by advancing key strategic objectives like the transformative acquisition of 45 ambulatory surgery centers.

  Strengthened the Company’s commitment to elevating its people, fostering an inclusive culture, ensuring effective governance and realigning on purpose.

Dr. Sutaria

150%

  Leadership has been especially pivotal in accelerating our growth and performance, reassuring our ongoing resilience during the pandemic, and bringing to bear expanded offerings for patients notwithstanding the tremendous challenges we all faced in 2020.

  Continued to drive changes in business unit leadership to strengthen organizational roots and position our best people to expand their skills and continue to positively impact the enterprise.

  Appointed to the Company’s Board of Directors in November 2020.

Mr. Cancelmi

140%

  Instrumental in leading our finance team through the pandemic with equal commitment to diligent review of various governmental orders and grants and improved quality of our ongoing operational processes.

  Restructured the balance sheet and reinforced investor confidence while ensuring transparency.

  Championed talent upgrades for key leadership roles in finance team.

Ms. Andrews

130%

  Successfully navigated the pandemic related rules that changed frequently and covered all legal issues.

  Leadership and support to the compliance team that allowed us to meet key priorities notwithstanding the impact of COVID-19.

  Significant contributions to streamlining USPI’s structure and legal processes to align with enterprise goals.

Ms. Arbour

130%

  Quickly led transition to successfully relocate our headquarters, satellite offices and Global Business Center (GBC) employees to a remote working environment within a short period.

  Improved process and successfully worked with third parties to meet cybersecurity protection goals.

  Adjusted capital expenditures while partnering with teams in the field on the right enterprise priorities and creating a true service culture.

38LOGO


Compensation Discussion & Analysis

The table below shows target and actual AIP awards earned by each NEO for 2020.

Named Executive Officer

 

Target

AIP Payout

 Calculated
AIP Payout
 

Individual

Performance

Multiplier

 

2020 Actual  

AIP Payout  

 

Ron Rittenmeyer

  

 

$

 

2,250,000

 

  

 

$

 

2,632,500

 

  

 

 

 

150

 

%

  

 

$

 

3,948,750

 

Saum Sutaria

  

$

1,000,000

  

$

1,170,000

  

 

150

%

  

$

1,755,000

Dan Cancelmi

  

$

650,000

  

$

760,500

  

 

140

%

  

$

1,064,700

Audrey Andrews

  

$

412,500

  

$

482,625

  

 

130

%

  

$

627,413

Paola Arbour

  

$

375,000

  

$

438,750

  

 

130

%

  

$

570,375

Sandi Karrmann(1)

  

$

375,000

  

 

N/A

  

 

N/A

  

 

N/A

  

(1)

As a result of her separation, Ms. Karrmann was not eligible to receive an AIP payout.

Pandemic Special Bonuses

The HR Committee periodically approves additional “off-cycle” awards to key employees, including NEOs, in connection with promotions, recruitment and retention efforts, succession planning, or significant accomplishments or achievements. The Committee approved one-time cash bonuses of $500,000 and $250,000 to Dr. Sutaria and Mr. Cancelmi, respectively, to reward them for their special efforts during the pandemic in 2020. In particular, the Committee recognized Dr. Sutaria’s extraordinary achievements partnering with our hospitals and other providers to respond quickly and effectively to COVID-19 and Mr. Cancelmi’s success in maintaining the Company’s financial performance and liquidity during the most challenging periods of the year.

2023 Long-Term Incentive Compensation

The HR Committee undertook a holistic review of our executive compensation program design in 2020 and determined that changes to the LTI design were appropriate to further encourage sustained value creation for shareholders and simplify our equity compensation structure. The LTI design changes primarily addressed the compensation of executive officers other than Mr. Rittenmeyer, whose LTI compensation is described above under “2020 Compensation Program Highlights”, and Dr. Sutaria, who entered into an employment agreement with the Company when he joined in 2019 that provides for an annual grant of $4,000,000 of time-based RSUs vesting ratably over three years. In 2020, the Committee awarded Dr. Sutaria performance-based RSUs valued at $1,000,000 in acknowledgement of his critical role in the Company’s future success and to further align his long-term incentives with those of the Company’s shareholders.

Beginning in 2020, LTI compensation(LTI) awards for executive officers other(other than Mr. Rittenmeyer and Dr. Sutaria moved to entirely in RSUs,Cancelmi*) comprised of the following RSUs:

  50% time-based awards vesting ratably over three years, and

  50% performance-based awards earned over a three-year period. The HR Committee believes that a simplified equity-only program provides stronger alignmentperiod based on the achievement of management’s incentives with shareholder interests. In its review,Adjusted EPS** and Adjusted Free Cash Flow** minus cash distributions paid to noncontrolling interests (“NCI”) (Adjusted FCF Less NCI). These performance metrics are established at the HR Committee considered peer group and other market data, emerging best practices, the availabilitystart of shares under Company plans and the retention value of LTI compensation.

2021 PROXY STATEMENT39


Compensation Discussion & Analysis

Long-Term Incentive Compensation

    
  

 

 Year 1        Year 2        Year 3       
   
Performance-Based RSUs
(50%)
 

 

  Based on Adjusted FCF less Cash NCI and Adjusted EPS, with goals set annually on current conditions and business strategy to a tranche of three overlapping cycles with threshold (0%), target (100%), and max (200%)

 

  Subject to Relative TSR modifier based on performance over the entire performance period (+/- 25% based on cumulative performance versus direct peers)

 

 

Three-year performance period with one-year

goals set annually

 

 

33.3%       

 

 

 

33.3%       

 

 

 

33.3%       

 

   

Time-Based RSUs
(50%)

 

 

  Restricted stock unit that is solely subject to service-based vesting or forfeiture conditions

 

  Awards directly align executive and shareholder interests while encouraging retention throughout the vesting cycle

 

 

         Vest ratably over three years

 

 

33.3%       

 

 

 

33.3%       

 

 

 

33.3%       

 

Performance Metrics

Description

Adjusted Earnings Per Share

  Key metric for our shareholders because our Adjusted Earnings drives share price performance

  Measures the Company’s per-share profitability, excluding certain gains and losses

Adjusted Free Cash Flow Less NCI

  Sustained cash flow generation allows the Company to fund objectives important to the Company’s long-term strategy without raising additional debt

  Measures the Company’s ability to generate cash flows from operations that can be used for acquisitions, capital expenditures or repaying debt

Relative Total Shareholder Return

  Comparing the Company’s share price performance to its direct competitors rewards management’s ability to deliver above-market returns to long-term shareholders

  Measures the Company’s shareholder return against its three direct publicly traded competitors: Community Health Systems, HCA Healthcare and Universal Health Services

  Three-year total shareholder return multiplier applied to full three-year performance period measured relative to three direct competitors, with +25% for ranking first, no change for second or third, and -25% for fourth

Rigor of Performance Goals

In establishing target, threshold and maximum performance levels for our performance-based cash awards, the HR Committee considers annual and longer-term growth rates that the Company discloses to shareholders, as well as the consensus of analyst estimates and business-planning projections. The HR Committee sets the target amounts at demanding levels that require NEOs to achieve significant improvement each year of the three-year performance period and beginningsubject to a cumulative three-year relative total shareholder return (“Relative TSR”) performance modifier.

2021 Performance

Based RSUs

In February 2024, the HR Committee certified final achievement of the 2021 performance-based RSUs granted to the NEOs, with such awards earned at 199.7% of target as a result of exceeding the 2020 awards,maximum target for each applicable performance goal for 2021, exceeding the target Adjusted EPS goal for 2022, below threshold achievement for the Adjusted FCF Less NCI goal for 2022, exceeding the maximum target for each applicable performance goal for 2023 and cumulative Relative TSR ranking first against three direct competitors, resulting in application of the +25% modifier.

*

In light of Mr. Cancelmi’s announced retirement, in March 2023, he received a 100% time-based award that vested on December 31, 2023.

**

See Appendix A for definitions of Adjusted EPS and Adjusted Free Cash Flow; cash distributions paid to NCI are as reflected on the Company’s consolidated statements of cash flows.

2023 Say-on-Pay Vote

Our annual Say-on-Pay vote is one of our opportunities to receive feedback from shareholders regarding our executive compensation program, and the HR Committee takes the result of this vote into account when shaping the compensation program for the Company’s NEOs. At our 2023 Annual Meeting, the Say-on-Pay proposal received over 94% approval, demonstrating ongoing strong support for our executive compensation program. In light of this continued shareholder support, our HR Committee did not make any changes to the structure of our executive compensation program as a result of the 2023 vote.

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Compensation Discussion & Analysis

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Compensation Elements Link Pay with Performance

The following table outlines the primary components of our NEOs’ 2023 compensation packages:

ElementDescriptionPurpose

Base Salary

  Fixed cash compensation set annually

  Based on market data, individual performance, internal pay equity, and the scope and complexity of the officer’s role

  Attracts and retains talented executives with competitive fixed pay

Annual

Incentive Plan

  Compensation tied to achievement of annual performance goals

  Target award amounts increase with executive’s level of influence on business outcomes and reflect individual performance and internal equity

  Motivates and rewards executives for meeting or exceeding annual goals that drive long-term growth

  Challenging, objective performance metrics set annually based on the Company’s business plans

Long-Term Incentive Compensation

Performance-
Based RSUs

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  Performance-based RSUs cliff vest after a three-year performance period based one-half on Adjusted EPS* and one-half on Adjusted FCF Less NCI*; these goals are established at the beginning of each one-yearyear within the three-year performance period

  Relative TSR multiplier is measured over the full three-year performance period and may reduce or increase earned payouts by 25%

  Establishing goals for each year of the three-year performance period provides the Company with flexibility to ensure that the goals remain relevant and challenging asthroughout the overall three-year performance period progresses. Forand avoids awards that have weakened retentive value in the event of a single year of below-threshold performance or windfall value in the event of a single year of superior performance

  Applying the Relative TSR modifier,multiplier over the Company placing first among the direct peer group results in a 25% increase,full performance period strengthens long-term shareholder alignment and the Company placing fourth among the direct peer group results in a 25% decrease, with no adjustments for placing second or third among the direct peer group.motivates our executives to achieve long-term share price appreciation

Time-Based RSUs

 

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Compensation Discussion & AnalysisLOGO

 

  Time-based RSUs vest ratably over three years based on continued service**

  Aligns economic interests of executives and shareholders through equity ownership

  Provides strong retentive value

 

*

2020 LTI Grant ValuesSee Appendix A for Named Executive Officers

The following table summarizesdefinitions of Adjusted EPS and Adjusted Free Cash Flow; cash distributions paid to NCI are as reflected on the total target grant valueCompany’s consolidated statements of LTI awards granted in February 2020 to eachcash flows.

**

In light of our NEOs participating in our 2020 LTI program. LTI Compensation forhis announced retirement, Mr. Rittenmeyer is described above under “2020 Compensation Program Highlights.”

Named Executive Officer

 Performance-
Based RSUs(1)(2)
  

Time-Based

RSUS(2)

  Total 2020 LTI
Grant Value
 

Saum Sutaria

 $1,000,022  $4,000,003  $5,000,025 

Dan Cancelmi

 $1,250,027  $1,250,027  $2,500,054 

Audrey Andrews

 $750,016  $750,016  $1,500,032 

Paola Arbour

 $450,026  $450,026  $900,052 

Sandi Karrmann(3)

 $487,501  $487,501  $975,002 

(1)

Assumes target level performance.Cancelmi’s time-based RSUs vested on December 31, 2023.

 

(2)

Value is based on the NYSE closing price per share of our common stock on the date of grant (February 26, 2020: $27.80).

2024 PROXY STATEMENT

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Compensation Discussion & Analysis

LOGO

Best Practices Support Strong Compensation Governance

We maintain the following best practices to ensure our governance of executive compensation reflects our pay-for-performance philosophy and aligns the interests of our executives and shareholders.

     LOGO   Actively engage with investorsLOGO

Emphasize pay-for-performance

     LOGO   Maintain stock ownership and retention
   requirements for executives and non-employee
   directors
LOGO

Maintain Rule 10D-1 clawback policy

     LOGO   Conduct annual compensation risk assessmentsLOGO

Retain an independent compensation consultant

     LOGO   Cap payouts under the annual incentive plans and
   performance-based RSU awards
LOGO

Directors and executive officers cannot hedge or
pledge Company securities

     LOGO   No excise tax gross-ups on change-in-control
   severance benefits
LOGO

No backdating stock option grants or repricing of underwater stock options without shareholder approval

     LOGO   No excessive perquisitesLOGO

No current dividend payments on unvested equity awards

 

(3)

Ms. Karrmann forfeited her 2020 LTI awards upon her resignation.

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Compensation Discussion & Analysis

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Detailed Description and Analysis

2023 Compensation Decisions

Base Salary

Base salary provides our NEOs with a fixed base annual income and helps us attract and retain high-performing executives. The HR Committee sets base salaries for the NEOs each year considering individual performance reviews, internal pay equity considerations, the scope and complexity of the executive’s role, and an assessment of peer group and market survey data provided by our independent compensation consultant. In consideration of the data provided by our independent compensation consultant, no changes were made to base salaries for our NEOs in 2023.

Named Executive Officer

Annual Base Salary

  (as of December 31, 2023)  

The Company will disclose its achievement againstSaum Sutaria

$1,500,000

Dan Cancelmi

$  750,000

Tom Arnst

$  650,000

Lisa Foo

$  650,000

Paola Arbour

$  550,000

Annual Incentive Plan

Our Annual Incentive Plan (AIP) provides annual cash incentives to our executives that drive financial, operational and individual performance. The program is designed to motivate executives to meet objectives that matter to our investors and align with the Company’s long-term strategy. To that end, the HR Committee selects financial and operational metrics that our executives directly influence with challenging targets so that, in order to pay out, the Company must meet the goals communicated to shareholders. The AIP also includes (i) an individual performance component to focus directly on the contributions of each NEO and to reflect performance on qualitative factors like leadership, integrity, promotion of Company values, and positively influencing Company culture, and (ii) a quality and compliance multiplier that promotes a culture of quality and compliance by rewarding or penalizing executives for clinical events, adherence to policies and procedures, and audit results. Final individual payouts under the AIP are determined as follows:

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2024 PROXY STATEMENT

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Compensation Discussion & Analysis

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2023 Target Annual Incentive Award Levels for Named Executive Officers

In 2023, the HR Committee approved the following target bonus award levels for each NEO. In consideration of the data provided by our independent compensation consultant, no changes were made to target bonuses for the 2023 AIP.

Named Executive Officer

  Target Award Relative  
to Base Salary

Saum Sutaria

150%

Dan Cancelmi

100%

Tom Arnst

75%

Lisa Foo

75%

Paola Arbour

75%

2023 AIP Performance Metrics and Results

Funding for the 2023 AIP pool was based on the Company’s total annual Adjusted EBITDA (weighted 70%) and Adjusted FCF Less NCI (weighted 30%). Payout of each of these metrics could range from 0% to 200% depending on performance.

The HR Committee continued to use Adjusted EBITDA as the most significant metric because it remains the primary measure used by financial analysts and investors to judge the Company’s financial performance. The HR Committee also continued to use Adjusted FCF Less NCI as a metric because it captures the Company’s ability to sustainably generate cash that can be used for the Company’s long-term strategic goals, including acquisitions, investing in joint ventures, or repurchasing outstanding equity or debt securities, as well as other general corporate purposes. Furthermore, free cash flow generation allows the Company to fund growth without raising additional debt and can also be used to retire existing indebtedness, both of which enhance long-term shareholder value. Given the importance of Adjusted FCF Less NCI to both short-term and long-term value creation for shareholders, the HR Committee decided to continue using it in both the 2023 AIP and LTI programs.

When establishing the corporate performance metrics, the HR Committee is focused on establishing metrics that are challenging, but achievable, and in line with the Company’s public outlook guidance. As such, the Adjusted EBITDA target was set just slightly below 2022 Adjusted EBITDA, while the Adjusted FCF Less NCI target requires significant year-over-year improvement compared to 2022 Adjusted FCF Less NCI.

The Adjusted EBITDA and Adjusted FCF Less NCI threshold, target and maximum levels and actual performance, as well as the final funding pool, are set forth below:

Metric

 Threshold
Level
  

Target

Level

  Maximum
Level
  Actual
Performance
  Percentage
of Target
  

Weighted

Payout

Adjusted EBITDA(1)

 $3.160 billion  $3.260 billion  $3.360 billion  $3.541 billion   200 140% 

Adjusted FCF Less NCI(2)

 $660 million  $740 million  $820 million  $1.185 billion   200 60% 

Final Funding Pool

 

 200% of Target  

(1)

See Appendix A for definition of Adjusted EBITDA.

(2)

Adjusted Free Cash Flow (see Appendix A for definition) minus cash distributions paid to NCI as reflected on the applicableCompany’s consolidated statements of cash flows and actual performance metrics forreflects adjustments made at the 2020 Performance-Based RSUs following completiondiscretion of the three-year performance period.HR Committee after considering certain items that impacted cash flows in 2023.

Individual Performance Modifiers

After completion of the fiscal year, the HR Committee undertakes a robust individual performance review for our executive officers. These reviews allow the HR Committee to incorporate into the AIP program certain quantitative and qualitative elements tailored specifically to each executive’s role and circumstances. These reviews also allow the HR Committee to take into consideration factors such as integrity, promotion of Company values, and a positive influence on Company culture, which further the Company’s business objectives and strategies. The result is an individual performance multiplier applied to the calculated AIP amount that can range from 0% to 150%. The ratings are calibrated across the entire Company to ensure the AIP funding pool remains fixed.

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Compensation Discussion & Analysis

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For the Chairman and CEO, the HR Committee gathers feedback from select members of management and discusses the performance of the officer with the other independent members of the Board in executive session. For reviews of other executive officers, the Chairman and CEO provides the HR Committee a detailed evaluation and recommendation based in part on a self-assessment completed by each executive officer.

The HR Committee applied the following performance modifiers for our NEOs based on the material factors provided below.

Named Executive Officer

Individual
Performance
Multiplier
Performance Review Summary

Results of 2018 LTI AwardsLOGO

The performance cash LTI awards granted in March 2018 had a performance period of three years with performance measured across three equally weighted performance metricsDr. Sutaria

140%

  Drove key strategic and operating goals as set forth in the table below (achievement at target on any metric would result in 33.3% of the total payout). Two of our 2020 NEOs — Ms. Andrews and Mr. Cancelmi — received these grants, which vested in February 2021 following the HR Committee’s certificationpart of the Company’s achievement under thecontinuing transformative growth strategy

  Led strong financial and operating performance metrics. Although Ms. Karrmann was granted a 2018 performance cash LTI award, it was forfeited on her October 2020 departure.through sustained data-driven, disciplined management and strong operational execution

When considering

  Continued to strengthen the Company’s leadership team, as well as its ongoing commitment to diversity and an inclusive culture, to drive a high-performance culture committed to quality, safety and compliance

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Mr. Cancelmi

140%

  Drove enhanced liquidity and capital structure by the retiring or refinancing of a significant amount of debt, which eliminated any noteworthy debt maturities for the Company until 2027

  Provided leadership in driving the achievement of the Company exceeding its 2023 Adjusted EBITDA and Adjusted Free Cash Flow budget targets; 2023 operating results exceeded our external guidance each quarter, which resulted in us raising our full year earnings and cash flow guidance each quarter

  Facilitated the onboarding and smooth transition of responsibilities to our new Chief Financial Officer in advance of his retirement at the end of 2023

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Mr. Arnst

130%

  Led the continued strengthening of our legal and human resources teams to optimize performance and results

  Drove the ongoing streamlining of our legal and human resources functions as part of our continuing enterprise service delivery model and external spend cost management

  Championed the continuing shift of service functions to the GBC with over 3,500 roles successfully transitioned as of the end of 2023, as well as positioning the GBC for continued success

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Ms. Foo

130%

  Enhanced strategy and business development capabilities across the Company, including market-based initiatives to support high acuity growth across acute care and ambulatory surgery services

  Provided leadership in strategic capital deployment, physician engagement and capacity management to support continued volume recovery and sustained acuity improvement across the hospital portfolio

  Furthered enterprise initiatives across procurement in support of the Company’s efficiency agenda as well as in data & analytics in support of the Company’s data-driven operating model

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Ms. Arbour

120%

  Successfully executed against multi-year playbook of standardization to our enterprise Electronic Medical Record and Patient Management system for the Company’s acute care hospitals, while simultaneously migrating acute and corporate technology portfolio services to a new outsourced managed services provider

  Led a transformative cyber security program, and executed year-over-year productivity improvements through a consolidated and scalable organization with a business case operating model governing technology investments and vendor management across the enterprise

  Drove measurable performance gains with continued delivery of core clinical and infrastructure enhancements through software and cloud-based technology, reducing risks and enabling efficiency

2024 PROXY STATEMENT

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Compensation Discussion & Analysis

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Quality and Compliance Modifier

In addition, following the completion of the fiscal year the HR Committee reviews (i) negative hospital events that occurred during the fiscal year, such as any patterns of serious safety events and multiple condition level deficiencies during surveys, noncompliance resulting in immediate jeopardy, “needs improvement” or “unsatisfactory” audit ratings, and (ii) positive compliance and quality events, such as optimal internal audit results, optimal clinical compliance scorecard audit results and Centers for Medicare & Medicaid Services zero citation surveys. Following its review of 2023 quality and compliance performance, the HR Committee determined that no modification (positive or negative) would apply to the AIP awards for 2023 for the NEOs.

2023 AIP Payouts

The table below shows target and actual AIP awards earned by each NEO for 2023.

Named Executive Officer

 Target
AIP Payout
  

Calculated

AIP Payout

  Individual
Performance
Multiplier
  Compliance
Modifier
  2023 Actual
AIP Payout
 

Saum Sutaria

 $2,250,000  $4,500,000   140  0 $6,300,000 

Dan Cancelmi

 $750,000  $1,500,000   140  0 $2,100,000 

Tom Arnst

 $487,500  $975,000   130  0 $1,267,500 

Lisa Foo

 $487,500  $975,000   130  0 $1,267,500 

Paola Arbour

 $412,500  $825,000   120  0 $990,000 

Long-Term Incentive Compensation

2023 LTI Awards

In 2023, LTI compensation for executive officers (other than Mr. Cancelmi) was granted entirely in RSUs, comprised of 50% time-based awards vesting ratably over three years and 50% performance-based awards earned over a three-year performance period. In light of his announced retirement, Mr. Cancelmi received a grant of time-based RSUs that vested in full on December 31, 2023. The HR Committee believes that the Company’s long-term incentive compensation program provides alignment of management’s incentives with shareholder interests and encourages sustained value creation for shareholders.

Performance-Based RSUs

(50%)

  Earned based on Adjusted FCF Less NCI and Adjusted EPS, with goals set annually to reflect current conditions and business strategy with below threshold (0%), threshold (50%), target (100%), and max (200%)

  Subject to Relative TSR multiplier based on performance over the entire performance period (+/- 25% based on cumulative performance versus direct peers)

Time-Based RSUs

(50%)

  Solely subject to service-based vesting and forfeiture conditions

  Awards directly align executive and shareholder interests while encouraging retention throughout the three-year ratable vesting cycle

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Compensation Discussion & Analysis

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Performance Metrics

Rationale and Description

Adjusted Earnings Per Share

  Key metric for our shareholders because our Adjusted EPS drives share price performance

  Measures the Company’s per share profitability, excluding certain gains and losses

Adjusted Free Cash Flow Less Cash NCI (Adjusted Free Cash Flow)

  Sustained cash flow generation allows the Company to fund objectives important to the Company’s long-term strategy without raising additional debt

  Measures the Company’s ability to generate cash flows from operations that can be used for acquisitions, capital expenditures or repaying debt

Relative Total Shareholder
Return

  Comparing the Company’s share price performance overto peer companies rewards management’s ability to deliver above-market returns to long-term shareholders

  Measures the Company’s shareholder return against its three direct publicly traded hospital company peers: Community Health Systems, HCA Healthcare and Universal Health Services

  Three-year Relative TSR multiplier applied to full three-year performance period and measured relative to the HR Committee, onthree hospital company peers named above, with the recommendationpayout percentage earned for financial performance multiplied by 125% for ranking first, no change for second or third, and 75% for fourth (subject to an overall maximum payout percentage of management, excluded certain federal payments and tax deferrals that the Company received under the CARES Act. Specifically, the HR Committee excluded Medicare advance payments that the Company expects to be required to repay in addition to payroll tax deferrals225% of target for fiscal year 2020. The negative discretion reduced the Company’s Adjusted Free Cash Flow to $2.012 billion, resulting in a below-target payout of 10.732023).

2023 LTI Grant Values for Named Executive Officers

The following table summarizes the total target grant value of LTI awards granted in March 2023 to each of our NEOs. In determining target grant values for the 2023 LTI awards, the HR Committee determined to increase Dr. Sutaria’s target by approximately $3 million and Ms. Foo’s target by approximately $500,000 in an effort to bring target LTI opportunities between the 50th and 75th percentile of the peer group.

Named Executive Officer

 Performance-
Based RSUs(1)(2)
 Time-Based
RSUs(2)
 

Total 2023 LTI  

Grant Value  

Saum Sutaria

  $6,500,002  $6,500,002  $13,000,004  

Dan Cancelmi

   -0-  $2,000,046  $2,000,046  

Tom Arnst

  $1,000,023  $1,000,023  $2,000,046  

Lisa Foo

  $750,032  $750,032  $1,500,064  

Paola Arbour

  $500,041  $500,041  $1,000,082  

(1)

Assumes target level performance for the metric. Including such funds would have resulted in Adjusted Free Cash Flowfull performance-based RSU grant, which includes portions of $3.679 billion, well above the maximum payout.

The following table shows the Company’s results under eachaward for which there is not a grant date fair value for purposes of Accounting Standards Codification (ASC) Topic 718 as the applicable performance metrics measured overconditions had not yet been established at the three-year period ended December 31, 2020.time of grant.

 

2018 LTI Performance Metric

 Threshold  Target  Maximum  

Actual

Performance

  

Calculated

Payout

 

Adjusted Earnings per Share

 $6.82  $8.02  $9.22  $12.55   66.67 

Adjusted Free Cash Flow less NCI

 $1.978 billion  $2.327 billion  $2.676 billion  $2.012 billion   10.73 

Relative total shareholder return

  4th   3rd   1st   1st   66.67 

Total Pay Delivery

 

  144.06% of Target 
(2)

Additional Awards for Ms. Karrmann

In February 2020, Ms. Karrmann executed a cash bonus agreement pursuant to which she received $944,045 in connection withValue is based on the terminationNYSE closing price per share ($59.55) of our common stock on the USPI Holding Company, Inc. 2015 Stock Incentive Plan in which she participated. The cash bonus agreement provided for a full releasedate of claims in favor of the Company, USPI Holdings Company, Inc. and their respective affiliates.grant (March 1, 2023).

2021 PROXY STATEMENT41


Compensation Discussion & Analysis

The Company will disclose its achievement against the applicable performance metrics for the 2023 Performance-Based RSUs following completion of the three-year performance period.

Results of 2021 LTI Awards

The performance-based RSUs granted in February 2021 were divided into three equal one-year tranches, with performance in each year measured based on Adjusted EPS performance (weighted 50%) and Adjusted FCF Less NCI performance (weighted 50%), with a multiplier based on Relative TSR measured over the full three-year performance period that adjusts the total payout by +/- 25%. These grants vested in February 2024 following the HR Committee’s certification of the Company’s achievement under the performance metrics.

 

 

In addition, in February 2020, Ms. Karrmann was granted a cash-based long-term incentive award of $5,000,000, which was scheduled to vest in 20% increments on each of the first, second and third anniversaries of the grant date and 40% on the fourth anniversary, in each case, subject to her continued employment through such vesting dates. This award was granted in recognition of her strong performance at the Company and to encourage her long-term retention.2024 PROXY STATEMENT

In connection with her separation in October 2020, Ms. Karrmann forfeited the entirety of the cash-based long-term incentive award.

The Compensation Process

Role of the Human Resources Committee

51


Compensation Discussion & Analysis

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The following table shows the Company’s results under the 2021 performance-based RSUs over the three-year performance period ended December 31, 2023.

  

Performance Factor

 Threshold
(0%)
  FY 2021
Target
(100%)
  Maximum
(200%)
  Threshold
(0%)
  FY 2022
Target
(100%)
 Maximum
(200%)
  Threshold
(0%)
  FY 2023
Target
(100%)
  Maximum
(200%)
 
  

Adjusted EPS

  $2.51   $4.17   $4.81   $5.86  $6.45  $7.05   $4.68   $5.27   $5.85 

Result

  

 

 

 

 

 

  $7.58   

 

 

 

 

 

  

 

 

 

 

 

 $6.80  

 

 

 

 

 

  

 

 

 

 

 

  $6.98   

 

 

 

 

 

  

Adjusted FCF Less NCI

  $35M   $155M   $245M   $65M  $145M  $225M   $660M   $740M   $820M 

Result

  

 

 

 

 

 

  $641M   

 

 

 

 

 

  

 

 

 

 

 

 $(24)M  

 

 

 

 

 

  

 

 

 

 

 

  $1.183B   

 

 

 

 

 

  

Result

  

 

 

 

 

 

  200%   

 

 

 

 

 

  

 

 

 

 

 

 79%  

 

 

 

 

 

  

 

 

 

 

 

  200%   

 

 

 

 

 

Relative TSR Multiplier

  (125% for 1st / 75% for 4th) 

Result

  1st Place – 125% multiplier 

Final Result

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

 199.7%  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

2024 LTI Award Mix

For 2024, with the goal of increasing the focus on the Company’s long-term performance, the HR Committee has adjusted the LTI compensation for the Chairman and CEO to be granted 60% in performance-based RSUs and 40% in time-based RSUs. The HR Committee believes the increased performance-based RSUs will further enhance alignment between LTI compensation and the interests of our shareholders.

The Compensation Process

Role of the Human Resources Committee

The HR Committee is comprised entirely of independent directors and makes all compensation decisions regarding our NEOs. The HR Committee considers input from (i) the other independent members of our Board of Directors, (ii) the Company’s shareholders and (iii) its independent compensation consultant. In the case of NEOs other than the Chairman and CEO, the HR Committee also considers input and recommendations from the Chairman and CEO. The HR Committee’s decisions regarding compensation of these NEOs are made outside the presence of these officers. The HR Committee is also responsible for approving our executive compensation program and general compensation policies, all new or materially amended broad-based compensation plans and the performance measures used in our executive compensation programs, as well as generally overseeing our talent management processes and our anti-harassment policies and procedures.

Independent Compensation Consultant

The HR Committee continued to engage Meridian Compensation Partners, LLC (the “Consultant”) during 2023 as its independent compensation consultant to assist the HR Committee with its duties. The Consultant participated in or provided input with respect to all meetings of the HR Committee and regularly communicated with the HR Committee chair, who also serves as our NEOs. The HR Committee considers input from (i) the other independent members of our Board of Directors, (ii) the Company’s shareholders and (iii) its independent compensation consultant. In the case of NEOs other than the CEO, the HR Committee also considers input and recommendations from the CEO. The HR Committee’s decisions regarding compensation of our NEOs are made outside the presence of these officers. The HR Committee is also responsible for approving our executive compensation program and general compensation policies, all new or materially amended broad-based compensation plans and the performance measures used in our executive compensation programs.

Independent Compensation Consultant

The HR Committee has retained Frederic W. Cook & Co. (the “Consultant”) as its independent consultant to assist the Committee with its duties. In 2020, the Consultant participated in or provided input with respect to all meetings of the HR Committee and regularly communicated with the Committee Chair, who also serves as the Lead Director. This year, the Consultant’s services included:

 

Providing market data, industry trends and competitive analysis relative to our peers.peers;

Advising on the key elements of our executive compensation plans and policies.policies;

Reviewing our compensation peer group and suggesting changes, if warranted.warranted;

Advising on the adjustments toparameters for the 20202023 AIP and 2023 LTI program.program; and

Providing recommendations on the structure and competitiveness of compensation for our CEOChairman and COO.CEO.

Subject to the approval of the HR Committee, the Consultant meets with members of management to review management’s proposed compensation recommendations to the Committee, discuss compensation trends and best practices, and review Company compensation data. Any material information provided to management by the Consultant is

Subject to the approval of the HR Committee, the Consultant meets with members of management to review management’s proposed compensation recommendations to the Committee, discuss compensation trends and best practices, and review Company compensation data. Any material information the Consultant provided to management was disclosed to the HR Committee.

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Compensation Discussion & Analysis

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To safeguard the independence of the Consultant:

 

The HR Committee retains the Consultant, determines the terms and conditions of the Consultant’s engagement, and has the sole authority to approve the Consultant’s fees and other retention terms or to terminate the engagement.engagement;

The Consultant reports directly to the HR Committee and hashave direct access to the HR Committee Chairchair during and between meetings.meetings; and

The Consultant provides no services to the Company or management, except as related to executing the provisions of the HR Committee Charter, and with the knowledge and approval of the HR Committee Chair.chair.

The HR Committee has assessed the independence of the Consultant pursuant to SEC and NYSE rules and concluded that no conflict of interest exists in connection with the Consultant’s service as an independent advisor to the Committee.

Benchmarking Against Peer Companies

Each year the HR Committee reviews market compensation practices to evaluate the competitiveness of the Company’s pay levels and program design. Given the small number of publicly held healthcare providers and competition with not-for-profit companies, the HR Committee relies on a blend of peer group and market survey data to survey market practices. The HR Committee uses the peer group to assess whether executive officer pay levels are aligned with Company performance on a relative basis and considers the “market median” to be a helpful benchmark in setting compensation levels for our executive officers.

42LOGO

The HR Committee has assessed the independence of the Consultant engaged during 2023 pursuant to SEC and NYSE rules and concluded that no conflict of interest exists in connection with the Consultant’s service as an independent advisor to the Committee.

Benchmarking Against Peer Companies

Each year the HR Committee reviews market compensation practices to evaluate the competitiveness of the Company’s pay levels and program design. Given the small number of publicly held healthcare providers and competition with not-for-profit companies, the HR Committee relies on a blend of peer group and market survey data to survey market practices. The HR Committee uses the peer group to assess whether executive officer pay levels are aligned with Company performance on a relative basis and considers the “market median” to be a helpful benchmark in setting compensation levels for our executive officers.

2023 Peer Group

The Company currently has only three direct, publicly traded hospital company peers: Community Health Systems, Inc., HCA Healthcare, Inc. and Universal Health Services, Inc. As a result, in consultation with the Consultant, the HR Committee followed an objective selection process that looked to related industry segments with companies approximating Tenet in revenues, market capitalization, enterprise value and number of employees to ensure we retained a sufficiently large and appropriate peer group. In connection with the HR Committee’s review in August 2022, no changes were made for Tenet’s peer group for 2023.


Compensation Discussion & Analysis

 

Direct Peers

  Community Health Systems

  HCA Healthcare

  Universal Health Services

  

Additional Peers

  Baxter International

  Becton, Dickinson and Company

  Boston Scientific

  DaVita

  Encompass Health

  Henry Schein

  

 

  Humana

  LabCorp

  Molina Healthcare

  Quest Diagnostics

  Select Medical

  Stryker

 

2020 Peer Group

The Company currently has only three direct competitors that are publicly traded: Community Health Systems, Inc., HCA Healthcare, Inc. and Universal Health Services, Inc. As a result, in August 2019following chart illustrates Tenet’s size compared to the HR Committee followed an objective selection process that looked to related industry segments with companies approximating Tenet in2023 peer group median of revenues, market-capitalization, enterprise value and number of employees, to ensure we retained a sufficiently large and appropriate peer group. The selection process yielded 15 companies with similar business complexity. As compared to the 2019 peer group, based on the objective selection process, the HR Committee determined it was appropriate to remove Aetna, Cigna, Envision Healthcare and Kindred Healthcare and add Encompass Heath, Molina Healthcare and Select Medical.

Direct Peers

  Community Health Systems

  HCA Healthcare

  Universal Health Services

Additional Peers

  Baxter International

  Becton, Dickinson and Company

  Boston Scientific

  DaVita

  Encompass Health

  Genesis Healthcare

  Humana

  LabCorp

  Molina Healthcare

  Quest Diagnostics

  Select Medical

  Stryker

The following chart illustrates Tenet’s size compared to the 2020 peer group median of revenues, enterprise value and number of employees, using data provided to the HR Committee by the Consultant in August 2019.

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Market Survey Data

For 2020 compensation decisions, the HR Committee reviewed additional compensation data from the following third-party general-industry survey sources:

Survey

Targeted Annual Revenue of Companies Comprising
Data Used by Consultant

2019 Aon Hewitt Total Compensation Measurement survey

$10 billion to $25 billion

2019 Willis Towers Watson U.S. Compensation Database survey

$10 billion to $20 billion

2019 FW Cook Long-Term Incentives survey

$18.3 billion

The Consultant compiles data from these surveys relating to compensation levels for Tenet executive officers against the compensation levels received by executives holding similar positions at other companies. The Consultant then presents the data to the HR Committee in aggregated form, and the identity of the companies comprising the survey data is not disclosed to, or considered by the HR CommitteeConsultant in its decision-making process.

2021 PROXY STATEMENT43


Compensation Discussion & AnalysisAugust 2022.

 

 

Other Compensation, Benefits and Considerations

Perquisites

Perquisites for our NEOs are limited and generally represent an immaterial element of our executive compensation program. They largely consist of life insurance premiums, Company contributions to retirement programs available to other senior officers, and personal use of Company aircraft.

Upon the recommendation of an independent, third-party security study, the Company also provides Mr. Rittenmeyer a car and personal security driver that he primarily uses for commuting and local business travel. The HR Committee does not consider these security costs as personal benefits because they serve a business purpose arising from his employment as CEO. However, the Company is required to disclose the unreimbursed incremental costs associated with the personal use of the Company-provided car, including commuting expenses, as well as the personal security driver. The amounts of these services are disclosed in the Summary Compensation Table on page 48. The security study also recommended Mr. Rittenmeyer use Company aircraft for both business and personal use to ensure his safety. Our aircraft usage policy requires Mr. Rittenmeyer to reimburse us for any personal use of the corporate aircraft above 75 hours per year and allows Mr. Rittenmeyer to approve limited personal use of Company aircraft by certain other Company executives. In 2020, Mr. Rittenmeyer’s personal use of the corporate aircraft totaled approximately 11 hours. The unreimbursed incremental cost of his and other NEO’s use is disclosed in the Summary Compensation Table on page 48.

The Company does not provide tax gross-ups to NEOs except to Mr. Rittenmeyer exclusively to cover personal income tax obligations due to imputed income for use of a Company-provided car for security purposes. We do not provide our NEOs with any other significant perquisites.

Executive Severance Plan

The Tenet Executive Severance Plan (ESP) applies to certain of our NEOs in addition to other senior managers and officers of the Company. The ESP provides cash severance and other benefits that vary by position level, consistent with market practice. ESP participants do not receive gross ups of excise taxes that may be incurred upon a change of control.

Each of the NEOs, other than Mr. Rittenmeyer and Dr. Sutaria, participated in the ESP in 2020. The severance periods for the Company’s NEOs under the ESP were determined by the HR Committee based on (1) past company practice, (2) competitive data provided by the Consultant regarding the severance periods in place for executives of similar-sized companies and other healthcare peers, and (3) the HR Committee’s analysis of the financial impact of various severance compensation scenarios on each of these executives and the Company.

Provisions in the ESP and related severance agreements regarding non-competition, confidentiality, non-disparagement and non-solicitation as a condition of receipt of severance benefits under the ESP remain in effect for at least the period during which the severed executive is entitled to receive severance payments.

A more detailed description of the ESP is contained in “Potential Payments Upon Termination or Change of Control” beginning on page 56.

Executive Retirement Programs

Certain of our NEOs participate in our frozen Supplemental Executive Retirement Plan (SERP), our Executive Retirement Account (ERA) and our Sixth Amended and Restated Tenet 2006 Deferred Compensation Plan (Deferred Compensation Plan, or DCP). These programs are designed to provide retirement benefits to participating management-level employees, whose retirement benefits under our tax-qualified programs are otherwise limited under provisions of the Internal Revenue Code. Additional information regarding these programs is provided in the narrative discussion following the 2020 Pension Benefits Table on page 53 and under “Nonqualified Deferred Compensation” beginning on page 55.

Employee Benefits

Our NEOs participate in the Company’s broad-based programs generally available to all employees, including our 401(k) Retirement Savings Plan, health and dental and various other insurance plans, including disability and life insurance. Also, in connection with the SERP, we provide additional life insurance and accidental death and dismemberment insurance as described under “Potential Payments Upon Termination or Change of Control—Death, Disability and Retirement” beginning on page 57. These benefits are consistent with providing a total pay program that is sufficiently competitive with our peer companies to attract and retain highly qualified personnel.LOGO

 

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Compensation Discussion & Analysis

 

2024 PROXY STATEMENT

Tax Matters

Section 162(m) of the Internal Revenue Code (Section 162(m)) generally disallows a tax deduction to public companies for compensation in excess of $1,000,000 paid to certain “covered employees” in any single year. Prior to 2018, the HR Committee generally sought to structure our performance-based compensation elements in a manner intended, but not guaranteed, to qualify as “performance-based” for purposes of satisfying the conditions of an exemption to this limit on deductibility. For taxable years beginning after December 31, 2017, the Tax Cut and Jobs Act repealed this exemption from Section 162(m)’s deduction limit for all but certain grandfathered compensation arrangements that were in effect as of November 2, 2017. Because of ambiguities and uncertainties as to the application and interpretation of Section 162(m) and related regulations including the scope of relief for grandfathered arrangements, no assurance can be given that compensation awarded or paid in prior years and intended by the HR Committee to satisfy the requirements for deductibility under Section 162(m) will in fact be fully tax deductible. Notwithstanding the repeal of the “performance-based” compensation deduction pursuant to Section 162(m), the Company has continued to subject a significant portion of the incentive compensation payable to our NEOs to the achievement of one or more performance metrics specified by the HR Committee.

Compensation Governance Practices

Stock Ownership and Retention Requirements

The Board has adopted stock ownership and stock retention requirements for our non-employee directors and all Company officers with the title of Senior Vice President and above, to further align such individual’s economic interests with those of our shareholders. The ownership requirements must be met within five years from the date on which an individual becomes a director or senior officer, with two-year extensions in the event of a promotion.

Each senior officer is required to own shares of our stock with a value equal to the following multiple of his or her base salary:

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Compensation Discussion & Analysis

 

Executive Level

Market Value of Stock as a
Multiple of Base Salary

Chief Executive Officer

6x

President or Chief Operating Officer

4x

Executive Vice Presidents

2x

Senior Vice Presidents

1x

Shares counted toward the stock ownership requirements include: (i) shares of common stock held of record or in a brokerage account by the individual or his or her spouse; (ii) unvested restricted stock or RSUs; and (iii) stock units credited under deferred compensation plans. Outstanding stock options do not count toward satisfaction of the ownership requirements.

If a director or senior officer does not meet the applicable ownership requirements, he or she must retain 100% of any “net shares” received upon the exercise of stock options and the vesting of restricted stock or RSUs until such time as the requirements are met. For this purpose, “net shares” means the number of shares received upon exercise of stock options or upon vesting of restricted stock or RSUs less the number of shares sold or deducted to pay the exercise price (in the case of options), withholding taxes and any brokerage commissions.

All NEOs who are current employees of the Company comply with these requirements. All senior officers are required to certify that they are in compliance with these guidelines prior to executing a sale of the Company’s common stock.

Equity Grant Timing and Stock Option Exercise Prices

Historically, we have made annual equity awards to NEOs and other employees during the first quarter of the year in connection with annual executive compensation decisions. In accordance with the terms of our equity plans, the grant date of these awards is the date the HR Committee approves the grant, which usually occurs at a meeting scheduled more than one year in advance.

We occasionally may grant equity awards, including stock options, to newly hired employees, employees who have been promoted, or for special recognition, retention or other purposes outside of the annual grant process. For equity grants awarded outside of the annual grant cycle, the grant date generally is the first or 15th day of the month following hire or approval (or, if such date is not a trading day, the following date that is a trading day). The exercise price for all stock options is the NYSE closing

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2021 PROXY STATEMENT45


Compensation Discussion & Analysis

Market Survey Data

For 2023 compensation decisions, the HR Committee reviewed additional compensation data from the 2022 Willis Towers Watson U.S. Compensation Database survey, which includes companies with targeted annual revenue ranging from $10 billion to $20 billion. The Consultant compiles data from this survey relating to compensation levels for Tenet executive officers against the compensation levels received by executives holding similar positions at other companies. The Consultant then presents the data to the HR Committee in aggregated form, and the identity of the companies comprising the survey data is not disclosed to, or considered by, the HR Committee in its decision-making process.

Other Compensation, Benefits and Considerations

Perquisites

Perquisites for our NEOs are limited and generally represent an immaterial element of our executive compensation program. They largely consist of life insurance premiums, Company contributions to retirement programs available to other senior officers, and limited personal use of Company aircraft. We do not provide our NEOs with any other significant perquisites.

Dr. Sutaria’s amended and restated employment agreement with the Company (the “Sutaria Agreement”) requires Dr. Sutaria to reimburse us for any personal use of the corporate aircraft above 100 hours per year, and our aircraft usage policy allows the Chairman and CEO to approve limited personal use of Company aircraft by certain other Company executives. In 2023, Dr. Sutaria’s personal use of the corporate aircraft totaled approximately 22 hours. The unreimbursed incremental cost of his use is disclosed in the Summary Compensation Table on page 58.

Executive Severance Plan

The Tenet Executive Severance Plan (ESP) applies to certain of our NEOs in addition to other senior managers and officers of the Company. The ESP provides cash severance and other benefits that vary by position level, consistent with market practice. ESP participants do not receive gross-ups of excise taxes that may be incurred upon a change of control.

Each of the NEOs, other than Dr. Sutaria, would have been eligible to receive severance benefits under the ESP had they experienced a qualifying termination during 2023. The severance periods for the Company’s NEOs under the ESP were determined by the HR Committee based on (1) past company practice, (2) competitive data the Consultant provided regarding the severance periods in place for executives of similar-sized companies and other healthcare peers, and (3) the HR Committee’s analysis of the financial impact of various severance compensation scenarios on each of these executives and the Company.

Provisions in the ESP and related severance agreements regarding non-competition, confidentiality, non-disparagement and non-solicitation as a condition of receipt of severance benefits under the ESP remain in effect for at least the period during which the severed executive is entitled to receive severance payments.

A more detailed description of the ESP is contained in “Potential Payments Upon Termination or Change of Control” beginning on page 67.

Employee Benefits

Our NEOs participate in the Company’s broad-based benefit programs generally available to all employees, including our 401(k) Retirement Savings Plan, as well as health and dental and various other insurance plans, including disability and life insurance. These benefits are consistent with providing a total pay program that is sufficiently competitive with our peer companies to attract and retain highly qualified personnel.

Executive Retirement Programs

Our NEOs also participate in our Executive Retirement Account (ERA) and our Sixth Amended and Restated Tenet 2006 Deferred Compensation Plan (Deferred Compensation Plan, or DCP). Mr. Cancelmi also participates in our frozen Supplemental Executive Retirement Plan (SERP). These programs are designed to provide retirement benefits to participating management-level employees, whose retirement benefits under our tax-qualified programs are otherwise limited under provisions of the Internal Revenue Code. Additional information regarding these programs is provided in the narrative discussion following the 2023 Pension Benefits Table on page 64 and under “Nonqualified Deferred Compensation” beginning on page 66.

 

 

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price per share of our common stock on the date of grant or on the immediately preceding trading day if the date of grant is not a trading day. HR Committee approval is required in all cases where the recipient of the equity grant is a NEO or other senior officer.LOGO

Prohibition on Hedging or Pledging Our Stock

Our insider trading policy prohibits any director, NEO or any other officer or employee subject to its terms (approximately 60 people) from entering into short sales, derivative transactions or any other similar transactions designed to hedge or offset, any decrease in the market value of our stock, whether directly or indirectly. In addition, these directors, officers and employees are prohibited from pledging our stock, including through holding our stock in margin accounts. Our Code of Conduct prohibit all employees from engaging in any market transaction that could put their personal gain in conflict with the Company or its shareholders, including trading in options, warrants, puts, calls or similar derivative interests in Company securities.

Clawback Policies

All awards under our AIP, including for NEOs, are subject to clawback and forfeiture provisions under which the Board may require forfeiture or reimbursement to the Company of a cash bonus in the event of a material restatement of our financial results caused by the recipient’s fraud or in other circumstances involving material violations of Company policy, fraud or misconduct that cause substantial harm to the Company even in the absence of a restatement of financial statements. In addition, performance-based LTI awards made to our NEOs are subject to clawback if, within three years following the end of the performance period, the Company materially restates its financial results with respect to the performance period and the recipient’s fraud or misconduct caused or partially caused the need for the restatement.


Compensation Discussion & Analysis

 

46LOGO

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Compensation Governance Practices

Stock Ownership and Retention Requirements

The Board has adopted stock ownership and stock retention requirements for our non-employee directors and all Company officers with the title of Senior Vice President and above to further align their economic interests with those of our shareholders. The ownership requirements must be met within five years from the date on which an individual becomes a director or senior officer, with two-year extensions in the event of a promotion.

Each senior officer is required to own shares of our stock with a value equal to the following multiple of his or her base salary:


 

Executive Level

  

Market Value of Stock as a

Multiple of Base Salary

Chairman and Chief Executive Officer

6x

President or Chief Operating Officer

4x

Executive Vice Presidents

2x

Senior Vice Presidents

1x

Shares counted toward the stock ownership requirements include: (i) shares of common stock held of record or in a brokerage account by the individual or his or her spouse; (ii) unvested time-based restricted stock or RSUs; and (iii) stock units credited under deferred compensation plans. Outstanding stock options and unearned performance-based RSUs do not count toward satisfaction of the ownership requirements.

If a director or senior officer does not meet the applicable ownership requirements, he or she must retain 100% of any “net shares” received upon the exercise of stock options and the vesting of restricted stock or RSUs until such time as the requirements are met. For this purpose, “net shares” means the number of shares received upon exercise of stock options or upon vesting of restricted stock or RSUs less the number of shares sold or deducted to pay the exercise price (in the case of options), withholding taxes and any brokerage commissions.

All NEOs who are current employees of the Company comply with these requirements. All senior officers are required to certify that they are in compliance with these guidelines prior to executing a sale of the Company’s common stock.

Equity Grant Timing and Stock Option Exercise Prices

Historically, we have made annual equity awards to NEOs and other employees during the first quarter of the year in connection with annual executive compensation decisions. In accordance with the terms of our equity plans, the grant date of these awards is the date the HR Committee approves the grant, which usually occurs at a meeting scheduled more than one year in advance.

We occasionally may grant equity awards to newly hired employees, employees who have been promoted, or for special recognition, retention or other purposes outside of the annual grant process. For equity grants awarded outside of the annual grant cycle, the grant date generally is the first or 15th day of the month following hire or approval (or, if such date is not a trading day, the following date that is a trading day). The exercise price for all stock options is the NYSE closing price per share of our common stock on the date of grant or on the immediately preceding trading day if the date of grant is not a trading day. HR Committee approval is required in all cases where the recipient of the equity grant is a NEO or other senior officer.

Prohibition on Hedging or Pledging Our Stock

Our insider trading policy prohibits any director, executive officer or any other employee subject to its terms from entering into short sales, derivative transactions or any other similar transactions designed to hedge or offset, any decrease in the market value of our stock, whether directly or indirectly. In addition, these directors, officers and employees are prohibited from pledging our stock, including through holding our stock in margin accounts. Our Code of Conduct prohibits all employees from engaging in any market transaction that could put their personal gain in conflict with the Company or its shareholders, including trading in options, warrants, puts, calls or similar derivative interests in Company securities.

 

 

2024 PROXY STATEMENT

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Compensation Discussion & Analysis

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Clawback Policies

All awards under our AIP, including for NEOs, are subject to clawback and forfeiture provisions under which the Board may require forfeiture or reimbursement to the Company of a cash bonus in the event of a material restatement of our financial results caused by the recipient’s fraud or in other circumstances involving material violations of Company policy, fraud or misconduct that cause substantial harm to the Company even in the absence of a restatement of financial statements. In addition, performance-based LTI awards made to our NEOs prior to the adoption of our Rule 10D-1 Clawback Policy (described below) are subject to clawback if, within three years following the end of the performance period, the Company materially restates its financial results with respect to the performance period and the recipient’s fraud or misconduct caused or partially caused the need for the restatement.

In August 2023, we adopted a Rule 10D-1 Clawback Policy that is intended to comply with the requirements of NYSE Listing Standard 303A.14 implementing Rule 10D-1 under the Exchange Act. In the event the Company is required to prepare an accounting restatement of the Company’s financial statements due to material non-compliance with any financial reporting requirement under the federal securities laws, the Company will recover the excess incentive-based compensation received by any covered executive, including the NEOs, during the prior three fiscal years that exceeds the amount that the executive otherwise would have received had the incentive-based compensation been determined based on the restated financial statements.

 

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Human Resources Committee Report

Our Human Resources Committee (HR Committee) has reviewed and discussed with management the Compensation Discussion and Analysis above. Based on this review and these discussions, the HR Committee recommended to the Board of Directors that the Compensation Discussion and Analysis be incorporated by reference in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020,


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Human Resources Committee Report

Our Human Resources Committee has reviewed and discussed with management the Compensation Discussion and Analysis above. Based on this review and these discussions, the HR Committee recommended to the Board of Directors that the Compensation Discussion and Analysis be incorporated by reference in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, and included in this Proxy Statement.

Members of the Human Resources Committee

J. Robert Kerrey, Chair

Vineeta Agarwala, M.D, PhD

Richard W. Fisher

Christopher S. Lynch

Richard J. Mark

Tammy Romo

Stephen H. Rusckowski

 

2024 PROXY STATEMENT

 2021 PROXY STATEMENT4757



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Executive Compensation Tables

2023 Summary Compensation Table

The following table summarizes the compensation for the years ended December 31, 2020, 20192023, 2022 and 20182021 for our NEOs for 2020. Dr. Sutaria andNEOs. Ms. ArbourFoo became NEOs for the first time in 2019, and Ms. Karrmann became ana NEO for the first time in 2020.

2020 Summary Compensation Table2022.

 

Name and

Principal

Position

 Year Salary
($)
 Bonus
($)(1)
 Stock
Awards
($)(2)
 Option
Awards
($)
 Non-Equity
Incentive Plan
Compensation
($)(3)
 

Change in
Pension Value
and Nonqualified
Deferred
Compensation
Earnings

($)(4)

 All Other
Compensation
($)(5)
 Total
($)

Ron Rittenmeyer

Executive Chairman and

Chief Executive Officer

   2020   1,444,615   875,000   10,000,021(6)    -0-   3,948,750   -0-   407,143   16,675,529  
   2019   1,200,000   3,500,000   16,000,021   -0-   3,223,800   -0-   364,839   24,288,660  
   2018   1,513,846   2,625,000   8,716,976   -0-   1,799,460   -0-   328,739   14,984,021  

Saum Sutaria

President and Chief

Operating Officer

   2020   1,000,000   500,000   5,000,025   -0-   1,755,000   -0-   325,634   8,580,659  
   

 

2019

 

 

   961,539   -0-   11,000,016   -0-   1,731,300   -0-   258,569   13,951,423  

Dan Cancelmi

EVP and Chief Financial

Officer

   2020   641,385   250,000   2,500,054   -0-   2,169,160   1,620,368    39,529   7,220,496  
   2019   618,000   -0-   766,694   766,674   1,433,502   1,546,506   12,292   5,143,667  
   2018   618,000   -0-   766,670   766,674   570,290   292,830   12,080   3,026,544  

Audrey Andrews

EVP and General Counsel

   2020   550,000   -0-   1,500,032   -0-   1,347,713   1,207,934    8,671   4,614,350  
   2019   550,000   -0-   500,004   500,012   899,754   1,175,079   12,113   3,636,962  
   2018   550,000   -0-   500,003   500,008   396,516   342,367   11,935   2,300,829  

Paola Arbour

EVP and Chief Information

Officer

   2020   500,000   -0-   900,052   -0-   570,375   -0-   125,459   2,095,886  
   2019   500,000   -0-   266,690   266,674   559,688   -0-   108,400   1,701,452  

Sandi Karrmann

Former EVP and Chief Human

Resources Officer

   2020   423,077   944,045(7)    975,002   -0-   -0-   -0-    131,133   2,478,257  

Name and

Principal

Position

 Year  Salary
($)
  Bonus
($)
  Stock
Awards
($)(1)
  Non-Equity
Incentive Plan
Compensation
($)(2)
  Pension Value
and Nonqualified
Deferred
Compensation
Earnings
($)(3)
  All Other
Compensation
($)(4)
  Total
($)
 

Saum Sutaria

Chairman and Chief Executive Officer

  2023   1,500,000   -0-   10,130,393   6,300,000   -0-   587,717   18,518,109 
  2022   1,441,154   -0-   6,847,258   2,340,000   -0-   418,716   11,047,128 
  2021   1,146,154   -0-   15,000,119   4,500,000   -0-   507,399   21,153,672 

Dan Cancelmi

Former EVP and Chief Financial Officer

  2023   750,000   -0-   2,366,606   2,100,000   4,045,998   9,900   9,272,504 
  2022   740,178   -0-   2,054,149   780,000   -0-   33,757   3,608,084 
  2021   686,575   -0-   2,750,103   3,353,464   2,621,133   8,700   9,419,975 

Tom Arnst

EVP, Chief Administrative Officer, General Counsel and Corporate Secretary

  2023   650,000   -0-   1,614,898   1,267,500   -0-   139,900   3,672,298 
  2022   639,712   181,500   1,369,445   507,000   -0-   152,893   2,850,550 
  2021   461,538   -0-   1,500,094   1,580,000   -0-   128,700   3,670,332 

Lisa Foo

EVP, Commercial Operations

  2023   650,000   -0-   1,150,146   1,267,500   -0-   167,860   3,235,506 
  2022   630,385   150,000   684,713   507,000   -0-   158,998   2,131,096 

Paola Arbour

EVP and Chief Information Officer

  2023   550,000   -0-   807,541   990,000   -0-   119,900   2,467,441 
  2022   540,192   -0-   684,713   363,000   -0-   119,171   1,707,076 
  2021   500,000   -0-   900,036   1,414,584   -0-   108,846   2,923,466 

 

(1)

For Mr. Rittenmeyer, the 2020 value reflects the vesting of the final quarterly installment of a restricted cash awards granted pursuant to his Employment Agreement in 2018. For Dr. Sutaria and Mr. Cancelmi, these amounts reflect the 2020 Pandemic Special Bonuses described under “Pandemic Special Bonuses” in the Compensation Discussion & Analysis.

(2)

Values in this column for 20202023 represent the grant date fair value of time-based restricted stock unit awardsRSUs and performance-based restricted stock unit awards.RSUs calculated in accordance with ASC Topic 718. We calculate the grant date fair value of restricted stock unitstime-based RSUs based on the NYSE closing price per share of our common stock on the applicable date of grant, which was $27.90$59.55 on February 26, 2020. Performance-basedMarch 1, 2023. For purposes of the performance-based RSUs, only the first one-third tranche of the performance-based RSUs granted in 2023 (the “2023 PRSUs”) and only the second one-third tranche of the performance-based RSUs granted in 2022 (the “2022 PRSUs”), each of which vests based on 2023 performance (subject to the three-year Relative TSR multiplier), are shownreflected in this column for 2023. The grant date fair values per unit of the first tranche of the 2023 PRSUs and of the second tranche of the 2022 PRSUs are set forth below, which were determined assuming target achievement ofperformance for the applicable performance conditions. financial measures and using a Monte Carlo simulation including the assumptions set forth below:

   

Grant Date

Stock

Price

  Simulation Term  Volatility  Dividend Yield  

Risk-Free

Investment

Rate

  

Grant

Date Fair

Value

 

First Tranche of 2023 PRSUs

 

$

59.55

 

 

 

2.84 years

 

 

 

60.00

 

 

0.00

 

 

4.60

 

$

66.20

 

Second Tranche of 2022 PRSUs

 

$

56.50

 

 

 

1.89 years

 

 

 

53.61

 

 

0.00

 

 

4.47

 

$

58.00

 

If maximum performance were assumed, the performance-based RSUs included in these totals for 20202023 would be as follows: Dr. Sutaria: $2,250,049, Mr. Cancelmi: $2,812,561, Ms. Andrews: $1,687,536, Ms. Arbour: $1,012,559,set forth in the following table.

   

Sutaria

  

Cancelmi

  

Arnst

  

Foo

  

Arbour

 

First Tranche of 2023 PRSUs

 

 

5,419,397

 

 

 

-0-

 

 

 

833,673

 

 

 

625,292

 

 

 

416,911

 

Second Tranche of 2022 PRSUs

 

 

2,443,540

 

 

 

733,120

 

 

 

488,708

 

 

 

244,412

 

 

 

244,412

 

58

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Executive Compensation Tables

LOGO

The remaining tranches of the 2023 PRSUs and Ms. Karrmann: $1,096,877. Ms. Karrmann forfeited her 2020 equity awardsthe remaining tranche of the 2022 PRSUs will be reflected as compensation for the year in connection with her October resignation.which the applicable performance targets are established and a grant date fair value can be determined under ASC Topic 718.

 

(3)(2)

This column reflects cash awards earned under our AIP for performance in the relevant year. In addition, for 2020, this amount reflects the following payouts of our 2018 performance cash LTI awards for Ms. Andrews: $720,300 and Mr. Cancelmi: $1,022,272, which were paid in early 2021 based on performance from January 1, 2018 through December 31, 2020 as discussed further on page 41.

 

(4)(3)

The 20202023 amounts represent the change in the actuarial present value of accumulated benefits under our SERP as of December 31, 20202023 for Mr. Cancelmi, and Ms. Andrews, our only NEOsNEO who participateparticipates in the SERP. These amounts do not reflect compensation actually paid to the NEO. No NEO received preferential or above-market earnings on deferred compensation.

 

48LOGO


Executive Compensation Tables

(5)(4)

Amounts shown in this column for 20202023 include the following:

 

 

Rittenmeyer

 

Sutaria

 

Cancelmi

 

Andrews

 

Arbour

 

Karrmann

  

Sutaria

 

Cancelmi

 

Arnst

 

Foo

 

Arbour

 

Premiums for long-term disability and survivor benefit life insurance

 

 

128

 

 

 

145

 

 

 

124

 

 

 

121

 

 

 

118

 

 

 

118

 

Matching contributions under our 401(k) Retirement Savings Plan

 

 

-0-

 

 

 

8,550

 

 

 

8,550

 

 

 

8,550

 

 

 

8,550

 

 

 

8,550

 

 

 

9,900

 

 

 

9,900

 

 

 

9,900

 

 

 

9,900

 

 

 

9,900

 

Matching contributions under our 2006 DCP

 

 

-0-

 

 

 

66,939

 

 

 

-0-

 

 

 

-0-

 

 

 

16,791

 

 

 

22,465

 

 

 

70,200

 

 

 

-0-

 

 

 

-0-

 

 

 

27,960

 

 

 

-0-

 

Company contributions under our ERA

 

 

375,000

 

 

 

250,000

 

 

 

-0-

 

 

 

-0-

 

 

 

100,000

 

 

 

100,000

 

 

 

375,000

 

 

 

-0-

 

 

 

130,000

 

 

 

130,000

 

 

 

110,000

 

Personal use of company aircraft*

 

 

24,918

 

 

 

-0-

 

 

 

30,855

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

132,617

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

Personal use of Company car and driver provided for security reasons**

 

 

11,702

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

Total

 

 

407,143

 

 

 

325,634

 

 

 

39,529

 

 

 

8,671

 

 

 

125,459

 

 

 

131,133

 

 

 

587,717

 

 

 

9,900

 

 

 

139,900

 

 

 

167,860

 

 

 

119,900

 

 

 *

Amounts shown in this row represent the incremental costs associated with the personal use of our aircraft. Incremental costs include fuel costs, landing and parking fees, customs and handling charges, per hour accruals for maintenance service plans, passenger catering and ground transportation, crew travel expenses and other trip-related variable costs (including fees for contract crew members and the use of our fractional jet interest). Because our aircraft are used primarily for business travel, incremental costs exclude fixed costs that do not change based on usage, such as pilots’ salaries, aircraft purchase or lease costs, fractional jet interest management fees, home-base hangar costs and certain maintenance fees.

 

**

For business-related security reasons, a Company car and personal security driver were provided to Mr. Rittenmeyer primarily for commuting and local business travel. The car is valued based on the annualized cost of the car plus maintenance and fuel. For security personnel employed by the Company, the cost is the actual incremental cost of expenses incurred by the security personnel. Total salary and benefits are not allocated because the Company already incurs these costs for business purposes. The amount also includes $4,605 for a related tax gross-up benefit.

 

(6)

Reflects grant of time-based RSUs awarded to Mr. Rittenmeyer in connection with the extension of his employment agreement that vests in seven quarterly installments and is intended to further align his interests with those of shareholders over the remainder of his term of service as CEO and to reward continued stock price growth.2024 PROXY STATEMENT

(7)

Reflects the payment under Ms. Karrmann’s cash bonus agreement as described on page 41.

 2021 PROXY STATEMENT4959


Executive Compensation Tables

 

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Grants of Plan-Based Awards During 20202023

The following table sets forth information concerning grants of equity and performance cash awards made in 20202023 under our stock incentive plan2019 Stock Incentive Plan and grants of cash that potentially could have been earned in 20202023 under our AIP.

Grants of Plan-Based Awards Table

Name

 Award
Type(1)
 Grant
Date
 

 

Estimated Future Payouts
Under Non-Equity Incentive
Plan  Awards

   

 

  

 

Estimated Future Payouts
Under Equity Incentive
Plan Awards

  All
Other
Stock
Awards:
Number
of
Shares
of
Stock
or
Units
(#)
  

Grant
Date
Fair
Value

of
Stock
and
Option
Awards

($)(2)

 
 Threshold
($)
  Target
($)
  Maximum
($)
    

 

  Threshold
(#)
 Target
(#)
  Maximum
(#)
 

Ron Rittenmeyer

 

AIP

  

 

0

 

 

 

2,250,000

 

 

 

4,500,000

 

      
 

RSU

 

2/26/20

                           

 

359,713

 

 

 

10,000,021

 

Saum Sutaria

 

AIP

  

 

0

 

 

 

1,000,000

 

 

 

2,000,000

 

      
 

RSU

 

2/26/20

        

 

143,885

 

 

 

4,000,003

 

 

PRSU

 

2/26/20

                 

0

 

 

35,972

 

 

80,937

 

     

 

1,000,022

 

Dan Cancelmi

 

AIP

  

 

0

 

 

 

650,000

 

 

 

1,300,000

 

      
 

RSU

 

2/26/20

        

 

44,965

 

 

 

1,250,027

 

 

PRSU

 

2/26/20

                 

0

 

 

44,965

 

 

 

101,171

     

 

1,250,027

 

Audrey Andrews

 

AIP

  

 

0

 

 

 

412,500

 

 

 

825,000

 

      
 

RSU

 

2/26/20

        

 

26,979

 

 

 

750,016

 

 

PRSU

 

2/26/20

                 

0

 

 

26,979

 

 

 

60,703

     

 

750,016

 

Paola Arbour

 

AIP

  

 

0

 

 

 

375,000

 

 

 

750,000

 

      
 

RSU

 

2/26/20

        

 

16,188

 

 

 

450,026

 

 

PRSU

 

2/26/20

                 

0

 

 

16,188

 

 

 

36,423

     

 

450,026

 

Sandi Karrmann

 

AIP

  

 

0

 

 

 

375,000

 

 

 

750,000

 

      
 

RSU

 

2/26/20

        

 

17,536

 

 

 

487,501

 

 

PRSU

 

2/26/20

                 

0

 

 

17,536

 

 

 

39.456

 

     

 

487,501

 

   
Estimated Future Payouts
Under Non-Equity Incentive
Plan Awards
     
Estimated Future Payouts
Under Equity Incentive
Plan Awards
  

All Other

Stock Awards:

Number of

Shares of

Stock or

Units

(#)

  

Grant Date

Fair Value

of Stock

and Option

Awards

($)(2)

 

Name

 

Award

Type(1)

 

Grant

Date

 

Threshold

($)

 

Target

($)

  

Maximum

($)

   

 

  

Threshold

(#)

 

Target

(#)

  

Maximum

(#)

 

Saum Sutaria

 

AIP

  

0

 

 

2,250,000

 

 

 

6,750,000

 

      
 

RSU

 

3/1/23

        

 

109,152

 

 

 

6,500,002

 

 

2023 PRSU

 

3/1/23

     

0

 

 

36,384

 

 

 

81,864

 

  

 

2,408,621

 

  

2022 PRSU

 

2/9/23

               

0

 

 

21,065

 

 

 

42,130

 

     

 

1,221,770

 

Dan Cancelmi

 

AIP

  

0

 

 

750,000

 

 

 

2,250,000

 

      
 

RSU

 

3/1/23

        

 

33,586

 

 

 

2,000,046

 

 

2022 PRSU

 

2/9/23

               

0

 

 

6,320

 

 

 

12,640

 

     

 

366,560

 

Tom Arnst

 

AIP

  

0

 

 

487,500

 

 

 

1,462,500

 

      
 

RSU

 

3/1/23

        

 

16,793

 

 

 

1,000,023

 

 

2023 PRSU

 

3/1/23

     

0

 

 

5,597

 

 

 

12,593

 

  

 

370,521

 

  

2022 PRSU

 

2/9/23

               

0

 

 

4,213

 

 

 

8,426

 

     

 

244,354

 

Lisa Foo

 

AIP

  

0

 

 

487,500

 

 

 

1,462,500

 

      
 

RSU

 

3/1/23

        

 

12,595

 

 

 

750,032

��

 

2023 PRSU

 

3/1/23

     

0

 

 

4,198

 

 

 

9,446

 

  

 

277,908

 

  

2022 PRSU

 

2/9/23

               

0

 

 

2,107

 

 

 

4,214

 

     

 

122,206

 

Paola Arbour

 

AIP

  

0

 

 

412,500

 

 

 

1,237,500

 

      
 

RSU

 

3/1/23

        

 

8,397

 

 

 

500,041

 

 

2023 PRSU

 

3/1/23

     

0

 

 

2,799

 

 

 

6,298

 

  

 

185,294

 

  

2022 PRSU

 

2/9/23

               

0

 

 

2,107

 

 

 

4,214

 

     

 

122,206

 

 

(1)

AIP Awards.Awards designated “AIP” are awards that our NEOs might have earned during 20202023 under our Annual Incentive Plan, dependent upon our 20202023 performance. Awards actually earned are shown in the Non-Equity Incentive Plan Compensation column of the 20202023 Summary Compensation Table on page 48.58.

 

Time-Based Restricted Stock Unit Awards.Awards designated “RSU” reflect time-based restricted stock unit awardsRSUs under our 20082019 Stock Incentive Plan. TheOther than with respect to the RSUs granted to Mr. Rittenmeyer on February 26, 2020 vest quarterly in seven equal installments. The remainingCancelmi, the RSUs granted on February 26, 2020 vest ratably over each of the first three anniversaries of the grant date. The RSUs granted to Mr. Cancelmi vested on December 31, 2023.

 

Performance-Based Restricted Stock Unit Awards.Awards designated “PRSU” reflect the first one-third tranche of the performance-based restricted stock unit awardsRSUs granted under our 2019 Stock Incentive Plan.Plan in 2023 and the second one-third tranche of the performance-based RSUs granted under our 2019 Stock Incentive Plan in 2022. The PRSUs granted on February 26, 2020 are subject to the satisfaction of financial and stock price performance conditions further discussed on page 40.50.

60

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Executive Compensation Tables

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(2)

We calculate the grant date fair value of restricted stock unitstime-based RSUs based on the NYSE closing price per share of our common stock on the applicable date of grant, which was $27.90$59.55 on February 26, 2020.March 1, 2023. For purposes of the performance-based RSUs, only the first one-third tranche of the 2023 PRSUs and only the second one-third tranche of the 2022 PRSUs, each of which vests based on 2023 performance (subject to the three-year Relative TSR multiplier), are reflected in this column for 2023. The grant date fair values per unit of the first tranche of the 2023 PRSUs and of the second tranche of the 2022 PRSUs are set forth below, which were determined assuming target performance for the financial measures and using a Monte Carlo simulation including the assumptions set forth below:

 

   Grant Date
Stock
Price
  Simulation Term  Volatility  Dividend Yield  Risk-Free
Investment
Rate
  Grant
Date Fair
Value
 

First Tranche of 2023 PRSUs

 

$

59.55

 

 

 

2.84 years

 

 

 

60.00

 

 

0.00

 

 

4.60

 

$

66.20

 

Second Tranche of 2022 PRSUs

 

$

56.50

 

 

 

1.89 years

 

 

 

53.61

 

 

0.00

 

 

4.47

 

$

58.00

 

50LOGO

Although approved by the Committee in February of 2022 and March of 2023, respectively, the third tranche of the 2022 PRSUs and the second and third tranches of the 2023 PRSUs will not have an ASC Topic 718 grant date fair value until the applicable performance conditions are established in early 2024 and early 2025. Accordingly, such tranches will be reported as 2024 and 2025 grants, as applicable, under applicable SEC guidance.

Narrative Disclosure to Summary Compensation Table and Grants of Plan-Based Awards Table

Sutaria Employment Agreement

Dr. Sutaria and the Company are parties to the Sutaria Agreement, which provides for an initial term from September 1, 2021 through December 31, 2025, with automatic one-year renewals unless either party provides advance notice of their intention not to renew and subject to earlier termination in accordance with the terms of the agreement. In addition to setting forth standard terms regarding minimum base salary, target bonus under the AIP, eligibility for LTI awards and employee benefits, the Sutaria Agreement provides for an annual Company contribution to the ERA of no less than $250,000.

The Sutaria Agreement includes severance payments and benefits in the event of a qualifying termination, as described in further detail beginning on page 67.

 


Executive Compensation Tables

2024 PROXY STATEMENT

 

61


Executive Compensation Tables

 

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Outstanding Equity Awards

The following table sets forth information as of December 31, 20202023 with respect to outstanding equity awards granted to each of the NEOs. Where applicable, the numbers of securities and values in this table and throughout this Proxy Statement have been adjusted for the reverse stock split effective October 11, 2012.

Outstanding Equity Awards at 20202023 Fiscal Year-End Table

 

     Option Awards(1)  Stock Awards 

Name

 Grant
Date
  

Number of

Securities

Underlying

Unexercised

Options (#)

Exercisable(1)

  Equity
Incentive
Plan
Awards:
Number of
Securities
Underlying
Unexercised
Unearned
Options
  Option
Exercise
Price
($)
  Option
Expiration
Date
  Number of
Shares or
Units of
Stock that
have not
Vested
(#)
  Market
Value of
Shares or
Units of
Stock
that
have not
Vested
($)(2)
  Equity
Incentive
Plan
Awards:
Number
of
Unearned
Shares,
Units or
Other
Rights
that have
not
Vested
(#)
  

Equity
Incentive
Plan
Awards:
Market
or
Payout
Value

of
Unearned

Shares,
Units or
Other
Rights
that have
not
Vested
($)(2)

 

Ron Rittenmeyer

 

 

2/27/19

 

                 

 

125,816

(3) 

 

 

5,023,833

 

        
  

 

2/26/20

 

                 

 

261,610

(4) 

 

 

10,446,087

 

        

Total values

                         

$

15,469,920

 

        

Saum Sutaria

 

 

1/31/19

 

                 

 

318,327

(5) 

 

 

12,710,797

 

        
  

 

2/27/19

 

                 

 

94,362

(6) 

 

 

3,767,875

 

        
  

 

2/26/20

 

                 

 

143,885

(6) 

 

 

5,745,329

 

        
  

 

2/26/20

 

                         

 

35,972

(7) 

 

$

1,436,362

 

Total values

                         

$

22,224,001

 

     

$

1,436,362

Dan Cancelmi

 

 

9/28/12

 

 

 

37,500

 

     

 

25.08

 

 

 

9/28/22

 

                
  

 

3/1/17

 

 

 

89,976

     

 

18.99

 

 

 

3/1/27

 

                
  

 

2/28/18

 

     

 

86,826

 

 

 

20.60

 

 

 

2/28/28

 

                
  

 

2/28/18

 

                 

 

12,406

(6) 

 

 

495,372

 

        
  

 

2/27/19

 

     

 

61,383

 

 

 

28.26

 

 

 

2/27/29

 

                
  

 

2/27/19

 

                 

 

18,087

(6) 

 

 

722,214

 

        
  

 

2/26/20

 

                 

 

44,965

(6) 

 

$

1,795,452

 

        
  

 

2/26/20

 

                         

 

44,965

(7) 

 

$

1,795,452

 

Total values

                         

$

3,013,038

 

     

$

1,795,452

     Option Awards(1)  Stock Awards 

Name

 Grant
Date
  Number of
Securities
Underlying
Unexercised
Options (#)
Exercisable
  Number of
Securities
Underlying
Unexercised
Options (#)
Unexercisable
  Option
Exercise
Price
($)
  Option
Expiration
Date
  

Number of
Shares or
Units of
Stock That
Have Not
Vested

(#)

  Market
Value of
Shares or
Units of
Stock
That
Have Not
Vested
($)(2)
  

Equity
Incentive
Plan
Awards:
Number
of
Unearned
Shares,
Units or
Other
Rights
That Have
Not
Vested

(#)

  

Equity
Incentive
Plan
Awards:
Market

or

Payout
Value

of
Unearned
Shares,
Units or
Other
Rights
That Have
Not
Vested
($)(2)

 

Saum Sutaria

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  25,229(3)   1,906,556   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  113,362(4)   8,556,766   

 

 

 

 

 

  

 

 

 

 

 

 

 

  9/1/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  53,341(5)   4,030,979   

 

 

 

 

 

  

 

 

 

 

 

 

 

  9/1/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  106,682(6)   8,061,959 
 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  42,131(3)   3,183,840   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  84,260(7)   6,367,528 
 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  109,152(3)   8,248,617   

 

 

 

 

 

  

 

 

 

 

 

 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  81,864(8)   6,186,462 

Dan Cancelmi

  2/27/19   61,383      28.26   2/27/29   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  8,673(3)   655,419   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  51,958(4)   3,926,466   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  12,640(3)   955,205   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  25,278(7)   1,910,258 

Tom Arnst (9)

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  4,731(3)   357,522   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  28,344(4)   2,141,956   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  8,427(3)   636,828   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  17,872(7)   1,350,549 
 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  16,793(3)   1,269,047   

 

 

 

 

 

  

 

 

 

 

 

 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  12,593(8)   951,672 

 

62 2021 PROXY STATEMENT

LOGO

  51


Executive Compensation Tables

 

LOGO

     Option Awards(1)  Stock Awards 

Name

 Grant
Date
  

Number of

Securities

Underlying

Unexercised

Options (#)

Exercisable(1)

  Equity
Incentive
Plan
Awards:
Number of
Securities
Underlying
Unexercised
Unearned
Options
  Option
Exercise
Price
($)
  Option
Expiration
Date
  Number of
Shares or
Units of
Stock that
have not
Vested
(#)
  Market
Value of
Shares or
Units of
Stock
that
have not
Vested
($)(2)
  Equity
Incentive
Plan
Awards:
Number
of
Unearned
Shares,
Units or
Other
Rights
that have
not
Vested
(#)
  

Equity
Incentive
Plan
Awards:
Market
or
Payout
Value

of
Unearned

Shares,
Units or
Other
Rights
that have
not
Vested
($)(2)

 

Audrey Andrews

 

 

2/28/18

 

     

 

56,626

 

 

 

20.60

 

 

 

2/28/28

 

                
  

 

2/28/18

 

                 

 

8,091

(6) 

 

 

323,074

 

        
  

 

2/27/19

 

     

 

40,033

 

 

 

28.26

 

 

 

2/27/29

 

                
  

 

2/27/19

 

                 

 

11,796

(6) 

 

 

471,014

 

        
  

 

2/26/20

 

                 

 

26,979

(6) 

 

$

1,077,271

 

        
  

 

2/26/20

 

                         

 

26,979

(7) 

 

$

1,077,271

 

Total values

                         

$

1,871,359

 

     

 

1,077,271

Paola Arbour

 

 

5/31/18

 

     

 

17,205

 

 

 

35.43

 

 

 

5/31/28

 

                
  

 

5/31/18

 

                 

 

2,509

(6) 

 

$

100,184

 

        
  

 

2/27/19

 

     

 

21,351

 

 

 

28.26

 

 

 

2/27/29

 

                
  

 

2/27/19

 

                 

 

6,292

(6) 

 

$

251,240

 

        
                      

 

16,188

(6) 

 

$

646,387

 

        
                              

 

16,188

(7) 

 

$

646,387

 

Total values

                         

$

997,811

 

     

$

646,387

Sandi Karrmann(8)

                                    

     Option Awards(1)  Stock Awards 

Name

 Grant
Date
  Number of
Securities
Underlying
Unexercised
Options (#)
Exercisable
  Number of
Securities
Underlying
Unexercised
Options (#)
Unexercisable
  Option
Exercise
Price
($)
  Option
Expiration
Date
  

Number of
Shares or
Units of
Stock That
Have Not
Vested

(#)

  Market
Value of
Shares or
Units of
Stock
That
Have Not
Vested
($)(2)
  

Equity
Incentive
Plan
Awards:
Number
of
Unearned
Shares,
Units or
Other
Rights
That Have
Not
Vested

(#)

  

Equity
Incentive
Plan
Awards:
Market

or

Payout
Value

of
Unearned
Shares,
Units or
Other
Rights
That Have
Not
Vested
($)(2)

 

Lisa Foo

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  1,104(3)   83,429   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  6,615(4)   499,896   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  4,214(3)   318,452   

 

 

 

 

 

  

 

 

 

 

 

  

 

2/23/22

 

                         

 

8,426

(7) 

 

 

636,753

 

  

 

3/1/23

 

                 

 

12,595

(3) 

 

 

951,804

 

        
  

 

3/1/23

 

                         

 

9,446

(8) 

 

 

713,796

 

Paola Arbour

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  2,839(3)   214,543   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/24/21   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  17,006(4)   1,285,143   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  4,214(3)   318,452   

 

 

 

 

 

  

 

 

 

 

 

 

 

  2/23/22   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  8,426(7)   636,753 
 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  8,397(3)   634,561   

 

 

 

 

 

  

 

 

 

 

 

 

 

  3/1/23   

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  6,298(8)   475,921 

 

(1)

All options have a term of 10 years. Performance based stock options granted in 2018 and 2019 vest only if the Company’s stock price increases 25% from grant date and remains at or above that level for 20 consecutive trading days.

 

(2)

Based on the NYSE closing price of $39.93$75.57 per share of our common stock on December 31, 2020.29, 2023, the last trading day of 2023.

 

(3)

These time-based restrict stock units vest quarterly in equal installments ending on June 30, 2021.

(4)

These time-based restricted stock units vest quarterly in equal installments ending on December 31, 2022.

(5)

These time-based restricted stock units vest on January 6, 2022.

(6)

These time-based restricted stock unitsRSUs vest in equal installments on each of the first three anniversaries of the date of grant.

 

(7)(4)

These performance-based restricted stock units will vestRSUs became earned at 199.7% of target at the end of the three-year performance period endingended December 31, 2022,2023. The earned performance-based RSUs vested on February 24, 2024.

(5)

These time-based RSUs vest on August 31, 2025.

(6)

These performance-based RSUs will vest on August 31, 2025, subject to the achievement of Adjusted Earnings Per Share and Adjusted Free Cash Flow Less NCIannual performance goals for each year (or partial year) within the three-year performance period beginning January 1, 2021 and ending June 30, 2025, as modified by the Relative Total Shareholder Return modifierTSR multiplier measured over the entirety of the performance period. The amount reported here represents the maximum performance-based restricted stock unitsRSUs that may be earned.

 

(8)(7)

Ms. Karrmann forfeited her outstanding unvested equity awards in connectionThese performance-based RSUs will vest on February 23, 2025 following the end of the three-year performance period ended December 31, 2024, subject to the achievement of Adjusted EPS and Adjusted FCF Less NCI performance goals for 2022 and 2023, as modified by the Relative TSR multiplier measured over the entirety of the performance period. The amount reported here represents the maximum performance-based RSUs that may be earned with her separation.respect to the first and second tranches of these awards.

 

(8)
52LOGO

These performance-based RSUs will vest on March 1, 2026 following the end of the three-year performance period ended December 31, 2025, subject to the achievement of Adjusted EPS and Adjusted FCF Less NCI performance goals for 2023, as modified by the Relative TSR multiplier measured over the entirety of the performance period. The amount reported here represents the maximum performance-based RSUs that may be earned with respect to the first tranche of these awards


Executive Compensation Tables

(9)

The following outstanding equity awards reported for Mr. Arnst in these rows were transferred pursuant to a domestic relations order: (i) 575 time-based RSUs granted on February 24, 2021; and (ii) 3,443 performance-based RSUs granted on February 24, 2021 (based on actual performance through December 31, 2023).

 

2024 PROXY STATEMENT

63


Executive Compensation Tables

LOGO

Option Exercises and Stock Vested

The following table sets forth certain information regarding stock options exercised and restricted stock unit awards vested during 20202023 for the NEOs.

20202023 Option Exercises and Stock Vested Table

 

Option AwardsStock Awards Option Awards Stock Awards

Name

Number of
Shares
Acquired on
Exercise
(#)

Value Realized

on Exercise
($)(1)

Number of Shares
Acquired on Vesting
(#)

Value Realized

on Vesting
($)(2)

Ron Rittenmeyer

 

408,526

 

9,628,958

 

409,664

 

10,251,274

Name

Name

Name

Name

 

Number of
Shares
Acquired on
Exercise

(#)

 

 

Value Realized
on Exercise ($)(1)

 

 

Number of Shares
Acquired on Vesting
(#)

 

 

Value Realized  
on Vesting  
($)(2)  

 

Saum Sutaria

 

0

 

0

 

47,181

 

1,261,620

Saum Sutaria

Saum Sutaria

Saum Sutaria

Saum Sutaria

Dan Cancelmi

 

0

 

0

 

34,907

 

921,516

Audrey Andrews

 

58,680

 

1,295,842

 

22,765

 

600,977

Dan Cancelmi

Dan Cancelmi

Dan Cancelmi

Dan Cancelmi

Tom Arnst

Tom Arnst

Tom Arnst

Tom Arnst

Tom Arnst

Lisa Foo

Lisa Foo

Lisa Foo

Lisa Foo

Lisa Foo

Paola Arbour

 

0

 

0

 

5,654

 

138,693

Sandi Karrmann

 

0

 

0

 

3,145

 

84,097

Paola Arbour

Paola Arbour

Paola Arbour

Paola Arbour

 

(1)

Calculated by multiplying the number of stock options exercised by the difference between the market price of common stock on the exercise date of exercise and the exercise price. The values shown do not represent proceeds earnedthe total value of shares received by the NEOs, as shares were withheldsold to cover applicable taxes.

 

(2)

Calculated by multiplying the number of shares vested by the market price of common stock on the vesting date. The values shown do not represent proceeds earnedthe total value of shares received by the NEOs, as shares were withheld to cover applicable taxes.

(3)

Includes 10,535 RSUs transferred pursuant to a domestic relations order.

Pension Benefits

The following table sets forth information as of December 31, 20202023 with respect to our SERP, which provides for payments or other benefits that will become payable following a six-month delay, in connection with the retirement of the following participating NEOs.Mr. Cancelmi.

20202023 Pension Benefits Table

 

Name

Name

Plan NameNumber of Years
Credited  Service
(#)(1)
Present Value
of Accumulated
Benefit
($)(2)(3)

Payments During Last

Fiscal Year

($)

 

Plan
Name

 

 

Number of Years of
Credited Service(1)

 

 

Present Value
of Accumulated
Benefit

($)(2)(3)(4)

 

 

Payments During Last  

Fiscal Year

 

Dan Cancelmi

 SERP 20 10,042,700(4)  -0-

Audrey Andrews

 SERP 20 6,602,489(4)  -0-

Dan Cancelmi

 SERP 20 13,707,516 -0-

 

(1)

Credited service under the SERP is limited to a maximum of 20 years.

 

(2)

Computed as of December 31, 2020,2023, the same pension plan measurement date used for financial statement reporting purposes with respect to our consolidated financial statements for the year ended December 31, 2020,2023, which are included in our Annual Report on Form 10-K.

 

(3)

Determined using the benefit formula, age and service credits, and final average earnings as of December 31, 2020,2023, using: (i) the assumption that retirement age is age 62, which is the earliest age at which a participant under the SERP may retire or terminate employment without a reduction in benefits; (ii) actuarial tables used in calculating life expectancies; and (iii) a discount rate of 2.75%5.50%.

 

(4)

The amount shown is the present value of the full accumulated benefit amount under the SERP; however, the amount received under the SERP upon retirement will be offset by any benefit received under the ERA and other retirement benefits. For more information on amounts payable under the ERA, see the 20202023 Nonqualified Deferred Compensation Table on page 55.66.

 

64

LOGO


Executive Compensation Tables

LOGO

Supplemental Executive Retirement Plan

Mr. Cancelmi and Ms. Andrews are participantsis the only NEO who participates in our SERP, which provides supplemental retirement benefits in the form of retirement payments for life, generally commencing on the first day of the month following an executive’s retirement from Tenet after reaching age 62, subject to the six-month delay applicable to key employees under Section 409A of the Internal Revenue

2021 PROXY STATEMENT53


Executive Compensation Tables

Code of 1986 (Section 409A). At retirement, the annual benefit (paid on a monthly basis) to a participant will be a product of four factors:

 

    

Highest average monthly earnings (base

(base salary and annual cash bonus

under our AIP) for any consecutive

60-month period during the

10 years preceding retirement

 x  X 

Years

of credited

services

  x  X 

Vesting

factor

  x  X  

Percentage factor

(to offset certain other

retirement benefits)

                      

The monthly SERP benefit is reduced in the event of a participant’s early retirement (age 55 with 10 years of service) or termination of employment prior to age 62 by 3% for each year that employment termination occurs before age 62 (subject to a maximum reduction of 21%). Monthly SERP benefits are further reduced by an additional 3% each year if benefits begin to be paid prior to age 62. Unreduced retirement benefits under the SERP are available for participants who terminate on or after age 62.

In the event of a change of control, participants fully vest in their SERP benefits and no early retirement or payment reduction will apply. SERP benefits payable in the event of a termination of employment within two years following a change of control event described in Section 409A will commence on the first day of the month following the participant’s termination of employment, subject to the six-month delay applicable to key employees under Section 409A. Otherwise, any SERP benefits payable following a change of control will be paid at normal retirement or early retirement as described above.

None of our NEOs has received credited service under the SERP for years not worked for the Company or its acquired entities, however, the ESP, which was adopted in 2006, would provide each NEO with continued accrual of age and service credit under the SERP during his or her “severance period.” The SERP and ESP have been amended to eliminate these accruals during the severance period for employees that became SERP participants after August 3, 2011.

 

 

54 LOGO


Executive Compensation Tables

2024 PROXY STATEMENT

 

65


Executive Compensation Tables

 

LOGO

Nonqualified Deferred Compensation

The following table sets forth information as of December 31, 20202023 with respect to our deferred compensation plans.

20202023 Nonqualified Deferred Compensation Table

 

Name

Plan
Name(1)
Executive
Contributions
in Last
Fiscal Year
($)(2)
Registrant
Contributions
in Last
Fiscal Year
($)(3)
Aggregate
Earnings
in Last
Fiscal  Year
($)(4)
Aggregate
Withdrawals/
Distributions
($)

Aggregate
Balance
at Last
Fiscal
Year End 

($)(5)

Ron Rittenmeyer

 

DCP

 

-0-

 

-0-

 

-0-

 

-0-

 

-0-

 

ERA

 

-0-

 

375,000

 

12,502

 

-0-

 

982,956

Name

Name

Name

Name

 

Plan

Name(1)

 

 

Executive
Contributions
in Last
Fiscal Year
($)(2)

 

 

Registrant
Contributions
in Last
Fiscal Year
($)(3)

 

 

Aggregate
Earnings
in Last
Fiscal Year
($)(4)

 

 

Aggregate
Withdrawals/
Distributions
($)

 

 

Aggregate
Balance
at Last
Fiscal
Year End
($)(5)

 

Saum Sutaria

Saum Sutaria

Saum Sutaria

 

DCP

 

133,878

 

66,939

 

1,855

 

-0-

 

202,672

 

ERA

 

-0-

 

250,000

 

5,889

 

-0-

 

509,131

Dan Cancelmi

 

DCP

 

-0-

 

-0-

 

112,053

 

-0-

 

397,125

Dan Cancelmi

Dan Cancelmi

Dan Cancelmi

Dan Cancelmi

 

ERA

 

-0-

 

-0-

 

-0-

 

-0-

 

69,502

Audrey Andrews

 

DCP

 

-0-

 

-0-

 

-0-

 

-0-

 

-0-

Tom Arnst

Tom Arnst

Tom Arnst

Tom Arnst

Tom Arnst

Lisa Foo

Lisa Foo

Lisa Foo

Lisa Foo

Lisa Foo

 

ERA

 

-0-

 

-0-

 

-0-

 

-0-

 

55,858

Paola Arbour

 

DCP

 

-0-

 

33,581

 

16,791

 

9,912

 

60,285

Paola Arbour

Paola Arbour

Paola Arbour

Paola Arbour

 

ERA

 

-0-

 

100,000

 

4,090

 

-0-

 

310,328

Sandi Karrmann

 

DCP

 

82,576

 

22,465

 

66,725

 

-0-

 

328,946

 

ERA

 

-0-

 

100,000

 

3,346

 

-0-

 

105,808

 

(1)

More information about our deferred compensation plans appears below.

 

(2)

Included in the amounts represented in the 20202023 Summary Compensation Table on page 4858 as “Salary.”

 

(3)

Included in the amounts represented in the 20202023 Summary Compensation Table on page 4858 as “All Other Compensation.”

 

(4)

These amounts are not included in the 20202023 Summary Compensation Table on page 4858 because plan earnings were not preferential or above-market.

 

(5)

The fiscal year-end balance reported for the Deferred Compensation Plan includes the following amounts that were previously reported in Summary Compensation Tables as compensation for previous years: Mr. Rittenmeyer, $-0-;Dr. Sutaria, $-0-;$921,267; Mr. Cancelmi, $190,136; Mr. Arnst, $-0-,Ms. Andrews, $-0-;Foo: $59,545; and Ms. Arbour, $-0- and Ms. Karrmann, $-0-.$33,581. The fiscal year-end balance reported for the ERA includes the following amounts that were previously reported in Summary Compensation Tables as compensation for prior years: Mr. Rittenmeyer, $600,000; Dr. Sutaria, $250,000;$1,175,000; Mr. Cancelmi, $69,502; Mr. Arnst, $350,000; Ms. Andrews, $55,858;Foo, $130,000; and Ms. Arbour, $100,000 and Ms. Karrmann, $-0-.$410,000.

Deferred Compensation Plan

All our Named Executive OfficersNEOs and non-employee directors are eligible to participate in our Deferred Compensation Plan.Plan (DCP). Dr. Sutaria, Mr. Cancelmi, Ms. ArbourFoo and Ms. KarrmannArbour participated in this planthe DCP in 2020.2023; however, only Dr. Sutaria and Ms. Foo made employee contributions during 2023.

Participants are permitted to elect to defer various types of covered compensation (“Deferral Contributions”) to the Deferred Compensation Plan.DCP. We make an employer matching contribution equal to 50% of an employee’s base compensation and/or bonus deferrals, in each case, with match deferrals not to exceed 6% of compensation. All elective deferrals and employer contributions made to the Deferred Compensation PlanDCP are fully vested when made.

Amounts deferred under the Deferred Compensation PlanDCP will generally be distributed, as directed by the participant, upon either termination of service or the occurrence of a specified date. Matching and discretionary contributions are distributed upon termination of service. Distributions may be made in cash or in shares of our common stock and may be made in the form of a lump sum payment or annual installments over a one- to 15-year period, as elected by the participant. Any amounts that are payable from the Deferred Compensation PlanDCP upon a termination of employment are subject to the six-month delay applicable to key employees under Section 409A.

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Participants may request, no more frequently than daily, that any of the following investment crediting rates be applied to amounts credited to their Deferred Compensation Plan accounts: (i) an annual rate of interest equal to 120% of the applicable federal long-term (10-year) interest rate (which generated an annual return for 20202023 of 1.66%4.84%); (ii) a rate of return based on one or more benchmark mutual funds, which are the same funds as those offered under our 401(k) Plan; or (iii) a rate of return based on the

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Executive Compensation Tables

performance of our common stock, designated as stock units that are payable in shares of our common stock. Amounts that are deemed to be invested in stock units may not be transferred out of stock units and will be paid in shares of our common stock.

Executive Retirement Account

We maintain the Executive Retirement Account (ERA) in order to provide additional deferred compensation benefits to members of the Company’s senior management who are not eligible to participate in the SERP, which includes Mr. Rittenmeyer, Dr. Sutaria, Mr. Arnst, Ms. ArbourFoo and Ms. Karrmann.Arbour. Mr. Cancelmi and Ms. Andrews began participating in the ERA prior to becoming eligible to participate in the SERP, but arehe is no longer actively participating in the ERA. For active participants in the ERA other than Dr. Sutaria, the Company makes an annual contribution to the ERA on the participants’ behalf in an amount equal to a specified percentage of their respective base salaries. SuchUnder the Sutaria Agreement, Dr. Sutaria is entitled to an annual Company contribution to the ERA of no less than $250,000. All such contributions accrue earnings credits for so long as the participant is actively participating in the ERA. Participants may request, no more frequently than monthly, that any of the investment crediting rates described above regarding the Deferred Compensation Plan be applied to amounts credited to their ERA accounts. Participants are not vested in any portion of their account until reaching age 55 (with five years of service), at which point vesting occurs according to a schedule. Participants become fully vested in their ERA account at age 55 and 20 years of service, at age 60 with five years of service, or at age 62 regardless of years of service or upon death, disability or a change of control. Upon a qualifying termination, vesting is determined based on years of service, and participants are entitled to a retirement benefit equal to the vested balance of their ERA account.

Upon becoming participantsa participant in the SERP, Mr. Cancelmi’s and Ms. Andrews’ participation in the ERA and theirhis account balances werebalance was frozen, and no additional contributions or earnings credits will bewere made, though the account balances continuebalance continued to accrue years of vesting service. Upon a qualifying termination of employment,service through his retirement on December 31, 2023. In connection with his retirement, Mr. Cancelmi and Ms. Andrews will receive theirhis vested balances under the ERA and will also be entitled to receive theirhis applicable benefit under the SERP, but such SERP benefit will be offset by the benefit received under the ERA.

Potential Payments Upon Termination or Change of Control

The information below describes and quantifies certain compensation that would be paid under existing plans and arrangements if ana NEO’s employment had terminated on December 31, 2020.2023. These amounts are calculated given the NEO’s compensation and service levels as of that date and, as applicable, are based on the NYSE closing price of $39.93$75.57 per share of our common stock on December 31, 2020.29, 2023, the last trading day of 2023. These benefits are in addition to benefits available generally to our salaried employees, such as distributions under our 401(k) Plan, disability benefits and accrued vacation pay. AnA NEO’s benefits under our Deferred Compensation PlanDCP will generally be distributed in connection with his or her termination of employment or the occurrence of a specified date. Benefits under the SERP and ERA are generally paid on early or normal retirement.

Due to the number of factors that affect the nature and amount of any benefits paid upon the occurrence of any of the events discussed below, any actual amounts paid may be different. Factors that could affect these amounts include the timing of the event, the Company’s stock price and the executive’s age.

Mr. Rittenmeyer’sDr. Sutaria’s Employment Agreement Benefits

Upon certain terminationstermination of Mr. Rittenmeyer’sDr. Sutaria’s employment with the Company by the Company without “cause” (including as a result of the Company’s election not to renew the Sutaria Agreement) or by Mr. Rittenmeyer forDr. Sutaria’s resignation with “good reason” (each(in each case as defined in the EmploymentSutaria Agreement) more than six months prior to, or more than two years following, a change of control (as defined in the ESP), his Employmentthe Sutaria Agreement provides that Mr. RittenmeyerDr. Sutaria will be entitledeligible to receive, subject to his execution of a release of claims in favor of the Company, (1) payment of any earned but unpaid AIP bonus for the year prior to the year in which the termination of employment occurs, (2) a lump sum payment equal to the amount of base salary that remains payable through the conclusion of the term of the Employment Agreement, which is currently set to expire on December 31, 2022, (3) a pro-rata AIP bonus for the year in which the termination of employment occurs, (4) a lump sum payment equal to the AIP bonus Mr. Rittenmeyer would have had the opportunity to earn for the remainder of the term of the Employment Agreement, with such lump sum based on actual performance for the performance period in which Mr. Rittenmeyer’s employment occurs, and target performance for any remaining performance period thereafter during the term of the Employment Agreement, (5) accelerated vesting and settlement of all outstanding unvested restricted stock units, and (6) continued coverage under the Company’s health and welfare plans through the end of the Term. In addition, upon a termination as a result of death or disability, Mr. Rittenmeyer would be entitled to items (1), (3), and (5) described above. The severance and other post-termination benefits provided to Mr. Rittenmeyer recognize our commitment to his full employment term, and offer Mr. Rittenmeyer protection through a period of transition, without providing Mr. Rittenmeyer any additional or supplemental termination packages or change in control-related benefits.Company:

 

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payment of any earned but unpaid AIP bonus for the year prior to the year in which the termination of employment occurs (the “Prior Year Bonus”);

 

Pursuant

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a pro-rata AIP bonus for the year in which the termination of employment occurs based on actual performance (the “Pro-Rata Bonus”);

a cash amount equal to 2.5x the sum of Dr. Sutaria’s base salary plus target AIP bonus, paid over two and one-half year period following the termination date;

accelerated vesting of all outstanding unvested equity and other long-term incentive awards; and

continued coverage under the Company’s health and welfare plans during the two and one-half year period following the termination date.

If such termination occurs within six months prior to, the Employment Agreement, Mr. Rittenmeyer is bound by perpetual confidentiality and non-disparagement covenants. The Employment Agreement also contains non-competition and non-solicitation covenants that apply for the duration of Mr. Rittenmeyer’s employment with the Company and foror within two years thereafter.

To facilitatefollowing, a smooth transition and to promote stability in leadership, Mr. Rittenmeyer has also agreed to serve in an advisory role to his successor over an additional two-year period following the endchange of his employment. Under this advisory arrangement, which will take effect when his term of service ends, Mr. Rittenmeyer will receive an annual retainer of $750,000, will remain eligible to participate in the Company’s health and welfare benefits programs, and will remain subject to restrictive covenants no less favorable to the Company than those set forth in the Employment Agreement.

Dr. Sutaria’s Employment Agreement Benefits

Upon termination of Dr. Sutaria’s employment with the Company “without cause” or Dr. Sutaria’s resignation with “good reason” (in each case as defined in his employment agreement), his employment agreement provides thatcontrol, Dr. Sutaria will instead be entitledeligible to receive, subject to his execution of a release of claims in favor of the Company, (1) paymentCompany:

the Prior Year Bonus;

the Pro-Rata Bonus;

a cash amount equal to 3.0x the sum of Dr. Sutaria’s base salary plus target AIP bonus paid in single lump-sum;

accelerated vesting of all outstanding unvested equity and other long-term incentive awards; and

continued coverage under the Company’s health and welfare plans during the three year period following the termination date.

If Dr. Sutaria’s employment is terminated as a result of any earned but unpaid AIP bonus for the year prior to the year in which the termination of employment occurs, (2) two and one-half times the sum of base salary plus target AIP bonus paid over two and one-half year period following the termination date (or, if such termination is prior to the second anniversary of a “change of control”Dr. Sutaria’s death or “disability” (as defined in the Company’s Executive Severance Plan)Sutaria Agreement), three times the sum of base salary plus target AIP bonus paid in single lump-sum), (3) accelerated vesting of all outstanding unvested restricted stock units and his $5,000,000 restricted cash award (which was a make-whole award intendedDr. Sutaria will be eligible to replace the value forfeited and forgone earnings from his previous employer and will otherwise vest and be paid on January 6, 2022), and (4) continued coverage under the Company’s health and welfare plans during the two and one-half year period following the termination date (or three-year period if such termination is prior to the second anniversary of a change of control). Upon Dr. Sutaria’s termination due to death or disability, he is entitled to items (1) and (3) described above as well as a pro-rata AIP bonus for the year in which the termination of employment occurs.receive:

the Prior Year Bonus;

the Pro-Rata Bonus; and

accelerated vesting of all outstanding unvested equity and other long-term incentive awards.

In the event Dr. Sutaria elects not to renew his employment agreement afterthe Sutaria Agreement upon expiration of its three-yearthen-current term, Dr. Sutaria iswill be entitled to receive,continued vesting of all equity-based awards granted during the term of the Sutaria Agreement during the two and one-half year period following the conclusion of the then-current term as if Dr. Sutaria had remained employed by Company, subject to his execution of a release of claims in favor of the Company and continued vesting of all outstanding unvested restricted stock units duringcompliance with the two and one-half year period following expiration ofrestrictive covenants set forth in the term as if Dr. Sutaria had remained employed by Company.Agreement.

Pursuant to the terms of his employment agreement,the Sutaria Agreement, Dr. Sutaria is bound by perpetual confidentiality and non-disparagement covenants. His employment agreementThe Sutaria Agreement also contains employee non-solicitation covenants that apply for the duration of Dr. Sutaria’s employment with the Company and for two years thereafter, and a noncompetition covenant that applies with respect to twofour of the Company’s primary competitors for the duration of Dr. Sutaria’s employment with the Company and for one year thereafterthereafter.

Payments upon Ms. Karrmann’s DepartureMr. Cancelmi’s Retirement and Transition Services Agreement

Ms. Karrmann separated fromOn August 9, 2023, the Company and Mr. Cancelmi entered into a retirement transition services and support agreement (the “Transition Agreement”) pursuant to which Mr. Cancelmi’s full-time employment with the Company ended on October 24, 2020.December 31, 2023. Under the Transition Agreement, Mr. Cancelmi transitioned to part-time employment on January 1, 2024 for continuing transition services and support, which employment will continue through April 15, 2025. Under the Transition Agreement, Mr. Cancelmi will receive the following: (i) a weekly salary of $750; and (ii) continued active participation in the Company’s medical, dental and prescription benefits programs until reaching age 65. In connection with her departure, Ms. Karrmann did not receive any payments or benefits. All of heraddition, Mr. Cancelmi’s outstanding equity awards that were unvested were forfeited upon her departure, as was $201,230will continue to vest in accordance with their terms through his termination of her unvested balanceemployment on April 15, 2025, and Mr. Cancelmi will receive service credit under the ERA.SERP for his age as of April 15, 2025. The Transition Agreement includes a general release of claims in favor of the Company, also requires Mr. Cancelmi to provide a confirming release of claims on April 15, 2025 and extends certain of Mr. Cancelmi’s restrictive covenants through April 15, 2028.

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Death, Disability and Retirement

Upon retirement on or after age 62, a NEO would receive a pro-rata bonus earned under the AIP for the year that includes the date of retirement.

Other than Mr. Rittenmeyer’s andthe treatment of Dr. Sutaria’s awards under the Sutaria Agreement as discussed above, pursuant to the terms of the award agreements under the 2008 and 2019 Stock Incentive Plans,Plan, if ana NEO dies, becomes totally and permanently disabled or, in the case of stock options, retires on or after age 62, unvested options and restricted stock units will vest in full. If the options or restricted stock unitsRSUs are subject to performance criteria however, then for awards granted prior to 2020, vesting is subject toand the satisfaction of such performance criteria, and, if termination occurs prior to the end of the performance period, the awards will be subject to pro-rata vesting and settlement if and when the performance criteria are satisfied, based on the period of time employed during the performance period. For awards granted on or after 2020, such awards vest immediately on a pro-rata basis based on the performance achieved for completed performance measurement periods and at target level for any incomplete performance measurement periods.

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The table set forth below reflects the estimated aggregate amount of payments and other benefits each NEO other than Ms. Karrmann would have received upon termination of employment due to death, disability or retirement if such terminations occurred as of December 31, 2020.2023. As of December 31, 2020,2023, Mr. Cancelmi iswas considered early retirement-eligible for purposes of the SERP, or accelerated equity vesting.and no executives with retirement provisions under their award agreements were considered retirement-eligible for such awards.

20202023 Death, Disability and Retirement Table

 

Name

  Termination
Scenario
  

SERP/ERA
Benefit

($)(1)

   Accelerated
Equity Awards
($)(2)
   Performance
Cash
($)
   

Total

($)

 

Ron Rittenmeyer

  

Death

  

 

982,956

 

  

 

15,469,920

 

  

 

-0-

 

  

 

16,452,876

 

Disability

  

 

982,956

 

  

 

15,469,920

 

  

 

-0-

 

  

 

16,452,876

 

Retirement

  

 

982,956

 

  

 

-0-

 

  

 

-0-

 

  

 

982,956

 

Name

  Termination
Scenario
  SERP/ERA
Benefit
($)(1)
   Severance
Benefits
($)(2)
   Accelerated
Equity Awards
($)(3)
   Total
($)
 

Saum Sutaria

  

Death

  

 

-0-

 

  

 

23,660,362

 

  

 

5,000,000

 

  

 

28,660,362

 

  

Death

  

 

-0-

 

  

 

6,300,000

 

  

 

39,784,969

 

  

 

46,084,969

 

Disability

  

 

-0-

 

  

 

23,660,362

 

  

 

5,000,000

 

  

 

28,660,362

 

Disability

  

 

-0-

 

  

 

6,300,000

 

  

 

39,784,969

 

  

 

46,084,969

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Dan Cancelmi

  

Death

  

 

4,658,740

 

  

 

7,203,177

 

  

 

1,277,777

 

  

 

13,139,694

 

  

Death

  

 

6,248,137

 

  

 

-0-

 

  

 

13,670,387

 

  

 

19,918,524

 

Disability

  

 

8,702,293

 

  

 

7,203,177

 

  

 

1,277,777

 

  

 

17,183,247

 

Disability

  

 

10,403,555

 

  

 

-0-

 

  

 

13,670,387

 

  

 

24,073,942

 

Retirement

  

 

9,489,904

 

  

 

-0-

 

  

 

-0-

 

  

 

9,489,904

 

Retirement

  

 

13,707,56

 

  

 

-0-

 

  

 

-0-

 

  

 

13,707,516

 

Audrey Andrews

  

Death

  

 

3,428,656

 

  

 

4,508,001

 

  

 

833,333

 

  

 

8,769,990

 

Disability

  

 

5,766,277

 

  

 

4,508,001

 

  

 

833,333

 

  

 

11,107,611

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Tom Arnst

  

Death

  

 

-0-

 

  

 

-0-

 

  

 

5,321,930

 

  

 

5,321,930

 

Disability

  

 

-0-

 

  

 

-0-

 

  

 

5,321,930

 

  

 

5,321,930

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Lisa Foo

  

Death

  

 

-0-

 

  

 

-0-

 

  

 

2,489,130

 

  

 

2,489,130

 

Disability

  

 

-0-

 

  

 

-0-

 

  

 

2,489,130

 

  

 

2,489,130

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Paola Arbour

  

Death

  

 

-0-

 

  

 

1,970,786

 

  

 

444,445

 

  

 

2,415,231

 

  

Death

  

 

-0-

 

  

 

-0-

 

  

 

2,982,404

 

  

 

2,982,404

 

Disability

  

 

-0-

 

  

 

1,970,786

 

  

 

444,445

 

  

 

2,415,231

 

Disability

  

 

-0-

 

  

 

-0-

 

  

 

2,982,404

 

  

 

2,982,404

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

Retirement

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

  

 

-0-

 

 

(1)

Represents the present value of the benefit payable under the SERP in each of the named scenarios based on each NEO’s years of service to the Company as of the date of death, disability or retirement and using the executive’s highest average monthly earnings (base salary and annual cash bonus under our AIP) over a 60-consecutive month period during the final 120 months of employment. Further, in the case of death and disability, the prior service credit percentage described under “Supplemental Executive Retirement Plan” on page 5465 is 100%, the reduction for early commencement of death benefits is limited to 21% and disability benefits continue to accrue vesting credit until the executive attains normal retirement age. These amounts differ from the SERP benefit amounts shown in the 20202023 Pension Benefits Table on page 5364 because they reflect the SERP payment provisions under each scenario rather than the unreduced commencement of benefits at age 62. With respect to Mr. Rittenmeyer and Dr. Sutaria, represents the present value of the benefit payable under his Employment Agreement and the ERA.

 

(2)

For Dr. Sutaria, reflects the Pro-Rata Bonus described in more detail under “Dr. Sutaria’s Employment Agreement Benefits” above.

(3)

Unvested performance-based restricted stock unit awards and performance cash LTIRSU awards are reported as vesting at target levels. Amounts reflected are based on the NYSE closing price of $39.93$75.57 per share of our common stock on December 31, 202029, 2023, the last trading day of 2023, with respect to restricted stock units.RSUs.

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Non-Cause Termination/No Change of Control

Subject to the terms of the ESP and applicable equity plans and award agreements, and with respect to the ESP, further subject to signingincluding execution of a severance agreement containing restrictive covenants as well asand a release of claims, Mr. Cancelmi,Arnst, Ms. AndrewsFoo and Ms. Arbour (and, solely with respect to the equity award treatment described below, Mr. Cancelmi) are entitled to the following severance payments and other benefits if his or herthe executive’s employment is terminated by the Company without cause or by the executive for good reason (a “non-cause” termination), outside the context of a change of control of the Company:

 

Severance pay (base salary plus target bonus) during the “severance period” which is two and a half years for Mr. Cancelmi and one and a half years for Ms. Andrews and Ms. Arbour.

Lump sum pro-rata bonus earned under the AIP for the year that includes the date of termination.

Continued coverage during the severance period under medical, dental, vision, life and long-term care benefit programs, provided that the executive continues to pay his or her portion of the cost of such coverages as in effect upon termination, and reduced to the extent that the NEO receives comparable benefits through other employment during the severance period.

Outplacement services not to exceed $25,000.

Pursuant to the terms of the ESP, the NEOs will forfeit any non-vested outstanding equity awards at termination to the extent the underlying equity award agreements do not otherwise provide for acceleration of vesting. Time-vested restricted stock unit

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Severance pay (base salary plus target bonus (or, for Ms. Foo, the average bonus payout percentage for the preceding three years (or if greater, 50%) multiplied by base salary)) during the “severance period” of one and a half years.

  

Lump sum pro-rata bonus earned under the AIP for the year that includes the date of termination.

 

Continued coverage during the severance period under medical, dental, vision, life and long-term care benefit programs, provided that the executive continues to pay his or her portion of the cost of such coverages as in effect upon termination, and reduced to the extent that the NEO receives comparable benefits through other employment during the severance period.

Outplacement services not to exceed $25,000.

Pursuant to the terms of the ESP, the NEOs will forfeit any non-vested outstanding equity awards at termination to the extent the underlying equity award agreements do not otherwise provide for acceleration of vesting. Time-vested RSU awards and stock options vest upon a non-cause termination. Likewise, subject to satisfaction of the performance criteria, performance-based restricted stock unitRSU awards and performance-based stock options vest upon a non-cause termination (with proration for any performance period not completed as of termination with respect to performance-based restricted stock unitRSU awards). In February 2022, Ms. Arbour’s participation agreement under the ESP and Mr. Arnst’s offer letter were amended to provide for continued vesting upon a qualifying termination, even if the underlying equity award agreements do not provide for such vesting treatment.

Performance cash awards are subject to the same treatment as performance-based restricted stock unit awards with respect to any performance period not completed as of termination (i.e., any previously “banked” amounts shall also be payable).

Age and service credit under the SERP during the severance period, for employees who became participants in the SERP prior to August 3, 2011.

Performance cash awards are subject to the same treatment as performance-based RSU awards with respect to any performance period not completed as of termination (i.e., any previously “banked” amounts shall also be payable).

Age and service credit under the SERP during the severance period, for employees who became participants in the SERP prior to August 3, 2011.

The table set forth below reflects the estimated aggregate amount of payments and other benefits (not including reimbursable legal fees, if any, to obtain benefits under the ESP and certain reimbursable excise taxes, if any, incurred by the participant under Section 409A) each NEO would receive other than Ms. Karrmann upon a non-cause termination unrelated to any change of control assuming that terminations occurred as of December 31, 2020.2023. For information on the benefits payable to Mr. Cancelmi in connection with his retirement and transition, see “Mr. Cancelmi’s Retirement and Transition Services Agreement” on pg. 68.

 

Name

 Cash
Severance
($)(1)
 Health
and
Welfare
Benefits
($)(2)
 Outplacement
Services
($)
 Additional
SERP/
ERA
Benefit
($)(3)
 Performance
Cash
($)
 Accelerated
Equity
Awards
($)(4)
 Excise Tax
Reimbursements
($)
 Total
($)
 

Ron Rittenmeyer

 

 

7,500,000

 

 

 

29,013

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

15,469,920

 

 

 

Not a benefit

 

 

 

22,998,933

 

Name

Name

Name

 Cash
Severance
($)(1)
 Pro-Rata
Bonus
($)(2)
 Health
and
Welfare
Benefits
($)(3)
 

Outplacement
Services

($)

 

Accelerated
Equity
Awards

($)(4)

 

Excise Tax
Reimbursements

($)

 

Total

($)

 

Saum Sutaria

Saum Sutaria

Saum Sutaria

Saum Sutaria

 

 

5,000,000

 

 

 

51,101

 

 

 

-0-

 

 

 

-0-

 

 

 

5,000,000

 

 

 

23,660,362

 

 

 

Not a benefit

 

 

 

33,711,463

 

 

 

9,375,000

 

 

 

6,300,000

 

 

 

49,567

 

 

 

-0-  

 

 

 

39,784,969

 

 

Not a benefit

 

 

55,509,536

 

Dan Cancelmi

 

 

3,250,000

 

 

 

49,862

 

 

 

25,000

 

 

 

1,581,689

 

 

 

1,277,777

 

 

 

7,203,177

 

 

 

13,387,505

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-  

 

 

13,670,387

 

 

 

13,670,387

 

Audrey Andrews

 

 

1,443,750

 

 

 

29,706

 

 

 

25,000

 

 

 

1,419,013

 

 

 

833,333

 

 

 

4,508,001

 

 

 

8,258,803

 

Tom Arnst

 

 

1,706,250

 

 

 

1,267,500

 

 

 

27,287

 

 

 

25,000  

 

 

 

5,321,930

 

 

 

8,347,967

 

Lisa Foo

 

 

2,084,063

 

 

 

1,267,500

 

 

 

27,909

 

 

 

25,000  

 

 

2,489,130

 

 

 

5,893,602

 

Paola Arbour

 

 

1,312,500

 

 

 

20,022

 

 

 

25,000

 

 

 

-0-

 

 

 

444,445

 

 

 

1,970,786

 

 

 

Not a benefit

 

 

 

3,772,753

 

 

 

1,443,750

 

 

 

990,000

 

 

 

13,114

 

 

 

25,000  

 

 

 

2,982,404

 

 

Not a benefit

 

 

5,454,268

 

 

(1)

Severance is paid on a bi-weekly basis at termination, subject to certain amounts being delayed for a six-month period in compliance with Section 409A. Severance pay will be reduced for any SERP benefits that become payable during the severance period. For employees who became participants in the SERP prior to August 3, 2011, at the end of the severance period, the NEO’s SERP benefits will be adjusted to reflect the additional age and service credit provided under the ESP during the severance period. The NEO’s severance pay will not be considered in calculating his or her final average earnings under the SERP.

 

(2)

Represents each NEO’s pro-rata AIP bonus for 2023 based on actual performance, which is payable at the time AIP bonuses are paid to other executives.

(3)

Represents the aggregate incremental cost of providing medical, dental, life insurance, and accidental death and dismemberment benefits to the executive at active employee rates. “Incremental cost” is comprised of our contributions to the premium cost for these benefits and our cost of paying benefits under our self-funded plans.

 

(3)

Represents the present value of the additional benefit payable under the SERP for eligible NEOs, which is attributable to the additional age and service credits that the NEOs accrue during their applicable severance periods, for employees who became participants in the SERP prior to August 3, 2011; however, the additional SERP benefit attributable to such age and service credits does not begin to be paid until the end of the severance period. The additional SERP benefit amounts do not include an amount of SERP benefits equal to that which would be payable in the event of retirement as shown in the 2020 Death, Disability and Retirement Table on page 58; however, those benefits would also be payable by reason of a non-cause termination unrelated to a change of control of the Company.

(4)

Unvested performance-based restricted stock unit and performance cash LTI awardsRSUs are reported as vesting at target levels. Amounts reflected are based on the NYSE closing price of $39.93$75.57 per share of our common stock on December 31, 202029, 2023, the last trading day of 2023, with respect to restricted stock units.RSUs.

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Executive Compensation Tables

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Non-Cause Termination/Change of Control

Subject to the terms of the ESP and applicable equity plans and award agreements, each of the NEOs (other than Mr. Rittenmeyer and Dr. Sutaria, whose separation benefits are described above)above, and Dr. Cancelmi in light of his Retirement and Transition Services Agreement) is entitled to the following severance payments and other benefits if his or her employment is terminated without cause, or by the executive for good reason (a “non-cause” termination), during the period beginning six months prior to a change of control and ending 24 months following the occurrence of a change in control (the “protection period”):

 

The same benefits to which the executive would be entitled with respect to a non-cause termination outside the context of a change of control, provided that the “severance period” is three years for Mr. Cancelmi and two years for Ms. Andrews and Ms. Arbour. If the termination occurs within the six months prior to a change of control that results from the liquidation or dissolution of the Company, however, then the severance period applicable to non-cause terminations outside the context of a change of control will apply.

Equity awards under our stock incentive plans that have not vested and are not assumed or exchanged for substitute equity by the successor to the Company will accelerate and become vested upon a change of control irrespective of whether the NEO terminates employment. Equity awards under our stock incentive plans that have not vested and are assumed or substituted by the successor to the Company will accelerate and become vested upon a non-cause termination in connection with a change of control; performance-based restricted stock units and performance-based stock options will vest subject to the satisfaction of performance criteria (with proration for any performance period not completed as of termination).

 2021 PROXY STATEMENT

The same benefits to which the executive would be entitled with respect to a non-cause termination outside the context of a change of control, as described above, provided that the “severance period” is two years. However, If the termination occurs within the six months prior to a change of control that results from the liquidation or dissolution of the Company, then the severance period applicable to non-cause terminations outside the context of a change of control will apply.

 

Equity awards that have not vested and are not assumed or exchanged for substitute equity by the successor to the Company will accelerate and become vested upon a change of control irrespective of whether the NEO terminates employment.

 59 

Equity awards that have not vested and are assumed or substituted by the successor to the Company will accelerate and become vested upon a non-cause termination in connection with a change of control, and performance-based RSUs and performance-based stock options will vest subject to the satisfaction of performance criteria (with proration for any performance period not completed as of termination).


Executive Compensation Tables

In 2012, the Company amended the ESP to eliminate all reimbursements and gross ups with respect to golden parachute excise taxes. Pursuant to the ESP, if any payment or other benefit to which an executive is entitled under the ESP or otherwise will become subject to the excise tax imposed by Section 4999 of the Internal Revenue Code, then the executive’s payments and benefits shall be either (i) provided to the executive in full, or (ii) provided to the executive as to such lesser extent, which would result in no portion of such payments and benefits being subject to the excise tax, whichever of the amounts results in the receipt by the executive, on an after-tax basis, of the greatest amount of benefits.

The table set forth below reflects the estimated aggregate amount of payments and other benefits (not including reimbursable legal fees, if any, to obtain benefits under the ESP and certain reimbursable excise taxes, if any, incurred by the participant under Section 409A) each NEO other than Ms. Karrmann would receive upon a non-cause termination related to any change of control assuming that terminations occurred as of December 31, 2020.2023.

 

Name

 

Cash

Severance

($)(1)

 

Health

and

Welfare

Benefits

($)(2)

 

Outplacement

Services

($)

 

Additional

SERP/
ERA

Benefit

($)(3)

 

Performance

Cash
($)

 

Accelerated

Equity
Awards
($)(4)

 

Excise Tax

Reimbursements
($)

 

Total

($)

 

Ron Rittenmeyer

 

 

7,500,000

 

 

 

29,013

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

15,469,920

 

 

 

Not a benefit

 

 

 

22,998,933

 

Name

Name

Name

 Cash
Severance
($)(1)
 Pro-Rata
Bonus
($)(2)
 Health
and
Welfare
Benefits
($)(3)
 

Outplacement
Services

($)

 

Accelerated
Equity
Awards

($)(4)

 

Excise Tax
Reimbursements

($)

 

Cutback for
Excise Tax
Avoidance

($)(5)

 

Total

($)

 

Saum Sutaria

Saum Sutaria

Saum Sutaria

Saum Sutaria

 

 

6,000,000

 

 

 

61,322

 

 

 

-0-

 

 

 

-0-

 

 

 

5,000,000

 

 

 

23,660,362

 

 

 

Not a benefit

 

 

 

34,721,684

 

 

 

11,250,000

 

 

 

6,300,000

 

 

 

59,480

 

 

 

-0-  

 

 

 

39,784,969

 

 

Not a benefit

 

 

-0-

 

 

 

57,394,449

 

Dan Cancelmi

 

 

3,900,000

 

 

 

59,835

 

 

 

25,000

 

 

 

2,173,999

 

 

 

1,533,333

 

 

 

7,203,177

 

 

 

14,289,451

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-

 

 

 

-0-  

 

 

 

13,670,387

 

 

 

-0-

 

 

 

13,670,387

 

Audrey Andrews

 

 

1,925,000

 

 

 

39,608

 

 

 

25,000

 

 

 

4,913,214

 

 

 

1,000,000

 

 

 

4,508,001

 

 

 

12,410,823

 

Tom Arnst

 

 

2,275,000

 

 

 

1,267,500

 

 

 

36,383

 

 

 

25,000  

 

 

 

5,321,930

 

 

 

-0-

 

 

 

8,925,813

 

Lisa Foo

 

 

2,778,750

 

 

 

1,267,500

 

 

 

37,212

 

 

 

25,000  

 

 

 

2,489,130

 

 

 

-0-

 

 

 

6,597,592

 

Paola Arbour

 

 

1,750,000

 

 

 

26,697

 

 

 

25,000

 

 

 

-0-

 

 

 

533,334

 

 

 

1,970,786

 

 

 

Not a benefit

 

 

 

4,305,817

 

 

 

1,925,000

 

 

 

990,000

 

 

 

17,486

 

 

 

25,000  

 

 

 

2,982,404

 

 

Not a benefit

 

 

(496,343

 

 

5,443,547

 

 

(1)

In the case of a non-cause termination that occurs during the six months preceding a change of control, severance pay will be paid in the same manner as a termination that is not related to a change in control. In the case of a non-cause termination that occurs within two years following a change of control, severance pay under the ESP will generally be made to the NEO in a lump sum at termination, subject to any six-month delay required by Section 409A. For Dr. Sutaria, severance in connection with a change in control will be payable in a lump sum following termination.

 

(2)

Represents each NEO’s pro-rata AIP bonus for 2023 based on actual performance, which is payable at the time AIP bonuses are paid to other executives.

(3)

Represents the aggregate incremental cost of providing medical, dental, life insurance, and accidental death and dismemberment benefits to the executive at active employee rates. “Incremental cost” is comprised of our contributions to the premium cost for these benefits and our cost of paying benefits under our self-funded plans.

 

(3)

Represents the present value of the SERP benefit payable in the event of a non-cause termination related to a change of control of the Company in excess of the present value of the SERP benefit payable in the event of a non-cause termination unrelated to a change in control, which is presented in the “Additional SERP/ERA Benefit” column of the table on page 58. The additional SERP benefit amounts would include age and service credits for the NEOs that would accrue during their applicable severance periods, for employees who became participants in the SERP prior to August 3, 2011, and would be based on: (i) the deemed full vesting of the NEOs in their SERP benefits without regard to their actual years of service; (ii) all of their years of service to the Company and using the executive’s highest average monthly earnings (base salary and annual cash bonus under our AIP) over a 60-month period of the final 120 months of employment; and (iii) the immediate commencement of SERP benefits without any reduction in benefits for early commencement.

In the event of a change of control of the Company without termination of employment, the additional retirement benefits payable under the SERP to the NEOs would be as follows: Mr. Cancelmi, $3,011,936; and Ms. Andrews, $3,775,590. These amounts have been calculated as described above in this footnote, but without the accrual of additional age and service credits during the severance period. These amounts differ from the additional SERP benefits payable by reason of a termination following a change of control because in a non-termination scenario (i) the benefit cutback provisions of the ESP for the avoidance of golden parachute excise taxes are not applicable and (ii) benefits under the SERP do not commence until retirement. These amounts do not include those benefits shown in the 2020 Pension Benefits Table on page 53 and those benefits would also be payable upon retirement.

Present value calculations use the assumptions discussed in footnote 3 to the 2020 Pension Benefits Table on page 53.

(4)

Amounts reflected have been calculated using the NYSE closing price of $39.93$75.57 per share of our common stock on December 31, 202029, 2023, the last trading day of 2023, with respect to restricted stock units.RSUs.

 

(5)

Represents a reduction in otherwise payable ESP benefits in an amount sufficient to avoid an application of the golden parachute excise tax.tax imposed by Section 4999 of the Internal Revenue Code. The payments and benefits provided to Mr. Arnst and Ms. Foo would be subject to the excise tax imposed by Section 4999 of the Internal Revenue Code; however, a reduction in payments will not result in a greater amount of after-tax benefits.

2024 PROXY STATEMENT

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Executive Compensation Tables

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Definitions:

“Cause” under our deferred compensation plans,DCP, ESP, SERP, AIP and stock incentive plans2019 Stock Incentive Plan is defined as (a) whenas:

When used in connection with a qualifying termination triggering benefits outside the context of a change of control, an executive’s: (i) dishonesty, (ii) fraud, (iii) willful misconduct, (iv) breach of fiduciary duty, (v) conflict of interest, (vi) commission of a felony, (vii) material failure or refusal to perform his job duties in accordance with Company policies, (viii) a material violation of Company policy that causes harm to the Company or an affiliate, or (ix) other wrongful conduct of a similar nature and degree; or

When used in connection with a qualifying termination triggering benefits in the context of a change of control: (i) any intentional act or misconduct materially injurious to the Company or any affiliate, financial or otherwise, including, but not limited to, misappropriation or fraud, embezzlement or conversion by the executive of the Company’s or any affiliate’s property in connection with the executive’s employment with the Company or an affiliate, (ii) any willful act or omission constituting a material breach by the executive of a fiduciary duty, (iii) a final, non-appealable order in a proceeding before a court of competent jurisdiction or a final order in an administrative proceeding finding that the executive committed any willful misconduct or criminal activity (excluding minor traffic violations or other minor offenses), which commission is materially inimical to the interests of the Company or any affiliate, whether for his personal benefit or in connection with his duties for the Company or an affiliate, (iv) the conviction (or plea of no contest) of the executive for any felony, (v) material failure or refusal to perform his job duties in accordance with Company policies, (viii) a material violation of Company policy that causes harm to the Company or an affiliate, or (ix) other wrongful conduct of a similar nature and degree; (b) when used in connection with a qualifying termination triggering benefits in the context of a change of control: (i) any intentional act or misconduct materially injurious to the Company or any affiliate, financial or otherwise, including, but not limited to, misappropriation or fraud, embezzlement or conversion by the executive of the Company’s or any affiliate’s property in connection with the executive’s employment with the Company or an affiliate, (ii) any willful act or omission constituting a material breach by the executive of a fiduciary duty, (iii) a final, non-appealable order in a proceeding before a court of competent jurisdiction or a final order in an administrative proceeding finding that the executive committed any willful misconduct or criminal activity (excluding minor traffic violations or other minor offenses), which commission is materially inimical to the interests of the Company or any affiliate, whether for his personal benefit or in connection with his duties for the Company or an affiliate, (iv) the conviction (or plea of no contest) of the executive for any felony, (v) material failure or refusal to perform his job duties in

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Executive Compensation Tables

accordance with Company policies (other than resulting from the executive’s disability as defined by Company policies), or (vi) a material violation of Company policy that causes material harm to the Company or an affiliate.

A “change of control” under our deferred compensation plans,DCP, ESP, SERP, AIP and stock incentive plans2019 Stock Incentive Plan will have occurred if: (i) any one person, or more than one person acting as a group, acquires, directly or indirectly, whether in a single transaction or a series of related transactions, more than 50% of the total fair market value or voting power of our stock (including stock held prior to such acquisition); (ii) any one person, or more than one person acting as a group, acquires, directly or indirectly, during a 12-month period ending on the date of the most recent acquisition by such person or persons, 35% or more of the total voting power of our stock (not considering stock owned by such person or group prior to such 12-month period); (iii) a majority of the members of the Board are replaced during any 12-month period by directors whose appointment or election is not endorsed by a majority of our Board prior to such election; (iv) a sale, exchange, lease, disposition or other transfer of all or substantially all of the assets of the Company; or (v) there occurs a liquidation or dissolution of the Company that is approved by a majority of the Company’s shareholders. This definition of change of control complies with Section 409A except for item (v) (i.e., items (i), (ii), (iii) and (iv) are described in Section 409A).

“Good Reason” under our ESP, SERP, AIP and stock incentive plans2019 Stock Incentive Plan is defined as: (a) in the case of a voluntary termination of employment by an executive preceding or more than two years following a change of control: (i) a material diminution in the executive’s job authority, responsibilities or duties, (ii) a material diminution of the executive’s base salary, (iii) an involuntary and material change in the geographic location of the workplace at which the executive must perform services, or (iv) any other action or inaction that constitutes a material breach by the employer or a successor of the agreement under which the executive provides services; (b) in the case of a voluntary termination of employment by an executive upon or within two years following a change of control: (i) a material downward change in job functions, duties, or responsibilities which reduces the rank or position of the executive, (ii) a reduction in the executive’s annual base salary, (iii) a reduction in the aggregate value of the executive’s annual base salary and AIP target bonus opportunity, (iv) a material reduction in the executive’s retirement or supplemental retirement benefits, (v) an involuntary and material change in the geographic location of the workplace at which the executive must perform services, or (vi) any other action or inaction that constitutes a material breach by the employer or a successor of the agreement under which the executive provides services.

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Pay Ratio Disclosure

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Pay Ratio Disclosure

The 20202023 annual total compensation of the median compensated of all our employees, other than Ron Rittenmeyer,Saum Sutaria, our Executive Chairman and CEO, was $54,501; Mr. Rittenmeyer’s 2020$60,633; Dr. Sutaria’s 2023 annual total compensation was $16,675,529;$18,518,109; and the ratio of these amounts was approximately 1 to 306.305.

The pay ratio reported above is a reasonable estimate calculated in a manner consistent with SEC rules. For purposes of calculating the amount of compensation paid to our median employee during 2020,2023, we identified this median compensated employee using total gross wages (i.e., all amounts paid before any taxes, deductions or other payroll withholding) earned during calendar year 20192023 for all employees who were employed for all of 2020,2023, and we used the annualized value of total gross wages earned during calendar year 20202023 for all employees who were hired during 20202023 and were employed as of December 31, 2020,2023, but did not serve a full year with the Company (including employees who were furloughed for a portion of 2020).Company. We identified our employee population as of December 31, 2020,2023, based on our payroll and employment records. As permitted by SEC rules, we excluded approximately 1,7003,430 employees located in the Philippines, who in the aggregate represented approximately 1.5%3.3% of our approximately 110,000103,836 employees as of December 31, 2020.2023.

The SEC’s rules for identifying the median compensated employee and calculating the pay ratio based on that employee’s annual total compensation allow companies to adopt a variety of methodologies, to apply certain exclusions and to make reasonable estimates and assumptions that reflect their employee populations and compensation practices. As a result, the pay ratio reported by other companies may not be comparable to the pay ratio reported above, as other companies have different employee populations and compensation practices and may utilize different methodologies, exclusions, estimates and assumptions in calculating their own pay ratios.

 

2024 PROXY STATEMENT

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Pay Versus Performance
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Pay Versus Performance
In accordance with SEC rules adopted, we provide the following disclosure regarding executive compensation and Company performance for the fiscal years listed below. The HR Committee did not consider this pay versus performance disclosure or the “compensation actually paid” amounts below in making its pay decisions for any of the fiscal years shown.
                   
Average
Summary
Compensation
  
Average
  
Value of Initial Fixed
$100 Investment
(3)
         
Year
 
 
Summary
Compensation
Table Total for
Dr. Sutaria
($)
(1)
 
  
Summary
Compensation
Table Total for
Mr. Rittenmeyer
($)
(1)
 
  
Compensation
Actually Paid
to Dr. Sutaria
($)
(1)(2)
 
  
Compensation
Actually Paid to
Mr. Rittenmeyer
($)
(1)(2)
 
  
Table
Total for
Non-PEO

NEOs
($)
(1)
 
  
Compensation
Actually Paid
to
Non-PEO

NEOs
($)
(1)(2)
 
  
Company
TSR
($)
 
  
Peer
Group
TSR
($)
 
  
Net
Income
($MM)
(4)
 
  
Adjusted
EBITDA
($MM)
(5)
 
 
2023  18,518,109      63,876,884      4,661,937   9,805,274   198.71   143.18   1,311   3,541 
2022  11,047,128      (9,106,588     6,921,122   1,325,894   128.29   140.29   1,001   3,469 
2021  21,153,672   18,666,160   50,394,322   34,148,681   4,786,880   11,458,403   214.80   143.09   1,476   3,483 
2020     16,675,529      16,079,648   4,996,930   5,700,379   105.00   113.45   768   3,146 
(1)
Ron Rittenmeyer served as our principal executive officer (PEO) during 2020 and 2021 PROXY STATEMENTuntil he was succeeded by Dr. Sutaria on September 1, 2021, who served as our PEO for the remainder of 2021 and for 2022 and 2023. The
Non-PEO
NEOs for whom the average compensation is presented in this table are: (i) for fiscal 2023, Messrs. Cancelmi and Arnst and Mses. Arbour and Foo; (ii) for fiscal 2022, Messrs. Rittenmeyer, Cancelmi and Arnst and Mses. Arbour and Foo; (iii) for fiscal 2021, Messrs. Cancelmi and Arnst, Ms. Arbour and Audrey Andrews, our former Executive Vice President and General Counsel; and (iv) for fiscal 2020, Dr. Sutaria, Mr. Cancelmi, Mses. Andrews and Arbour and Sandi Karrmann, our former Executive Vice President and Chief Human Resources Officer.
(2)
The amounts shown as Compensation Actually Paid have been calculated in accordance with Item 402(v) of Regulation
S-K
and do not reflect the total compensation actually realized or received by the Company’s NEOs. In accordance with these rules, these amounts reflect total compensation as set forth in the Summary Compensation Table for each year, adjusted as shown below. Equity values are calculated in accordance with FASB ASC Topic 718, and the valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of the grant.
Compensation Actually Paid
 
 
Dr. Sutaria
2023
 
  
Average Non-
PEO NEOS
2023
 
 
Summary Compensation Table Total  18,518,109   4,661,937 
 Less, value of Stock Awards and Option Awards reported in Summary Compensation Table  (10,130,392  (1,484,798
 Less, Change in Pension Value reported in Summary Compensation Table  -0-   (1,011,500
 Plus,
year-end
fair value of outstanding and unvested equity awards granted in the year
  27,075,154   2,343,143 
 Plus (less), year over year change in fair value of outstanding and unvested equity awards granted in prior years  25,376,768   3,358,855 
 Plus, fair value as of vesting date of equity awards granted and vested in the year  -0-   634,524 
 Plus (less), change in fair value from prior
year-end
to vesting date of equity awards granted in prior years that vested in the year
  3.037,245   1,303,113 
 Plus, pension service cost for services rendered during the year  -0-   -0- 
 Plus, prior pension service cost or credit associated with any plan amendments or initiations during the year for services rendered during prior years.  -0-   -0- 
Compensation Actually Paid
 
 
63,876,884
 
 
 
9,805,274
 
(3)
Amounts in these columns assume $100 was invested for the cumulative period from December 31, 2019 through the end of the listed fiscal year, in either the Company’s common stock or the S&P 500 Health Care Index (the Company’s peer group), as applicable, and reinvestment of the
pre-tax
value of dividends paid. Historical stock performance is not necessarily indicative of future stock performance.
(4)
Reflects the Company’s net income, as reported in the Company’s Annual Report on Form
10-K
for each of Fiscal Years 2023, 2022, 2021 and 2020.
(5)
We determined Adjusted EBITDA to be the most important financial performance measure used to link Company performance to Compensation Actually Paid to our PEO and other NEOs in 2023, consistent with 2022. This performance measure may not have been the most important financial performance measure for prior fiscal years, and we may determine a different financial performance measure to be the most important measure in future years. Adjusted EBITDA, a
non-GAAP
measure, is defined in Appendix A, and reconciliations of this
non-GAAP
financial measure to the most directly comparable GAAP measure may be found in the Company’s Annual Report on Form
10-K
for each of Fiscal Years 2023, 2022, 2021 and 2020.
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Pay Versus Performance
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Description of Certain Relationships of Information Presented in the Pay Versus Performance Table
As described in more detail in Compensation Discussion & Analysis, the Company’s executive compensation program reflects a
pay-for-performance
philosophy. While the Company utilizes several performance measures to align executive compensation with Company performance, all of those Company measures are not presented in the Pay Versus Performance Table. Moreover, the Company generally seeks to incentivize long-term performance and, therefore, does not specifically align the Company’s performance measures with “compensation actually paid.” In accordance with SEC rules, the Company is providing the following representations of the relationships between information presented in the Pay Versus Performance Table.
Company vs Peer Group TSR and Compensation Actually Paid vs Company TSR
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Compensation Actually Paid vs Net Income

2024 PROXY STATEMENT
75

Pay Versus Performance
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Compensation Actually Paid vs Adjusted EBITDA
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Financial Performance Measures
The following list presents the financial performance measures that the Company has determined represent the most important in linking “Compensation Actually Paid” to our PEO and the other NEOs for 2023 to Company performance. These measures are not ranked.
Adjusted EBITDA;
Adjusted Free Cash Flow less cash distributions paid to noncontrolling interests as reflected on the Company’s consolidated statements of cash flows; and
Adjusted EPS.
See Appendix A for definitions of each of these
non-GAAP
measures, and see Compensation Discussion & Analysis beginning on page 42 for information regarding how these measures were used in our 2023 executive compensation program.
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Securities Authorized for Issuance

Under Equity Compensation Plans

We currently grant stock options and restricted stock units under our 2019 Stock Incentive Plan. All options were granted with an exercise price equal to the NYSE closing price per share of our common stock on the date of grant. Most of our restricted stock unit or stock option grants to senior officers vest over a three-year period (either ratable or cliff-vest), although certain awards may contain different vesting periods. Restricted stock units granted to Mr. Rittenmeyer vest in equal quarterly installments as provided in his Employment Agreement. Options expire within a period of no more than 10 years from the date of grant.

The following table summarizes certain information with respect to our equity compensation plans pursuant to which rights remain outstanding as of December 31, 2020.2023.

Equity Compensation Plan Information

 

Plan Category

 Number of
Securities to be
Issued Upon
Exercise of
Outstanding
Options,
Warrants
and Rights
(A)
 Weighted-
Average
Exercise
Price of
Outstanding
Options,
Warrants
and Rights
(B)(1)
 

Number of
Securities
Remaining
Available for
Future Issuance
Under Equity
Compensation
Plans (Excluding
Securities
Reflected in
Column (A))

(C)

 

Plan Category

Plan Category

Plan Category

  

Number of
Securities to be
Issued Upon
Exercise of
Outstanding
Options,
Warrants

and Rights

(A)

  Weighted-
Average
Exercise
Price of
Outstanding
Options,
Warrants
and Rights
(B)(1)
  

Number of
Securities
Remaining
Available for
Future Issuance
Under Equity
Compensation
Plans (Excluding
Securities
Reflected in
Column (A))

(C)

Equity compensation plans approved by security holders

 

 

912,531

(2) 

 

$

22.51

 

 

 

8,798,750

(3) 

Equity compensation plans approved by security holders

Equity compensation plans approved by security holders

Equity compensation plans approved by security holders

   384,440(2)      $22.79      11,396,373(3)   

Equity compensation plans not approved by security holders(4)

 

 

57,693

 

 

 

-0-

 

 

 

-0-

 

Equity compensation plans not approved by security holders(4)

Equity compensation plans not approved by security holders(4)

Equity compensation plans not approved by security holders(4)

   65,282    -0-    -0- 

Total

 

 

970,224

 

 

$

22.51

 

 

 

8,798,750

 

Total

Total

Total

   449,722    $22.79    11,396,373 

 

(1)

The weighted average exercise price does not consider the shares issuable upon the vesting of outstanding restricted stock units,RSUs or performance-based RSUs, which have no exercise price. In addition, no exercise price is applicable to the stock units under our deferred compensation plans.

 

(2)

Includes 2,865,503shares subject to outstanding stock options and time-based RSUs and the target number of shares subject to outstanding performance-based RSUs.

(3)

Includes 2,501,233 shares remaining available for issuance pursuant to the Tenth Amended and Restated 1995 Employee Stock Purchase Plan and 5,933,2478,895,140 shares remaining available for issuance under the 2019 Stock Incentive Plan, assuming that all outstanding performance-based restricted stock unitsRSUs that had not already provisionally vested would settle at maximumtarget levels.

 

All shares available under the 2019 Stock Incentive Plan may be used for option-based and all other awards authorized under the 2019 Stock Incentive Plan. As approved by our shareholders, option-based awards and stock appreciation rights reduce the number of shares available for issuance on a one-to-one basis. However, grants of all other awards, such as restricted stock units,RSUs, reduce the number of shares available by under the 2019 Stock Incentive Plan by 1.65 shares for each share subject to such awards.

 

(3)

Includes shares subject to outstanding stock options and time-based restricted stock units and the number of shares subject to the maximum amount of outstanding performance-based stock units.

(4)

Consists of deferred compensation invested in 50,20258,490 stock units under our deferred compensation plansDCP and 7,4916,792 stock units under our Executive Retirement Account,ERA, in each case payable in common stock. The potential future dilutive effect of our deferred compensation plans due to future investment of deferrals into stock units cannot be estimated. A description of the material features of our deferred compensation plansDCP and Executive Retirement AccountERA can be found under “Nonqualified Deferred Compensation” beginning on page 55.

62LOGO


66.

 

2024 PROXY STATEMENT

77


LOGO

Proposal 2-Advisory2 - Advisory Vote to Approve Executive Compensation

We are asking shareholders to vote on an advisory resolution to approve the Company’s executive compensation as reported in this Proxy Statement. As described in the “Compensation Discussion and Analysis” section of this Proxy Statement beginning on page 30,42, we have designed our executive compensation program to align the interests of our NEOs with shareholders. Our compensation programs are designed to reward our NEOs for the achievement of short-term and long-term performance goals.

We urge you to read the “Compensation Discussion and Analysis,” which describes in more detail how our executive compensation policies and procedures operate and are designed to achieve our compensation objectives, as well as the 20202023 Summary Compensation Table and other related compensation tables and narrative, appearing on pages 4858 through 61,72, which provide detailed information on the compensation of our NEOs. The HR Committee and the Board believe that the policies and procedures articulated in “Compensation Discussion and Analysis” are effective in achieving the goals of our executive compensation program and that the compensation of our NEOs reported in this Proxy Statement reflects and supports these compensation policies and procedures.

In accordance with Section 14A of the Securities Exchange Act of 1934, as amended (Exchange Act), we are asking shareholders to vote in favor of the following advisory resolution at the Annual Meeting:

“RESOLVED, that the Company’s shareholders approve, on an advisory basis, the compensation of the Named Executive Officers disclosed in the Compensation Discussion and Analysis, the Summary Compensation Table and the related compensation tables, notes and narrative in the Proxy Statement for the Company’s 20212024 Annual Meeting of Shareholders.”

This resolution, commonly referred to as a “say-on-pay” resolution, will be considered to have been approved by shareholders on an advisory basis if the votes cast for approval exceed the votes cast against approval. This advisory resolution is not binding on the Board. Although non-binding, the Board and the HR Committee will review and consider the voting results when making future decisions regarding our executive compensation program. Unless the Board modifies its policy of holding an advisory say-on-pay vote on an annual basis, the next advisory say-on-pay vote will be held at our 20222025 Annual Meeting of Shareholders.

Unless marked to the contrary, proxies will be voted “FOR” the approval of the advisory resolution to approve the Company’s executive compensation.

 

LOGO The Board recommends that you vote “FOR” the approval of the advisory resolution to approve executive compensation.

 

LOGO

2021 PROXY STATEMENT63The Board recommends that you vote “FOR” the approval of the advisory resolution to approve executive compensation.


 

 

78

LOGO


LOGO

Audit Committee Report

The Audit Committee is comprisedcomposed of the five members named below. Under the Company’s Corporate Governance Principles,below, each member of the Audit Committee must be anwhom is independent, director, as defined by the NYSE rules and the rules of the SEC. Each current member of the Audit Committee is independent under those criteria. In addition, theThe Board has determined that Mr. Fisher, Mr. Lynch and Ms. Romo are each an Audit Committee financial expert,Financial Expert, as defined by SEC rules, and that all foureach Audit Committee members aremember is financially literate, as required by NYSE rules. Ms. Romo serves as Chair of the Audit Committee.

The Audit Committee on behalf of the Board, oversees the Company’s financial reporting process, including review of (i) the Company’s guidelines and policies with respect to risk assessment and risk management related to financial reporting and disclosure controls and procedures, (ii) the major financial and enterprise risk exposures of the Company and (iii) the steps management has taken to monitor and control such exposures. In fulfilling its oversight responsibilities, the Audit Committee reviewed and discussed with management and the Company’s independent registered public accountants, Deloitte & Touche LLP (Deloitte), the audited consolidated financial statements for the year ended December 31, 2020, Deloitte & Touche LLP (Deloitte), each Quarterly Report on Form 10-Q filed during 2020 (Forms 10-Q), as well as the audited consolidated financial statements and the footnotes thereto in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020 (Form 10-K), before the Forms 10-Q and Form 10-K were filed with the SEC. 2023.

The Audit Committee discussed with management the quality, not just the acceptability, of the Company’s accounting principles, the reasonableness of significant estimates and judgments, and the degree and quality of disclosures in the financial statements prior to the time the respective Forms 10-Q and Form 10-K were filed with the SEC. The Audit Committee also reviewed with management and Deloitte each press release concerning earnings prior to its release.

The Company’s independent registered public accountants are responsible for expressing an opinion on the Company’s audited consolidated financial statements and the fair presentation, in all material respects, of the Company’s consolidated financial statements in conformity with accounting principles generally accepted in the United States of America. The Audit Committee reviewed andhas discussed with Deloitte its judgments as to the quality, not just the acceptability, of the Company’s accounting principles, the critical audit matters (“CAMs”) addressed in the auditrequired under applicable professional auditing standards and the relevant financial statement accounts or disclosures that relate to each CAM, and such other matters as are required to be discussedregulations adopted by the Audit Committee with the Company’s independent registered public accountants under the standards of the Public Company Accounting Oversight Board (PCAOB). Deloitte has expressed an opinion in its Report of Independent Registered Public Accounting Firm that and the Company’s 2020 audited consolidated financial statements conform to accounting principles generally accepted in the United States of America.

During 2020, the Audit Committee was provided updates on, monitored and discussed with management the status of the Company’s compliance with the requirements of Section 404 of the Sarbanes-Oxley Act of 2002.SEC. In addition, the Audit Committee reviewed management’s assessment of the effectiveness of internal control over financial reporting as of December 31, 2020received and approved the inclusion of management’s report on such assessment in the Form 10-K. Deloitte has audited and also expressed an unqualified opinion on the effectiveness of the Company’s internal control over financial reporting as of December 31, 2020.

The Audit Committee also discussed with Deloitte its independence from management and the Company, and receivedreviewed the written disclosures and the letter from Deloitte required by applicable requirements of the PCAOB Ethics and Independence Rule 3526 (Communicationregarding Deloitte’s communications with Audit Committees Concerning Independence). In concluding that Deloitte is independent, the Audit Committee considered, among other factors, whether the non-audit services provided by Deloitte (as described below) were compatible with the firm’s independence. The Audit Committee also retained Deloitteconcerning independence and made it clear to Deloitte that they report directly to the Audit Committee and not to management.

The Audit Committeehas discussed with the Company’s internal auditors and Deloitte the overall scopes and plans for their respective audits. The Audit Committee met separately at various meetings in executive session with each of the internal auditors and Deloitte to discuss, among other matters, the results of their audits, their evaluations of the Company’s internal controlsits independence from management and the overall quality of the Company’s financial reporting.Company.

In reliance on the reviews and discussions referred to above, the Audit Committee recommended to the Board that the Company’s 20202023 audited consolidated financial statements be included in the Form 10-K and filed with the SEC.

In evaluating and selecting the Company’s independent registered public accounting firm, the Audit Committee considers, among other things, historical and recent performance of the current independent audit firm, external data on audit quality and performance, including PCAOB reports, industry experience, audit fee revenues, firm capabilities and audit approach, and the independence and tenure of the audit firm. The Audit Committee has engaged Deloitte to serve as our independent registered public accountants for the year ending December 31, 2021. For further information concerning this engagement, see “Proposal 3—Ratification of the Selection of Independent Registered Public Accountants.”

Members of the Audit Committee

Tammy Romo, Chair

Roy Blunt

Richard W. Fisher

Cecil D. Haney

Christopher S. Lynch

Richard J. Mark

 

64 LOGO


Audit Committee Report

2024 PROXY STATEMENT

 

79


Audit Committee Report

LOGO

 

Independent Registered Public Accounting Firm Fees

 

 Year Ended
December 31, 2023
 Year Ended 
December 31, 2022 
 

 

Year Ended

December 31, 2020

 

 

Year Ended    

December 31, 2019    

Audit fees(1)

 

$

4,706,122

 

$

4,843,370

Audit fees(1)

Audit fees(1)

Audit fees(1)

  $6,978,790     $6,739,912    

Audit-related fees(2)

 

 

2,982,235

 

 

2,550,965

Audit-related fees(2)

Audit-related fees(2)

Audit-related fees(2)

  2,429,305   2,143,898 

Tax fees(3)

 

 

761,775

 

 

58,238

Tax fees(3)

Tax fees(3)

Tax fees(3)

  33,690   30,503 

All other fees(4)

 

 

582,147

 

 

1,456,765

All other fees(4)

All other fees(4)

All other fees(4)

  -0-   -0- 

 

(1)

Audit fees include professional fees for the audit of our annual consolidated financial statements and the review of our quarterly financial statements. These amounts also include fees related to the audit of internal control over financial reporting performed pursuant to Section 404 of the Sarbanes-Oxley Act of 2002.

 

(2)

Audit-related fees include fees for assurance and related services reasonably related to audits and reviews. These consisted principally of fees for audits of certain of our subsidiaries and partnerships, financial statements of employee benefit plans, and fees related to comfort letters, consents and reviews of filings with the SEC.

 

(3)

Tax fees in 20202023 and 20192022 consisted of professional fees for tax compliance and tax planning services.

 

(4)

AllNo fees were incurred in 2023 or 2022 for services other fees consist of fees for various advisory services.than audit, audit related and tax.

How We Control and Oversee the Non-Audit Services Provided by Deloitte

The Audit Committee has retained Deloitte (along with other accounting firms) to provide non-audit services. We understand the need for Deloitte to maintain objectivity and independence as the auditor of our financial statements and our internal control over financial reporting. Accordingly, the Audit Committee has established the following processes and procedures related to non-audit services. services:

 

We Restrict The the Non-Audit Services That Deloitte Can Provide. To minimize relationships that could appear to impair the objectivity of Deloitte, the Audit Committee has restricted the types of non-audit services that Deloitte may provide to us.

 

We Have Pre-Approval Processes For for Non-Audit Services. The Audit Committee has adopted policies and procedures to pre-approve all audit and non-audit services provided to us by our independent registered public accountants, in accordance with any applicable law, rules or regulations. The Audit Committee pre-approved all fees presented in the table above.

The Audit Committee has adopted policies and procedures for pre-approving all non-audit services that Deloitte performs for us. Specifically, the Audit Committee has pre-approved the use of Deloitte forfor: detailed, specific types of services related to:to tax compliance, planning and consultations; acquisition/disposition services, including due diligence; attestation and agreed upon procedures; consultations regarding accounting and reporting matters; and reviews and consultations on internal control and other related services. The Audit Committee has set a specific annual limit on the amount of non-audit services (tax services and all other) that the Company can obtain from Deloitte (for 2020,2023, this limit was approximately $7.8$7.7 million). The chair of the Audit Committee is authorized to pre-approve any audit or non-audit service on behalf of the Audit Committee, provided these decisions are presented to the full Audit Committee at its next regularly scheduled meeting.

We Have Hiring Restrictions for Deloitte Employees

The Audit Committee has adopted restrictions on our hiring of any Deloitte partner, managing director, manager, staff member, advising member of the department of professional practice, reviewing actuary, reviewing tax professional and any other individuals responsible for providing audit assurance on any aspect of Deloitte’s audit and review of our financial statements.

We Rotate Key Audit Partners and Periodically Consider Audit Firm Rotation

The Audit Committee assures that key Deloitte partners assigned to our audit are rotated as required at least every five years, and the Audit Committee and its chair actively participate in selecting each new lead engagement partner. To help ensure continuing auditor independence, the Audit Committee also periodically considers whether there should be a regular rotation of the independent registered public accountants.

 

80 2021 PROXY STATEMENT

LOGO

  65


 

LOGO

Proposal 3-Ratification3 - Ratification of the Selection of Independent Registered Public Accountants

The Audit Committee is directly responsible for the appointment, compensation (including fee negotiations), retention and oversight of the Company’s independent registered public accounting firm (including the lead audit partner) retained to audit the Company’s financial statements. The Audit Committee has selected Deloitte & Touche LLP to serve as our independent registered public accountants for the year ending December 31, 2021.2024. Deloitte has been retained as the Company’s independent auditor since 2007. The Audit Committee annually evaluates Deloitte’s independence and performance, including an evaluation of the effectiveness of the lead audit partner and other engagement leaders, and determines whether to retain Deloitte or consider other audit firms. Factors considered by the Audit Committee in making its determination on appointment include:

the performance of Deloitte in prior years, including the quality and extent of Deloitte’s communications with the Audit Committee and the results of a management survey of Deloitte’s performance,

Deloitte’s independence and processes for maintaining independence, including review of non-audit fees and services provided,

external data on audit quality and performance, including the results of the most recent internal quality control review or Public Company Accounting Oversight Board inspection,

the performance of key members of the audit engagement team, and

Deloitte’s approach to resolving significant accounting and auditing matters, including consultation with the firm’s national office, as well as its reputation for integrity and competence in the fields of accounting and auditing.

the historic and recent performance of Deloitte, including the quality and extent of Deloitte’s communications with the Audit Committee and the results of a management survey of Deloitte’s performance;

Deloitte’s independence and processes for maintaining independence, including review of non-audit fees and services provided;

external data on audit quality and performance, including the results of the most recent internal quality control review or PCAOB inspection;

the performance of key members of the audit engagement team;

the tenure of the independent audit firm and potential impact of rotating to another independent audit firm; and

Deloitte’s approach to resolving significant accounting and auditing matters, including consultation with the firm’s national office, as well as its reputation for integrity and competence in the fields of accounting and auditing.

Based on this evaluation, the members of the Audit Committee believe that the continued retention of Deloitte to serve as the Company’s independent auditor is in the best interests of the Company and its shareholders. Deloitte is familiar with our operations, and the Audit Committee is satisfied with Deloitte’s reputation in the auditing field, its personnel, its professional qualifications and its independence.

The Audit Committee is responsible for the audit fee negotiations associated with the retention of Deloitte.

Deloitte representatives will attend the Annual Meeting and respond to questions where appropriate. Such representatives may make a statement at the Annual Meeting should they so desire.

Shareholder Approval

Although ratification is not required by our bylaws or otherwise, the Board is submitting the selection of the independent registered public accountants for shareholder ratification as a matter of good corporate governance. Ratification of the selection of the independent registered public accountants by the shareholders requires that the votes cast in favor of ratification exceed the votes cast opposing ratification. If a favorable vote is not obtained, the Audit Committee may reconsider the selection of Deloitte. Even if the selection is ratified, the Audit Committee, in its discretion, may select different independent auditors if it subsequently determines that such a change would be in the best interest of the Company and its shareholders. Unless marked to the contrary, proxies will be voted “FOR” the ratification of the selection of Deloitte as our independent registered public accountants.

 

LOGO The Board recommends that you vote “FOR” the ratification of the selection of Deloitte & Touche LLP as our independent registered public accountants for the year ending December 31, 2021.

LOGO

The Board recommends that you vote “FOR” the ratification of the selection of Deloitte & Touche LLP as our independent registered public accountants for the year ending December 31, 2024.

 

66

2024 PROXY STATEMENT

 LOGO81


LOGO

Proposal 4 - Report on Risk Mitigation Regarding State Restrictions for Emergency Abortions

The Marguerite Casey Foundation has advised the Company that it intends to introduce the following non-binding shareholder proposal at the Annual Meeting. The Company is not responsible for any inaccuracies it may contain. Following the proposal and supporting statement, which are set forth below, we explain why our Board recommends a vote “AGAINST” this proposal.

“Report on Risk Mitigation Regarding State Restrictions for Emergency Abortions

Tenet Health includes more than 475 ambulatory surgery centers and surgical hospitals, 61 hospitals and approximately 110 additional outpatient centers and other sites of care.”1

About 66% of Tenet’s acute care hospitals operate in states that have adopted laws severely restricting access to abortion absent exigent circumstances that often differ from federal statutory emergency abortion exceptions.2 These varying abortion restrictions pose risks to Tenet as a provider of emergency medical services.

For example, it has been widely reported that in states that have passed severe restrictions on abortion, doctors have been struggling with the legality of providing terminations for ectopic pregnancies, incomplete miscarriages, or other circumstances where miscarriage is inevitable or the health or life of the pregnant woman is in danger (“Faced with abortion bans, doctors beg hospitals for help with key decisions,” The Washington Post, October 28, 2023, at https://www.washingtonpost.com/politics/2023/10/28/abortion-bans-medical-exceptions/). 68% of OBGYNs reported that the Dobbs ruling has worsened their ability to manage pregnancy-related emergencies.3 This uncertainty is not only dangerous for patients, but also puts physicians and the hospital at legal risk. The Department of Health and Human Services has already begun investigating and found that at least two hospitals violated federal law when they denied a patient abortion care. The potential for improperly denying abortion care poses legal, financial, and reputational risks to Tenet.

Further, abortion bans are creating impediments to physician recruitment and retention. Physicians are showing “reluctance to practice in places where making the best decisions for a patient could result in huge fines or even a prison sentence,”4 and fewer medical school graduates are applying to residencies in abortion ban states.5 If this trend continues, it could pose risks to Tenet beyond limiting its capacity to provide abortion services—with fewer physicians and services potentially available for all obstetric and gynecological patients at Tenet.

The patchwork of state and federal laws regarding abortion—most specifically, the varying definitions for what constitutes a medical emergency warranting an exception—poses risks for Tenet because it must necessarily make determinations for when it can legally provide an abortion.

RESOLVED: Shareholders request that Tenet’s Board of Directors issue a public report detailing any known and potential risks to the Company posed by state laws severely restricting abortions in the case of medical emergencies. The report should detail any strategies beyond litigation and legal compliance that the company may deploy to minimize or mitigate these risks. The report should be published prior to December 31, 2024, omitting confidential information and completed at reasonable expense.

SUPPORTING STATEMENT: Shareholders recommend that the report evaluate: how the Company makes determinations regarding arguably conflicting state and federal laws; how the Company educates its medical professionals on the evolving legal landscape; and how the Company recruits and retains obstetric and gynecological medical professionals in restrictive states.”

1 https://www.tenethealth.com/about

2 https://www.tenethealth.com/locations

3https://files.kff.org/attachment/Report-A-National-Survey-of-OBGYNs-Experiences-After-Dobbs.pdf

4 https://www.npr.org/sections/health-shots/2023/05/23/1177542605/abortion-bans-drive-off-doctors-and-put-other-health-care-at-risk

5https://www.aamc.org/advocacy-policy/aamc-research-and-action-institute/training-location-preferences

82 

LOGO


Proposal 4-Report on Risk Mitigation Regarding State Restrictions for Emergency Abortions


LOGO

The Board’s Statement in Opposition

Tenet is a diversified healthcare services company with operations in 35 states. We operate 58 acute care and specialty hospitals, 164 outpatient facilities and a network of employed physicians. Our care delivery network also includes United Surgical Partners International, the largest ambulatory platform in the country, which operates or has ownership interests in more than 480 ambulatory surgery centers and surgical hospitals.

The scope of the requested report for “any known and potential risks the Company posed by state laws severely restricting abortions in the case of medical emergencies” is extraordinarily broad. We regularly monitor programs to comply with federal and state laws and regulations to ensure individuals presenting at Tenet’s emergency departments receive an appropriate medical screening examination and stabilizing treatment, including medically necessary abortions, or appropriate transfer in accordance with applicable laws. As recently as January 2, 2024, the U.S. Court of Appeals for the Fifth Circuit overruled guidance from the U.S. Department of Health and Human Services purporting to mandate abortions for emergency department patients that arguably contradicted state laws, further reducing risk to the Company. Each facility and its medical staff have 24-hour-per-day access to Tenet counsel with expertise in applicable healthcare laws, including those laws related to abortion services, which we believe adequately safeguard the Company’s interests. 

We believe that the Company’s resources are better focused on our enterprise risk management system and the continued identification, assessment and management of the various short-, medium- and long-term risks that are material to our company. We have processes in place to manage and oversee risks, including the clinical care provided at our facilities. We believe these processes are reasonable and appropriate to assess the risk discussed in this proposal without the need to commission the overly broad report requested by the proposal. We are already required to disclose material risks to our business in our quarterly and annual filings with the SEC.

The Board has carefully considered this proposal and for the above reasons believes that it would not be in the best interests of our shareholders to commit the Company’s resources to produce the report requested by the proposal.

LOGO

 

 

 

The Board recommends that you vote “AGAINST” the shareholder proposal.

 

 

2024 PROXY STATEMENT

83


LOGO

Proposal 5 - Report on Plans to Integrate ESG Metrics Into Executive Compensation

The International Brotherhood of Teamsters General Fund has advised the Company that it intends to introduce the following non-binding shareholder proposal at the Annual Meeting. The Company is not responsible for any inaccuracies it may contain. Following the proposal and supporting statement, which are set forth below, we explain why our Board recommends a vote “AGAINST” this proposal.

“Resolved: Shareholders of Tenet Healthcare Corp. (“Tenet”), urge the Board of Directors to report to shareholders, at reasonable cost and omitting proprietary information, if, and how, it plans to integrate environmental, social and governance (ESG) metrics into the performance measures of named executive officers under the Company’s compensation incentive plans. ESG is defined as the framework for understanding how ESG considerations, and related financial impacts, are integrated into corporate strategy over the long-term.

Supporting Statement:

Effectively managing ESG issues offers positive opportunities for companies and should be a key metric by which executives are judged. By integrating clearly disclosed ESG metrics into executive compensation, companies can reduce risks related to underperformance by incentivizing executives to meet sustainability goals, thereby achieving greater long-term value.

According to a recent compensation study, most S&P 500 companies now tie executive pay to some form of ESG performance. (https://corpgov.law.harvard.edu/2022/11/271 linking-executive-compensation-to-esg-performance)

While Tenet says it acknowledges the importance of “ESG matters to the Company and its stakeholders,” recently established a board-level “ESG Committee,” and talks extensively about ESG in its 2023 proxy statement, there is little disclosure on how these priorities translate into executive compensation.

According to last year’s proxy statement, Tenet’s annual incentive plan is subject to an “individual performance modifier” and a “quality and compliance modifier.” However, these mechanisms lack the specificity, accountability, and transparency that a set of clearly identified—and quantifiable ESG measures bring.

Human capital management practices, particularly represent key challenges for Tenet that we believe must be clearly linked to executive compensation. In the 2022 10-K, for instance, Tenet notes the risks from ongoing challenges in recruiting and retaining healthcare professionals.

While a lack of accredited professionals is sometimes cited as driving a “worker shortage,” according to the Michigan Health and Hospital Association many of the nursing vacancies are a result of unplanned retirement, resignation, and burnout, as well as a growing concern for safety. (https://www.wilx.com/2023i11/21hvarsing-health-care-worker-shortage-michigan-continues-surgei) A study by McKinsey similarly found that “not being valued, inadequate pay, and unmanageable workloads” are the top factors behind registered nurses’ decisions to leave, concluding that it is “more important than ever for healthcare organizations to design and deploy initiatives that respond to and address workforce needs.” (https://www.mckinsey.com/industries/healthcare/our-insights/nursing-in-2023).

Given these industry trends, we believe adding ESG metrics such as human capital measures, provides greater accountability and transparency around executives’ management of these critical drivers of long-term value.

We recommend the adoption of quantitative metrics.”

84

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Proposal 5-Report on Plans to Integrate ESG Metrics Into Executive Compensation

LOGO

The Board’s Statement in Opposition

In recognition of the importance of ESG matters to the Company and its stakeholders, our Board formed an ESG Committee in February 2021 in order to provide support for the Company’s ongoing ESG efforts. Our ESG Committee, which is comprised entirely of independent directors, is responsible for overseeing and supporting the Company’s commitment to ESG matters, such as climate change impacts, energy and natural resources conservation, environmental and supply chain sustainability, human rights, diversity and inclusion. In addition to discussing with management the Company’s ESG strategy, initiatives and policies, the ESG Committee monitors the operational, regulatory and reputational risks and impacts of ESG on the Company, and it also provides input and guidance on communications with employees, investors and other stakeholders regarding ESG. We publish an annual ESG report that outlines our commitment to the communities we serve and our objectives in the areas of environmental sustainability, social initiatives and governance performance.

Our Board believes that our Human Resources Committee is best positioned to design and implement executive compensation arrangements tailored to our Company that will promote our goals and create long-term shareholder value. Our incentive compensation program is structured around financial and operational performance measures that the Human Resources Committee believes, in the exercise of its business judgment, are most important in driving the responsible, long-term growth of the business. Given that ESG considerations are fully integrated in how we conduct business, adopting separate ESG performance metrics is not necessary at this time.

The Board’s active oversight of ESG matters ensures that they are appropriately prioritized and obviates any need for further incorporating ESG performance metrics into our executive compensation program. We are committed to serving the interests of our employees, patients, stockholders and the global community. We believe the adoption of this proposal is unnecessary and not in the best interests of our stockholders.

LOGO

The Board recommends that you vote “AGAINST” the shareholder proposal.

2024 PROXY STATEMENT

85


LOGO

General Information Regarding the Annual Meeting and Voting

The Board of Tenet is requesting your proxy for use at the Annual Meeting of Shareholders to be held online through anvia a live audio webcast at www.virtualshareholdermeeting.com/THC2021 www.proxydocs.com/THC at 8:00 a.m. Central Time on Thursday,Wednesday, May 6, 2021,22, 2024, and any postponements or adjournments of the meeting, for the purposes set forth in the Notice of Annual Meeting of Shareholders.

Notice of Internet Availability of Proxy Materials

Under SEC rules, we have elected to make our proxy materials available to our shareholders over the Internet rather than mailing paper copies of those materials to each shareholder (unless otherwise requested). On or about March 26, 2021,April 12, 2024, we mailed to our shareholders and also made available online at www.proxyvote.com www.proxydocs.com/THC a Notice of Internet Availability of Proxy Materials (Notice) directing shareholders to a website where they can access this Proxy Statement and our Annual Report on Form 10-K for the year ended December 31, 2020,2023, and view detailed instructions on how to vote via the Internet or by telephone.

If you received the Notice only and would like to receive a paper copy of the proxy materials, please follow the instructions printed on the Notice to request that a paper copy be mailed to you. Shareholders who do not receive the Notice will receive a paper or electronic copy of our proxy materials. This Proxy Statement and related proxy materials are being mailed or made available to shareholders on or about March 26, 2021.April 12, 2024.

Who Can Vote

Only shareholders of record of our common stock at the close of business on March 12, 2021,27, 2024, the record date for the Annual Meeting, are entitled to receive this notice and to vote their shares at the Annual Meeting. As of that date, there were 106,471,22999,186,371 shares of our common stock outstanding. Most of our shareholders hold their shares through a broker, bank or other nominee rather than directly in their own name. As summarized below, there are some distinctions between shares held of record and those owned beneficially.

Shareholder of Record.If your shares of our common stock are registered directly in your name with our transfer agent, Computershare, you are considered the shareholder of record with respect to those shares and a Notice (or, if requested, printed proxy materials) is being sent to you directly by the Company. As the shareholder of record, you have the right to grant your voting proxy directly to us or to vote in person online at the Annual Meeting.

Beneficial Owner.If your shares are held in a brokerage account or by another nominee, you are considered to be the beneficial owner of shares held in street name, and a Notice (or, if requested, printed proxy materials with a voting instruction card)form) is being forwarded to you by your broker, bank or other nominee. As the beneficial owner of the shares, you have the right to direct your broker, bank or other nominee how to vote and you are also invited to attend the Annual Meeting online and vote during the Annual Meeting.online. If your shares are held in street name, your broker, bank or other nominee has enclosed or provided voting instructions for you to use in directing the broker, bank or other nominee how to vote your shares.

Each share of common stock is entitled to one vote on each matter properly brought before the Annual Meeting.

How to Cast Your Vote

You may vote in one of the following ways:

By Internet.You may vote on the Internet using the website noted on your Notice, proxy card or proxy card.voting instruction form.

 

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By Telephone.You may vote by calling the toll-free telephone number noted on your Notice, proxy card or proxy card.voting instruction form. Voice prompts allow you to vote your shares and confirm that your instructions have been properly recorded.

By Mail.If you received a paper copy of the proxy card or voting instruction form by mail and choose to vote by mail, please mark your proxy card, date and sign it, and promptly return it in the postage-paid envelope provided with this proxy statement.Proxy Statement.

Online During the Annual Meeting.While we encourage shareholders to vote prior to the meeting, you may vote online during the Annual Meeting. You will need the 16-digitcontrol number included on your proxy card or voting instructions card.instruction form. Each shareholder may appoint only one proxy holder or representative to attend the meeting on his or her behalf.

SHARES MUST BE VOTED EITHER ONLINE DURING THE ANNUAL MEETING, ON THE INTERNET, BY TELEPHONE OR BY COMPLETING AND RETURNING A PROXY CARD

If your proxy is properly completed, the shares it represents will be voted at the meeting as you instructed. If you submit your properly executed proxy, but do not provide instructions, your proxy will be voted in accordance with the Board’s recommendations as set forth in this Proxy Statement.

Brokers holding shares must vote according to specific instructions they receive from the beneficial owners of those shares. If brokers do not receive specific instructions, brokers may in some cases vote the shares in their discretion but are not permitted to vote on certain proposals and may elect not vote on any of the proposals unless you provide voting instructions. Therefore, unless you provide specific voting instructions, your shares of our common stock are held by a broker in street name, undermay not be represented or voted at the rules of the NYSE, your broker may vote your shares only on “routine” matters ifmeeting. If you do not provide your broker with voting instructions. The ratification of the selection of our independent registered public accountants is considered a routine matter upon which brokerage firms may vote on behalf of their clients if no voting instructions are provided. A “broker non-vote” occurs when a broker holding your shares in street name does not vote on a particular matter because you did not provide the broker voting instructions and the broker lacks discretionary voting authorityelects to vote theyour shares becauseon some but not all matters, it will result in a “broker non-vote” for the matter is non-routine. The non-routine matters on which the agenda for this year’s Annual Meeting include the election of directors and an advisory approvalbroker does not vote. We urge you to promptly provide voting instructions to your broker to ensure that your shares are voted on all of the Company’s executive compensation.proposals, even if you plan to attend the Annual Meeting.

Revoking Your Proxy

You have the right to revoke your proxy at any time before it is voted by (1) filing a written notice with our Corporate Secretary, (2) delivering a new proxy bearing a later date, (3) granting a later proxy through telephone or Internet voting, or (4) attending the Annual Meeting virtually and voting online during the Annual Meeting.

Vote Required

The presence, in person or by proxy, of the persons entitled to vote a majority of the voting shares at the Annual Meeting is necessary to constitute a quorum at the Annual Meeting. Abstentions and broker non-votes will be counted for purposes of determining the presence or absence of a quorum. There are different vote requirements for the various proposals:

The eleven nominees for director will be elected if the votes cast for the nominee exceed the votes cast against the nominee, with abstentions and broker non-votes not counted either for or against a nominee (and therefore having no effect on the election).

Unless you direct otherwise through your proxy voting instructions, the persons named as proxies will vote all proxies received “for” the election of each nominee named in this section. If any director nominee is unable or unwilling to serve as a nominee at the time of the Annual Meeting, the persons named as proxies may vote for a substitute nominee chosen by the present Board to fill the vacancy. In the alternative, the persons named as proxies may vote just for the remaining nominees, leaving a vacancy that may be filled at a later date by the Board, or the Board may reduce its size. We have no reason to believe that any of the nominees will be unwilling or unable to serve if elected as a director.

Our bylaws require that, to be elected, a director nominee must receive a majority of the votes cast in uncontested elections (i.e., the number of shares voted “for” a director nominee must exceed the number of votes cast “against” that nominee). If a nominee is not re-elected, Nevada law provides that the incumbent director would continue to serve on the Board until his or her successor is elected or the director resigns. However, under our Corporate Governance Principles, any incumbent director who receives, in an uncontested election of directors, a greater number of votes cast “against” his or her election than votes “for” his or her election must submit his or her resignation offer to the Board. In that situation, our Governance Committee would make a recommendation to the Board about whether to accept or reject the resignation

 

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The 13 nominees for director will be elected if the votes cast for the nominee exceed the votes cast against the nominee, with abstentions and broker non-votes not counted either for or against a nominee (and therefore having no effect on the election).

  

Unless you direct otherwise through your proxy voting instructions, the persons named as proxies will vote all proxies received “for” the election of each nominee named in this section. If any director nominee is unable or unwilling to serve as a nominee at the time of the Annual Meeting, the persons named as proxies may vote for a substitute nominee chosen by the present Board to fill the vacancy. In the alternative, the persons named as proxies may vote just for the remaining nominees, leaving a vacancy that may be filled at a later date by the Board, or the Board may reduce its size. We have no reason to believe that any of the nominees will be unwilling or unable to serve if elected as a director.

 

Our bylaws require that, to be elected, a director nominee must receive a majority of the votes cast in uncontested elections (i.e., the number of shares voted “for” a director nominee must exceed the number of votes cast “against” that nominee). If a nominee is not re-elected, Nevada law provides that the incumbent director would continue to serve on the Board until his or her successor is elected or the director resigns. However, under our Corporate Governance Principles, any incumbent director who receives, in an uncontested election of directors, a greater number of votes cast “against” his or her election than votes “for” his or her election must submit his or her resignation offer to the Board. In that situation, our Governance Committee would make a recommendation to the Board about whether to accept or reject the resignation offer, or whether to take other action. Our Board would then act on the Governance Committee’s recommendation and

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make prompt public disclosure of its decision and the rationale behind it, if applicable. If the Board accepts a director’s resignation offer, the Governance Committee will recommend to the Board and the Board will then determine whether to fill the vacancy or reduce the size of the Board. Under our bylaws, in contested elections, directors will be elected by a plurality of the votes cast. This standard will not apply at the Annual Meeting, as this year’s elections are uncontested.

Proxies cannot be voted for a greater number of persons than the number of nominees named in this Proxy Statement.

Proxies cannot be voted for a greater number of persons than the number of nominees named in this Proxy Statement.

The following items of business will be approved if the votes cast for the proposal exceed those cast against the proposal, with abstentions not

The following items of business will be approved if the votes cast for the proposal exceed those cast against the proposal, with neither abstentions nor broker non-votes counted either for or against these proposals (and therefore having no effect on the approval of the proposals):

advisory approval of the Company’s executive compensation (Proposal 2); and

ratification of the selection of independent registered public accountants (Proposal 3).

Broker non-votes will have no effect on Proposal 2 because they are not considered votes “cast.” There should be no broker non-votes associated with Proposal 3, as brokers have discretionary voting authority to vote the shares because the matter is considered to be “routine” under the NYSE rules.

advisory approval of the Company’s executive compensation (Proposal 2);

ratification of the selection of independent registered public accountants (Proposal 3);

approval of shareholder proposal to report on risk mitigation regarding state restrictions for emergency abortions (Proposal 4); and

approval of shareholder proposal to report on plans to integrate ESG metrics into executive compensation (Proposal 5).

Attending the Annual Meeting and Asking Questions

As a result of the COVID-19 pandemic, weWe plan to hold this year’s Annual Meeting online through anvia a live audio webcast. This format will enable shareholders to attend the meeting and participate from any location, at no cost.

YouTo attend and participate in the Annual Meeting, register at www.proxydocs.com/THC. After you complete your registration, you will receive further instructions via email, including a unique link that will allow you access to the Annual Meeting, where you will be able to attendlisten to the Annual Meeting online andmeeting live, submit questions by visiting www.virtualshareholdermeeting.com/THC2021. You will also be able to vote your shares online at the Annual Meeting. and vote.

To participate in the Annual Meeting, you will need the 16-digitcontrol number included on your proxy card or voting instruction cardform (if your shares are held through a stockbroker or another nominee).

We encourage you to access the Annual Meeting prior to the start time and allow ample time to log in to the meeting webcast and test your computer audio system. Note that if you have technical difficulties during the check-in time or during the Annual Meeting, you should call the technical support number that will be posted on the virtual shareholder meeting login page.page and in the instructions you will receive via email.

Shareholders may submit written questions once loggedby logging into the virtual platform. Questions pertinent to meeting matters will be answered during the question and answerquestion-and-answer portion of the meeting, subject to a time limit prescribed bythe rules of conduct that will be posted to the virtual meeting platform on the day of the meeting. The rules of conduct will also provide additional information about the relevancy of questions to meeting matters. When reading questions, personal details may be omitted for data protection purposes, and if we receive substantially similar questions, we may group these questions together and provide a single response to avoid repetition.

Costs of Solicitation

We will pay for the cost of proxy solicitations on behalf of the Board. We have engaged Innisfree M&A Incorporated to assist in our proxy solicitations. We will pay Innisfree an amount not to exceed $25,000 in fees for its proxy solicitation services and reimburse it for its reasonable out-of-pocket expenses. In addition to solicitation by mail by Innisfree, proxies may be solicited personally or by telephone, fax or email by our directors, officers and other employees. Proxy materials also may be distributed to the beneficial owners of our stock by brokers, custodians and other parties, and we will reimburse such parties for their reasonable out-of-pocket and clerical expenses.

 

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Householding of Shareholder Materials

We may send a single Notice or set of proxy materials and other shareholder communications to any address shared by two or more shareholders. This process is called “householding.” This reduces duplicate mailings, saves printing and postage costs, and conserves natural resources. We will deliver promptly upon written or oral request a separate copy of the proxy materials to shareholders at a shared address to which a single copy of the documents was delivered. To receive a separate copy, to stop receiving multiple copies sent to shareholders of record sharing an address, or to enroll in householding:

Shareholder of Record.If you are a shareholder of record, please submit your request by telephone at (800) 579-1639, by email at sendmaterial@proxyvote.com or by mail to the Corporate Secretary, Tenet Healthcare Corporation, c/o Broadridge, 51 Mercedes Way, Edgewood, NY 11717.14201 Dallas Parkway, Dallas, Texas 75254.

Beneficial Owner.If you are a beneficial owner, please submit your request to your broker, bank or other nominee.

 

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Other Information

Shareholder Proposals

Shareholder Proposals Submitted Pursuant to SEC Rule 14a-8 for Inclusion in Next Year’s Proxy Statement.To be considered for inclusion in next year’s proxy statement, shareholder proposals submitted in accordance with the SEC’s Rule 14a-8 must be received at our principal executive offices no later than the close of business (5:00 p.m. Central Time) on November 26, 2021.December 13, 2024. Proposals should be addressed to the Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254. Our Governance Committee reviews all shareholder proposals and makes recommendations to the Board for action on such proposals. We will determine whether or not to include any proposals in the proxy statement in accordance with applicable law, including SEC regulations.

Director Nominations for Inclusion in Next Year’s Proxy Statement Pursuant to the Company’s Bylaws (Proxy Access) and SEC Rule 14a-19 (Universal Proxy). We have adopted proxy access, whereby a shareholder (or a group of up to 20 shareholders) who has held at least 3% of our outstanding stock for three years or more may nominate a director and have that nominee included in our proxy materials, provided that the shareholder and nominee satisfy the requirements specified in our bylaws. Any shareholder who wishes to use these procedures to nominate a candidate for election to the Board for inclusion in our proxy statement relating to the 20212025 annual meeting must satisfy the requirements specified in our bylaws and must provide written notice to our Corporate Secretary, which must be received no later than the close of business on November 26, 2021,December 13, 2024, and no earlier than the close of business on October 27, 2021.November 13, 2024. However, in the event that the annual meeting is called for a date that is not within 30 days before or after the first anniversary of the date the definitive proxy statement was first released to shareholders in connection with the immediately preceding annual meeting of stockholder,shareholders, to be timely, the shareholder notice must be so delivered not earlier than the 150th day prior to such annual meeting and not later than the close of business on the later of the 120th day prior to such annual meeting or the 10th10th day following the day on which public announcement of the date of such meeting is first made by the Company. The notice of proxy access must include the information specified in our bylaws, including information concerning the nominee and information about the shareholder’s ownership of and agreements related to our stock. Pursuant to SEC Rule 14a-19, for the Company’s 2025 annual meeting, the Company will be required to include on its proxy card all nominees for director of whom the Company has received adequate notice under the rule. For the proxy card relating to the 2025 annual meeting, the Company must receive notice of a shareholder’s intent to solicit proxies and provide the names of their nominees no later than the close of business on March 24, 2025.

Other Shareholder Business for Presentation at Next Year’s Annual Meeting. Our bylaws require that any shareholder wishing to nominate a candidate for director or to propose other business at the next annual meeting (other than proposals submitted pursuant to the SEC’s Rule 14a-8 or under our proxy access bylaw) must give us written notice between the close of business on January 6, 202222, 2025 and close of business on February 5, 2022,21, 2025, unless the 20222025 annual meeting is called for a date that is not within 30 days before or after the anniversary of the 20212024 annual meeting, in which case notice must be received no later than the close of business on the 10th10th day following the day on which we make a public announcement of the date of the annual meeting. The notice must comply with the requirements of our bylaws, which may be found under the “Governance” heading in the “For Investors”Investors section on our website at www.tenethealth.com*, and any applicable law. Any such business should be addressed to the Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254. Any proposal or nomination that is not timely received by our Corporate Secretary or otherwise does not meet the requirements set forth in our bylaws will not be considered at the next annual meeting. If the shareholder does not also comply with the requirements of Rule 14a-4(c)(2) under the Exchange Act, we may exercise discretionary voting authority under proxies that we solicit to vote in accordance with our best judgment on any such proposal or nomination.

Incorporation by Reference

The information contained above under the captions “Audit Committee Report” and “Human Resources Committee Report” shall not be deemed to be “soliciting material” or to be “filed” with the SEC, nor will such information be incorporated by reference into any future filing except to the extent that the Company specifically incorporates it by reference into such filing. Website references throughout this Proxy Statement are provided for convenience only, and the content on the referenced websites is not incorporated by reference into this document.

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Other Information

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Annual Report on Form 10-K

We will provide to shareholders by mail, without charge, a copy of our 2023 Annual Report on Form 10-K. To request a copy, you should write to the Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, Texas 75254.

Forward-Looking Statements

Certain statements contained in this Proxy Statement are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Exchange Act, each as amended, and are based on future expectations, plans and prospects for the Company’s business and operations that involve a number of risks and uncertainties. Such statements may include, among other words, “believe”, “expect”, “anticipate”, “intend”, “plan”, “will”, “predict”, “potential”, “continue”, “strategy”, “aspire”, “target”, “forecast”, “project”, “estimate”, “should”, “could”, “may” and similar expressions or words and variations thereof that convey the prospective nature of events or outcomes generally indicative of forward-looking statements. Forward-looking statements reflect management’s current expectations and are inherently uncertain. It is possible that Tenet’s actual results may differ materially from those contemplated, expressed, projected, anticipated or implied in the forward-looking statements. For a discussion of some of the risks and important factors that could affect the Company’s future results and financial condition, see “Risk Factors” in Part I, Item 1A of the Company’s Annual Report on Form 10-K you should write for the year ended December 31, 2023, and in other filings made by the Company from time to Tenet Healthcare Corporation, c/o Broadridge, 51 Mercedes Way, Edgewood, NY 11717.time with the SEC. Forward-looking and other statements in this Proxy Statement may also address our corporate responsibility progress, plans and goals (including sustainability and environmental matters), and the inclusion of such statements is not an indication that these contents are necessarily material to investors or required to be disclosed in the Company’s filings with the SEC. In addition, historical, current and forward-looking sustainability-related statements may be based on standards for measuring progress that are still developing, internal controls and processes that continue to evolve, and assumptions that are subject to change in the future.

 

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Appendix A: Non-GAAP Financial Measures

Adjusted EBITDA, Adjusted Free Cash Flow and Adjusted EPS

Adjusted EBITDA, a non-GAAP measure, is defined by the Company as net income available (loss attributable) to Tenet Healthcare Corporation common shareholders before (1) the cumulative effect of changes in accounting principle, (2) net loss attributable (income available) to noncontrolling interests, (3) income (loss) from discontinued operations, net of tax, (4) income tax benefit (expense), (5) gain (loss) from early extinguishment of debt, (6) other non-operating income (expense), net, (7) interest expense, (8) litigation and investigation (costs) benefit, net of insurance recoveries, (9) net gains (losses) on sales, consolidation and deconsolidation of facilities, (10) impairment and restructuring charges and acquisition-related costs, (11) depreciation and amortization, and (12) income (loss) from divested operations and closed businesses.businesses (i.e., health plan businesses). Litigation and investigation costs do not include ordinary course of business malpractice and other litigation and related expense.

Adjusted Free Cash Flow, a non-GAAP measure, is defined by the Company as (1) Adjusted net cash provided by (used in) operating activities from continuing operations, less (2) purchases of property and equipment from continuing operations. Adjusted net cash provided by (used in) operating activities, a non-GAAP measure, is defined by the Company as cash provided by (used in) operating activities prior to (1) payments for restructuring charges, acquisition-related costs and litigation costs and settlements, and (2) net cash provided by (used in) operating activities from discontinued operations.

Adjusted diluted earnings (loss) per share from continuing operations (Adjusted EPS), a non-GAAP measure, is defined by the Company as Adjusted net income available (loss attributable) from continuing operations to Tenet Healthcare Corporation common shareholders, divided by the weighted average primary or diluted shares outstanding in the reporting period. Adjusted net income available (loss attributable) from continuing operations to Tenet Healthcare Corporation common shareholders, a non-GAAP measure, is defined by the Company as net income available (loss attributable) to Tenet Healthcare Corporation common shareholders before (1) income (loss) from discontinued operations, net of tax, (2) gain (loss) from early extinguishment of debt, (3) litigation and investigation (costs) benefits,benefit, net of reinsuranceinsurance recoveries, (4) net gains (losses) on sales, consolidation and deconsolidation of facilities, (5) impairment and restructuring charges and acquisition-related costs, (6) income (loss) from divested and closed businesses, and (7) the associated impact of these items on taxes and noncontrolling interests. Litigation and investigation costs excluded do not include ordinary course of business malpractice and other litigation and related expenses.expense.

The Company believes the foregoing non-GAAP measures are useful to shareholdersinvestors and analysts because they present additional information onabout the Company’s financial performance. Shareholders,Investors, analysts, Company management and the Company’s Board of Directors utilize these non-GAAP measures, in addition to GAAP measures, to track the Company’s financial and operating performance and compare the Company’s performance to its peer companies, which utilizeuse similar non-GAAP financial measures in their presentations and earnings releases. The Human ResourcesHR Committee of the Company’s Board of Directors also uses certain of these measures to evaluate management’s performance for the purpose of determining incentive compensation. Additional information regarding the purpose and utility of specific non-GAAP measures used in this Proxy Statement is set forth below.

The Company believes that Adjusted EBITDA is a useful measure, in part, because certain shareholdersinvestors and analysts use both historical and projected Adjusted EBITDA, in addition to other GAAP and other non-GAAP measures, as factors in determining the estimated fair value of shares of the Company’s common stock. Company management also regularly reviews the Adjusted EBITDA performance for each operatingreporting segment. The Company does not use Adjusted EBITDA to measure liquidity, but instead to measure operating performance.

The Company uses, and believes shareholdersinvestors and analysts use, Adjusted Free Cash Flow as a supplemental non-GAAPmeasure to analyze cash flows generated from operations because the Company’s operations. The Company believes itthis measure is useful to shareholdersinvestors in evaluating the Company’sits ability to fund distributions paid to noncontrolling interests or for acquisitions, purchasing equity interests in joint ventures or repaying debt.

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Appendix A: Non-GAAP Financial Measures

These non-GAAP measures may not be comparable to similarly titled measures reported by other companies. Because these measures exclude many items that are included in ourthe Company’s financial statements, they do not provide a complete measure

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of the Company’s operating performance. For example, the Company’s definition of Adjusted Free Cash Flow does not include other important uses of cash including (1) cash used to purchase businesses or joint venture interests, or (2) any items that are classified as Cash Flows Fromfrom Financing Activities on the Company’s Consolidated Statementconsolidated statements of Cash Flows,cash flows, including items such as (i) cash used to repay borrowings, or (ii) distributions paid to noncontrolling interests, or (iii) payments under the Put/Call Agreement for USPI redeemable noncontrolling interest, which are recorded on the Statement of Cash Flows as the purchase of noncontrolling interest.interests. Accordingly, shareholders are encouraged to use GAAP measures when evaluating the Company’s financial performance.

 

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VALUES We are a community built on care. Our Values de   ne who we are, what we stand for, and what we CARE about. Compassion and respect for others and each other, supporting our communities and advocating for our_patients Acting with integrity and the highest ethical standards — always Results delivered through accountability and_transparency Embracing inclusiveness for all people in our workplace and in the communities we_serve


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LOGOP.O. BOX 8016, CARY, NC 27512-9903

YOUR VOTE IS IMPORTANT! PLEASE VOTE BY:

 

INTERNET

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Go To: www.proxydocs.com/THC

•  Cast your vote online

•  Have your Proxy Card ready

•  Follow the simple instructions to record your vote

PHONE Call 1-866-892-1731

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•  Use any touch-tone telephone

•  Have your Proxy Card ready

•  Follow the simple recorded instructions

MAIL

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•  Mark, sign and date your Proxy Card

•  Fold and return your Proxy Card in the postage-paid envelope provided

LOGOYou must register to attend, participate and/or vote at the annual meeting at www.proxydocs.com/THC

 

Tenet Healthcare Corporation

Annual Meeting of Shareholders


LOGOFor Shareholders of record as of March 27, 2024

Tenet Health TENET HEALTHCARE CORPORATION 14201 DALLAS PARKWAY DALLAS, TEXAS 75254 VOTE BY INTERNET Before The Meeting - Go to www.proxyvote.com Use

DATE:Wednesday, May 22, 2024
TIME:8:00 AM, Central Time
PLACE:Annual Meeting to be held virtually via live audio webcast -
please visit www.proxydocs.com/THC for more details.

This proxy is being solicited on behalf of the Internet to transmit your voting instructions and for electronic delivery of information up until 11:59 p.m. Eastern Time on May 5, 2021. Have your proxy card in hand when you access the web site and follow the instructions to obtain your records and to create an electronic voting instruction form. During The Meeting - Go to www.virtualshareholdermeeting.com/THC2021 You may attend the meeting via the Internet and vote during the meeting. Have the information that is printed in the box marked by the arrow available and follow the instructions. VOTE BY PHONE - 1-800-690-6903 Use any touch-tone telephone to transmit your voting instructions up until 11:59 p.m. Eastern Time on May 5, 2021. Have your proxy card in hand when you call and then follow the instructions. VOTE BY MAIL Mark, sign and date your proxy card and return it in the postage-paid envelope we have provided or return it to Vote Processing, c/o Broadridge, 51 Mercedes Way, Edgewood, NY 11717. TO VOTE, MARK BLOCKS BELOW IN BLUE OR BLACK INK AS FOLLOWS: D46626-P54410 KEEP THIS PORTION FOR YOUR RECORDS THIS PROXY CARD IS VALID ONLY WHEN SIGNED AND DATED. DETACH AND RETURN THIS PORTION ONLY TENET HEALTHCARE CORPORATION The Board of Directors recommends you vote FOR the following: 1. Election of Directors Nominees: 1a. Ronald A. Rittenmeyer 1b. J. Robert Kerrey 1c. James L. Bierman 1d. Richard W. Fisher 1e. Meghan M. FitzGerald 1f. Cecil D. Haney 1g. Christopher S. Lynch 1h. Richard J. Mark 1i. Tammy Romo 1j.

The undersigned hereby appoints Saumya Sutaria, 1k. Nadja Y. West For Against Abstain [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] [    ] The BoardSun Park, Thomas W. Arnst and Chad J. Wiener (the “Named Proxies”), and each or either of Directors recommends youthem, as the true and lawful attorneys of the undersigned, with full power of substitution and revocation, and authorizes them, and each of them, to vote Forall the following proposals: 2. Proposalshares of capital stock of Tenet Healthcare Corporation which the undersigned is entitled to approve,vote at said meeting and any adjournment thereof upon the matters specified and upon such other matters as may be properly brought before the meeting or any adjournment thereof, conferring authority upon such true and lawful attorneys to vote in their discretion on an advisory basis, the company’s executive compensation. 3. Proposal to ratify the selection of Deloitte & Touche LLP as independent registered public accountants for the year ending December 31, 2021. NOTE: Suchsuch other businessmatters as may properly come before the meeting orand revoking any adjournments or postponements thereof. For Against Abstain [    ] [    ] [    ] [    ] [    ] [    ] Please sign as your name(s) appear(s) on this proxy card. If acting as an executor, administrator, trustee, guardian, etc., you should so indicate when signing. If the signer is a company, please sign the full company name by a duly authorized officer. If shares are held jointly, each shareholder should sign. Signature [PLEASE SIGN WITHIN BOX] Date Signature (Joint Owners) Date

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Important Notice Regarding the Availability of Proxy Materials for the Annual Meeting: The Notice and Proxy Statement and Form 10-K are available at www.proxyvote.com. D46627-P54410 TENET HEALTHCARE CORPORATION This proxy is solicited by the Board of Directors Annual Meeting of Shareholders May 6, 2021 8:00 AM CDT The undersigned hereby appoints Ronald A. Rittenmeyer, Audrey T. Andrews and Mark R. Jackson, or any of them, proxies of the undersigned, with power of substitution, to represent the undersigned and to vote all shares of Tenet Healthcare Corporation that the undersigned would be entitled to vote at the Annual Meeting of Shareholders to be held on May 6, 2021, and any adjournments or postponements thereof, on the items set forth on the reverse hereof and on such other business as may properly come before the meeting. THE SHARES REPRESENTED BY THIS PROXY WILL BE VOTED AS DIRECTED BY THE SHAREHOLDER.OR, IF NO DIRECTION IS GIVEN, WHEN THE DULY AUTHORIZED PROXY IS RETURNED, SUCH SHARES WILL BE VOTED “FOR”IDENTICAL TO THE BOARD OF DIRECTORS’ RECOMMENDATION. This proxy, when properly executed, will be voted in the manner directed herein. In their discretion, the Named Proxies are authorized to vote upon such other matters that may properly come before the meeting or any adjournment or postponement thereof.

You are encouraged to specify your choice by marking the appropriate box (SEE REVERSE SIDE) but you need not mark any box if you wish to vote in accordance with the Board of Directors’ recommendation. The Named Proxies cannot vote your shares unless you sign (on the reverse side) and return this card.

PLEASE BE SURE TO SIGN AND DATE THIS PROXY CARD AND MARK ON THE REVERSE SIDE


Tenet Healthcare Corporation

Annual Meeting of Shareholders

Please make your marks like this: 

THE BOARD OF DIRECTORS RECOMMENDS A VOTE:

FOR EACH OF THE DIRECTOR NOMINEES LISTED IN PROPOSAL 1 AND VOTED “FOR”FOR PROPOSALS 2 AND 3. THE PROXIES ARE AUTHORIZED TO VOTE IN THEIR DISCRETION UPON BUSINESS THAT MAY PROPERLY COME BEFORE THE MEETING3

AGAINST PROPOSALS 4 AND ANY ADJOURNMENTS OR POSTPONEMENTS THEREOF. Continued and5

BOARD OF
DIRECTORS
COMPANY PROPOSALSYOUR VOTERECOMMENDS

1.

Election of Directors

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FORAGAINSTABSTAIN
1.01 Saumya SutariaFOR
1.02 J. Robert KerreyFOR
1.03 Vineeta AgarwalaFOR
1.04 James L. BiermanFOR
1.05 Roy BluntFOR
1.06 Richard W. FisherFOR
1.07 Meghan M. FitzGeraldFOR
1.08 Cecil D. HaneyFOR
1.09 Christopher S. LynchFOR
1.10 Richard J. MarkFOR
1.11 Tammy RomoFOR
1.12 Stephen H. RusckowskiFOR
1.13 Nadja Y. WestFOR
FORAGAINSTABSTAIN
2.To approve, on an advisory basis, the Company’s executive compensation.FOR
3.To ratify the selection of Deloitte & Touche LLP as the Company’s independent registered public accountants for the year ending December 31, 2024.FOR
SHAREHOLDER PROPOSALS
4.To report on risk mitigation regarding state restrictions for emergency abortions.AGAINST
5.To report on plans to integrate ESG metrics into executive compensation.AGAINST
Such other business as may properly come before the meeting or any adjournment or postponement of the meeting will be voted on by the proxy holders in their discretion.

You must register to attend, participate and/or vote at the annual meeting at www.proxydocs.com/THC

Authorized Signatures - Must be completed for your instructions to be signedexecuted.

Please sign exactly as your name(s) appears on reverse sideyour account. If held in joint tenancy, all persons should sign. Trustees, administrators, etc., should include title and authority. Corporations should provide full name of corporation and title of authorized officer signing the Proxy/Vote Form.

Signature (and Title if applicable)Date    

Signature (if held jointly)

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