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In the Matter of Tenet Healthcare Corporation

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In the Matter of Tenet Healthcare Corporation UNITED STATES OF AMERICA BEFORE FEDERAL TRADE COMMISSION ___________________________________ ) In the Matter of ) ) File No. 971-0024 TENET HEALTHCARE CORPORATION, ) a corporation. ) ___________________________________) AGREEMENT CONTAINING CONSENT ORDER The Federal Trade Commission ("Commis sion"), having initiated an investigation into the pro posed acquisition of OrNda Healthcorp ("OrNda") by Tenet Healthcare Corporation ("Tenet"), and it now ap pear ing that Tenet ("pro posed re spon dent") is willing to enter into an agreement con taining an order to di vest certain as sets, to cease and desist from making certain acquisitions, and provid ing for other relief; IT IS HEREBY AGREED by and between the proposed respon dent by its duly authorized officer and attorney, and counsel for the Commission that: 1. The proposed respondent Tenet is a corporation organized, existing, and doing business under and by virtue of the laws of Nevada, with its prin cipal place of busi ness at 3820 State Street, Santa Barbara, California 93105. 2. The proposed respondent admits all the jurisdictional facts set forth in the draft of complaint here attached. 3. The proposed respondent waives: a. any further procedural steps; b. the requir ement that the Commission's decision contain a statement of findings of fact and conclusions of law; c. all rights to seek judicial review or otherwise to challenge or contest the validity of the order entered pursuant to this agreement; and d. any claim under the Equal Access to Justice Act. 4. This agreement shall not become a part of the public record of the proceeding unless and until it is accepted by the Commission. If this agreement is accepted by the Commission it, Agreement Containing Consent Order Page 2 of 18 together with the draft of complaint contemplated thereby, will be placed on the public record for a period of sixty (60) days and information in respect thereto publicly released. The Commis sion thereafter may either withdraw its acceptance of this agreement and so notify the proposed respondent, in which event it will take such action as it may consider appropriate, or issue and serve its complaint (in such form as the circumstances may require) and decision, in disposition of the proceeding. 5. This agreement is for settlement purposes only and does not constitute an admission by the proposed respondent that the law has been violated as alleged in the draft of complaint here attached, or that the facts as alleged in the draft of complaint, other than jurisdictional facts, are true. 6. This agreement contemplates that, if it is accepted by the Commission, and if such acceptance is not subsequently withdrawn by the Commission pursuant to the provisions of Section 2.34 of the Commission's Rules, the Commission may, without further notice to the proposed respondent, (1) issue its complaint corresponding in form and substance with the draft of complaint here attached and its decision containing the following order to divest and to cease and desist, and other relief in disposition of the proceedings, and (2) make information public with respect thereto. When so entered, the order to divest and to cease and desist shall have the same force and effect and may be altered, modified, or set aside in the same manner and within the same time provided by statute for other orders. The order shall become final upon service. Delivery by the U.S. Postal Service of the complaint and decision containing the agreed-to order to proposed respondent's address as stated in this agreement shall constitute service. The proposed respondent waives any right it may have to any other manner of service. The complaint may be used in construing the terms of the order, and no agreement, understanding, representation, or interpretation not contained in the order or this agreement may be used to vary or contradict the terms of the order. 7. The proposed respondent has read the proposed complaint and order contemplated hereby. The proposed respondent understands that once the order has been issued, it will be required to file one or more compliance reports showing that it has fully complied with the order. The proposed respondent further understands that it may be liable for civil penalties in the amount pro vided by law for each viola tion of the order after it be comes final. Agreement Containing Consent Order Page 3 of 18 ORDER I. IT IS ORDERED THAT, as used in this order, the following definitions shall apply: A. "Tenet" or "respondent" means Tenet Healthcare Corporation; its directors, officers, employees, agents and representatives, predecessors, successors, and assigns; its subsidiaries, divisions, groups and affil iates controlled by Tenet Healthcare Corporation; and the respective direc tors, officers, employees, agents, and representatives, successors, and assigns of each. B. "OrNda" means OrNda Healthcorp; its directors, officers, employees, agents and representatives, predecessors, successors, and assigns; its subsidiaries, divisions, groups and affil iates controlled by OrNda Healthcorp; and the respective direc tors, officers, employees, agents, and representatives, successors, and assigns of each. C. "Commission" means the Federal Trade Commission. D. The "Acquisition" means the transaction contemplated by the October 16, 1996 Agreement and Plan of Merger between Tenet and OrNda, pursuant to which OrNda will become a wholly-owned subsidiary of Tenet. E. "Acute care hospital" means a health care facility, licensed as a hospital, other than a federally-owned facility, having a duly organized governing body with overall administrative and professional responsibili ty, and an organized profes sional staff, that provides 24-hour inpatient care, that may also provide outpatient services, and having as a primary function the provision of inpatient services for medical diagnosis, treatment, and care of physically injured or sick persons with short term or episodic health problems or infirmities. F. "Affiliate" means any entity whose management and policies are controlled in any way, directly or indirectly, by the person with which it is affiliated. G. "Person" means any natural person, partnership, corporation, company, association, trust, joint venture, or other business or legal entity, including any govern mental agency. Agreement Containing Consent Order Page 4 of 18 H. "Relevant area" means the co unty of San Luis Obispo in California. I. The "Schedule A assets" mean the assets identified in the at tached Schedule A. J. The "Schedule B assets" mean the assets identified in the at tached Schedule B. K. "Monarch Health Systems" or "Monarch" means Monarch Medical Alliance, Inc., doing business as Monarch Health Systems (a corporation with its headquarters in Santa Barbara, California), its subsidiaries, and their successors and assigns. L. "Assets and Businesses" include, but are not limited to, all assets, properties, businesses, rights, privileges, contractual interests, licenses, and goodwill of whatever nature, tangible and intangible, including, without limitation, the following: 1. all real property interests (including fee simple interests and real property leasehold interests, whether as lessor or lessee), together with all buildings, improvements, and fixtures located thereon, all construction in progress thereat, all appurtenances thereto, and all licenses and permits related thereto (collectively, the "Real Property"); 2. all contracts and agreements with physicians, other health care providers, unions, third party payers, health maintenance organizations and other health plans, customers, suppliers, sales representatives, distributors, agents, personal property lessors, personal property lessees, licensors, licensees, cosigners, and consignees (collectively, the "Contracts"); 3. all machinery, equipment, fixtures, vehicles, furniture, inventories, and supplies (other than such inventories and supplies as are used in the ordinary course of business during the time that Tenet owns the assets) (collectively, the "Personal Property"); 4. all research materials, technical information, management information systems, software, software licenses, inventions, trade secrets, technology, know- how, specifications, designs, drawings, processes, and Agreement Containing Consent Order Page 5 of 18 quality control data (collectively, the "Intangible Personal Property"); 5. all books, records, and files, excluding, however, the corporate minute books and tax records of Tenet, OrNda, and their affiliates; and 6. all prepaid expenses. M. To "operate" an acute care hospi tal means to own, lease, manage, or otherwise control or direct the opera tions of an acute care hospital, directly or indirectly. N. To "acquire" an acute care hospital means, di rectly or indirectly, through subsidiaries, partnerships, or other wise: 1. To acquire the whole or any part of the assets used or previously used within the last two years (and still suitable for use) for operat ing an acute care hospital from any per son presently engaged in, or within the two years preceding such acquisition engaged in, operat ing an acute care hospital; 2. To acquire the whole or any part of the stock, share capital, equity, or other interest in any person engaged in, or within the two years preceding such acqui sition engaged in, operat ing an acute care hospital; 3. To acquire or otherwise obtain the right to des ignate, directly or indirectly, directors or trustees of an acute care hospital; or 4. To enter into any other arrangement to obtain direct
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