What's with TENET?

Nurses Activism

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May 3, 2003 E-mail story Print

Tenet to Allow Two Unions to Organize

The hospital chain apparently seeks labor peace by permitting elections at 30 facilities in California, Florida.

Tenet to Allow Two Unions to Organize

TENET HEALTHCARE CORP

LABOR RELATIONS

TENET HEALTHCARE CORP LABOR RELATIONS SERVICE EMPL

AMERICAN FEDERATION OF STATE COUNTY AND MUNICIPAL

SERVICE EMPLOYEES INTERNATIONAL UNION

By Ronald D. White, Times Staff Writer

Tenet Healthcare Corp., facing numerous legal battles and government probes, sought to eliminate a major headache Friday by forging an unusual pact with two labor unions that have been trying for years to organize workers at Tenet hospitals.

The agreement would allow the Service Employees International Union and the American Federation of State, County and Municipal Employees to conduct organizing campaigns and hold union elections at 28 Tenet hospitals in California and two in Florida-with the blessing of hospital management.

If nurses and other workers at the hospitals vote to be represented by either union, they would be guaranteed pay raises of 8% in the first year and 7% in each of the next three years.

Those percentage increases are about what many nurses have been getting in recent years-with or without unions behind them-but Tenet workers may see an advantage in voting for a union because that could give them a greater voice in the workplace.

The California Nurses Assn., an independent labor group that has been competing with the SEIU to organize hospital workers, blasted the agreement as an "illegal, fraudulent" attempt to bribe Tenet employees. The group said it would file charges with the federal labor board in hopes of thwarting the deal.

For Santa Barbara-based Tenet, the nation's second- largest hospital chain, the agreement with the unions provides some clear benefits. The SEIU, in particular, has been using its political connections in Sacramento to make life difficult for the hospital company, which has been beset by scrutiny from regulators, lawmakers and others for effectively gouging Medicare and charging excessive hospital rates, among other questionable practices.

The pact with the unions presumably would mark an end to SEIU's so-called corporate campaign against Tenet and enable it to focus on restoring its business and reputation-and on resolving federal investigations into heart surgeries at a Tenet hospital in Redding and doctor recruiting practices at its medical center in San Diego.

"Normally, [Tenet] would want to contest unionization, but they need good labor relations right now," said Nancy Weaver, an analyst at Stephens Inc. in Little Rock, Ark. "This agreement is going to cost Tenet more money than it would like, but peace with the unions is an intangible that you can't put a value on."

Tenet shares rose 88 cents to close Friday at $15.59 on the New York Stock Exchange.

Tenet operates 40 hospitals in California. The California Nurses Assn. represents nurses at four of them. Combined, SEIU and AFSCME, both affiliated with the AFL-CIO, have contracts at eight of Tenet's hospitals. Unionized nurses tend to earn more than nonunion counterparts. Tenet declined to provide wage figures. The hourly pay for nurses in the private sector in the Los Angeles area was $30.02, according to a 2002 survey by the Labor Department.

For SEIU and AFSCME, the main appeal of the agreement with Tenet appears to have been the opportunity to represent all of the company's nonunion hospitals in the state. Tenet, with about 35,000 employees in California, is the last of major hospital chains in the state that is largely nonunion.

Sheryl Skolnick, an analyst at Fulcrum Global Partners in New York, said Tenet's agreement with the unions "bordered on brilliance" on the part of management.

"It sets up the probability of predictable labor costs and arbitration instead of strikes," she said. She also said in a report to investors Friday that the deal could help Tenet neutralize the aggressive attacks by the nurses group by opening up the hospitals to rival unions.

The SEIU said the California Nurses Assn. was offered the same deal by Tenet but refused. An association spokesman denied that, saying it was shut out of the agreement.

I worked at a Tenet hospital in an ajoining county.

It was unsafe and filthy. There was only one staff RN doing her best and wonderful nursing assistant, and me for 34 patients.

My nose told me patients had not been bathed for days. The RN said, "When someone calls in sick they can't get registry."

Well they won't get me back there either. I only have one license.

http://www.kpmginsiders.com/display_reuters.asp?cs_id=66251

Tenet Healthcare Reports First-Quarter Loss

NEW YORK, May 14 (Reuters) - Tenet

Healthcare Corp., the No. 2 U.S. hospital

operator, reported on Wednesday a first-quarter loss after it changed its

policy for billing the government for the sickest patients and took

charges for restructuring and other items.

Tenet reported a loss of $20 million, or 4 cents per share, compared

with a profit of $278 million, or 55 cents per share, a year ago.

After a government investigation into the hospital chain's

reimbursement practices, the Santa Barbara, California company

adopted a new policy for billing for "outlier payments," which are special

Medicare payments made to health care providers for patients that incur

unusually high costs.

The company said in March it would sell or consolidate 14 hospitals in

a bid to cut costs and increase profit margins.

"Reported results for the quarter were impacted by a number of factors,

including our voluntary reduction in Medicare outlier payments and

pending hospital sales that must be accounted for as discontinued

operations," said Jeffrey Barbakow, chairman and chief executive officer

of Tenet.

Barbakow in April agreed to drop the chairman title as it seeks an

independent chairman.

Excluding charges and discontinued operations, the company earned

34 cents per share. On that basis, analysts on average were expecting

Tenet to earn 32 cents per share, according to tracking firm Thomson

First Call.

Revenue rose to $3.45 billion from $3.38 billion a year ago.

Copyright 2003 Reuters. Click for Restrictions.

BearingPoint, Inc., formerly KPMG Consulting, Inc., is an independent consulting firm and is

not affiliated with KPMG International or any KPMG member firm.

© 2003 KPMG LLP, the U.S. member firm of KPMG International, a Swiss association. All

rights reserved.

Times-Picayune (New Orleans, LA)

May 20, 2003 Tuesday

SECTION: MONEY; Pg. 1

Tenet lays off 32 local employees;

Company says care won't be affected

By Ronette King; Business writer

The troubles of Tenet Healthcare Corp. are starting to filter down to the local level, as 32 workers at three hospitals and the regional office were laid off this week.

Meanwhile, the chief of Tenet's Memorial Medical Center has resigned.

Tenet Healthcare, the nation's No. 2 hospital operator, owns seven hospitals in Louisiana, including three where layoffs were announced: Memorial Medical Center in New Orleans, Doctors Hospital in Jefferson and Meadowcrest Hospital in Gretna. Twenty-nine people lost their jobs at those hospitals, company representatives said Monday. Another three workers at the company's regional office in Kenner were laid off.

Hospital representatives at each office issued similar statements about the possible effects of and reasons for the layoffs.

"This will not affect patient care at our two campuses," said Sandra Cordray, community relations manager at Memorial. "The decision was made after careful consideration of our patient needs and structure of our current operation."

No further layoffs are expected, the company said.

David Dunlap is leaving his post as chief executive officer of Memorial Medical Center after 2 1/2 years with the facility, which includes the Baptist Hospital campus Uptown and the Mercy campus in Mid-City. He will take the CEO job at CareAlliance Health System, a three-hospital not-for-profit chain in Charleston, S.C. His resignation was announced Friday and will take effect June 13, Cordray said.

In the meantime, Debbie Keel, chief executive of Kenner Regional Medical Center, will take over as interim CEO of Memorial, Cordray said.

The layoffs appear to be a reflection of the turmoil at the corporate level and the company's plans for reducing costs and improving profit margins.

In March, Tenet said it would reduce nonpatient care expenses by at least $100 million a year to improve operating efficiency and profit margins. Most of the savings would come from staff and expense reductions in corporate and hospital departments and areas not related to patient care, according to a company statement.

Last week Tenet reported a first-quarter loss after it changed its policy for billing the federal government for certain patients and took charges for restructuring. The company reported a net loss of $20 million, or 4 cents a share, compared with net income of $278 million, or 55 cents per share, in the same quarter a year ago.

Tenet is facing pressure from disgruntled shareholders demanding changes in the board of directors and pushing to get rid of senior management.

There also is an effort to unionize among nurses at several of its facilities around the country.

The California Nurses Association, which is organizing nurses around the country, has planned a meeting in New Orleans at the Fairmont Hotel on May 27.

Among other changes, the company, which is based in Santa Barbara, Calif., said it planned to sell or consolidate 14 hospitals, using the money for a stock buy-back. Tenet owns and operates 114 hospitals in 16 states.

None of Tenet's Louisiana hospitals is on the list to be sold.

Other hospitals that are part of the Tenet Louisiana HealthSystem are North Shore Hospital, North Shore Psychiatric Hospital and St. Charles General.

Tenet stock closed Monday at $15.96, down 12 cents. A year ago, its stock was $71.

. . . . . . .

Ronette King can be reached at [email protected] or (504) 826-3308.

GRAPHIC: David Dunlap Memorial CEO is leaving in June to join three

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