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Tenet Announces Results for Second Quarter Ended June 30, 2005.


DALLAS Dallas, city (1990 pop. 1,006,877), seat of Dallas co., N Tex., on the Trinity River near the junction of its three forks; inc. 1871. The second largest Texas city, after Houston, and the eighth largest U.S.  -- Tenet Healthcare Tenet Healthcare Corporation (THC) is an operating company that owns and operates 57 hospitals in the United States [1]. It is based in Dallas, Texas. Its stock ticker symbol on the New York Stock Exchange is NYSE: THC.  Corporation (NYSE NYSE

See: New York Stock Exchange
:THC THC tetrahydrocannabinol.

THC
n.
Tetrahydrocannabinol; a compound that is obtained from cannabis or is made synthetically; it is the primary intoxicant in marijuana and hashish.
) today reported a net loss of $21 million, or $0.04 per share, for its second quarter ended June June: see month.  30, 2005. This compares to a net loss of $426 million, or $0.91 per share, in the second quarter of 2004. The net loss for the second quarter of 2005 includes a loss from continuing operations continuing operations

Parts of a business that are expected to be maintained as an ongoing segment of an overall business operation. Income and losses from continuing operations are reported separately if any segments have been discontinued during the
 of $3 million, or essentially breakeven breakeven

1. The level of output or sales necessary to cover fixed expenses. Companies in industries that have high fixed costs and, consequently, high breakevens, such as automobile and steel manufacturing, are likely to exhibit large fluctuations
 on a per share basis compared to a loss of $170 million, or $0.36 per share, in the second quarter of 2004 and a loss from discontinued operations Discontinued operations

Divisions of a business that have been sold or written off and that no longer are maintained by the business.
 of $18 million, or $0.04 per share, compared to a loss of $256 million, or $0.55 share, in the second quarter of 2004.

"We continue to make good progress in improving quality, controlling costs and improving pricing," said Trevor Trev·or   , William Originally William Trevor Cox. Born 1928.

Irish writer noted for his darkly comedic stories and novels, including The Old Boys (1964) and The Day We Got Drunk on Cake (1967).
 Fetter, president and chief executive officer. "Volume growth remains our biggest challenge and our top operational priority. Despite a decline in overall admissions in the quarter, we are pleased that our volume of surgeries and emergency room visits were both up in the quarter. These are welcome indicators of improved confidence in our hospitals and strategy. I am confident that we have the right combination of initiatives in place to build back the overall volume growth we need. As we do that, I am pleased that our discipline on cost management continued to show very real results in the quarter."

"We are achieving our objectives for mid- mid-
pref.
Middle: midbrain. 
 to high-single digit A single character in a numbering system. In decimal, digits are 0 through 9. In binary, digits are 0 and 1.

digit - An employee of Digital Equipment Corporation. See also VAX, VMS, PDP-10, TOPS-10, DEChead, double DECkers, field circus.
 percentage pricing increases on newly negotiated commercial managed care contracts," said Reynold Reynold is an English masculine name derived from an Old High German personal name made up of the elements "ragin" (advice, decision) and "wald" (ruler). It is a cognate of Rögnvaldr.  Jennings Jennings, city (1990 pop. 11,305), seat of Jefferson Davis parish, SW La., on the Mermentau River; inc. 1888. Cotton and rice are grown, there is a bottling plant, and drugs, machinery, apparel, and water-treatment systems are manufactured. , chief operating officer Chief Operating Officer (COO)

The officer of a firm responsible for day-to-day management, usually the president or an executive vice-president.
. "As contracts renegotiated in earlier quarters reach their effective dates, these new agreements are making a tangible Possessing a physical form that can be touched or felt.

Tangible refers to that which can be seen, weighed, measured, or apprehended by the senses. A tangible object is something that is real and substantial. An automobile is an example of tangible Personal Property.
 contribution. We continue to do a great job in improving cost efficiency despite the continual challenges of medical cost inflation."

Robert Robert, Henry Martyn 1837-1923.

American army engineer and parliamentary authority. He designed the defenses for Washington, D.C., during the Civil War and later wrote Robert's Rules of Order (1876).

Noun 1.
 Shapard, chief financial officer, said, "Although volume growth has fallen short of our targets, aggressive cost management has had a positive contribution. Our continued effort to collect accounts receivables accounts receivable n. the amounts of money due or owed to a business or professional by customers or clients. Generally, accounts receivable refers to the total amount due and is considered in calculating the value of a business or the business' problems in paying  contributed to positive cash flow for the quarter resulting in an unrestricted cash balance at the end of the quarter of approximately ap·prox·i·mate  
adj.
1. Almost exact or correct: the approximate time of the accident.

2.
 $1.6 billion, up $97 million from March 31."

As announced on July July: see month.  20, 2005, developments arising out of a previously disclosed dis·close  
tr.v. dis·closed, dis·clos·ing, dis·clos·es
1. To expose to view, as by removing a cover; uncover.

2. To make known (something heretofore kept secret).
 Securities and Exchange Commission (SEC) investigation will most likely cause a delay in the filing of the company's Form 10-Q Form 10-Q

See 10-Q.
 for the second quarter 2005. These developments arise out of allegations made by a former Tenet employee that inappropriate inappropriate Medtalk adjective A diagnostic or therapeutic procedure proven to be unnecessary for the efficient management of a particular Pt. See Appropriateness, Canadian plan, Practice guidelines Neurology adjective Referring to a response or behavior  contractual allowances for managed care contracts may have been established at three California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W).  hospitals through at least 2001. The audit committee of the company's board of directors has asked its independent outside counsel to review these allegations and examine whether similar issues may have affected other Tenet hospitals. While the company cannot provide assurances until the investigation has been completed, it does not believe the ultimate findings will have a material impact on its financial position or its 2004 or 2005 results of operations.

Continuing Operations

The loss from continuing operations for the second quarter of 2005 was $3 million, or essentially breakeven on a per share basis, including the following three items with an aggregate positive net after-tax af·ter-tax also af·ter·tax
adj.
Relating to or being that which remains after payment, especially of income taxes: after-tax profits. 
 impact totaling approximately $6 million, or $0.02 per share:

(1) net litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
 and investigation costs of $11 million pre-tax pre-tax adjanterior al impuesto

pre-tax adjavant impôt(s)

pre-tax adjal lordo d'imposta 
, approximately $7 million after-tax, or $0.01 per share;

(2) negative non-cash adjustment to the valuation allowance for deferred tax assets of approximately $10 million, or $0.02 per share; and

(3) positive non-cash adjustment to reduce the accrual accrual,
n continually recurring short-term liabilities. Examples are accrued wages, taxes, and interest.
 for IRS An abbreviation for the Internal Revenue Service, a federal agency charged with the responsibility of administering and enforcing internal revenue laws.  audit exposures for years 1995-1997 by approximately $23 million, or $0.05 per share.

See Explanatory ex·plan·a·to·ry  
adj.
Serving or intended to explain: an explanatory paragraph.



ex·plan
 Notes for additional information regarding these items. It should be noted that litigation and investigation costs includes an accrual for a $45 million estimated minimum liability attributable attributable

emanating from or pertaining to attribute.


attributable proportion
see attributable risk (below).

attributable risk
 to our securities class action lawsuit class action lawsuit

A lawsuit in which one party or a limited number of parties sue on behalf of a larger group to which the parties belong. For example, investors may bring a class action lawsuit against a brokerage firm that has actively promoted a tax
 and two shareholder derivative actions A lawsuit brought by a shareholder of a corporation on its behalf to enforce or defend a legal right or claim, which the corporation has failed to do.

A derivative action, more popularly known as a Stockholder's Derivative Suit, is derived from the primary right of the
, which has been offset by a corresponding amount that is expected to be recovered from our insurance carriers under our insurance policies. In addition, the company had stock compensation expense, included in salaries, wages and benefits, of $13 million pre-tax, $8 million after-tax, or $0.02 per share in the second quarter of 2005 as compared to $36 million pre-tax, $22 million after-tax, or $0.05 per share in the second quarter of 2004.

Patient Volumes

Same-hospital admissions in the second quarter of 2005 were 167,265, a decline of 2,437 admissions, or 1.4 percent, compared to the second quarter of 2004 when same-hospital admissions were 169,702. The company's California region achieved solid same-hospital admissions growth of more than three percent in its 18 core hospitals. Same-hospital admissions for the company's other three regions showed declines. Volumes have been adversely impacted by severe competitive pressures in certain of our Texas and Florida Florida, state, United States
Florida (flôr`ĭdə, flŏr`–), state in the extreme SE United States. A long, low peninsula between the Atlantic Ocean (E) and the Gulf of Mexico (W), Florida is bordered by Georgia and
 markets. In addition, we believe that the impact of contentious managed care contract negotiations, or in some cases terminations, may have resulted in the loss of some patient volumes.

Same-hospital patient days were 859,775 in the second quarter of 2005, a decrease of 15,589 days, or 1.8 percent, as compared to the second quarter of 2004.

Same-hospital surgeries were 125,180 in the second quarter of 2005, an increase of 2,396 or 2.0 percent over the second quarter of 2004.

Admissions through the emergency department comprised 54 percent of total admissions for the second quarter of 2005, compared to 51 percent in the second quarter of 2004 and 55 percent in the first quarter of 2005.

Same-hospital outpatient outpatient /out·pa·tient/ (-pa-shent) a patient who comes to the hospital, clinic, or dispensary for diagnosis and/or treatment but does not occupy a bed.

out·pa·tient
n.
 visits in the second quarter of 2005 were 1,328,871, a decrease of 137,995 visits, or 9.4 percent, as compared to 1,466,866 in the second quarter of 2004. Approximately half of this decrease was attributable to the sale or closure of various home health agencies, hospices and clinics during 2004. Same-hospital outpatient surgeries Outpatient Surgery, also referred to as ambulatory surgery or same-day surgery, is surgery that does not require an overnight hospital stay. The term “outpatient” arises from the fact that surgery patients may go home do not need an overnight hospital  rose by more than one percent.

Uninsured admissions increased to 3.8 percent of total admissions in the second quarter of 2005, as compared to 3.5 percent in the second quarter of 2004 representing an increase in uninsured admissions of 6.5 percent. Same-hospital uninsured admissions increased by 5.4 percent in the second quarter of 2005 compared to the second quarter of 2004.

Patients qualifying for charity care comprised 1.6 percent of admissions in the second quarter of 2005, up from 1.3 percent in the second quarter of 2004.

Uninsured patients and patients qualifying for charity care comprised 9.5 percent and 0.4 percent respectively, of outpatient visits in the second quarter 2005. These percentages were 9.2 percent and 0.2 percent, respectively in the second quarter of 2004.

Uninsured patients and patients qualifying for charity care represented 23.6 percent of all patients treated as outpatients in the emergency department in the second quarter of 2005, down from 23.8 percent in the second quarter of 2004.

Revenues

Net operating revenues operating revenue

Revenue from any regular source. Revenue from sales is adjusted for discounts and returns when calculating operating revenue. Compare other revenue.
 were $2,421 million in the second quarter of 2005, a decrease of $84 million, or 3.4 percent, as compared to $2,505 million in the second quarter of 2004. Patient discounts provided under the Compact with Uninsured Patients ("Compact") reduced net operating revenues in the second quarter of 2005 by $146 million, or 5.7 percent, and reduced revenues in the second quarter of 2004 by $28 million, or 1.1 percent. Tenet began the initial implementation of the Compact in the second quarter of 2004. If the discounts under the Compact were added back to net revenues, it would have produced a non-GAAP measure of adjusted net operating revenues for the second quarter of 2005 of $2,567 million, which would be an increase of $34 million or 1.3 percent compared to adjusted net operating revenues of $2,533 million for the second quarter of 2004.

Under the Compact, discounts are provided to uninsured patients at managed care-style rates established by each hospital. Tenet expects to begin implementation of the Compact in Texas on September September: see month.  1, 2005, which will complete the implementation in all Tenet markets. Under the Compact, the discount offered to an uninsured patient is recognized as a contractual allowance, which reduces net operating revenues at the time the account is recorded. Prior to implementing these discounting provisions under the Compact, the vast majority of these accounts were ultimately recognized to be uncollectible Adj. 1. uncollectible - not capable of being collected; "a bad (or uncollectible) debt"
bad

invalid - having no cogency or legal force; "invalid reasoning"; "an invalid driver's license"
 and, as a result, was then recorded in our provision for doubtful accounts.

Approximately $152 million in charity care, measured on a gross charges basis, was provided in the second quarter 2005, as compared to $139 million in the second quarter of 2004.

Total uncompensated care uncompensated care,
n health care services provided by a hospital, physician, dental professional, or other health care professional for which no charge is made and for which no payment is expected.
 for continuing operations, a non-GAAP measure, defined as the sum of charity care plus discounts provided under the Compact and provision for doubtful accounts, was $451 million in the second quarter of 2005, approximately 16.6 percent of the sum of net operating revenues plus charity care plus discounts provided under the Compact. In the second quarter of 2004, total uncompensated care as defined above was $649 million or approximately 24.3 percent of the sum of net operating revenues plus charity care plus discounts under the Compact. A bad debt charge of $196 million was included in the second quarter of 2004 reflecting a change in how the company estimated the net realizable value Net realizable value (NRV) is a commonly used method of evaluating an asset's worth in the field of inventory accounting. NRV is part of GAAP rules that apply to valuing inventory, so as to not overstate or understate the value of inventory goods.  of self-pay accounts.

Same-hospital net inpatient inpatient /in·pa·tient/ (in´pa-shent) a patient who comes to a hospital or other health care facility for diagnosis or treatment that requires an overnight stay.

in·pa·tient
n.
 revenue per admission for the second quarter of 2005 was $9,470 compared to $9,717 in the second quarter of 2004. However, this unit measurement has been reduced by the Compact. If the discounts under the Compact are added back to net inpatient revenue, it produces a non-GAAP measure of adjusted net inpatient revenue per admission of $9,883 for the second quarter of 2005, an increase of $66, or 0.7 percent, over the second quarter of 2004. The increase in the percentage of uninsured admissions to 3.8 percent of total admissions in the second quarter of 2005 from 3.5 percent in the second quarter of 2004 contributed to this overall pricing increase. After adding back Compact discounts, self-pay admissions generate higher per unit revenue because these admissions then reflect full gross charges (A reconciliation of net inpatient revenue to Compact-adjusted net inpatient revenue, how the company uses the measures and why the company believes these measures are useful, are provided in the tables below entitled en·ti·tle  
tr.v. en·ti·tled, en·ti·tling, en·ti·tles
1. To give a name or title to.

2. To furnish with a right or claim to something:
 "Additional Supplemental Non-GAAP Disclosures." The foregoing also applies to all non-GAAP measures described below.). The inpatient revenue per admission amount for the second quarter of 2005 includes a reduction in revenue of $26 million due to a reclassification Reclassification

The process of changing the class of mutual funds once certain requirements have been met. These requirements are generally placed on load mutual funds. Reclassification is not considered to be a taxable event.
 adjustment related to certain managed care revenues as discussed below.

Same-hospital net outpatient revenue per visit was $538 in the second quarter of 2005 compared to $517 in the second quarter of 2004. This unit measurement has also been impacted by the Compact. If the discounts under the Compact are added back to net outpatient revenue, it produces a non-GAAP measure of $595 in same-hospital adjusted net outpatient revenue per visit in the second quarter of 2005, an increase of $71, or 13.5 percent, compared to same-hospital adjusted net outpatient revenue per visit in the second quarter of 2004. Same-hospital net outpatient revenue per visit was significantly impacted by the sale or closure of certain home health agencies, hospices and clinics during 2004. These businesses typically generated lower revenue per visit than Tenet's other outpatient services outpatient services Hospital-based services Managed care Medical and other services provided, to a nonadmitted Pt, by a hospital or other qualified facility–eg, mental health clinic, rural health clinic, mobile X-ray unit, free-standing dialysis unit Examples .

Same-hospital adjusted net patient revenue per equivalent admission increased by 1.5 percent to $10,310 in the second quarter of 2005 compared to $10,154 in the second quarter of 2004.

Net operating revenue from managed care payers was $1,188 million in the second quarter of 2005, a decrease of $23 million, or 1.9 percent from the second quarter of 2004 and a decrease of $47 million, or 3.8 percent from the first quarter of 2005.

The company disaggregates its managed care business into three distinct categories: (1) commercial managed care, (2) managed Medicare Medicare, national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services. , and (3) managed Medicaid Medicaid, national health insurance program in the United States for low-income persons; established in 1965 with passage of the Social Security Amendments and now run by the Centers for Medicare and Medicaid Services. . In the second quarter of 2005, approximately 79 percent of total patient managed care revenues were from Tenet's commercial business, 14 percent from managed Medicare, and 7 percent from managed Medicaid. Managed care admissions in the second quarter of 2005 were 65 percent commercial, 20 percent managed Medicare, and 15 percent managed Medicaid. Outpatient visits were 76 percent commercial, 11 percent managed Medicare, and 13 percent managed Medicaid.

Commercial managed care admissions were 49,709 in the second quarter of 2005, a decline of 2,530, or 4.8 percent, from 52,239 admissions in the second quarter of 2004. This decline in commercial managed care patients was partially offset by an increase of 1,341, or 9.5 percent, in managed Medicare admissions to 15,478 in the second quarter of 2005, and an increase of 708, or 7.0 percent in managed Medicaid admissions to 10,797 in the second quarter of 2005.

Managed care contracts representing annualized annualized

Of or relating to a variable that has been mathematically converted to a yearly rate. Inflation and interest rates are generally annualized since it is on this basis that these two variables are ordinarily stated and compared.
 revenues of approximately $640 million were renegotiated in the second quarter of 2005. Pricing increases in these contracts were generally in the range of mid- to high-single digits in percentage terms.

The company's aggregate inpatient managed care revenue on a per admission basis increased 0.2 percent during the second quarter compared to the second quarter 2004 after adding back approximately $26 million of adjustments for disputed managed care claims to net operating revenues. Without adding back these adjustments, aggregate inpatient managed care revenue on a per admission basis declined 3.2 percent on a per admission basis compared to the second quarter 2004. Total inpatient commercial managed care revenue on a per admission basis increased by approximately three percent compared to the second quarter of 2004 after adding back to inpatient commercial revenue the adjustments for the disputed managed care claims However, the continued trend of the adverse mix shift among managed care payers with increased volumes coming from managed Medicare and managed Medicaid payers continues to negatively impact our revenue on a per admission basis. Managed Medicare and managed Medicaid provide significantly lower unit revenues than commercial rates, often half on a per-patient-day basis.

Stop-loss stop-loss,
n a general term referring to that category of coverage that provides insurance protection (reinsurance) to an employer for a self-funded plan.
 payments were $117 million in the second quarter of 2005, a decrease of $35 million from the $152 million received in stop-loss payments in the second quarter of 2004. Much of this decline in stop-loss payments reflects conversion of payment methodologies and has been partially offset by increases in reimbursement Reimbursement

Payment made to someone for out-of-pocket expenses has incurred.
 base rates from managed care payers.

Controllable Operating Expenses Operating expenses

The amount paid for asset maintenance or the cost of doing business, excluding depreciation. Earnings are distributed after operating expenses are deducted.


Controllable operating expenses (consisting of salaries, wages and benefits, supplies, and other operating expenses) were $2,100 million in the second quarter of 2005 showing virtually no increase relative to controllable operating expenses in the second quarter of 2004. Controllable operating expenses per equivalent patient day were $1,718 in the second quarter of 2005 compared to $1,711 in the second quarter of 2004, an increase of $7, or 0.4 percent. Controllable operating expenses in the second quarter of 2004 included malpractice malpractice, failure to provide professional services with the skill usually exhibited by responsible and careful members of the profession, resulting in injury, loss, or damage to the party contracting those services.  expense of $100 million and a gain from the sale of various assets of $16 million. Malpractice expense in the second quarter of 2005 was $58 million, a decline of $42 million.

Salaries, wages and benefits were $1,114 million, or 46.0 percent of net operating revenues in the second quarter of 2005 compared to $1,089 million or 43.5 percent of net operating revenues in the second quarter of 2004. If the discounts under the Compact were added back to net operating revenues it would have resulted in a non-GAAP measure of salaries, wages and benefits as a percent of adjusted net operating revenues of 43.4 percent in the second quarter of 2005 compared to 43.0 percent in the second quarter of 2004. Salaries, wages and benefits were $911 per equivalent patient day in the second quarter of 2005, an increase of $24, or 2.7 percent, compared to $887 in the second quarter of 2004.

Supplies expense was $447 million, or 18.5 percent of net operating revenues in second quarter of 2005 as compared to $425 million, or 17.0 percent of net operating revenues in the second quarter of 2004. If the discounts under the Compact were added back to net operating revenues it would have resulted in a non-GAAP measure of supplies expense as a percent of adjusted net operating revenues of 17.4 percent in the second quarter of 2005 compared to 16.8 percent in the second quarter of 2004. Supplies expense was $366 per equivalent patient day in the second quarter of 2005, an increase of $20, or 5.8 percent, compared with $346 in the second quarter of 2004. This increase is primarily attributable to rapidly rising costs in, and utilization utilization,
n 1. the extent to which a given group uses a particular service in a specified period. Although usually expressed as the number of services used per year per 100 or per 1000 persons eligible for the service, utilization rates may be
 of, high cost products associated with orthopedic orthopedic /or·tho·pe·dic/ (-pe´dik) pertaining to the correction of deformities of the musculoskeletal system; pertaining to orthopedics.  implants, cardiac cardiac /car·di·ac/ (-ak)
1. pertaining to the heart.

2. pertaining to the cardia.


car·di·ac
adj.
1. Of, near, or relating to the heart.

2.
 items, blood products and pharmaceuticals. In addition, the high costs associated with new technology products are further increasing our supply costs.

Other operating expenses were $539 million, or 22.3 percent of net operating revenues in the second quarter of 2005 compared to $ 587 million, or 23.4 percent of net operating revenues in the second quarter of 2004. In the second quarter of 2004 other operating expense Operating Expense

The essential things that a company must purchase in order to maintain business.

Notes:
For example, the payment of employees wages are an operating expense.

Also known as OPEX.
 included $100 million in malpractice expense and a gain of $16 million from the sale of various assets. Malpractice expense in the second quarter of 2005 was $58 million compared to $100 million in the second quarter 2004. The decline in malpractice expense is primarily due to the second quarter of 2004 including additional expense as a result of: (1) the increasing of reserves reflecting adverse loss experience; and (2) an increase to the reserves as a result of changes in claim payment patterns whereby a shorter maturity discount rate began to be used. If the discounts under the Compact were added back to net operating revenues, it would have resulted in a non-GAAP measure of other operating expenses as a percent of the adjusted net operating revenues of 21.0 percent in the second quarter of 2005 compared to 23.2 percent in the second quarter of 2004. Other operating expense was $441 per equivalent patient day, a decrease of $37, or 7.7 percent, relative to $478 in the second quarter of 2004.

Provision for Doubtful Accounts

Provision for doubtful accounts, or bad debt expense, was $153 million in the second quarter of 2005, a decline of $329 million from the provision for doubtful accounts of $482 million in the second quarter of 2004. Bad debt expense was 6.3 percent of net operating revenues in the second quarter of 2005, compared to 19.2 percent of net operating revenues in the second quarter of 2004.

In the second quarter of 2005 bad debt expense included a positive adjustment of approximately $34 million to reduce bad debt expense for disputed managed care receivables Receivables

An asset designation applicable to all debts, unsettled transactions or other monetary obligations owed to a company by its debtors or customers. Receivables are recorded by a company's accountants and reported on the balance sheet, and they and include all debts owed
 that were ultimately settled. As a result of these settlements, a corresponding adjustment was recorded to increase contractual allowances, which reduced net operating revenues by approximately $30 million. The second quarter of 2004 includes additional provisions for doubtful accounts of $196 million reflecting a change in how the company estimated the net realizable value of self-pay accounts.

Compact discounts of $146 million in the second quarter of 2005 resulted in an associated $134 million reduction in the provision for doubtful accounts. If these reductions resulting from the Compact were added back to net operating revenues and bad debt expense, respectively, this would have resulted in a non-GAAP measure of adjusted bad debt expense of $287 million, or 11.2 percent of adjusted net operating revenues in the second quarter of 2005. Compact discounts of $28 million in the second quarter of 2004 resulted in an associated $26 million reduction in the provision for doubtful accounts. If the $28 million and $26 million reductions as a result of the Compact were added back to net operating revenues and bad debt expense, respectively, and the $196 million bad debt charge was excluded, this would have resulted in a non-GAAP measure of adjusted bad debt expense of $312 million or 12.3 percent of adjusted net operating revenues for the second quarter of 2004.

Accounts Receivable

Accounts receivable were $1,506 million at June 30, 2005, a decline of $89 million, or 5.6 percent, from $1,595 million on March 31, 2005. This decline included a reduction of $68 million from discontinued operations.

Accounts receivable from continuing operations were $1,498 million at June 30, 2005, a decrease of $21 million from $1,519 million at March 31, 2005. Despite this decline, accounts receivable days outstanding from continuing operations increased by 1 day to 56 days at June 30, 2005, from 55 days at March 31, 2005.

Cash Flow

Unrestricted cash was $1,594 million at June 30, 2005, up $97 million from $1,497 million March 31, 2005. Unrestricted cash at June 30, 2005 as well as March 31, 2005, excludes $263 million of cash restricted as collateral collateral (kəlăt`ərəl), something of value given or pledged as security for payment of a loan. Collateral consists usually of financial instruments, such as stocks, bonds, and negotiable paper, rather than physical goods, although  for standby standby Medtalk adjective Referring to the immediate availability of a certain specialist–anesthesiologist, surgeon, who can be deployed in a medical emergency. Cf Concurrent.  letters of credit under the letter of credit facility that we entered into in December December: see month. , 2004.

Net cash provided by operating activities was $184 million in the second quarter of 2005. In accordance Accordance is Bible Study Software for Macintosh developed by OakTree Software, Inc.[]

As well as a standalone program, it is the base software packaged by Zondervan in their Bible Study suites for Macintosh.
 with generally accepted accounting principles The standard accounting rules, regulations, and procedures used by companies in maintaining their financial records.

Generally accepted accounting principles (GAAP) provide companies and accountants with a consistent set of guidelines that cover both broad accounting
, this cash flow figure excludes capital expenditures, proceeds of asset sales, and certain other items. Excluding cash provided by operating activities from discontinued operations of $32 million, our cash provided by operating activities was $152 million, which was primarily attributable to the timing of accrued expenses Accrued Expense

An accounting expense recognized in the books before it is paid for. It is a liability, usually current. These expenses are typically periodic and documented upon a company's balance sheet due to the high probability of collection.
 and collection of patient accounts receivable. Capital expenditures in the second quarter of 2005 were $128 million. Substantially all capital expenditures in the second quarter were in continuing operations.

Liquidity

Total debt was $4.8 billion at June 30, 2005, unchanged from total debt at March 31, 2005. Net debt, a non-GAAP measure defined as total debt less unrestricted cash, was $3.2 billion at June 30, 2005, as compared to $3.3 billion at March 31, 2005.

Income Taxes

The tax benefit of $18 million in the second quarter of 2005 on a pre-tax loss of $21 million from continuing operations includes $10 million of tax expense to increase the valuation allowance against deferred tax assets. In addition, a tax benefit of $23 million was recorded during the quarter to reduce the accrual for IRS audit exposures for years 1995-1997. This reflects a partial settlement of certain disputed issues for the foregoing fiscal years.

Discontinued Operations

Net income from discontinued operations for the second quarter was a net loss of $18 million, or $0.04 per share, which includes the following two items with an aggregate negative net after-tax impact of approximately $5 million, or $0.01 per share:

(1) negative non-cash adjustment to the valuation allowance for deferred tax assets of $8 million , or $0.02 per share; and

(2) positive non-cash adjustment to reduce the accrual for IRS audit exposures for years 1995-1997 by $3 million, or $0.01 per share.

See Explanatory Notes for additional information regarding these items.

Accounts receivable related to discontinued operations declined to $8 million at June 30, 2005, a decline of $68 million, from $76 million at March 31, 2005. This reduction primarily reflects collections of retained accounts receivable from hospitals divested prior to June 30, 2005.

Late Filing of Form 10-Q

As previously disclosed, the filing of the company's Form 10-Q for the second quarter of 2005 will most likely be delayed by developments arising out of the previously disclosed SEC investigation, including the resulting independent review of allegations made by a former Tenet employee that inappropriate contractual allowances for managed care contracts may have been established at three California hospitals through at least 2001. If the allegations were found to be true, net operating revenues for those periods could have been understated and net operating revenues for subsequent periods could have been overstated o·ver·state  
tr.v. o·ver·stat·ed, o·ver·stat·ing, o·ver·states
To state in exaggerated terms. See Synonyms at exaggerate.



o
 if inappropriate contractual allowances were established and later reversed.

The company cannot provide assurances when the review will be completed, when the filing of the Form 10-Q will be made, or what the results or impact on its financials will be. The failure to deliver the required filing or financial information pursuant to the company's letter of credit facility and the indenture An agreement declaring the benefits and obligations of two or more parties, often applicable in the context of Bankruptcy and bond trading.

The term indenture primarily describes secured contracts and has several applications in U.S. law.
 agreement governing gov·ern  
v. gov·erned, gov·ern·ing, gov·erns

v.tr.
1. To make and administer the public policy and affairs of; exercise sovereign authority in.

2.
 its senior notes, if not cured or waived, could lead to defaults under such instruments. The company anticipates that it would have sufficient time to cure or obtain a waiver The voluntary surrender of a known right; conduct supporting an inference that a particular right has been relinquished.

The term waiver is used in many legal contexts.
 of any possible default under either the indenture or the letter of credit facility; however, it cannot provide any certainty CERTAINTY, UNCERTAINTY, contracts. In matters of obligation, a thing is certain, when its essence, quality, and quantity, are described, distinctly set forth, Dig. 12, 1, 6. It is uncertain, when the description is not that of one individual object, but designates only the kind. Louis.  on these matters or on the potential impact of any such default.

As a result of these developments, the company's operating results have not been reviewed by its independent registered public accountants and are subject to the ongoing review described above. The financial results in this release are not a substitute for the information required to be reported to be spoken of; to be mentioned, whether favorably or unfavorably.

See also: Report
 in the company's Form 10-Q for the second quarter of 2005.

Management's Web Cast Review of Second Quarter Results

Tenet management will discuss second quarter 2005 results on a webcast event scheduled to begin at 11:00 AM (ET) on August 2, 2005. This webcast may be accessed through Tenet's website at www.tenethealth.com.

Tenet Healthcare Corporation, through its subsidiaries, owns and operates acute care hospitals and related health care services. Tenet's hospitals aim to provide the best possible care to every patient who comes through their doors, with a clear focus on quality and service. Tenet can be found on the World Wide Web at www.tenethealth.com.

Some of the statements in this release may constitute forward-looking statements forward-looking statement

A projected financial statement based on management expectations. A forward-looking statement involves risks with regard to the accuracy of assumptions underlying the projections.
. Such statements are based on our current expectations and could be affected by numerous factors and are subject to various risks and uncertainties discussed in our filings with the Securities and Exchange Commission, including our annual report on Form 10-K Form 10-K

A report required by the SEC from exchange-listed companies that provides for annual disclosure of certain financial information.


Form 10-K

See 10-K.
 for the fiscal year ended Dec. 31, 2004, our quarterly reports on Form 10-Q and periodic reports on Form 8-K Form 8-K

The form required by the SEC when a publicly held company incurs any event that might affect its financial situation or the share value of its stock.


Form 8-K

See 8-K.
. Do not rely on any forward-looking statement, as we cannot predict or control many of the factors that ultimately may affect our ability to achieve the results estimated. We make no promise to update any forward-looking statement, whether as a result of changes in underlying factors, new information, future events or otherwise.
TENET HEALTHCARE CORPORATION
               CONSOLIDATED STATEMENTS OF OPERATIONS DATA
                              (Unaudited)

 (Dollars in millions except
  per share amounts)                 Three Months Ended June 30
                              ---------------------------------------
                                 2005    %    2004 (1)   %     Change
                              -------- ------ -------- ------ -------

Net operating revenues         $2,421  100.0%  $2,505  100.0%  (3.4%)
Operating expenses:
 Salaries, wages and benefits  (1,114)  46.0%  (1,089)  43.5%    2.3%
 Supplies                        (447)  18.5%    (425)  17.0%    5.2%
 Provision for doubtful
  accounts (2)                   (153)   6.3%    (482)  19.2% (68.3%)
 Other operating expenses (3)    (539)  22.3%    (587)  23.4%  (8.2%)
 Depreciation                     (86)   3.5%     (90)   3.6%  (4.4%)
 Amortization                      (6)   0.2%      (5)   0.2%   20.0%
 Impairment and restructuring
  charges (4)                       4   (0.2%)     (21)  0.8%
 Costs of litigation and
  investigations (5)              (11)   0.5%      (9)   0.4%
 Loss from early extinguishment
  of debt (6)                     ---    ---       (5)   0.2%

----------------------------------------------------------------------
Operating income (loss)            69    2.9%    (208) (8.3%)
----------------------------------------------------------------------

Interest expense                 (102)            (74)
Investment earnings                15               3
Minority interests                 (3)            ---
Net gain on sales of long-
 term investments                 ---               6

----------------------------------------------------------------------
Loss from continuing
 operations before income
 taxes                            (21)           (273)
----------------------------------------------------------------------
Income tax benefit (8)             18             103
----------------------------------------------------------------------
Loss from continuing
 operations                        (3)           (170)
----------------------------------------------------------------------

Discontinued operations:
  Loss from operations of
   asset group                    (17)           (124)
  Impairment of long-lived
   assets and goodwill, and
   restructuring charges (7)       (1)           (269)
  Net gain on sales of asset
   group (9)                      ---              31
  Income tax benefit (8)          ---             106

----------------------------------------------------------------------
Loss from discontinued
 operations                       (18)           (256)
----------------------------------------------------------------------

----------------------------------------------------------------------
Net loss                         $(21)          $(426)
----------------------------------------------------------------------

Diluted loss per common
 share and common equivalent
 share:
  Continuing Operations        $(0.00)         $(0.36)
  Discontinued Operations       (0.04)          (0.55)
                              --------        --------
                               $(0.04)         $(0.91)
                              ========        ========

----------------------------------------------------------------------
Weighted average shares and
 dilutive securities
   (if applicable)
    outstanding (in
    thousands):               468,758         465,922
----------------------------------------------------------------------
TENET HEALTHCARE CORPORATION
               CONSOLIDATED STATEMENTS OF OPERATIONS DATA
                              (Unaudited)


 (Dollars in millions except
  per share amounts)                Six Months Ended June 30
                             ----------------------------------------
                                 2005    %       2004    %     Change
                             --------- ------ -------- ------ -------

Net operating revenues         $4,920  100.0%  $5,079  100.0%  (3.1%)
Operating expenses:
 Salaries, wages and benefits  (2,238)  45.5%  (2,180)  42.9%    2.7%
 Supplies                        (904)  18.4%    (859)  16.9%    5.2%
 Provision for doubtful
  accounts (2)                   (311)   6.3%    (759)  15.0% (59.0%)
 Other operating expenses (3)  (1,073)  21.8%  (1,118)  22.0%  (4.0%)
 Depreciation                    (176)   3.6%    (180)   3.5%  (2.2%)
 Amortization                     (12)   0.2%     (10)   0.2%   20.0%
 Impairment and restructuring
  charges (4)                      (5)   0.1%     (30)   0.6%
 Costs of litigation and
  investigations (5)              (19)   0.4%     (19)   0.4%
 Loss from early
  extinguishment of debt (6)      (15)   0.3%      (5)   0.1%

----------------------------------------------------------------------
Operating income (loss)           167    3.4%     (81) (1.6%)
----------------------------------------------------------------------

Interest expense                 (203)           (151)
Investment earnings                24               7
Minority interests                 (6)             (5)
Net gain on sales of long-
 term investments                 ---               6

----------------------------------------------------------------------
Loss from continuing
 operations before income taxes   (18)           (224)
----------------------------------------------------------------------
Income tax benefit  (8)            35              80
----------------------------------------------------------------------
Income (loss) from continuing
 operations                        17            (144)
----------------------------------------------------------------------

Discontinued operations:
  Loss from operations of
   asset group                    (55)           (206)
  Impairment of long-lived
   assets and goodwill, and
   restructuring charges (7)       (8)           (406)
  Litigation settlements (5)      ---             ---
  Net gain on sales of asset
   group (9)                       22              29
  Income tax benefit  (8)         ---             179

----------------------------------------------------------------------
Loss from discontinued
 operations                       (41)           (404)
----------------------------------------------------------------------

----------------------------------------------------------------------
Net loss                         $(24)          $(548)
----------------------------------------------------------------------

Diluted earnings (loss) per
 common share and common
 equivalent share:
    Continuing Operations       $0.04          $(0.31)
    Discontinued Operations     (0.09)          (0.87)
                              --------        --------
                               $(0.05)         $(1.18)
                              ========        ========

----------------------------------------------------------------------
Weighted average shares and
 dilutive securities (if
 applicable) outstanding (in
 thousands):                  469,635         465,609
----------------------------------------------------------------------
TENET HEALTHCARE CORPORATION
                          BALANCE SHEET DATA
                         Dollars in millions
                             (Unaudited)

                                  -----------------  -----------------
                                     June 30, 2005   December 31, 2004
                                  ------------------ -----------------
 Cash and cash equivalents                  $1,594               $654
 Restricted cash                               263                263
 Net  accounts receivable                    1,506              1,688
 Income tax receivable                         ---                530
 Assets held for sale                           74                114
 Other current assets                          648                743

                                  -----------------  -----------------
 Current assets                              4,085              3,992
 Current liabilities                        (1,944)            (2,130)
                                  -----------------  -----------------

 Net working capital                         2,141              1,862
 Investments and other assets                  300                296
 Net property and equipment                  4,849              4,820
 Goodwill                                      800                800
 Net intangible assets                         180                170
 Long-term debt, net of current
  portion                                   (4,784)            (4,395)
 Other long-term liabilities and
  minority interests                        (1,731)            (1,821)
 Total shareholders' equity                 (1,755)            (1,732)


                            CASH FLOW DATA
                          Dollars in millions
                              (Unaudited)

                                  -----------------  -----------------
                                   Six Months Ended  Six Months Ended
                                    June 30, 2005      June 30, 2004
                                  ------------------ -----------------

 Net cash provided by operating
  activities                                  $700                $85
 Cash flows from investing
  activities:
   Purchases of property and
    equipment                                 (224)              (185)
   Construction of new hospitals               ---                (65)
   Proceeds from sales of
    facilities, long-term
    investments and other assets               117                190
   Cash inflow related to escrow
    accounts to fund construction
    costs                                      ---                 76
   Other items                                  (3)               (23)
 Cash flows from financing
  activities:
   Payments of borrowings                      (22)               (13)
   Sale of new senior notes                    773                954
   Repurchases of senior notes                (413)              (450)
   Other items                                  12                  5
                                  -----------------  -----------------

 Net increase in cash and cash
  equivalents                                 $940               $574
                                  =================  =================


 Supplemental disclosures:
    Interest paid, net of
     capitalized interest                    $(161)             $(137)
    Income tax refunds received
     (payments made), net                      535                (53)
TENET HEALTHCARE CORPORATION
                           GENERAL HOSPITALS
             SELECTED STATISTICS - CONTINUING OPERATIONS
                     Quarter Ended June 30, 2005
                             (Unaudited)

(Dollar amounts in millions except for net inpatient revenue per
 patient day and per admission, and net outpatient revenue per visit)


                                        Three Months Ended June 30
                                    ----------------------------------
                                         2005     2004 (1)    Change
                                    ----------------------------------
  Net inpatient revenues               $1,599     $1,650     (3.1%)
  Net outpatient revenues                $727       $760     (4.3%)

  Number of hospitals (at end of
   period)                                 69         69       --- (a)
  Licensed beds (at end of period)     17,897     17,976     (0.4%)
  Average licensed beds                17,930     17,839      0.5%
  Utilization of licensed beds           53.0%      54.0%    (1.0%)(a)
  Patient days                        865,396    875,841     (1.2%)
  Equivalent patient days           1,222,322  1,227,690     (0.4%)
  Net inpatient revenue per patient
   day                                 $1,848     $1,885     (2.0%)
  Admissions                          168,526    169,844     (0.8%)
  Equivalent admissions               239,747    240,104     (0.1%)
  Net inpatient revenue per admission  $9,488     $9,715     (2.3%)
  Average length of stay (days)           5.1        5.2     (0.1) (a)
  Surgeries                           125,907    122,852      2.5%
  Net outpatient revenue per visit       $542       $518      4.6%
  Outpatient visits                 1,341,793  1,468,350     (8.6%)
Sources of net patient revenue
     Medicare                            27.2%      25.9%     1.3% (a)
     Medicaid                             8.3%       7.0%     1.3% (a)
     Managed care                        50.2%      49.5%     0.7% (a)
     Indemnity, self-pay  and other      14.3%      17.6%    (3.3%)(a)

Same-hospital (b)
  Net inpatient revenues               $1,584     $1,649     (3.9%)
  Net outpatient revenues                $715       $758     (5.7%)

  Number of hospitals (at end of
   period)                                 67         67      ---  (a)
  Average licensed beds                17,712     17,769     (0.3%)
  Patient days                        859,775    875,364     (1.8%)
  Net inpatient revenue per patient
   day                                 $1,842     $1,884     (2.2%)
  Admissions                          167,265    169,702     (1.4%)
  Net inpatient revenue per
   admission                           $9,470     $9,717     (2.5%)
  Average length of stay (days)           5.1        5.2     (0.1) (a)
  Net outpatient revenue per visit       $538       $517      4.1%
  Outpatient visits                 1,328,871  1,466,866     (9.4%)


                                       Six Months Ended June 30
                                 -------------------------------------
                                         2005     2004 (1)    Change
                                 -------------------------------------
  Net inpatient revenues               $3,298     $3,354     (1.7%)
  Net outpatient revenues              $1,436     $1,539     (6.7%)

  Number of hospitals (at end of
   period)                                 69         69       --- (a)
  Licensed beds (at end of period)     17,897     17,976     (0.4%)
  Average licensed beds                17,927     17,804      0.7%
  Utilization of licensed beds           55.5%      56.1%    (0.6%)(a)
  Patient days                      1,799,599  1,819,438     (1.1%)
  Equivalent patient days           2,513,487  2,525,086     (0.5%)
  Net inpatient revenue per
   patient day                         $1,833     $1,843     (0.5%)
  Admissions                          346,984    349,303     (0.7%)
  Equivalent admissions               487,972    488,465     (0.1%)
  Net inpatient revenue per
   admission                           $9,505     $9,602     (1.0%)
  Average length of stay (days)           5.2        5.2       --- (a)
  Surgeries                           249,008    249,140     (0.1%)
  Net outpatient revenue per
   visit                                 $528       $516      2.3%
  Outpatient visits                 2,717,949  2,985,428     (9.0%)
Sources of net patient revenue
     Medicare                            27.7%      25.9%     1.8% (a)
     Medicaid                             8.2%       7.2%     1.0% (a)
     Managed care                        50.4%      49.5%     0.9% (a)
     Indemnity, self-pay  and
      other                              13.7%      17.4%    (3.7%)(a)

Same-hospital (b)
  Net inpatient revenues               $3,272     $3,353     (2.4%)
  Net outpatient revenues              $1,414     $1,537     (8.0%)

  Number of hospitals (at end of
   period)                                 67         67       --- (a)
  Average licensed beds                17,713     17,770     (0.3%)
  Patient days                      1,788,163  1,818,961     (1.7%)
  Net inpatient revenue per
   patient day                         $1,830     $1,843     (0.7%)
  Admissions                          344,526    349,161     (1.3%)
  Net inpatient revenue per admission  $9,497     $9,603     (1.1%)
  Average length of stay (days)           5.2        5.2       --- (a)
  Net outpatient revenue per
   visit                                 $525       $515       1.9%
  Outpatient visits                 2,692,883  2,983,944      (9.8%)


(a) This change is the difference between the 2005 and 2004 amounts
    shown.

(b) Excludes two hospitals that were opened during 2004.
TENET HEALTHCARE CORPORATION
               CONSOLIDATED STATEMENTS OF OPERATIONS DATA
                    Fiscal 2005 by Calendar Quarter
                              (Unaudited)


 (Dollars in millions except per
  share amounts)
                                    3  Months Ended   Six Months Ended
                                 -------------------- ----------------
                                   3/31/05    6/30/05      6/30/05
                                 -------------------- ----------------

Net operating revenues             $  2,499  $  2,421    $  4,920
Operating expenses:
     Salaries, wages and benefits    (1,124)   (1,114)     (2,238)
     Supplies                          (457)     (447)       (904)
     Provision for doubtful
      accounts (2)                     (158)     (153)       (311)
     Other operating expenses (3)      (534)     (539)     (1,073)
     Depreciation                       (90)      (86)       (176)
     Amortization                        (6)       (6)        (12)
     Impairment and restructuring
      charges (4)                        (9)        4          (5)
     Costs of litigation and
      investigations (5)                 (8)      (11)        (19)
     Loss from early extinguishment
      of debt (6)                       (15)      ---         (15)

----------------------------------------------------------------------
Operating income                         98        69         167
----------------------------------------------------------------------

Interest expense                       (101)     (102)       (203)
Investment earnings                       9        15          24
Minority interests                       (3)       (3)         (6)
Net gain on sales of facilities and
 long-term investments                  ---       ---         ---

----------------------------------------------------------------------
Income (loss) from continuing
 operations before income taxes           3       (21)        (18)
----------------------------------------------------------------------
Income tax benefit  (8)                  17        18          35
----------------------------------------------------------------------
Income (loss) from continuing
 operations                              20        (3)         17
----------------------------------------------------------------------

Discontinued operations:
  Loss from operations of asset
   group                                (38)      (17)        (55)
  Impairment of long-lived assets
   and goodwill, and restructuring
   charges                               (7)       (1)         (8)
  Net gains on sales of asset group      22       ---          22
  Income tax benefit (expense)          ---       ---         ---

----------------------------------------------------------------------
Loss from discontinued operations       (23)      (18)        (41)
----------------------------------------------------------------------

----------------------------------------------------------------------
Net loss                                $(3)     $(21)       $(24)
----------------------------------------------------------------------

Diluted earnings (loss) per common
 share and common equivalent share:
         Continuing Operations        $0.04     $0.00       $0.04
         Discontinued Operations      (0.05)    (0.04)      (0.09)
                                   ---------------------------------
                                     $(0.01)   $(0.04)     $(0.05)
                                   =================================

----------------------------------------------------------------------
Weighted average shares and
 dilutive securities (if applicable)
 outstanding (in thousands):        468,947   468,758     469,635
----------------------------------------------------------------------
TENET HEALTHCARE CORPORATION
                           GENERAL HOSPITALS
             SELECTED STATISTICS  - CONTINUING OPERATIONS
                   Fiscal 2005 by Calendar Quarter
                             (Unaudited)


(Dollar amounts in millions except for net inpatient revenue per
 patient day and per admission, and net outpatient revenue per
 visit)

                            Three Months Ended    Six Months Ended
                        ------------------------ -----------------
                           3/31/05     6/30/05           6/30/05
                        ----------- ------------ -----------------
  Net inpatient revenues    $1,699     $1,599              $3,298
  Net outpatient revenues     $709       $727              $1,436

  Number of hospitals (at
   end of period)               69         69                  69
  Licensed beds at end of
   period                   17,941     17,897              17,897
  Average licensed beds     17,924     17,930              17,927
  Utilization of licensed
   beds                       57.9%      53.0%               55.5%
  Patient days             934,203    865,396           1,799,599
  Equivalent patient
   days                  1,291,165  1,222,322           2,513,487
  Net inpatient revenue
   per patient day          $1,819     $1,848              $1,833
  Admissions               178,458    168,526             346,984
  Equivalent admissions    248,225    239,747             487,972
  Net inpatient revenue
   per admission            $9,521     $9,488              $9,505
  Average length of stay
   (days)                      5.2        5.1                 5.2
  Surgeries                123,101    125,907             249,008
  Net outpatient revenue
   per visit                  $515       $542                $528
  Outpatient visits      1,376,156  1,341,793           2,717,949

Sources of net patient
 revenue
     Medicare                 28.2%      27.2%               27.7%
     Medicaid                  8.1%       8.3%                8.2%
     Managed care             50.5%      50.2%               50.4%
     Indemnity, self-pay
      and other               13.2%      14.3%               13.7%

Same-hospital
  Net inpatient revenues    $1,688      1,584              $3,272
  Net outpatient revenues     $699        715              $1,414

  Number of hospitals (at
   end of period)               67         67                  67
  Average licensed beds     17,713     17,712              17,713
  Patient days             928,388    859,775           1,788,163
  Net inpatient revenue
   per patient day          $1,818     $1,842              $1,830
  Admissions               177,261    167,265             344,526
  Net inpatient revenue
   per admission            $9,523     $9,470              $9,497
  Average length of stay
   (days)                      5.2        5.1                 5.2
  Net outpatient revenue
   per visit                  $512       $538                $525
  Outpatient visits      1,364,012  1,328,871           2,692,883
TENET HEALTHCARE CORPORATION
                CONSOLIDATED STATEMENTS OF OPERATIONS DATA
                     Fiscal 2004 by Calendar Quarter
                                (Unaudited)

 (Dollars in millions except per share
  amounts)
                                                 3  Months Ended
                                            --------------------------
                                              3/31/04 (1)  6/30/04 (1)
                                            ------------- ------------

Net operating revenues                           $2,574       $2,505
Operating expenses:
     Salaries, wages and benefits                (1,091)      (1,089)
     Supplies                                      (434)        (425)
     Provision for doubtful accounts (2)           (277)        (482)
     Other operating expenses                      (531)        (587)
     Depreciation                                   (90)         (90)
     Amortization                                    (5)          (5)
     Impairment of long-lived assets and goodwill,
        and restructuring charges                    (9)         (21)
     Costs of litigation and investigations         (10)          (9)
     Loss from early extinguishment of debt         ---           (5)

----------------------------------------------------------------------
Operating income (loss)                             127         (208)
----------------------------------------------------------------------

Interest expense                                    (77)         (74)
Investment earnings                                   4            3
Minority interests                                   (5)         ---
Net gain on sales of facilities and long-
 term investments                                   ---            6

----------------------------------------------------------------------
Income (loss) from continuing operations
 before income taxes                                 49         (273)
----------------------------------------------------------------------
Income tax benefit (expense)                        (23)         103
----------------------------------------------------------------------
Income (loss) from continuing operations             26         (170)
----------------------------------------------------------------------

Discontinued operations:
  Loss from operations of asset group               (82)        (124)
  Impairment of long-lived assets and goodwill,
     and restructuring charges                     (137)        (269)
  Litigation settlements                            ---          ---
  Net gain (loss) on sales of asset group            (2)          31
  Income tax benefit                                 73          106

----------------------------------------------------------------------
Loss from discontinued operations                  (148)        (256)
----------------------------------------------------------------------

----------------------------------------------------------------------
Net loss                                          $(122)       $(426)
----------------------------------------------------------------------

Diluted earnings (loss) per common share
   and common equivalent share:
         Continuing Operations                    $0.06       $(0.36)
         Discontinued Operations                  (0.32)       (0.55)
                                            ------------- ------------
                                                 $(0.26)      $(0.91)
                                            ============= ============

----------------------------------------------------------------------
Weighted average shares and dilutive securities
   (if applicable) outstanding (in
    thousands):                                 465,590      465,922
----------------------------------------------------------------------


(Dollars in millions except per share
 amounts)
                                      3  Months Ended     Year Ended
                                  ------------------------------------
                                  9/30/04 (1)   12/31/04     12/31/04
                                  ----------- ------------------------

Net operating revenues              $2,428       $2,412       $9,919
Operating expenses:
     Salaries, wages and benefits   (1,069)      (1,076)      (4,325)
     Supplies                         (421)        (444)      (1,724)
     Provision for doubtful
      accounts (2)                    (251)        (195)      (1,205)
     Other operating expenses         (557)        (556)      (2,231)
     Depreciation                      (92)         (96)        (368)
     Amortization                       (6)          (4)         (20)
     Impairment of long-lived assets
      and goodwill, and restructuring
      charges                           (2)      (1,240)      (1,272)
     Costs of litigation and
      investigations                   (10)         (45)         (74)
     Loss from early extinguishment
      of debt                          ---           (8)         (13)

----------------------------------------------------------------------
Operating income (loss)                 20       (1,252)      (1,313)
----------------------------------------------------------------------

Interest expense                       (91)         (91)        (333)
Investment earnings                      6            7           20
Minority interests                      (1)           9            3
Net gain on sales of
 facilities and long-
 term investments                      ---            4           10

----------------------------------------------------------------------
Income (loss) from
 continuing operations
 before income taxes                   (66)      (1,323)      (1,613)
----------------------------------------------------------------------
Income tax benefit (expense)            15         (279)        (184)

Income (loss) from continuing
 operations                            (51)      (1,602)      (1,797)
----------------------------------------------------------------------

Discontinued operations:
  Loss from operations of asset
   group                               (34)         (53)        (293)
  Impairment of long-lived assets
   and goodwill, and restructuring
   charges                              (9)         (24)        (439)
  Litigation settlements               ---         (395)        (395)
  Net gain (loss) on sales of asset
   group                                 4           38           71
  Income tax benefit                    20           14          213

----------------------------------------------------------------------
Loss from discontinued operations      (19)        (420)        (843)
----------------------------------------------------------------------

----------------------------------------------------------------------
Net loss                              $(70)      $(2,022)     $(2,640)
----------------------------------------------------------------------

Diluted earnings (loss) per common
share and common equivalent share:
         Continuing Operations      $(0.11)      $(3.43)      $(3.85)
         Discontinued Operations     (0.04)       (0.90)       (1.81)
                                  ----------  -----------------------
                                    $(0.15)      $(4.33)      $(5.66)
                                  ==========  =======================

----------------------------------------------------------------------
Weighted average shares and
 dilutive securities
   (if applicable) outstanding
   (in thousands):                  466,646      467,040      466,226
--------------------------------------------  ------------------------
TENET HEALTHCARE CORPORATION
                           GENERAL HOSPITALS
             SELECTED STATISTICS  - CONTINUING OPERATIONS
                   Fiscal 2004 by Calendar Quarter
                              (Unaudited)



(Dollar amounts in millions except for net inpatient revenue per
 patient day and per admission, and net outpatient revenue per visit)
----------------------------------------------------------------------


                                                   3  Months Ended
                                               -----------------------
                                               3/31/04 (1) 6/30/04 (1)
                                               ----------- -----------
  Net inpatient revenues                           $1,704      $1,650
  Net outpatient revenues                            $779        $760

  Number of hospitals (at end of period)               67          69
  Licensed beds at end of period                   17,770      17,976
  Average licensed beds                            17,770      17,839
  Utilization of licensed beds                       58.4%       54.0%
  Patient days                                    943,597     875,841
  Equivalent patient days                       1,297,396   1,227,690
  Net inpatient revenue per patient day            $1,806      $1,885
  Admissions                                      179,459     169,844
  Equivalent admissions                           248,361     240,104
  Net inpatient revenue per admission              $9,495      $9,715
  Average length of stay (days)                       5.3         5.2
  Surgeries                                       126,288     122,852
  Net outpatient revenue per visit                   $513        $518
  Outpatient visits                             1,517,078   1,468,350

Sources of net patient revenue
     Medicare                                        25.9%       25.9%
     Medicaid                                         7.4%        7.0%
     Managed care                                    49.6%       49.5%
     Indemnity, self-pay and other                   17.1%       17.6%

Same-hospital
  Net inpatient revenues                           $1,704      $1,649
  Net outpatient revenues                            $779        $758

  Number of hospitals (at end of period)               67          67
  Average licensed beds                            17,770      17,769
  Patient days                                    943,597     875,364
  Net inpatient revenue per patient day            $1,806      $1,884
  Admissions                                      179,459     169,702
  Net inpatient revenue per admission              $9,495      $9,717
  Average length of stay (days)                       5.3         5.2
  Net outpatient revenue per visit                   $513        $517
  Outpatient visits                             1,517,078   1,466,866


                                      3  Months Ended      Year Ended
                                 ------------------------- ----------
                                  9/30/04 (1)    12/31/04   12/31/04
                                  ----------- ------------ ----------
  Net inpatient revenues              $1,587      $1,605      $6,546
  Net outpatient revenues               $746        $714      $2,999

  Number of hospitals (at end of
   period)                                69          69          69
  Licensed beds at end of period      17,933      17,902      17,902
  Average licensed beds               17,932      17,902      17,861
  Utilization of licensed beds          52.7%       53.3%       54.5%
  Patient days                       868,975     877,259   3,565,672
  Equivalent patient days          1,219,423   1,226,990   4,971,498
  Net inpatient revenue per
   patient day                        $1,826      $1,830      $1,836
  Admissions                         169,211     169,343     687,857
  Equivalent admissions              239,723     238,949     967,138
  Net inpatient revenue per
   admission                          $9,379      $9,478      $9,517
  Average length of stay (days)          5.1         5.2         5.2
  Surgeries                          122,401     121,856     493,397
  Net outpatient revenue per
   visit                                $561        $529        $529
  Outpatient visits                1,328,946   1,349,983   5,664,357

Sources of net patient revenue
     Medicare                           25.2%       27.2%       26.1%
     Medicaid                            7.8%        7.4%        7.4%
     Managed care                       49.5%       50.1%       49.7%
     Indemnity, self-pay and
      other                             17.5%       15.3%       16.8%

Same-hospital
  Net inpatient revenues              $1,581      $1,596      $6,530
  Net outpatient revenues               $740        $707      $2,984

  Number of hospitals (at end of
   period)                                67          67          67
  Average licensed beds               17,724      17,694      17,739
  Patient days                       866,148     873,051   3,558,160
  Net inpatient revenue per
   patient day                        $1,825      $1,828      $1,835
  Admissions                         168,465     168,412     686,038
  Net inpatient revenue per
   admission                          $9,385      $9,477      $9,518
  Average length of stay (days)          5.1         5.2         5.2
  Net outpatient revenue per visit      $560        $527        $528
  Outpatient visits                1,322,240   1,341,215   5,647,399


Additional Supplemental Non-GAAP Disclosures

In March 2004, we announced that, in accordance with state laws, we would be implementing managed care-style pricing for most of our uninsured patients under our Compact with Uninsured Patients ("Compact"). The discounts for uninsured patients began to be phased in during the second quarter of 2004 and were in effect at 18 of our hospitals by June 30, 2004 and at 57 of our hospitals by June 30, 2005. We anticipate implementing the discounting components of the Compact at our hospitals in Texas on September 1, 2005. Our Compact is designed to offer managed care-style discounts to most uninsured patients, which enables us to offer lower rates to those patients who historically have been charged standard gross charges. A significant portion of those accounts had often been written down as provision for doubtful accounts if the accounts were not collected. Under the Compact, the discount offered to uninsured patients is recognized as a contractual allowance, which reduces net operating revenues at the time the self-pay accounts are recorded and should reduce our provision for doubtful accounts.

Also, during the quarter ended June 30, 2004, we modified mod·i·fy  
v. mod·i·fied, mod·i·fy·ing, mod·i·fies

v.tr.
1. To change in form or character; alter.

2.
 our process for estimating and writing down all existing self-pay accounts (and all future self-pay accounts receivable when they are recorded) to their estimated net realizable value, resulting in an additional provision for doubtful accounts in the amount of $254 million, of which $196 million was for continuing operations and $58 million was for discontinued operations. This change in how we estimate the net realizable value of self-pay accounts was attributable to the continued increase in numbers in numbered parts; as, a book published in numbers.

See also: Number
 of uninsured and underinsured un·der·in·sure  
tr.v. un·der·in·sured, un·der·in·sur·ing, un·der·in·sures
To insure under a policy that provides inadequate benefits: Be certain that you are not underinsured against catastrophic illness.
 patients.

In light of the phase-in phase-in
n.
A gradual introduction: a phase-in of new personal policies. 
 of the discounts for uninsured patients under the Compact, and the recording of additional provisions for doubtful accounts during the second quarter of 2004, the Company is providing supplemental data in addition to required data in accordance with generally accepted accounting principles ("GAAP GAAP

See: Generally Accepted Accounting Principles


GAAP

See generally accepted accounting principles (GAAP).
"). It does so to show the effect that the discounts under the Compact and the additional provisions for doubtful accounts have had on the company's historical results of operations, without estimating or suggesting the effect on future results of operations. This supplemental information has inherent limitations because discounts under the Compact during the periods presented are not indicative indicative: see mood.  of future periods. In spite of in opposition to all efforts of; in defiance or contempt of; notwithstanding.

See also: Spite
 the limitations, the Company finds the information useful to the extent it better enables it and users of its financial statements to evaluate net operating revenue trends and measure certain operating expense categories, which are largely influenced by volumes and generally are analyzed an·a·lyze  
tr.v. an·a·lyzed, an·a·lyz·ing, an·a·lyz·es
1. To examine methodically by separating into parts and studying their interrelations.

2. Chemistry To make a chemical analysis of.

3.
 as a percent of net operating revenues.

The tables below illustrate certain operating expense categories as a percent of net operating revenues excluding discounts under the Compact and the additional provisions for doubtful accounts, as described above, for the three-month periods ended June 30, 2005 and June 30, 2004. The tables also illustrate same-hospital net inpatient revenue per admission and same-hospital net outpatient revenue per visit excluding the discounts under the Compact, as described above, for the three-month periods ended June 30, 2005 and June 30, 2004. For all non-GAAP measures provided, the tables below present the comparable GAAP measures and a reconciliation of the different measures. The company believes the consistent use of this supplemental information provides it and users of its financial statements with reliable period-to-period comparisons. Investors are encouraged, however, to use GAAP measures when evaluating the Company's financial performance.
TENET HEALTHCARE CORPORATION
             Additional Supplemental Non-GAAP Disclosures
   Operating Measures Adjusted for the Impact of the Compact and Bad
                           Debt Adjustments
                              (Unaudited)

              -------------------------------------------------------
                         Fiscal 2005 - Quarter Ended June 30
              -------------------------------------------------------
                                                           Non-GAAP %
                                                               of
                                                 GAAP % of  Adjusted
                Actual                 Non-GAAP     Net       Net
                 GAAP      Compact     Adjusted   Operating Operating
                 Amounts   Adjustments  Amounts   Revenues  Revenues
              ----------- -------------------------------------------
 (Dollars in millions except net inpatient revenue per admission and
  net outpatient revenue per visit)

Net operating
 revenues         $2,421       $146(a)   $2,567      100.0%    100.0%

Operating
 expenses:
  Salaries and
   benefits       (1,114)       ---      (1,114)      46.0%     43.4%
  Supplies          (447)       ---        (447)      18.5%     17.4%
  Provision for
   doubtful
   accounts        (153)       (134)(a)    (287)       6.3%     11.2%
  Other operating
   expenses (3)    (539)         ---       (539)      22.3%     21.0%

Same-hospital
Net inpatient
 revenue          $1,584          $69    $1,653
Net outpatient
 revenue            $715          $76      $791
Admissions       167,265                167,265
Outpatient
 Visits        1,328,871              1,328,871

Net inpatient
 revenue per
 admission        $9,470                 $9,883
Net outpatient
 revenue per
 visit              $538                   $595

(a) Represents the impact of the discounts under the Compact for the
    quarter
---------------------------------------------------------------------

                         Fiscal 2004 - Quarter Ended June 30
              -------------------------------------------------------
                                                           Non-GAAP %
                                                               of
                                                 GAAP % of  Adjusted
                Actual    Compact and  Non-GAAP     Net       Net
                  GAAP      Bad Debt   Adjusted   Operating Operating
                 Amounts   Adjustments  Amounts   Revenues  Revenues
              ----------- -------------------------------------------
 (Dollars in millions except net inpatient revenue per admission and
  net outpatient revenue per visit)

Net operating
 revenues         $2,505        $28(a)   $2,533      100.0%    100.0%

Operating
 expenses:
  Salaries and
   benefits       (1,089)        ---     (1,089)      43.5%     43.0%
  Supplies          (425)        ---       (425)      17.0%     16.8%
  Provision for
   doubtful
   accounts         (482)       170(b)     (312)      19.2%     12.3%
  Other operating
   expenses (3)     (587)         ---      (587)      23.4%     23.2%

Same-hospital
Net inpatient
 revenue          $1,649          $17    $1,666
Net outpatient
 revenue            $758          $11      $769
Admissions       169,702                169,702
Outpatient
 Visits        1,466,866              1,466,866

Net inpatient
 revenue per
 admission        $9,717                 $9,817
Net outpatient
 revenue per
 visit              $517                   $524

(a) Represents the impact of the discounts under the Compact for the
    quarter

(b) Represents $196 million of additional provisions for doubtful
    accounts, offset by a $26 million impact due to the Compact.


TENET HEALTHCARE CORPORATION

Explanatory Notes

Our operating results have not been reviewed by our independent registered public accountants and are subject to the ongoing investigations described in the body of this release , which will most likely cause a delay in the filing with the SEC of the company's Form 10-Q for the second quarter of 2005. The financial results in this release are not a substitute for the information required to be reported in the Form 10-Q. The company cannot provide assurances when the investigation will be completed, when the filing of the Form 10-Q will be made, or what the results or impact on its financial statements will be.

1. Certain calendar year 2004 information has been reclassified to conform to Verb 1. conform to - satisfy a condition or restriction; "Does this paper meet the requirements for the degree?"
fit, meet

coordinate - be co-ordinated; "These activities coordinate well"
 the current period's presentation. These reclassifications for discontinued operations have no impact on total assets, liabilities, shareholders' equity Shareholders' Equity

A firms' total assets minus its total liabilities. Equivalently, it is share capital plus retained earnings minus treasury shares. Shareholders' equity is the amount by which a company is financed through common and preferred shares.
, net loss or cash flows.

2. During the quarter ended June 30, 2004, we recorded additional provisions for doubtful accounts in the amount of $196 million in continuing operations to write-down Write-Down

Reducing the book value of an asset because it is overvalued compared to the market value.

Notes:
This is usually reflected in the company's income statement as an expense, thereby reducing net income.
 self-pay patient accounts receivable. This change in how we estimate the net realizable value of patient accounts receivable was the result of adverse changes in our business mix as the number of uninsured patients grew. This trend is due to a combination of broad economic factors, including unemployment rates, increasing numbers of patients and employers who choose not to purchase insurance, and the increasing burden of co-payments to be made by patients instead of insurers.

3. Other operating expenses included malpractice expense of $58 million and $100 million for the quarters ended June 30, 2005 and 2004, respectively. For the six months ended June 30, 2005 and 2004, malpractice expense was $110 million and $162 million, respectively. The decline in malpractice expense is primarily due to the second quarter of 2004 including additional expense as a result of (1) the increasing of reserves reflecting adverse loss development; and (2) an increase to the reserves as a result of changes in claim payment patterns whereby a shorter maturity discount rate began to be used. Also included in the second quarter of 2004 is a net gain on sale of various assets of $16 million.

4. During the quarter ended June 30, 2005, a net $4 million positive adjustment for impairment Impairment

1. A reduction in a company's stated capital.

2. The total capital that is less than the par value of the company's capital stock.

Notes:
1. This is usually reduced because of poorly estimated losses or gains.

2.
 and restructuring charges restructuring charge

The expense of reorganizing a company's operations. A restructuring charge is an infrequent expense that generally results from asset writedowns or facility closings.
 was recorded comprised of a $12 million reduction of reserves recorded in prior periods, offset by $3 million of asset impairment charges, $2 million in employee severance The act of dividing, or the state of being divided.

The term severance has unique meanings in different branches of the law. Courts use the term in both civil and criminal litigation in two ways: first, when dividing a lawsuit into two or more parts, and second, when
, benefits and relocation RELOCATION, Scotch law, contracts. To let again to renew a lease, is called a relocation.
     2. When a tenant holds over after the expiration of his lease, with the consent of his landlord, this will amount to a relocation.
 costs, $2 million related to unfavorable lease commitments and $1 million in non-cash stock option modification A change or alteration in existing materials.

Modification generally has the same meaning in the law as it does in common parlance. The term has special significance in the law of contracts and the law of sales.
 costs related to terminated ter·mi·nate  
v. ter·mi·nat·ed, ter·mi·nat·ing, ter·mi·nates

v.tr.
1. To bring to an end or halt:
 employees. Restructuring charges of $21 million were recorded in the second quarter of 2004.

5. Costs of litigation and investigations in continuing operations were $11 million and $9 million for the quarters ended June 30, 2005 and 2004, respectively, and consisted primarily of costs to defend ourselves in various investigations and lawsuits. These costs include an accrual for a $45 million estimated minimum liability recorded in the second quarter of 2005 attributable to our securities class action lawsuit and two shareholder derivative actions, which has been offset by a corresponding amount that is expected to be recovered from our insurance carriers under our insurance policy.

6. In January January: see month.  2005, we sold $800 million of senior notes with registration rights in a private placement and received net proceeds Net Proceeds

The amount received after all costs are deducted from the sale of a piece of property or security.

Notes:
In the case of an investor selling a security, net proceeds represent the proceeds from the sale minus any trading costs (i.e. commissions).
 of approximately $773 million after deducting discounts and related expenses. We used a portion of the proceeds from the offering for the early redemption The liberation of an estate in real property from a mortgage.

Redemption is the process by which land that has been mortgaged or pledged is bought back or reclaimed. It is accomplished through a payment of the debt owed or a fulfillment of the other conditions.
 of our remaining outstanding senior notes due in 2006 and 2007, resulting in a $15 million loss from early extinguishment The destruction or cancellation of a right, a power, a contract, or an estate.

Extinguishment is sometimes confused with merger, though there is a clear distinction between them.
 of debt.

7. During the quarter ended June 30, 2005, impairment and restructuring charges of $1 million were recorded in discontinued operations consisting primarily of a $3 million positive adjustment related to a write-down of long-lived long-lived  
adj.
1. Having a long life: a long-lived aunt.

2. Lasting a long time; persistent: a long-lived rumor.

3.
 assets recorded in a prior period offset by $4 million in employee severance and retention costs. We recorded $269 million of charges in the prior year quarter.

8. Income taxes in the three months ended June 30, 2005 included the following: (1) income tax expense of $10 million in continuing operations and (2) income tax expense of $8 million in discontinued operations to increase the valuation allowance for our deferred tax assets. A $744 million valuation allowance for our deferred tax assets was initially recorded in the fourth quarter of 2004. We assess the realization (specification) realization - A UML semantic relationship between a classifier that specifies a contract and another classifier that guarantees to carry it out.

[Handout by Mr. David Gillibrand].
 of our deferred tax assets quarterly to determine whether an adjustment to the income tax valuation allowance is required. Based on all available evidence, both positive and negative, and the weight of that evidence to the extent such evidence can be objectively verified ver·i·fy  
tr.v. ver·i·fied, ver·i·fy·ing, ver·i·fies
1. To prove the truth of by presentation of evidence or testimony; substantiate.

2.
, we determine whether it is more likely than not that all or a portion of the deferred tax assets will be realized. Given the magnitude magnitude, in astronomy, measure of the brightness of a star or other celestial object. The stars cataloged by Ptolemy (2d cent. A.D.), all visible with the unaided eye, were ranked on a brightness scale such that the brightest stars were of 1st magnitude and the  of our valuation allowance, our future income/losses could result in a significant adjustment to this valuation allowance.

During the quarter ended June 30, 2005, we also recorded an adjustment to reduce our accrual for estimated IRS audit exposures for the fiscal years 1995-1997 by $23 million in continuing operations and $3 million in discontinued operations to reflect a partial settlement of certain disputed issues for the foregoing fiscal years.

9. The net aggregate pre-tax gain on the disposal of discontinued operations assets for the quarter ended June 30, 2004 was $31 million. There were no hospital sales completed during the quarter ended June 30, 2005.
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