Introduction
After 47 years in business, Dallas-based Tenet Healthcare Corp. (THC) has grown into a network of 79 hospitals, 20 short-stay surgical hospitals, and more than 470 outpatient centers in addition to nine facilities in the United Kingdom. As of 2015, it has 130,000 employees in its healthcare network. Three years ago, it acquired for $4.3 billion the Vanguard Health Systems (VHS) (Jacobson, 2013), which Charles Martin Jr. founded in Nashville, Tennessee in 1997 and has a network of more than 26 healthcare institutions, which are a combination of acute care and specialty hospitals in five states: Illinois (Chicago); ...