70318--2/26/2008--TENET_HEALTHCARE_CORP

related topics
{regulation, government, change}
{competitive, industry, competition}
{acquisition, growth, future}
{loan, real, estate}
{personnel, key, retain}
{debt, indebtedness, cash}
{cost, contract, operation}
{cost, regulation, environmental}
If we are unable to enter into managed care provider arrangements on acceptable terms, or if we have difficulty collecting from managed care payers, our results of operations could be adversely affected. Changes in the Medicare and Medicaid programs or other government health care programs could have an adverse effect on our business. Our business continues to be adversely affected by a high volume of uninsured and underinsured patients. We operate in a highly competitive industry, and competition is one reason for our recent declines in patient volumes. Our business and financial condition could be harmed if we are not able to attract and retain employees, physicians and other health care professionals, and our labor costs continue to be adversely affected by union activity and the shortage of nurses. Our licensed hospital beds are heavily concentrated in certain market areas in Florida, California and Texas, which makes us sensitive to economic, regulatory, environmental and other developments in those areas. Our business and financial results could be harmed by violations of existing regulations or compliance with new or changed regulations. Our operations have not been profitable for the last several years, and, if our turnaround strategy is not successful, our business operations and financial results may not improve and could worsen. Trends affecting our actual or anticipated results may lead to charges that would adversely affect our results of operations. Our substantial leverage could have a material adverse effect on our operations.

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