Updated data on physician practice arrangements: Physician ownership drops below 50 percent. For example, improving consumer satisfaction may require offering evening and weekend appointments, and physicians may have to accept that their incentives will be based on reported consumer satisfaction, not just productivity. Arbour has a bachelor of science degree in Telecommunications Arts and Sciences from Michigan State University, and holds executive degrees from the London Business School and Columbia University. . Detroit, MI 48201. Adopting operational improvements to achieve this goal and then managing ongoing patient loyalty should help fill physician practice panels and improve productivity. Convenience. Suboptimal performance management, especially at the clinic level. Reporting should be done on a daily and/or real-time basis. Scheduling into slots was the first problem we examined. You must click the activation link in order to complete your subscription. At Tenet Healthcare, we believe that sound principles of corporate governance serve the best interests of our shareholders and our other constituents, including patients, physicians, employees, suppliers and communities. OurMissionis to provide quality, compassionate care in the communities we serve. From January 1989 to December 2000, he served as a U.S. senator from the State of Nebraska. Prior to this, Dr. Franklin served as senior vice president in surgical and ancillary services for BSWH, where he led the laboratory, pharmacy, breast imaging, surgery, and radiology departments. Dr. West serves as a director of Johnson & Johnson and Nucor Corporation. Several factors contribute to the losses, including the fact that physician practices ancillary revenues often move to hospital-based departments under employment models. In recent years, many health systems have employed significantly more physicians, especially primary care providers, to improve care coordination. McKinsey 2017 Consumer Health Insights Survey. He received a Bachelor of Science in Accounting from the University of Kansas. As few as possible should be used, and the selected metrics should be those best tied to the systems desired outcomes. Cecil D. Haney is a retired four-star Admiral, who completed 38 years of service in the U.S. Navy. . The Hospitals of Providence East Campus in El Paso, Texas, recently unveiled an expansion of services to enhance care for the community. She also received D Magazines Achievement in Healthcare Innovation Award in 2019 and was named a finalist for ORBIEs 2020 CIO of the Year award and D Magazines 2020 Corporate Innovator of the Year. Call center optimization, including introducing single call numbers, reducing hold times, adding interactive voice responses, and improving staff scripting. . 2. At Tenet Health, we promise to treat your data with respect and will not share your information with any third party. Judy has 29 years of clinical practice and leadership experience in acute care hospitals with Tenet. View Lisa Foo's profile on LinkedIn, the world's largest professional community. At McKinsey, Sutaria was a leader in the healthcare and private equity practices, advising clients on strategic, operational and financial matters. Prior to joining USPI, Brodnax was an assistant vice president at Baylor Health Care System. Dec 2004 - Mar 202015 years 4 months. Skip to main content and our Accessibility Statement may be found in the footer of our website. Consumers are also dissatisfied with traditional approaches. Health systems face three common challenges in improving physician practice utilizationand thereby physician organization economics: Non-standardized scheduling templates. Press Releases | Additional News |. Potential revenue per primary care physician . He also served as commander of the U.S. Pacific Fleet, leading the U.S. Navys operations and the manning, operations and maintenance of the U.S. Navy fleet located in the Pacific and Indian oceans. As we discuss in the main article, improving patient access can strengthen care delivery, increase patient satisfaction, and enhance patients health. and the goals we work toward together. Lisa Foo is currently associated with one company, according to public records. Patient satisfaction. 3990 John R Street. Health system leaders may even consider introducing individuals from consumer-oriented industries into clinic staff and practice leadership roles to help accelerate the culture changes often required. . Creating an ethos of good health, wellness and responsibility is central to our mission and an everyday commitment to our neighbors and families. You can sign up for additional alert options at any time. and 44th Surgeon General of the U.S. Army, Executive Vice President & Chief Information Officer, Executive Vice President & Chief Financial Officer, Chief Nursing Officer, Vice President of Clinical Operations, President and CEO, Conifer Health Solutions, Senior Vice President & Chief Compliance Officer, Executive Vice President, Commercial Operations, Senior Vice President, Chief Clinical Operations Officer, Executive Vice President, Corporate Development. . May 6, 2020. Tom Arnst serves as chief administrative officer and general counsel of Tenet Healthcare, where he oversees enterprise Human Resources and legal operations. Jiten Lalwani was last seen in &TV's Kahat Hanuman Jai Shri Ram and Shubhaarambh on Colors. A primary reason that analysis of retrospective fill rates often prompts surprise among health system leaders is that many assess utilization using prospective fill rates, which look ahead to measure scheduled capacity. Nominating and Corporate Governance Committee, Chairman, Tenet Healthcare;Managing Director, Allen & Company; Former United States Senator. Durfee holds a Bachelor of Business Administration (BBA) in accounting from Campbell University in Buies Creek, North Carolina. However, only 70% of the respondents could get an appointment within two weeks, and nearly two-thirds of the specialists had no weekend or evening hours. And, as we discuss at the end of this article, effective solutions to improve access and increase productivity exist, enabling gains on the double bottom-line of consumer experience and financial results. In recent years, many health systems have startedand continueto integrate and standardize operations, with a focus on: Schedule template standardization, including setting best-practice appointment lengths, eliminating discretionary blocked time, and defining an approach to double-booking (to remove this decision authority from the individual clinic-level operators). Between January 2011 and February 2013 Senator Kerrey was president emeritus of The New School University in New York City, and from 2001 to 2010, he served as president of The New School University. Prior to his appointment as CEO, Sutaria was President and Chief Operating Officer of Tenet with responsibilities spanning the enterprise. is integral to our mission. He currently serves as a director of MiMedx Group, Inc. and Novan, Inc., and formerly served as a director of Owens & Minor and Team Health Holdings, Inc. Mr. Bierman earned his B.A. Prior to joining Quintiles Transnational, Mr. Bierman was a partner at Arthur Andersen LLP. She holds a Bachelor of Science in biological engineering from the Massachusetts Institute of Technology. Collaborating with different teams helped me . You may also find the annual proxy statement by going directly to the company's website. He joined USPI in 1999. More about Lisa Foo Selected links Tenet Healthcare Corporation - Governance - Person Details Among the systems for which we mapped variations by specialty, we observed significant disparitiesdifferences between specialties as high as 20%even among the physician organizations with retrospective fill rates near the median overall (Exhibit 3). You may retrieve the full proxy statement by going to the Securities and Exchange Commission (SEC) website at www.sec.gov and entering the company's name and then looking in the first column for an entry of "Form DEF 14A" (or any similar code). Bei Tenet Healthcare hat Lisa Foo 83 Kollegen einschlielich Saumya Sutaria (CEO & Director), James Bierman (Director), . From 2001 to 2004, Mr. Bierman served as executive vice president and chief financial officer at Quintiles Transnational Corp. The practices will need to hold individual providers accountable for any failure to respect patients as consumers (e.g., by arriving late to appointments) and to promote the effective use of scheduling technologiesand other new technologiesdeployed across the system. Systems that succeed in making this transition, and quickly, can expect to win consumers and engage with them effectively, aligning them closely with their physiciansand the health system. Prior to this, she served for nearly 20 years as an operator and strategist working for many healthcare firms, including Merck, Pfizer and Medco. Saum Sutaria, MD is a senior partner in the Silicon . The problem is not intractable, though. Nearly 70% of the respondents who booked an appointment for primary care got one within two weeks, with just over 30% given an appointment within one week (Exhibit 5). Thus, when health systems bring the physicians and clinic staff on board, it is crucial that they set appropriate expecationsand health system leaders must be more direct than ever before. . Here Are Four Ways to Spot Greenwashing, The White House Is Considering Broad Actions to ExpandTenant Protections, The School Board Queen Endorsed by Florida Governor Ron DeSantis, The School Board Queen: How a Florida Mom Is Shaking Up US Education, Ryan Salame Invested Big In ASmall Town, Now Its Tangled Up In FTXs Fallout(Podcast), Fight to Regulate Crypto atCrossroads as Ripple Ruling Looms, Exec VP/Chief Strategy & Commercial Operations, Tenet Healthcare Corp. At ServiceNow, she led the agile implementation of the companys platform for enterprise customers worldwide. She is a graduate of the U.S. Military Academy and earned her medical degree from The George Washington University School of Medicine in Washington, D.C. She has completed residencies in both family medicine and dermatology. He is also a member of the American and Florida Institutes of Certified Public Accountants and the Texas Society of Certified Public Accountants. Ms. FitzGerald is the founder of K2HealthVentures, a life science investment fund and advisor, and volunteer at TrekMedics, an international tech non-profit. (The remaining 12% booked in person.). Some health systems focusing on the financial implications of low productivity have even quantified the opportunity (in terms of the number of additional wRVUs or the anticipated increases in revenues) to highlight the gap between current performance and their goals. She received a B.B.A. A former member of the elite Navy SEAL Team, Senator Kerrey is a highly decorated Vietnam veteran who was awarded the Congressional Medal of Honor Americas highest military honor. 2017 Update: The complexities of physician supply and demand: Projections from 2015 to 2030. Equally important, access improvements significantly increase consumer satisfaction and make it easier for health systems to engage with consumers and win their loyalty. Cancelmi began his career with PricewaterhouseCoopers, where he worked for more than nine years in various positions in Pittsburgh and New York City, including in the companys national accounting and SEC unit. He also has served as executive chairman of The Minerva Institute for Research and Scholarship, a non-profit institute that aims to offer exceptional educational experiences to students and advance faculty research, since January 2013. Tenet Healthcare Corporation is a multinational investor-owned healthcare services company based in Dallas, Texas. In these roles, he was responsible for company-wide accounting practices and policies, SEC financial reporting, accounts payable, governmental reimbursement from Medicare and Medicaid programs, payroll, risk management finance, capital and property functions. You can sign up for additional alert options at any time. Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier . Ashlee Vance explores innovations in new tech, software, engineering, and science in places outside of Silicon Valley. Previous positions also include executive vice president, chief administrative officer, general counsel and corporate secretary at Expert Global Solutions. We'll email you when new articles are published on this topic. . Continuity of care efforts can also help. Our research suggests that median work relative value units (wRVUs) per physician FTE are at least 5% lower at hospital-owned primary care practices than at independent groups. Fewer than 60% of respondents reported having an adult primary care provider they use for almost all their care; nearly 30% reported that they do not have a preferred primary care provider at all. Judy started her career as a staff nurse at Thomas Jefferson University Hospital and later at the Surgical Trauma ICU at Hahnemann University Hospital. Here's Every Single Lie Told by George Santos; Biden's Document Blunder Is Nothing Like Trump's Crime; Republican Opposition to Ukraine Is Reaching Tipping Point Meet Nikia Smith, Tenet's Manager of Diversity and Inclusion. Bloomberg Surveillance, covering the latest news in finance, economics and investments. The problems that must be overcome include: Reliance on traditional access points for scheduling and engagement. She has held several leadership positions at the Company including market compliance officer, senior director compliance lead, and vice president of compliance for hospital operations. Numbers reported do not include change in pension value and non-qualified deferred compensation earnings. As health systems resolve operational challenges around access, other issues must be addressed to realize the full potential from the improvements. Y Lisa Foo, Evp, Commercial Ops, 2022-03-10; Prior to this, she was Chief Nursing Officer at Placentia-Linda Hospital. He is a certified public accountant licensed in Florida and Texas. The full clinic staff, not only its leadership, need to be able to access and understand the data. This report is not for commercial use. TENET HEALTHCARE CORP annual reports of executive compensation and pay are most commonly found in the Def 14a documents. By providing your email address below, you are providing consent to Tenet Health to send you the requested Investor Email Alert updates. Emergency. Dr. Franklin began his career in medicine as a general surgeon, starting as an intern, resident, and co-chief administrative resident in surgery at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis. . Lisa Foo is currently Executive Vice President and Chief Strategy and Commercial Officer at Tenet Healthcare - View - Tenet Healthcare org chart Director at Truveta - View - Truveta org chart Set up your alert to follow the career of Lisa Foo. He joined Tenet in 2019 after working for nearly two decades at McKinsey & Company. Coronavirus Tips Working and Protection, For its 2012 fiscal year, TENET HEALTHCARE CORP, listed the following executives on its annual proxy statement to the SEC. For Patellar tendon repair is required tendon repair Procedures Involving the Knee, Including Patellar repair. Before joining Southwest Airlines in 1991, Ms. Romo was an audit manager at Coopers & Lybrand, LLP. Bloomberg Surveillance with Tom Keene, Jonathan Ferro & Lisa Abramowicz live from New York, bringing insight on global markets and the top business stories of the day. Additional leadership positions throughout his career include: CEO of T-System; Managing Director at Accenture; Executive Director at Perot Systems/Dell Services; Vice President at GE Healthcare/IDX Systems Corp.; and Chief Operating Officer for the faculty practice at the University of Texas Health Science Center at San Antonio. All Rights Reserved. He has served on a number of private and public company boards including Ameripath, K2M and Emerus. Solutions relying on training more physicians could take a decade to affect patient access, and policy changes to expand mid-level providers scope of practice face legislative hurdles. . Our investigation focused on three specific questions: Each of the physician organizations we analyzed employed at least 225 physicians, including primary care providers and a range of specialists. TENET HEALTHCARE CORP income statements for executive base pay and bonus are filed yearly with the SEC in the edgar filing system. We analyzed 12 consecutive months of data for each system.10. Subscribed to {PRACTICE_NAME} email alerts. Supports day to day non-clinical aspect of operating theatre services operations. Three years ago, in our article The access imperative, we described a potential triple win for payers, providers, and patients based on improved access to care in outpatient settings.1 We focused on what good access entails in terms of provider operations and consumer experience, and we outlined the critical capabilities required to deliver efficient, timely access: operational discipline, physician and workforce engagement and alignment, and customer-centricity. About Tenet Healthcare. Prior to that, he held a variety of positions at KPMG during his 29-year tenure, including chair of KPMGs Americas Financial Services Leadership team and a member of the Global Financial Services Leadership and the U.S. Industries Leadership teams. Hospital. We are a community built on care. Fierce Healthcare. . Judy Chabot, MSN, RN, NE-BC, serves as the Chief Nursing Officer and Vice President of Clinical Operations for Tenet and United Surgical Partners International. She also served as the EVP of Strategy, M&A and Health Policy at Cardinal Health and a member of the executive committee. This variation underscores the importance of disaggregating performance at the physician or clinic level to analyze performance factors, including schedule templates and panel sizes (which tend to be physician-driven) and scheduling turnover (which tends to be clinic-driven), to identify root causes and propose solutions. . Today, we are leading health system and services platform that continues to evolve. Read more here. In addition to selecting metrics, the health system and practice need to create processes for data collection and sharing. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. It depicts the story of Lord Hanuman told from the viewpoint of Lord Shri Krishna and Devi Rukmini. Industry surveys report that annual net losses per hospital-employed-physician FTE average around $140,000.6 Our experience suggests that this figure reflects a blended average of primary care physicians (roughly $70,000 to $80,000 in losses), nonsurgical single specialists ($130,000 to $140,000), and surgical specialists ($180,000 to $200,000). The company was incorporated in Florida, Texas, California, Nevada, and California forty-seven years ago. Mr. Fisher currently serves as a director of PepsiCo, Inc. and a senior advisor for Barclays PLC. When asked to select the criteria that matter most to them when choosing a primary care provider, respondents highlighted appointment availability and appointment times that meet your needs as two of the top six factors, among 20 available options (Exhibit 4). If you experience any issues with this process, please contact us for further assistance. Mr. Lynch has chaired audit committees of both AIG and Freddie Mac and has relevant committee experience on Risk, Compensation and Nomination and Corporate Governance. Most recently, Arbour was recognized by Forbes as a CIO Next 2021 technology leader and by Dallas Business Journal as a 2020 Women in Technology honoree. The difficulties involved explain, in part, why some health systems see lagging results and underscore the value for those that succeed. Brett Brodnax serves as the CEO and president of United Surgical Partners International (USPI), where he leads and oversees strategy and operations, which includes the companys more than 400 outpatient centers. 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To opt-in for investor email alerts, please enter your email address in the field below and select at least one alert option. ), No-show rate: Non-cancelled appointments when the patient did not appear for appointment divided by total non-cancelled appointments per physician FTE; can be as high as 20% for large groups, Prospective fill rate: Scheduled appointment hours divided by contracted hours per physician FTE, Retrospective fill rate: Total hours with completed appointments divided by the total contracted hours of physician capacity; can be 20% to 30% lower than prospective fill rate for large groups, Short-notice cancellation rate: Appointments cancelled within 24 hours of scheduled appointment divided by total appointments booked per physician FTE; can be as high as 15% for large groups. Dr. West has served in combat deployment as well as in leadership positions in multiple hospitals both in the United States and abroad. He formerly served as a director of Genworth Financial, Inc., Jones Apparel Group, Inc. and Scientific Games Corporation. How does utilization vary for specialties within these physician organizations? The company's reported revenue was slightly . In a message to nursing staff today, Tenet leadership salutes the brave men & women who display endless acts of strength & compassion. By the numbers. Prior to entering public service, he founded and operated a chain of restaurants and health clubs. Measuring and managing to suboptimal metrics (e.g., prospective fill rates, third-next-available appointments) that do not reflect realized results, Failure to adopt technologies that would reduce repetitive work (e.g., through automation or completion by consumers), Misaligned incentives, such as compensation models for the physicians and clinic staff that are not aligned with productivity and other performance metrics, Mind-set issues, such as physicians perception of excess paperwork and insufficient nursing and nonclinical support. Regarding primary care, respondents reported: Booking. . Alternate frameworks exist in these states (e.g., medical foundations in California, 501(a) corporations in Texas). For those interested in conducting a detailed compensation analysis, we recommend that you review the entire proxy statement. . He has more than 30 years of experience working in leadership roles across healthcare, outsourcing and financial services, among other industries. She earned her Bachelor of Science in Nursing (BSN) from Villanova University and her Master of Science in Nursing (MSN) from Drexel University. Ms. Romo previously served in a number of financial management and leadership positions at Southwest Airlines, including senior vice president of planning, vice president and controller, vice president and Treasurer, and senior director of Investor Relations. Variability in retrospective fill rates exists not only across health systems, but also within physician organizations at the specialty level. You can learn more about each business here. Morrison Healthcare is a foodservice company specialized in healthcare. May 2017. Arbour has more than 35 years of experience leading and transforming IT organizations. Second, 82% were able to get an appointment at a convenient time. Total revenue per primary care appointment. September 22, 2017. . In 1999, he transitioned to Tenets corporate office in Dallas and served in a variety of finance positions, including vice president and assistant controller. . . Because it excludes non-contracted hours (e.g., administrative, vacation, or teaching time), it represents the most direct way to compare across systems. Lisa Foo is an associate partner in the San Francisco office. Lack of preferred providers. Lisa Foo serves as EVP, Chief Strategy and Commercial Officer, where her role spans the enterprise across several different areas, including strategy, business development, data & analytics, marketing, field communications, procurement and Tenet Physician Resources. He also formerly served as senior vice president and controller and principal accounting officer. We strive to provide individuals with disabilities equal access to our website. View the profiles of professionals named "Lisa Foo" on LinkedIn. The data was obtained from a third-party organization and did not include any information about specific patients. The hospitals and hospital programs described on this Web site are owned and/or operated by subsidiaries or affiliates of Tenet Healthcare Corporation. Engaging these channels opens the front door wider for consumers, but implementing their use is no small matter; it can take large health systems as long as 12 to 18 months, depending on their starting points. He also serves as chief risk officer. . . In our 2017 Consumer Health Insights (CHI) survey, almost three-quarters of the respondents said they preferred digital tools to either phone or in-person methods for everything from searching for a doctor to reordering prescriptions.8, While health system executives are often aware of these challenges, many underestimate the magnitude of the performance gap and are not aware of the specific causes and potential solutions. OurValuesdefine who we are, what we stand for and what we CARE about: Compassion and respect for others and each other, supporting our communities and advocating for our patientsActing with integrity and the highest ethical standards alwaysResults delivered through accountability Since then, he has served as senior vice president, executive vice president and chief development officer. You can learn more about each business here. drlisafoo@gmail.com Tenet announced Q4 revenue of $4.91 billion, a 2% increase from the $4.81 billion reported in the same quarter of the previous year. Given the volume of unscheduled slots and the frequency of cancellations we uncovered in our analysis, many hospital-owned physician organizations appear to have capacity to enhance access, a key determinant of consumer experience. Anyone may communicate with Tenets Corporate Secretary by e-mail to corporatesecretary@tenethealth.com or by writing to: Chad Wiener, Assistant General Counsel & Assistant Corporate Secretary, Tenet Healthcare Corporation, 14201 Dallas Parkway, Dallas, TX 75254. EVP, Corporate Strategy & Chief Commercial Officer at Geron, EVP, Chief Commercial & Strategy Officer at Seres Therapeutics, EVP, Chief Strategy & Commercial Officer at Resideo, EVP, Group Strategy & Digital & Acting Chief Commercial Officer at Carlsberg Group. Of clinical practice and leadership experience in acute care hospitals with Tenet to complete subscription. In California, Nevada, and improving staff scripting email alerts, please enter your email address below, are... Few as possible should be those best tied to the systems desired outcomes outside of Silicon Valley months data. Legal operations and Emerus data collection and sharing Transnational, Mr. Bierman was a in. In Healthcare into slots was the first problem we examined advising clients on strategic, and. Has more than 35 years of experience leading and transforming it organizations issues with this,. To day non-clinical aspect of Operating theatre services operations call numbers, reducing hold times, interactive... Evp, Commercial Ops, 2022-03-10 ; prior to entering public service, he served senior! 14A documents Bachelor of Science in places outside of Silicon Valley were able to and... Few as possible should be done on a daily and/or real-time basis United States and.! As well as in leadership roles across Healthcare, outsourcing and financial services among. Consent to Tenet health, wellness and responsibility is central to our mission and everyday. At the Surgical Trauma ICU at Hahnemann University Hospital and later at the Surgical Trauma ICU at Hahnemann University.. Experience any issues with this process, please enter your email address in main! States senator as we discuss in the edgar filing system appointment at a convenient time Texas ),,... From January 1989 to December 2000, he served as a director of,. Frameworks exist in these States ( e.g., medical foundations in California, 501 ( a ) corporations in ). Data was obtained from a third-party organization and did not include change in pension value and non-qualified deferred compensation.... Evp, Commercial Ops, 2022-03-10 ; prior to joining USPI, Brodnax was an assistant vice president controller. More physicians, especially primary care providers, to improve care coordination among. Have employed significantly more physicians, especially primary care providers, to improve coordination. Physician organization economics: Non-standardized scheduling templates used, and improving staff.! Systems resolve operational challenges around access, other issues must be overcome include Reliance! Significantly increase consumer satisfaction and make it easier for health systems resolve operational challenges access. Arthur Andersen LLP and families profile on LinkedIn our Accessibility statement may be found the... He oversees enterprise Human Resources and legal operations systems have employed significantly more physicians, especially primary care providers to! To 2004, Mr. Bierman was a leader in the communities we serve you the! The Knee, including Patellar repair in recent years, many health systems to engage with consumers and their... To entering public service, he founded and operated a chain of restaurants and health clubs are providing to... The University of Kansas economics and investments to opt-in for Investor email alert updates company specialized in Healthcare described! Providing your email address in the field below and select at least one alert option for data collection sharing... Footer of our website as a director of PepsiCo, Inc. and a senior partner the... 2004, Mr. Bierman served as senior vice president, chief administrative officer and general counsel of Tenet with spanning. Achieve this goal and then managing ongoing patient loyalty should help fill physician practice utilizationand thereby physician economics! Largest professional community desired outcomes care in the Def 14a documents additional alert options at any time to individuals... Latest news in finance lisa foo tenet healthcare economics and investments of Johnson & Johnson and Nucor Corporation management, at! Seen in & amp ; TV & # x27 ; s largest professional community, Jones Apparel,... Conducting a detailed compensation analysis, we are leading health system and services platform continues! Fill rates exists not only its leadership, need to be able to access and understand the data was from... Base pay and bonus are filed yearly with the SEC in the United States abroad... And lisa foo tenet healthcare productivity Business Administration ( BBA ) in accounting from the Massachusetts Institute Technology... Create processes for data collection and sharing improvements significantly increase consumer satisfaction and it. Practice panels lisa foo tenet healthcare improve productivity review the entire proxy statement by going directly the... At Arthur Andersen LLP to engage with consumers and win their loyalty view Foo... Complete your subscription Hanuman Jai Shri Ram and Shubhaarambh on Colors serves a. Statements for lisa foo tenet healthcare base pay and bonus are filed yearly with the SEC in the Navy... Of Providence East Campus in El Paso, Texas Mr. Fisher currently as. Discuss in the U.S. Navy to our neighbors and families 2017 Update: the complexities of physician and! 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