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Exhibit 10(b)  

 
  FOURTH AMENDMENT TO FIVE-YEAR CREDIT AGREEMENT    
    

        Fourth Amendment dated as of March 9, 2004 (the "Fourth Amendment") to the Five-Year Credit
Agreement dated as of March 1, 2001 (as amended to the date hereof, the "Credit Agreement") among Tenet Healthcare Corporation (the
"Borrower"), the Lenders and Agents party thereto, and JPMorgan Chase Bank, N.A. (as successor to Morgan Guaranty Trust Company of New York), as
Administrative Agent. 

RECITALS 

        WHEREAS,
the parties hereto desire to amend the Credit Agreement as provided herein; 

        NOW,
THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the parties hereto, intending
to be legally bound, hereby agree as follows: 

AGREEMENT 

        1.    Defined Terms; References.    Unless otherwise specifically defined herein, each term used herein that is
defined in the Credit Agreement has the meaning assigned to such term in the Credit Agreement. Each reference to "hereof", "hereunder", "herein" and "hereby" and each other similar reference and each
reference to "this Agreement" and each other similar reference contained in the Credit Agreement shall, after this Fourth Amendment becomes effective, refer to the Credit Agreement as amended hereby. 

        2.    Amendment of Section 1.01.    (a) The definitions of "Consolidated EBITDA" and "Financing
Documents" in Section 1.01 of the Credit Agreement are hereby amended and restated to read in their entirety as follows: 

        "Consolidated EBITDA" means, for any period of four consecutive Fiscal Quarters, the sum of (i) operating income  plus (ii) to the extent deducted in
determining such operating income, the sum of (x) depreciation and amortization and
(y) impairment and other unusual charges (except, for any such period, to the extent that the aggregate amount of such charges that do not constitute Non-Cash Charges reported by
the Borrower for all fiscal periods commenced after November 30, 2000 exceeds three percent (3.0%) of the Borrower's consolidated total assets at the end of such four-quarter
period), in each case for the Borrower and its Subsidiaries on a consolidated basis and determined (A) on a Pro Forma Basis and (B) in a manner consistent with the determination of the
amount of any thereof reported in the consolidated statement of income for the Fiscal Year ended May 31, 2000 included in the Borrower's annual report to shareholders for such Fiscal Year,  plus
(iii) without duplication of any amounts described in clause (ii)(y), to the extent deducted in determining such operating income,
charges in connection with the discontinuation of operations with respect to any business conducted at a leased hospital facility or a hospital facility designated for closure,  plus (iv) without
duplication of any amounts described in clause (ii)(y) or (iii), to the extent deducted in determining such operating
income, (A) charges in an aggregate amount not in excess of $225,000,000 recorded in the Fiscal Quarter ended September 30, 2003, and (B) charges in excess of 10.0% of net
operating revenue in the Fiscal Quarter in which any such charges are recorded and in an aggregate amount not in excess of $250,000,000 recorded after the Fiscal Quarter ended September 30,
2003, in each case in conjunction with the Borrower's analysis of its accounts receivable, including changes in the Borrower's accounting policy for provision for doubtful collection of accounts. 

        "Financing Documents" means this Agreement (including the Schedules and Exhibits hereto), the Notes, the Swingline Note, the Security
Documents and the Guarantee Agreement, and "Financing Document" means any one of them. 

 

        (b)   Section 1.01
of the Credit Agreement is hereby amended by inserting the following definitions therein in correct alphabetical order: 

        "Collateral" means any and all "Collateral", as defined in any Security Document. 

        "Collateral and Guarantee Requirement" means the requirement that: 

        (a)   the
Administrative Agent shall have received (i) from each Pledgor a counterpart of the Pledge Agreement duly executed and delivered on behalf of such Pledgor and
(ii) from each Subsidiary Guarantor a counterpart of the Guarantee Agreement duly executed and delivered on behalf of such Subsidiary Guarantor; 

        (b)   all
outstanding Investments in any Subsidiary Guarantor owned by any Credit Party shall have been pledged pursuant to the Pledge Agreement and the Administrative Agent
shall have received all certificates or other instruments representing such Investments, together with stock powers or other instruments of transfer with respect thereto endorsed in blank; 

        (c)   all
documents and instruments, including Uniform Commercial Code financing statements, required by law or reasonably requested by the Administrative Agent to be filed,
registered or recorded to create the Liens intended to be created by the Security Documents and perfect or record such Liens to the extent, and with the priority, required by the Pledge Agreement,
shall have been filed, registered or recorded or delivered to the Administrative Agent for filing, registration or recording; 

        (d)   each
Credit Party shall have obtained all consents and approvals required to be obtained by it in connection with the execution and delivery of all Security Documents to
which it is a party, the performance of its obligations thereunder and the granting of the Liens granted by it thereunder; 

        (e)   each
Credit Party shall have taken all other action required under the Security Documents to perfect, register and/or record the Liens granted by it thereunder; and 

        (f)    the
Administrative Agent shall have received from each Pledgor and each Subsidiary Guarantor customary certificates, opinions of counsel and other evidence satisfactory
to the Administrative Agent as to such matters relating to such Pledgor or Subsidiary Guarantor, the Guarantee Agreement, the Security Documents, and the transactions contemplated by the Guarantee
Agreement and the Security Documents as the Administrative Agent may reasonably request. 

        "Credit Parties" means the Borrower and the Subsidiary Guarantors, and "Credit Party"
means any one of them. 

        "Domestic Subsidiary" means each Subsidiary which is not a "controlled foreign corporation" within the meaning of the Internal Revenue
Code. 

        "Guarantee Agreement" means an agreement in form acceptable to the Administrative Agent pursuant to which the Subsidiary Guarantors
guarantee the obligations of the Borrower under the Financing Documents. 

        "Mandatory Prepayment Amount" has the meaning specified in Section 2.07(b). 

        "Domestic Hospital Subsidiary" means each Domestic Subsidiary that (i) owns or operates a hospital facility (other than any such
facility with respect to which the Borrower publicly announced on or before January 28, 2004 the discontinuation of operations) or (ii) owns an Investment in a Domestic Hospital
Subsidiary. 

2

 

        "Pledge Agreement" means an agreement in form acceptable to the Administrative Agent pursuant to which the Pledgors pledge to the
Administrative Agent their Investments in Subsidiary Guarantors. 

        "Pledgors" means the Borrower and each Subsidiary Guarantor holding any Investment in any other Subsidiary Guarantor. 

        "Secured Obligations" has the meaning specified in the Pledge Agreement. 

        "Security Documents" means the Pledge Agreement and each other security agreement, instrument or document executed and delivered pursuant
thereto to secure any of the Secured Obligations. 

        "Subsidiary Guarantors" means each Domestic Hospital Subsidiary of the Borrower now existing or hereafter organized or acquired. 

        3.    Amendment of Section 2.07.    Section 2.07 of the Credit Agreement is hereby amended and restated
in its entirety as follows: 

        Section 2.07.    Prepayments of Syndicated Loans.    (a) Optional Prepayment of
Syndicated Loans. The Borrower may at its option, by Notice of Syndicated Prepayment given in accordance with Section 2.08, prepay
any Group of Loans (subject, in the case of a Group of Euro-Dollar Loans, to Section 2.14), in each case in whole at any time, or from time to time in part in amounts aggregating at
least $10,000,000, by paying the principal amount to be prepaid together with interest accrued thereon to the date of prepayment. Each such optional prepayment shall be applied to prepay ratably the
Loans of the several Lenders included in such Group of Loans. 

        (b)    Mandatory Prepayments of Syndicated Loans.    If, at any time, the cash and cash equivalents held by the
Borrower and its Subsidiaries is greater than $100,000,000 plus the amount, if any, by which their anticipated uses of cash during the next
30 days exceed their anticipated receipts of cash during such period (such excess being the "Mandatory Prepayment Amount"), the Borrower shall
prepay a principal amount of Syndicated Loans equal to the Mandatory Prepayment Amount together with interest accrued on such principal amount to the date of prepayment and subject, in the case of
Euro-Dollar Loans, to Section 2.14. Each such mandatory prepayment shall be applied to prepay ratably the Syndicated Loans of the several Lenders. 

        4.    Amendment of Section 3.03.    Section 3.03 of the Credit Agreement is hereby amended by
(i) deleting the words "this Agreement" in clause (e) and inserting the words "the Financing Documents" in place thereof, (ii) deleting the date "November 30, 2000" in
clause (f) and inserting the date "September 30, 2003" in place thereof, and (iii) deleting the amount "$1,000,000,000" in clause (g) and inserting the amount
"$500,000,000" in place thereof. 

        5.    Amendment of Section 5.01.    Section 5.01 of the Credit Agreement is hereby amended by adding the
following provisions to clause (c) thereof: 

as
well as a condensed consolidated balance sheet of each Subsidiary Guarantor as at the end of, and a condensed consolidated statement of operations of each Subsidiary Guarantor for, the fiscal
period covered by such consolidated financial statements, certified by a Senior Officer as having been prepared by the Borrower in accordance with its customary practices and utilized in the
preparation of the consolidated financial statements delivered concurrently therewith; 

        6.    Amendment of Section 5.07.    Section 5.07 of the Credit Agreement is hereby amended by
(i) deleting the word "and" at the end of clause (n), (ii) re-lettering existing clause (o) as clause (p), and (iii) adding a new
clause (o), as follows: 

        (o)   Liens
on Collateral granted by the Credit Parties under the Security Documents; and 

3

 

        7.    Amendment of Section 5.08.    Section 5.08 of the Credit Agreement is hereby amended by
(i) deleting the word "and" at the end of clause (f), (ii) re-lettering existing clause (g) as clause (h), and (iii) adding a new
clause (g) as follows: 

        (g)   Guarantees
by any Subsidiary Guarantor under the Guarantee Agreement; 

        8.    Amendment of Section 5.09.    Section 5.09 of the Credit Agreement is hereby amended (i) by
deleting the number "3.50" and inserting in place thereof: 

         (x)  prior
to June 30, 2005, 5.50 and (y) on or after June 30, 2005, 5.00. 

        9.    Amendment of Section 5.11.    Section 5.11 of the Credit Agreement is hereby amended by deleting
the number "2.0" and inserting the number "1.5" in place thereof. 

        10.    Amendment of Section 6.01.    Section 6.01 of the Credit Agreement is hereby amended by
(i) deleting the words "this Agreement" in clauses (d) and (e) and inserting the words "the Financing Documents" in place thereof, (ii) deleting the word "hereto" in
clause (e) and inserting the word "thereto" in place thereof, (iii) adding the parenthetical phrase "(other than Redding Medical Center, Inc.)" after each occurrence of the term
"Material Subsidiary" in clauses (h) and (i), (iv) deleting the word "or" at the end of clause (k), and (v) adding new clauses (m) and (n) as follows: 

        (m)  any
Lien purported to be created under any Security Document shall cease to be, or shall be asserted by any Credit Party not to be, a valid and perfected Lien on any
Collateral, with the priority required by the applicable Security Document, except (i) as a result of a sale or other disposition of the applicable Collateral in a transaction permitted under
the Financing Documents or (ii) as a result of the Administrative Agent's failure to maintain possession of any stock certificates or other documents delivered to it under the Pledge Agreement;
or 

        (n)   any
Subsidiary Guarantor's Guarantee under the Guarantee Agreement shall at any time fail to constitute a valid and binding agreement of such Subsidiary Guarantor or any
party shall so assert in writing; 

        11.    Amendment of Section 7.01.    Section 7.01 of the Credit Agreement is hereby amended and restated
to read in its entirety as follows: 

        Section 7.01.    Appointment and Authorization.    Each Lender irrevocably appoints and authorizes the
Administrative Agent (i) to sign and deliver the Guarantee Agreement and the Security Documents and (ii) to take such action as agent on its behalf and to exercise such powers under the
Financing Documents as are delegated to it by the terms thereof, together with all such powers as are reasonably incidental thereto. 

        12.    Reduction of Commitments.    Upon the date of satisfaction of the conditions to effectiveness hereof in
accordance with Section 15 below, the Commitments shall be automatically and ratably reduced to the aggregate amount of $800,000,000, all without further action by any party to the Credit
Agreement. 

        13.    Amendment Fee.    The Borrower agrees to pay to each Lender that executes this Fourth Amendment no later than
March 8, 2004, upon execution hereof by Required Lenders, on or before March 8, 2004, an amendment fee equal to 0.125% of such Lender's Commitment (after giving effect to reduction
thereof pursuant hereto). 

        14.    Representations and Warranties.    The Borrower represents and warrants that (a) on the date of this
Fourth Amendment no Default or Event of Default has occurred and is continuing after giving effect hereto, and (b) the representations and warranties of the Borrower contained in
Article 4 of the Credit Agreement are true and correct in all material respects on and as of the date of this Fourth Amendment, except to the extent that any such representation or warranty
relates to a specific prior 

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date,
in which case such representation or warranty was true and correct in all material respects on and as of such prior date. 

        15.    Effectiveness.    This Fourth Amendment shall become effective as of the date hereof when the following
conditions are met (the "Fourth Amendment Effective Date"): 

        (a)   The
Administrative Agent shall have received from each of the Borrower and Lenders comprising the Required Lenders a counterpart hereof signed by such party or facsimile
or other written confirmation (in form satisfactory to the Administrative Agent) that such party has signed a counterpart hereof; and 

        (b)   The
Collateral and Guarantee Requirement shall have been satisfied. 

        Notwithstanding
the foregoing, the amendment to the definition of "Consolidated EBITDA" contained in Section 2 hereof shall not be effective for the purpose of determining the
Facility Fee Rate or Euro
Dollar Margin pursuant to the Pricing Schedule, unless the Administrative Agent shall have received from each Lender a counterpart hereof signed by such Lender or facsimile or other written
confirmation (in form satisfactory to the Administrative Agent) that such Lender has signed a counterpart hereof. 

        Except
as expressly amended hereby, the Credit Agreement shall remain in full force and effect. 

        16.    Governing Law.    This Fourth Amendment shall be governed by and construed in accordance with the laws of the
State of New York. 

        17.    Counterparts.    This Fourth Amendment may be signed in any number of counterparts, each of which shall be an
original, with the same effect as if the signatures thereto and hereto were upon the same instrument. 

5

 

        IN
WITNESS WHEREOF, the parties hereto have caused this Fourth Amendment to be duly executed by their respective authorized officers as of the day and year first above written. 

[Signature
pages omitted.] 

6

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Exhibit 10(c)  

 
  SEVERANCE AGREEMENT AND GENERAL RELEASE    
    

This
Severance Agreement and General Release ("Agreement") is entered into this 27th day of May 2003, by and between Tenet Healthcare Corporation and any of its affiliates (collectively
"Tenet") and Jeffrey C. Barbakow ("Executive") who agree as follows: 

1.    Executive
and Tenet agree that Executive has resigned from his position as Chief Executive Officer (CEO) of Tenet on May 27, 2003 and that Executive's last day worked for Tenet
will be May 31, 2003 ("Last Day Worked"). Tenet agrees that Executive's resignation will be treated as a "Qualifying Termination" for purposes of the Tenet Executive Severance Protection Plan
in which Executive is a named covered participant. Effective the date of his resignation from his position as CEO, Executive will not be authorized to bind or make any commitments on behalf of Tenet
and Executive agrees that for all purposes his employment will be formally terminated as of his Last Day Worked and, except as expressly set forth herein, Tenet will have no further obligation to him.
Tenet will pay Executive all compensation due Executive as of his Last Day Worked. 

2.    Beginning
June 1, 2003, Tenet will provide Executive with severance benefits of thirty-six (36) months of salary plus Annual Incentive Plan target award of
90% less standard withholdings and other deductions authorized by law, which will be paid on a bi-weekly basis pursuant to Employer's customary payroll schedule (the "Severance Period").
During the Severance Period, Executive will also be able to continue participation in Tenet's health, dental, vision and life insurance plans. At the end of the Severance Period, Executive will be
provided with COBRA benefits. Executive will not be covered under Tenet's long-term disability policy after his Last Day Worked. Executive will also continue to receive executive medical
benefits and car allowance at the rate as of his Last Day Worked. If Executive obtains employment during the Severance Period, his receipt of health, dental, vision, and life insurance benefits
provided herein will be mitigated to the extent equivalent coverage is provided by Executive's new employer. Mitigation is not required for any other provisions of the agreement. Executive
acknowledges and agrees that the severance payments made to him under this Agreement constitute an enhanced
severance benefit which is conditioned on the execution of this Agreement and exceeds any remuneration to which Executive was otherwise entitled. Executive agrees that, except as expressly set forth
herein, for all other purposes his employment will be formally terminated as of his Last Day Worked and Tenet will have no further obligation to Executive. 

3.    This
agreement will inure to the benefit of the Executive, his heirs and assigns. Should Executive die or become disabled prior to the termination of this agreement, all remaining
compensation and benefits shall be payable to his estate. 

4.    The
parties further agree to the following: 

        a.    SERP:    Executive is a participant in Tenet's Supplemental Executive Retirement
Plan ("SERP"). The parties agree that Executive will receive age and service credit for purposes of SERP for the Severance Period. Actual payment of retirement benefits under SERP will be made in
accordance with the terms of the SERP and will commence at the end of the Severance Period. 

        b.    AIP:    Executive will be eligible for a prorated Annual Incentive Plan Award for
FY 2003 determined on a similar basis as done for Tenet senior management executives for that same period with an expected payment date of March 15, 2004. He will not be eligible for an award
under the Tenet Healthcare Corporation Annual Incentive Plan ("AlP") for any period thereafter except as noted in paragraph 2 above. 

        c.    Deferred Compensation:    Executive is a participant in Tenet's Executive Deferred
Compensation and Supplemental Savings Plan (the "Deferred Compensation Plan"), a non-qualified benefit plan. Executive shall be eligible for a distribution from the Deferred 

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Compensation
Plan as of his Last Day Worked based on Executive's then current distribution election. 

        d.    Stock Options:    As of his Last Day Worked, all of Executives Tenet stock options
will become fully vested. Since, during the term of this agreement, Executive will have attained "Normal Retirement Age" (60 years of age) as it relates to the Tenet Stock Incentive Plan, he
will be considered a retiree under the SIP and all his Tenet stock options will be exercisable for their remaining term. 

        e.    Managers Time Off:    Executive will receive a payout of Managers Time Off Plan
(MTO) as of the last day worked according to MTO plan terms but is not eligible for additional time off benefits under the MTO during the Severance Period. 

        f.    401(k):    Under the current terms of the Tenet 401k plan, Executive is eligible to
contribute into the plan and Tenet will match pursuant to the plan terms through the Severance Period. 

        g.    Office Space and Administrative Support:    For the term of this agreement, Tenet
shall provide Executive at the company's expense, use of his current Montecito, California office space at 1505 East Valley Road, Suite C, and relevant office supplies and will provide the staff
support of one administrative assistant. 

5.    Executive
agrees he will cooperate fully with Tenet, upon request, in relation to the defense, prosecution or other involvement in any continuing or future claims, lawsuits, charges,
and internal or external investigations which arise out of events or business matters over which Executive had responsibility. Such continuing duty of cooperation shall include making himself
available to Tenet, upon reasonable notice, for depositions, interviews, and appearance as a witness, and furnishing information to Tenet and its legal counsel upon request. Tenet will reimburse
actual documented reasonable out-of-pocket expenses necessarily incurred, such as travel, lodging, and meals. Tenet further agrees that nothing in this Agreement shall be
deemed a waiver or release by Executive of or otherwise effect any right he may have to indemnification or legal representation, including any right Executive has to indemnification and legal
representation under Tenet's articles or bylaws and/or existing law. Tenet acknowledges that Executive is covered under an existing Indemnification Agreement and agrees that it shall indemnify
Executive to the fullest extent permitted by law for all actions and/or omissions committed in the course and scope of Executive's responsibilities with Tenet including as Chief Executive Officer,
Chairman of the Board of Directors or as a director of Tenet. To the extent that there is any discrepancy between the indemnification provided under the Indemnification Agreement and the Company's
current By-laws, the document providing the broadest scope of indemnification shall apply. 

6.    The
parties agree that no provision of this Agreement shall be construed or interpreted in any way to limit, restrict or preclude either party hereto from cooperating with any
governmental agency in the performance of its investigatory or other lawful duties. 

7.    Executive
agrees that all confidential information that has come into his possession by reason of his employment with Tenet is the property of Tenet. Further, Executive shall not
disclose or acknowledge the content of any confidential information to any person who is not an employee, officer or director of Tenet authorized to possess such confidential information.
"Confidential information" means all proprietary and other information relating to the business and operations of Tenet which has not been specifically designated for release to the public by an
authorized representative of Tenet. Confidential information includes, by way of illustration and without limitation, trade secrets, future business plans, marketing plans and strategies, pricing
information, financial data, customer, patient and supplier information, regulatory approval strategies, new service line and contract products, and other 

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information
that was developed, assembled, gathered by, or originated with Tenet for its own private use. 

8.    Executive
agrees that Severance Period, he will not (i) directly or indirectly solicit or encourage in any manner the resignation or reaffiliation of any employee, physician,
contractor, or professional health care provider or provider organization that is employed by, affiliated or associated with Tenet; (ii) directly or indirectly solicit or divert customers,
patients, or business of Tenet; or (iii) attempt to influence, directly or indirectly, any person or entity to cease, reduce, alter or rearrange any business relationship with Tenet. If Tenet
learns that Executive has entered into any of the afore-mentioned relationships without Tenet's consent, Executive will have within thirty (30) days of notice of this breach to cure said
breach. If Executive wishes to enter into any aforementioned relationship without Tenet's consent or does not cure the breach of this provision within the prescribed time period, the Severance Period
will cease, and payments and other benefits provided during the Severance Period will terminate. 

9.    a)
Executive covenants that he has no claim, grievance or complaint against Tenet currently pending before any state or federal court, agency, or tribunal; and in exchange for the
enhanced severance benefit provided herein and other good and valuable consideration, he further covenants not to sue and hereby releases and discharges Tenet, and all of its predecessor, successor,
parent, subsidiary, affiliated and/or related entities and its and their directors, officers, supervisors, executives, representatives and agents (hereinafter, "Tenet Releasees") from all statutory
and common law claims that Executive has or may have against the Tenet Releasees arising prior to Executive's execution of this Agreement and/or arising out of or relating to his employment with Tenet
or the termination thereof (herein, "Released Claims"). Without limitation, the Released Claims herein include claims arising under Title VII of the Civil Rights Act of 1964, as amended, the Americans
with Disabilities Act, the Civil Rights Act of 1991, the Age Discrimination in Employment Act and any analogous local or state laws or statutes in the states of: Alabama, Arizona, California, Florida,
Georgia, Louisiana, Mississippi, North Carolina, Pennsylvania, South Carolina, Texas, the Employee Retirement Income Security Act, Worker Adjustment and Retraining Notification Act, and any other
claim based upon any act or omission of the Tenet Releasees occurring prior to Executive's execution of this Agreement. 

       b)    In
exchange for the release by Executive and other good and valuable consideration, Tenet on behalf of itself and all Tenet Releasees covenants not to sue and hereby
releases and discharges Executive from any claims arising out of any acts or omissions by Executive conducted in the course and scope of
his employment. Tenet further agrees that nothing in this Agreement shall be deemed a waiver or release by Executive of or otherwise effect any right he may have to indemnification or legal
representation, including any right Executive has to indemnification and legal representation under Tenet's articles or bylaws and/or existing law. 

10.    This
Agreement constitutes a voluntary waiver and release of Executive's rights and claims under the Age Discrimination in Employment Act ("ADEA") and pursuant to the Older Workers
Benefit Protection Act ("OWBPA"), Executive acknowledges: he has been advised and is aware of his right to consult with legal counsel of his choice prior to signing this Agreement; he further
acknowledges that he is aware that he has twenty-one (21) days during which to consider the provisions of this Agreement, although Executive may sign and return it sooner; and he
has the right to revoke the waiver and release of his ADEA claims for a period of seven (7) days after his execution. Accordingly, the parties agree that this Agreement shall not become
effective or enforceable until the eighth day following Executive's execution of this Agreement which shall be the Effective Date of this Agreement. 

11.    Section 1542
of the Civil Code of the State of California ("Section 1542") provides: 

A
GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF 

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EXECUTING
THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR. 

        Executive
waives all rights under Section 1542 or any other law or statute of similar effect in any jurisdiction with respect to the Released Claims. Executive acknowledges that
he understands the significance and specifically assumes the risk regarding the consequences of such release and such specific waiver of Section 1542. Executive acknowledges and agrees that
this Agreement releases all claims existing or arising prior to Executive's execution of this Agreement which Executive has or may have against the Tenet Releasees whether such claims are known or
unknown and suspected or unsuspected by Executive and Executive forever waives all inquiries and investigations into any and all such claims. 

12.    As
a condition of receiving any salary and benefits continuation, Executive shall further return to Tenet all property in his/her possession or control, including without limitation,
equipment, telephones, credit cards, keys, pagers, tangible proprietary information, documents, computers and computer discs, files and data, which Executive prepared or obtained during the course of
his employment with Tenet except that Tenet equipment, computers, and telephones currently in use at the Montecito office may continue to be used by the Executive until the conclusion of the severance
period. 

13.    Executive
shall maintain the terms and conditions of this Agreement completely confidential and shall not disclose them to any person, except members of his immediate family,
accountant or attorney who agree to be bound by this confidentiality provision. Executive also agrees that he will not make or cause to be made any public statement that is disparaging of Tenet or its
respective businesses or of the management of any of the foregoing, or that materially injures the business or reputation of Tenet or any of the management thereof. 

14.    The
parties agree that any dispute, controversy or claim arising from the employment relationship, and any dispute or controversy arising under, out of or in connection with this
Agreement, and any dispute regarding unreleased claims or future claims between the parties, if any, arising under any federal, state, or other governmental unit's statutes, regulations or codes
(including but not limited to any anti-discrimination laws), shall be submitted to final and binding arbitration in accordance with the Federal Arbitration Act (FAA), Title 9 of the U.S.
Code, or if the FAA is deemed inapplicable, then, and only then, in accordance with the arbitration laws of the state in which Executive last performed services for Tenet. The parties agree that such
arbitration shall be governed by the Employment Dispute Resolution Rules of the American Arbitration Association ("AAA"). The arbitrator shall have the authority to award any remedy that would have
been available to Employee in court under applicable law. A judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Tenet agrees that Executive's
maximum out-of-pocket expense for the arbitrator and the administrative costs of the AAA will be an amount equal to one day's pay or the local civil filing fee. 

15.    Neither
this Agreement nor anything contained herein shall be admissible in any proceeding as evidence of or an admission by the Tenet Releasees of any violation of any law or
regulation or of any liability whatsoever to Executive. Notwithstanding the foregoing, this Agreement may be introduced into a proceeding solely for the purpose of enforcing this Agreement. 

16.    This
Agreement contains the entire agreement and understanding between Tenet and Executive and supersedes all prior negotiations and all agreements proposed or otherwise, whether
written or oral, concerning the subject matter hereof. This is an integrated document. The provisions of the Tenet Executive Severance Protection Plan are incorporated by reference. 

17.    This
Agreement shall be binding upon and shall inure to the benefit of Executive, Tenet and the Tenet Releasees and their respective heirs, administrators, successors and assigns. 

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18.    This
Agreement may be executed in counterparts, and each counterpart when executed shall have the efficacy of a signed original. Photographic copies of such signed counterparts may be
used in lieu of the originals for any purpose. 

19.    This
Agreement shall be construed and enforced in accordance with, and governed by, the laws of state where Executive was employed by Tenet. 

20.    Executive
represents and affirms that he has carefully read and fully understands the provisions of this Agreement and that he is voluntarily entering into this Agreement. 

	DATED: May 30, 2003	 	DATED: May 30, 2003
	

 	
 	

Tenet Healthcare Corporation
	

/s/  JEFFREY C. BARBAKOW      
 Jeffrey C. Barbakow	
 	

By:	

/s/  ALAN R. EWALT      
 Alan R. Ewalt

EVP, Human Resources

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SEVERANCE AGREEMENT AND GENERAL RELEASE

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