Tenet Healthcare's ESG Report: 2023.

Environmental, Social & Governance (ESG)

2023 Progress Report

CONTENTS

CEO Letter	5
About Tenet Healthcare	6
2023 ESG Highlights	6
By the Numbers	7
Tenet ESG Committee	8
A Community Built On Care	9
Our Approach	10
Enhancing High-Quality Care	11
Tenet Diversity Council	18
Employee Resource Groups (ERGs)	19
Education and Development
for Healthcare Leaders	21
Compensation And Benefits	23
Strengthening Our Communities	24
Advancing Environmental Initiatives	26
Our Environmental Strategy Pillars	27
Leading with Integrity	28
Data Privacy and Cybersecurity	30
Appendix	32

2 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

3

4 2023 Tenet Health ESG Report

CEO LETTER

At Tenet Healthcare, we are proudly committed to our mission of delivering quality, compassionate care. Our caregivers and staff play a vital role in improving the health of our patients and the diverse communities in which we are deeply invested.

We recognize the need to be purpose- driven in making a positive impact that complements our operational responsibilities. Our intentional environmental, social, and governance (ESG) initiatives enable us to do this across the communities we serve.

Throughout 2023, we continued to progress our ESG programs, reaffirming our commitment to operating responsibly and efficiently. In the subsequent pages, we outline how we continue to advance these priorities.

Enhancing High-Quality Care

At Tenet, we remain committed to increasing access to specialty and ambulatory care across our national network. We added state-of-the-art technologies and expanded our system of lower- cost outpatient surgical sites within USPI. We also planned for new medical campuses in areas where our services had not yet reached. This enables the diverse communities we serve to better access high-quality care locally.

Fostering a Diverse, Inclusive Culture

We foster an inclusive workforce that is a direct reflection of the communities we serve daily. Our Diversity Council continues to advise our Diversity and Inclusion (D&I) program and the practices that we implement in the workplace. In 2023 we continued to invest in diverse and small-business spending, enhanced our internal training programs, and continued to support Nursing and Physician training programs.

Strengthening Our Communities

We are global in scope, but local at heart. Each and every one of our care sites is committed to giving back to their community. We actively support local and national programs that are dedicated to expanding access to educational opportunities for underrepresented groups, fighting hunger, and promoting healthcare awareness.

Advancing Environmental Initiatives

Tenet continues to collaborate with our suppliers, industry associates, and other healthcare partners to further our environmental strategy. We remain committed to increasing sustainability throughout our supply chain, fully retrofitting our hospitals to LED lighting by 2030, and considering energy efficiency in all project designs.

"At Tenet, we remain committed to increasing access to specialty and ambulatory care across our national network."

Leading with Integrity

Tenet continues to report using the Sustainability Accounting Standards Board (SASB) and Task Force on Climate-related Financial Disclosures (TCFD) indices. We continue to strengthen data privacy and cybersecurity programs. Additionally, we have maintained sound corporate governance.

We recognize our responsibility to provide a lasting, positive impact to society, beyond the doors of our patient care sites. This report highlights our portfolio of intentional initiatives to benefit our communities, our society, and our environment.

Saum Sutaria, M.D.

Chairman and Chief Executive Officer

2023 Tenet Health ESG Report

5

ABOUT TENET HEALTHCARE

We are a diversified healthcare services company that touches many different dimensions of care. Our enterprise includes the largest ambulatory platform in the country operated by United Surgical Partners International (USPI), which operates ambulatory surgery centers and surgical hospitals, as well as a leading hospital operations and services segment, which includes premier hospitals in urban and suburban communities as well as leading revenue cycle management capabilities through Conifer Health Solutions.

Founded in 1969, we have grown tremendously in size, scope, and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. Today, we are a leading health system and services platform that continues to evolve, differentiated by our top-notch medical specialists and service lines that are tailored to each community we serve. We work to save lives and accept nothing less than excellence from ourselves in service of our patients and their families, every day.

6 2023 Tenet Health ESG Report

2023 ESG HIGHLIGHTS

Improving Our Impact on the Environment

Conducted environmental assessment

Exploring Scope 1 and 2 emissions baseline reporting

Operating our Company Effectively

ESG Board oversight through Environmental, Social and Governance; Human Resources; and Quality, Compliance & Ethics Committees

Reporting of the SASB and TCFD indexes

Fostering a Purpose-driven, Diverse, and Inclusive Culture

~80%	~52%
total gender	total ethnic/
diversity	racial diversity

~$760M+	~$210K
total diverse and	donated through
small business spend	the Tenet Care Fund

2023 BY THE NUMBERS

$20.5B	8.4M	106K
Net Operating	Patient	Employees
Revenue	Encounters

484	~$7B	~$25B
USPI Ambulatory	In Uncompensated	Revenue
Surgery Centers &	Care Delivered in	Managed
Surgical Hospitals	Our Communities	by Conifer

61	164
Acute Care	Additional
& Specialty	Outpatient
Hospitals	Care Sites

2023 Tenet Health ESG Report

7

TENET ESG COMMITTEE

Tenet's ESG Committee of the Board operates in accordance with a charter, of which the primary responsibilities include:

Reviewing and discussing with management the Company's ESG strategy, initiatives, and policies;

Reviewing, monitoring, and providing input on operational, regulatory, and reputational risks and impacts of ESG on the Company;

Reviewing and discussing reports from management regarding the Company's progress toward its ESG objectives; and,

Providing input and guidance on ESG communications to company stakeholders, including employees and investors

Roy Blunt

Chairman, Leadership Advisory Strategies

Group, Husch Blackwell Strategies; Former

United States Senator; Former Member of the

U.S. House of Representatives

Richard Fisher

Former President and CEO,

Federal Reserve Bank of Dallas

Meghan M. FitzGerald, DrPH

Adjunct Professor, Columbia University

Richard Mark

Former Chairman and President of Ameren Illinois Company

Nadja West, M.D.

Lieutenant General, U.S. Army (Ret.)

and 44th Surgeon General of the U.S. Army

A COMMUNITY BUILT ON CARE

OUR MISSION

To provide quality, compassionate care in the communities we serve.

OUR VISION

To consistently deliver the right care, in the right place, at the right time, and to be a premier organization to work, where patient care and saving lives remain our focus.

OUR VALUES

Defined by a Community Built on CARE

Compassion and respect for others and each other, supporting our communities, and advocating for our patients

Acting with integrity and the highest ethical standards, always

Results delivered through accountability and transparency

Embracing inclusiveness for all people in our workplace and the communities we serve

8 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

9

OUR APPROACH

We are a community built on care. As healthcare providers, we care for patients during some of the most important moments in their lives. While many elements of ESG are inherently part of our fabric, our behaviors demonstrate that supporting ESG is also a decision to act and advocate for the best interests of our communities, planet and society as a whole.

We recognize that our business and social purposes are inextricably linked. We believe our people, our operations, our facilities management and our governance must align properly to generate sustainable business practices for the betterment of all stakeholders we serve. While our responsibility lies, first and foremost, with the delivery of excellent medical care that is safe and compassionate, we equally embrace our commitment to protecting the environment and fostering an inclusive culture.

We continue to refine our approach to the areas that we believe are in the best interests of our stakeholders and our business, while seeking ongoing improvement in the following ESG priority areas.

Environmental, Social, and Governance Committee

Responsible for topics such as climate change impacts, energy and natural resources conservation, environmental and supply-chain sustainability, human rights, diversity and inclusion, and other topics material to the company and its ESG strategy.

Human Resources Committee

Responsible for compensation and human resources strategies and policies to support workforce development.

Quality, Compliance & Ethics Committee

Responsible for policies and procedures on ethics, quality assurance, and legal compliance.

About this Report

This report highlights our commitment to ESG and provides an overview of our governance, oversight, policies, programs, and performance around ESG issues important to Tenet Healthcare and its stakeholders. We look forward to obtaining feedback from our stakeholders and building on the initiatives outlined in this report as we continue to develop our practices and disclosures in the future.

Unless otherwise specifically stated, this report covers Tenet Healthcare's performance in 2023.

ENHANCING HIGH-QUALITY CARE

Meeting the Need

We are mission-focused to deliver high-quality, compassionate healthcare to all our patients. We continue our commitment to excellence, delivering comprehensive services to communities with a growing necessity for accessible treatment to meet their healthcare needs.

Our two segments include Hospital Operations and Services and Ambulatory Care. Our team members in each business are united by a commitment to deliver quality, compassionate care, while also providing the support system for those who provide that care.

We have a comprehensive healthcare program to promote the quality goals of the enterprise. All our facilities focus on:

Delivering services to patients that focus on their specific needs

Utilizing innovative technology and solutions to improve quality care

Establishing a culture that prioritizes patient safety

Creating successful credentialing and peer review mechanisms for our medical staff

Better Together

We are rooted in the belief that all aspects of health and care are Better Together. Every day, our team of providers, nurses, and staff pursue excellence to care for the people, families, and communities that trust us. In 2023, our HealthCare

is Better Together advertising and marketing campaign completed its launch across 15 markets. The campaign images reflect the communities we serve, our patients, staff, and partners. We know that through a collective pursuit, we embolden our patients to actively partner with us in their care, for better outcomes and a more united provision of treatment. Together, we will always be a community built on care.

10 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

11

Advocating for Our Patients

To provide an array of services across a wide continuum of care, Tenet Healthcare has a dedicated team of specialists across

a range of expertise. This includes a specialized unit of team members dedicated to determining eligibility for healthcare coverage and connecting our patients to the financial assistance needed for their care.

Our Eligibility and Enrollment Services (EES) team helps patients and their families identify options to pay for healthcare expenses. Part of an EES team member's role is to be a strong patient advocate, help determine eligibility for healthcare coverage, and connect patients to different assistance programs they may need.

Through multiple channels (in-person, phone, text, and/or online), EES works to:

Support the completion of applications Answer any insurance-related questions

Help eligible patients appeal mistakenly denied applications

Monitor and ensure patient satisfaction through tracking our patient satisfaction score performance

Assist in identifying and securing coverage through the Health Insurance Marketplace as a Certified Application Organization

Connect patients to other resources (e.g., food stamps, housing/ utility, pharmacy assistance)

Expanding Access in Our Communities

At the very heart of our mission is an intentional effort to support our people, caregivers, and patients. We seek to provide employees with the resources, tools, and support to best serve our patients and customers. We are proud to cultivate a work environment where team members are given opportunities to further career pathways and maximize their potential at every stage of their career.

To meet the continued need for epilepsy and neurology services in Southern Arizona,

St. Joseph's Hospital has introduced a dedicated Epilepsy Monitoring Unit (EMU) consisting of two dedicated private rooms that provide specialized care and monitoring for epilepsy patients to determine the type and frequency of seizures, and the site of onset. The state- of-the-art EMU is equipped with Video-EEG monitoring equipment to provide the health network's epileptology and neurology doctors with 24-hour continuous observation.

Abrazo Arrowhead Campus opened its new Neonatal Intensive Care Unit, a 14-bed expansion of the hospital's services for preterm babies and high-risk pregnancies. The addition means moms and preterm babies can stay together close to home when advanced newborn care is needed. Abrazo Arrowhead Campus is designated by the Arizona Perinatal Trust as a Level IIIB perinatal care center, which means we can provide complex care for babies of any gestational age. More than 3,500 babies, including high order multiple births like triplets, are born every year at Abrazo Arrowhead Campus. The 8,500 sq. ft. addition increases the neonatal unit from 19 to 33 beds.

Children's Hospital of Michigan opened a Pediatric Cardiovascular Surgery Clinic. The only pediatric cardiac surgery team in Metro Detroit has expanded its reach, now seeing patients at the Children's Hospital of Michigan suburban location in Troy. An estimated eight babies per 1,000 live births will be born with heart abnormalities that require follow-up care. About 600 to 700 babies in Michigan undergo heart procedures each year, with hundreds of those taking place at the Children's Hospital of Michigan. This new center keeps families closer to home.

Baptist Health System continued construction on its seventh acute care hospital, to serve one of the fastest growing areas in San Antonio. Westover Hills Baptist Hospital is scheduled for grand opening in June 2024. The hospital will feature 104 beds, six ORs, two Cath labs, special procedure suites, a large emergency department and an entire floor dedicated to women's services.

Brookwood Baptist Medical Center held the grand opening of its OR renovation project in May 2023. The addition featured 13 new operating rooms across two floors, as well as administrative spaces.

12 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

13

Our Abrazo West Campus completed expansion of its Interventional Radiology and Pharmacy departments to accommodate growth in the healthcare needs of the West Valley in Arizona. This new expansion improves the hospital's capacity and increases its clinical capability, furthering its commitment to improving the quality of life of residents of the communities it serves. The new IR suite is designed to offer minimally invasive procedures to diagnose and treat a wide range of conditions, and the expanded pharmacy can accommodate present needs while improving efficiencies and allowing for more specialized therapeutics in the future.

Delray Medical Center opened a new procedural suite expansion on the first floor of its surgical tower, aimed at enhancing capabilities and elevating the patient experience. The expansion encompasses three operating rooms, private prep and recovery rooms, an advanced endoscopy suite, a designated post-anesthesia care unit (PACU), and the introduction of a third CT scanner. The expansion project at Delray Medical Center signifies a significant leap forward in delivering exceptional surgical care, prioritizing outpatient services, and facilitating quick, minimally invasive procedures.

Doctors Medical Center, Emanuel Medical Center, and Doctors Hospital of Manteca launched a new integrated healthcare system, Central Valley Doctors Health System, to unify their resources to enhance care coordination and access to specialized services that could be offered across the Central Valley of California. The new unified system allows continued seamless care across the facilities to diverse communities throughout the Central Valley, enabling patients to access a wide range of services at convenient locations close to home.

California's Desert Care Network has expanded access to care by creating a network of trauma centers across the Desert Region. Hi-Desert Medical Center and JFK Memorial Hospital are Level IV Trauma Centers. In 2023, Desert Regional Medical Center became the first Level I Trauma Center for the region. The Graduate Medical Education (GME) program launched a General Surgery Residency to support the trauma program's academic goals. The facility's trauma injury prevention coordinator trains hundreds of individuals - through programs such as "Stop the Bleed," and "Pedestrian Safety."

COMMITMENT TO INNOVATION

Abrazo West Campus is the first hospital in the greater Phoenix area with the Ceribell point- of-care EEG system that uses Artificial Intelligence (AI) to help quickly detect non-convulsive seizures. The Ceribell system is comprised of an EEG headband placed on the patient, which is then connected to a pocket-sized EEG display and recorder. Continuous AI monitoring sends alerts for dangerously high seizure indications. EEG information is streamed to a portal and via smartphone app for remote seizure and medication management.

Delray Medical Center became the first hospital in Florida to treat an Alzheimer's disease patient using non-invasive focused ultrasound technology as part of a groundbreaking study being conducted in collaboration with Florida Atlantic University's (FAU) Institute for Human Health and Disease Intervention. In the FDA-approved clinical trial, focused ultrasound technology is used to disrupt the blood-brain barrier in participating Alzheimer's patients.

Piedmont Rock Hill's surgical team launched Tactiflex, a first-of-its-kind treatment to help those living with atrial fibrillation (A-fib.) Unlike other catheters, Tactiflex uses a special design that flexes when in contact with the heart wall-which helps direct fluid properly and allows for more accurate positioning of the catheter-resulting in more optimal patient outcomes.

Children's Hospital of Michigan is the first and only medical center in Michigan to offer a novel new gene therapy for the rare condition beta thalassemia, helping patients avoid chronic anemia and a lifetime of blood transfusions. The availability of this new treatment represents an important milestone in the long legacy of thalassemia care. It comes exactly 100 years after beta thalassemia was first described in 1925 by Dr. Thomas Benton Cooley, the head of Children's Hospital of Michigan's Pediatric Division in the 1920s and 1930s.

14 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

15

In March of 2023, Brookwood Baptist Medical Center became the first, and remains the only hospital in the state of Alabama with a Koning Vera Breast CT. Unlike whole- body CT scanners, the Koning Vera Breast CT is a smaller and faster device dedicated only to the breast that produces a true three-dimensional image of the breast tissue, without uncomfortable or painful compression, and with a similar radiation range to diagnostic mammograms.

Abrazo Arizona Heart Hospital became one of the first facilities selected worldwide to participate in the EXPAND II Pivotal Trial, the first randomized clinical study evaluating the Evolut™ transcatheter aortic valve replacement (TAVR) platform in patients with moderate, symptomatic aortic stenosis. Data from the study may be used to support future applications to expand use of the TAVR procedure in a greater number of patients.

The Hospitals of Providence Memorial Campus performed El Paso's first successful breakthrough lung procedure using the Zephyr Valve Procedure, to treat patients suffering from severe chronic obstructive pulmonary disease (COPD) and emphysema. The Zephyr Valve treatment is a minimally invasive procedure, that allows a doctor to place one or more small valves to help patients breathe easier and do more without many of the risks associated with major surgery. Many patients suffering with severe emphysema or COPD become very limited in the activities they can do because of the severity this disease has on their body. This procedure gives hospital staff a better option to treat them and helps restore their breathing.

St. Mary's Medical Center became the first hospital in Florida to use the innovative FreeClimb 70 reperfusion system powered by Tenzing from Route 92 Medical. Designed for superior deliverability and increased efficiency, the FreeClimb 70 system enables physicians to provide fast, effective treatment to stroke patients, potentially saving lives, and reducing the risk of long-term disability. Implementation of the technology allows St. Mary's Medical Center staff a new tool in the battle against strokes and allows improved quality of life for more patients.

16 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

17

Fostering a Diverse, Inclusive Culture

One of our core values is embracing inclusiveness for all people in our workplace and in the communities we serve. We believe Diversity and Inclusion (D&I) are not just ideals we uphold; they are vital components that enhance our workplace, cultivate innovation, and significantly contribute to our mission

of providing compassionate care. We are focused on developing a culture that encourages, nurtures, and embraces everyone and where respect and equal treatment are the cornerstones of every interaction.

Our D&I efforts are guided by the leadership of our Diversity Council and Employee Resource Group (ERG)

Tenet Healthcare believes our workforce should represent the communities we serve. To actively support that goal across our business, D&I is integrated into our wider human resources strategy and at each stage of our formal talent pipeline. We continue to put this integration at the forefront of our employment operations through initiatives such as diversity-focused intern development programs, diverse interview slates, and employee succession planning.

Our commitment to D&I extends to our business partners. Supplier diversity is part of Tenet's approach to responsible and sustainable sourcing, and we require our primary suppliers to share their diversity goals.

2,126 Total Small Business Enterprise Vendors

2,191 Diverse Vendors (excluding Small Businesses)

sponsors, along with support from Tenet's Board of Directors and executive management. The Council and ERG sponsors are a diverse group of leaders who represent different parts of our business. The Human Resources Committee of our Board oversees our D&I initiatives.

TENET DIVERSITY COUNCIL

Nico Tejeda	Rob Dyer	Nikia Smith	Molly Vandenheuvel	Marita Covarrubias
Western Group	Vice President,	Diversity &	Vice President,	SVP, Deputy
President & Diversity	Communications	Inclusion Manager	Procurement	General Counsel
Council Chairman

Employee Population by Ethnicity

American Indian or Alaskan Native: 0.36%

Asian: 10.95%

Black or African American: 15.54%

Hispanic or Latino: 23.08%

Native Hawaiian or other Pacific Islander: 0.48%

Two or more races: 2.3%

White: 46.86%

Not Specified: 0.43%

Employee Population by Gender

Female: 78%

Male: 21%

Not specified: 1%

52% of new hires were ethnically diverse

80% of new hires were female

EMPLOYEE RESOURCE GROUPS (ERGs)

As part of our D&I program, our multi-faceted ERGs are sponsored by executives across our enterprise. Our ERGs and executive sponsors are as follows:

WOMEN ERG	BLACK ERG	LGBTQ+ ERG
Andy McCawley	Archie Drake	Tarek Naser
Chief Development	CEO, Children's	VP, Head of Ops
Officer, USPI	Hospital of Michigan	Finance, USPI

Deepali Narula	Jill Fowler	Peter Blach	Tye Royal	Ava Española
SVP, HRCM	VP, Corporate &	COO, USPI	Sr. Director,	Sr. Director,
Operations, Conifer	Executive Talent		HR, Conifer	Marketing and
	Acquisition			Comms, GBC

Our D&I program prioritizes the following:

A workforce and talent pipeline that reflects the communities we serve

A leadership team that is composed of and elevates underrepresented groups

Training, education, and engagement to proactively address the best ways to nurture an inclusive and diverse culture

A top-down,bottom-up approach to ensure active involvement from leadership and employees across the enterprise

VETERANS ERG	HISPANIC ERG	ASIAN/PACIFIC ERG
Matt Luke	Monica Vargas	Carol Han
Regional VP,	Market Chief	VP, Managed Care
California, USPI	Executive Officer,
	Carondelet
	Health Network

18 2023 Tenet Health ESG Report

2023 Tenet Health ESG Report

19