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Tenet Healthcare Corp's Definitive Proxy Statement (Form DEF 14A) filed after their 2024 10-K Annual Report includes:
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Future adverse trends that necessitate unfavorable changes in the assumptions and projections underlying our fair value estimate could result in the estimated fair value being less than the carrying value of the long‑lived assets, and material impairment charges could result.
Under the Consolidated Appropriations Act, 2021, providers could retain the accelerated payments for one year from the date of receipt before CMS commenced recoupment.
If new variants emerge and cause surges in COVID‑19 cases, the local economies of areas we serve could be negatively affected.
Because we cannot predict what actions the federal government or the states may take under existing or future legislation and/or regulatory changes to address budget gaps, deficits, Medicaid expansion, Medicaid eligibility redeterminations, provider fee programs, state‑directed payment programs or Medicaid Section 1115 waivers, we are unable to assess the effect that any such legislation or regulatory action might have on our business; however, the impact on our future financial position, results of operations or cash flows could be material.
The determination of our estimates involves subjective judgment and could result in material changes to our estimates in future periods if our actual experience is materially different than our assumptions.
We consider many factors when...Read more
In addition, because the laws,...Read more
A 500 basis point increase in...Read more
However, we continue to provide...Read more
Same‑hospital supplies expense decreased by...Read more
In addition, because of the...Read more
In addition, general market conditions...Read more
On a per‑adjusted‑admission basis, Hospital...Read more
If these projections are not...Read more
This decrease was due in...Read more
Based on our reserves and...Read more
Any of these factors could...Read more
Impairment charges for the year...Read more
In general, supply chain operational...Read more
Developing our provision for income...Read more
Our Hospital Operations net operating...Read more
We expect to be subject...Read more
This work could include asbestos...Read more
Legislative and executive branch efforts...Read more
Consolidated net operating revenues decreased...Read more
These factors, many of which...Read more
Both the labor‑related share of...Read more
A portion of the funding...Read more
Same-hospital net operating revenues decreased...Read more
For filed cost reports, we...Read more
For filed cost reports, we...Read more
Other operating expenses increased by...Read more
Litigation and investigation costs do...Read more
Medical supply prices remain high...Read more
This increase was primarily driven...Read more
From time to time, we...Read more
In most cases, we hold...Read more
Long-term liquidity for debt service...Read more
Improving Profitability—We continue to focus...Read more
We report long‑lived assets to...Read more
We strive to control supplies...Read more
Same‑hospital other operating expenses increased...Read more
Impairment charges during the year...Read more
During the year ended December 31, 2022,...Read more
The No Surprises Act (“NSA”)...Read more
We also typically experience ongoing...Read more
Same‑hospital other operating expenses decreased...Read more
Salaries, wages and benefits expense...Read more
In particular, like others in...Read more
Any significant deterioration in the...Read more
Any significant deterioration in the...Read more
These initiatives are intended to...Read more
In addition, the COVID Acts...Read more
The base payment amount for...Read more
We incurred restructuring charges in...Read more
Provider participation in some of...Read more
The accrual for estimated cost...Read more
This increase was primarily due...Read more
We recorded losses from the...Read more
These initiatives are focused on...Read more
The accrual for estimated cost...Read more
Furthermore, we expect that state‑mandated...Read more
At December 31, 2023, we had no...Read more
A general description of the...Read more
Based on reserves at December 31, 2023, a...Read more
Based on reserves at December 31, 2023, a...Read more
According to CMS, the combined...Read more
Salaries, wages and benefits expense...Read more
Changes in federal or state...Read more
These methods use our specific...Read more
At December 31, 2023, we had no...Read more
At this time, we are...Read more
Repurchasing Stock—In October 2022, our...Read more
Historically, our outpatient services have...Read more
Salaries, wages and benefits expense...Read more
Periodic examinations of our tax...Read more
Litigation and investigation costs for...Read more
Using diagnosis and procedure information...Read more
We believe USPI’s ASCs and...Read more
This increase was driven by...Read more
We are not able to...Read more
Because most states must operate...Read more
Our liability consists of estimates...Read more
If general economic conditions deteriorate...Read more
We have taken a number...Read more
At December 31, 2023, we had $111 million...Read more
We consider the number of...Read more
PPOs generally offer limited benefits...Read more
Expanding Our Ambulatory Care Segment—We...Read more
At December 31, 2023, we had outstanding...Read more
We are dedicated to modifying...Read more
CMS projects that the combined...Read more
•Hospital Readmission Reduction Program –...Read more
Patient advocates from our Eligibility...Read more
We earn revenues for patient...Read more
Therefore, services, including the legally...Read more
The IRF‑PPS uses federal prospective...Read more
Although we have benefited from...Read more
Driving Growth in Our Hospital...Read more
Other operating expenses, net as...Read more
We believe that existing cash...Read more
Long‑term debt maturities may be...Read more
HMOs generally maintain a full‑service...Read more
Adjusted admissions—represents actual admissions in...Read more
We have no investments that...Read more
Long-term Debt—Our Credit Agreement, which...Read more
The NSA also prohibits insurers...Read more
•The CMS 2% sequestration reduction...Read more
Letter of Credit Facility—Our LC Facility...Read more
However, our cash requirements could...Read more
As a result, we have...Read more
Guarantees—Our guarantees include minimum revenue...Read more
We expect managed care governmental...Read more
During the year ended December 31, 2023,...Read more
These initiatives are intended to...Read more
We are also continuing to...Read more
Lease Obligations—We have operating lease...Read more
Our Hospital Operations segment’s net...Read more
We also seek advantageous opportunities...Read more
We believe that our capital...Read more
Impairment charges for the year...Read more
Impairment charges for the year...Read more
The MPFS Final Rule includes...Read more
These transactions are primarily the...Read more
•$10 million of cash received...Read more
•$10 million of cash received...Read more
Over the longer term, several...Read more
Factors considered in these analyses...Read more
Our self‑pay collection rate includes...Read more
However, we also believe that...Read more
•management and administrative services revenues...Read more
Same‑hospital other operating expenses as...Read more
We also provide financial assistance...Read more
•The COVID Acts instituted a...Read more
We estimate that all of...Read more
Unlike an HMO member, a...Read more
We also provide services to...Read more
Credit Agreement—At December 31, 2023, our Credit...Read more
This means paying the right...Read more
Supplies expense increased by $174 million,...Read more
We believe that this method...Read more
Over the past several years,...Read more
The Outlier Percentage is determined...Read more
The uninsured patient accounts, net...Read more
USPI’s facilities offer a range...Read more
Under the inpatient prospective payment...Read more
If the rates paid by...Read more
These amounts are due from...Read more
All disputed issues with respect...Read more
In determining payment rates for...Read more
Revenues under managed care plans...Read more
Revenues under managed care plans...Read more
The Affordable Care Act revised...Read more
All prior‑period data presented in...Read more
These impacts were partially offset...Read more
We are also unable to...Read more
Most states include an estimate...Read more
Unless otherwise indicated, all financial...Read more
Goodwill represents the excess of...Read more
CMS assigns to each MS‑DRG...Read more
In the year ended December 31, 2023,...Read more
The CMS Innovation Center develops...Read more
This change was made to...Read more
This change was made to...Read more
•$110 million of payments to...Read more
Through these efforts, we intend...Read more
In response, CMS released the...Read more
At December 31, 2022, our...Read more
We record implicit price concessions,...Read more
Both the CAMT and the...Read more
Business closings and layoffs in...Read more
All Medicaid and Medicaid managed...Read more
If future modifications or interpretations...Read more
Academic Teaching Services—We enter into...Read more
Additional economic factors, including unemployment...Read more
After the cost report is...Read more
After the cost report is...Read more
Same‑hospital salaries, wages and benefits...Read more
We believe the most significant...Read more
We believe the most significant...Read more
Because it was discontinued in...Read more
Purchase Orders—We had outstanding short‑term...Read more
We record our equity securities...Read more
Our Hospital Operations segment is...Read more
Services in each APC are...Read more
Generally, patients who are covered...Read more
HHS estimates that the overall...Read more
Same‑hospital supplies expense increased by...Read more
We determine the transaction price...Read more
Estimates require our subjective judgments...Read more
Furthermore, prepayment and post‑payment claims...Read more
Uninsured patients are patients who...Read more
•Recognition of net operating revenues,...Read more
Because further legislation was not...Read more
In addition, continuing operations information...Read more
The implicit price concessions included...Read more
Adjusted patient days—represents actual patient...Read more
Other operating expenses for our...Read more
During the three months ended...Read more
During the three months ended...Read more
The statute requires that each...Read more
•Hospital Operations, which is comprised...Read more
In some of our communities,...Read more
The impact of the Sequester...Read more
CMS annually adjusts the fixed...Read more
Salaries, wages and benefits expense...Read more
We have not relied on...Read more
A Medicare Administrative Contractor (“MAC”)...Read more
•an increase in gains from...Read more
Receivables from patients who are...Read more
In November 2023, we entered into...Read more
The final determination of these...Read more
The final determination of these...Read more
Medicare uses a fee schedule...Read more
All recipients of PRF payments...Read more
The CAMT imposes a minimum...Read more
All advances received by our...Read more
These adjustments, which CMS updates...Read more
In general, we base the...Read more
Our role as an owner...Read more
Our Hospital Operations segment also...Read more
Our Hospital Operations segment also...Read more
We also present certain operational...Read more
The IRS has completed audits...Read more
The aforementioned payments were partially...Read more
Payment and Policy Changes to...Read more
Utilization of licensed beds—represents patient...Read more
In non‑emergency circumstances or for...Read more
We assess the realization of...Read more
Hospitals qualifying for the Empirically...Read more
•changes in payments from governmental...Read more
December 31, 202220210-60 days $79 $87 61-120 days18 17 121-180 days3 4 Over 180...Read more
We report net patient service...Read more
•The COVID Acts expanded the...Read more
December 31, 202320220-60 days $103 $79 61-120 days33 18 121-180 days9 3 Over 180...Read more
Other operating expenses for our...Read more
Under the revised methodology, hospitals...Read more
The LC Facility is subject to...Read more
•future financial results, which can...Read more
We performed our annual goodwill...Read more
Direct Graduate and Indirect Medical...Read more
Other than the repayment of...Read more
We continue to invest in...Read more
This program stopped accepting reimbursement...Read more
Through this transaction, we acquired...Read more
Contractual allowance estimates are periodically...Read more
Contractual allowance estimates are periodically...Read more
Our Ambulatory Care segment also...Read more
We had $1.228 billion of cash...Read more
We also depend on the...Read more
We present certain metrics as...Read more
Any impairment would be recognized...Read more
During the three months ended...Read more
These sources of liquidity, in...Read more
Our Credit Agreement provides additional...Read more
During the years ended December 31, 2023...Read more
We present same‑hospital data because...Read more
Our borrowing availability is based...Read more
Congress has defined – both...Read more
Under the share purchase agreement,...Read more
We recognized a net gain...Read more
We began analyzing the nonstructural...Read more
We therefore record accruals to...Read more
Generally, we bill our patients...Read more
CMS has identified the FFS program...Read more
This continuous enrollment condition ended...Read more
Based on recent trends, approximately...Read more
At December 31, 2023, we were in...Read more
Our Hospital Operations segment also...Read more
Net income available to noncontrolling...Read more
Generally, performance obligations satisfied over...Read more
At December 31, 2022, our business was...Read more
As part of our long‑term...Read more
Our finance leases are primarily...Read more
A significant number of our...Read more
We paid an aggregate of...Read more
Other operating expenses for our...Read more
This calculation includes our Hospital...Read more
In August 2023, CMS issued...Read more
Salaries, wages and benefits expense...Read more
We continued construction of a...Read more
Our Hospital Operations segment also...Read more
Reducing Our Leverage Over Time—All...Read more
Salaries, wages and benefits expense...Read more
•$60 million less in payments...Read more
Our Hospital Operations segment also...Read more
These ownership changes include purchases...Read more
Improving the Customer Care Experience—As...Read more
Deferred tax assets relating to...Read more
We believe it is reasonably...Read more
Our ability to execute on...Read more
Although a substantial portion of...Read more
Consolidated net operating revenues increased...Read more
No additional accelerated payment funds...Read more
In January 2023, the U.S. District...Read more
Malpractice claims generally take up...Read more
We estimate the discounts for...Read more
We estimate the discounts for...Read more
In addition, our Hospital Operations...Read more
During the year ended December 31, 2020,...Read more
Net cash used in financing...Read more
This loss was primarily related...Read more
Same-hospital admissions and outpatient visits...Read more
For the years ended December 31, 2022...Read more
Our cash on hand fluctuates...Read more
Information Technology Services Contracts—We enter...Read more
In addition, we are unable...Read more
We believe our estimation and...Read more
We believe our estimation and...Read more
In addition to overpayments that...Read more
There are various factors that...Read more
The financial statement effects of...Read more
Supplies expense as a percentage...Read more
HMOs typically provide reduced benefits...Read more
As of December 31, 2023, we operated...Read more
Depending on the services provided,...Read more
We believe our existing debt...Read more
Our tax returns for years...Read more
These revenues are also subject...Read more
These revenues are also subject...Read more
Claims selected for prepayment review...Read more
Same‑hospital supplies expense as a...Read more
Same‑hospital salaries, wages and benefits...Read more
Repurchases will be made in...Read more
We use this information in...Read more
Tax benefits associated with an...Read more
Funding for Uninsured Individuals—The COVID...Read more
In addition, our Ambulatory Care...Read more
Further, a significant portion of...Read more
This change was primarily driven...Read more
As of December 31, 2023, 32 of...Read more
The Patient Protection and Affordable...Read more
We estimate the transaction price...Read more
Interest expense for the year...Read more
Because information presented on a...Read more
Moreover, various federal legislative actions,...Read more
Assessments to support CHIRP totaled...Read more
Same‑hospital net operating revenues increased...Read more
Some initiatives, requirements and proposals...Read more
Federal government denials or delayed...Read more
We evaluate our long‑lived assets...Read more
Our estimated reserves for professional...Read more
The degree to which our...Read more
Of these facilities, 19 are...Read more
The campus is expected to...Read more
Medicaid programs and the corresponding...Read more
Failure to do so could...Read more
An unused commitment fee payable...Read more
Net operating revenues in our...Read more
At December 31, 2023, our subsidiaries operated...Read more
Year Ended December 31, 2023Acquisitions21 De novo9 Dispositions/Mergers(11)Net increase...Read more
This analysis, which identified the...Read more
These three factors are adjusted...Read more
The final rule provides for...Read more
Same‑hospital salaries, wages and benefits...Read more
Disproportionate Share Hospital Payments—In addition...Read more
To receive distributions, providers are...Read more
Our Ambulatory Care net operating...Read more
Because of the uncertainty associated...Read more
This increase was primarily due...Read more
Although these payments are adjusted...Read more
Under the authority of the...Read more
Payment and Policy Changes to...Read more
Outlier Payments—Outlier payments are additional...Read more
•reductions to Medicare and Medicaid...Read more
Several actuarial methods, including the...Read more
Our accounts receivable days outstanding...Read more
CMS expects no associated effect...Read more
Various aspects of our operations...Read more
Net income available to noncontrolling...Read more
Of the portion related to...Read more
These increases were partially offset...Read more
At the end of each...Read more
At the end of each...Read more
During the year ended December 31, 2023,...Read more
This 100‑bed facility includes an...Read more
Medicare is a federally funded...Read more
CMS has established several initiatives...Read more
As of December 31, 2023, we had...Read more
Under the HITECH Act and...Read more
From time to time, we...Read more
Salaries, wages and benefits expense...Read more
Standby Letters of Credit—Standby letters...Read more
Because of the uncertainty associated...Read more
The campus, which is currently...Read more
CMS retained the same 340B...Read more
At December 31, 2023 and 2022, our...Read more
We estimate this adjustment will...Read more
Although outcomes vary, our policy...Read more
Recent regulatory and legislative updates...Read more
Medicaid is co‑administered by the...Read more
These increases were partially offset...Read more
Inflation and Other General Economic...Read more
Under the Compact, the discount...Read more
Due to the regional nature...Read more
We continue to implement our...Read more
Self‑pay accounts receivable, which include...Read more
During the year ended December 31, 2022,...Read more
Income tax receivables and liabilities...Read more
Providers that violate these surprise...Read more
Our liquidity for the year...Read more
In our most recent impairment...Read more
The UC‑DSH Amount is a...Read more
Medicaid is the nation’s main...Read more
We continued to experience supply‑chain...Read more
The final determination of certain...Read more
PPO members who use contracted...Read more
Moreover, due in part to...Read more
Subsequently, the FFY 2021 DSH reduction...Read more
The Children’s Health Insurance Program...Read more
Several states in which we...Read more
At December 31, 2023, we had liabilities...Read more
In September 2022, we opened Piedmont...Read more
We perform systematic analyses to...Read more
•macro-economic conditions such as inflation,...Read more
We determine our estimates of...Read more
USPI’s business model is to...Read more
The initial expansion of health...Read more
In addition, we do not...Read more
These fluctuations can result in...Read more
According to CMS, paying correctly...Read more
At December 31, 2023, the undiscounted aggregate...Read more
We believe it is reasonably...Read more
We believe it is reasonably...Read more
•management and administrative services revenues,...Read more
We cannot predict whether or...Read more
Generally, if the computed cost...Read more
Based on our eligible receivables,...Read more
Based on our eligible receivables,...Read more
Staffing and Labor Trends—We compete...Read more
Furthermore, same‑hospital data may more...Read more
We estimate the impact of...Read more
We recognized net operating revenues...Read more
During the year ended December 31, 2021,...Read more
During 2023, we also broke...Read more
Same‑hospital supplies expense as a...Read more
Discharges are classified according to...Read more
We are unable to predict...Read more
Our hospitals and outpatient facilities...Read more
As a result, we updated...Read more
As a result, we updated...Read more
Eleven hospitals in our Hospital...Read more
The majority of our investments...Read more
We are unable to predict...Read more
RESULTS OF OPERATIONS FOR THE...Read more
During 2023, we broke ground...Read more
In addition, some states delay...Read more
Our policy is not to...Read more
Cash and cash equivalents were...Read more
The Medicare and Medicaid programs...Read more
The Affordable Care Act also...Read more
Same‑hospital salaries, wages and benefits...Read more
Our estimated Hospital Operations segment...Read more
Unlike Medicaid, the CHIP is...Read more
Eligible healthcare professionals are also...Read more
The provision pertaining to an...Read more
A change in the business...Read more
A change in the business...Read more
RESULTS OF OPERATIONS FOR THE...Read more
We also maintain a frozen,...Read more
The COVID‑19 pandemic exacerbated these...Read more
We leverage a statistical‑based collections...Read more
Under the mandatory models, hospitals...Read more
The transaction is expected to...Read more
Our liabilities are adjusted for...Read more
The value of the repurchases...Read more
Goodwill is determined to have...Read more
Our net earnings from a...Read more
During the year ended December 31, 2020,...Read more
Cost reports must generally be...Read more
Cost reports must generally be...Read more
We cannot predict the future...Read more
Following the initial court decisions...Read more
Impairment charges for the year...Read more
For the year ending December 31, 2024,...Read more
During the year ended December 31, 2023,...Read more
The items of current cost‑reduction...Read more
The additional NPC work required...Read more
In addition, we broke ground...Read more
Certain hospital associations and hospitals...Read more
In addition, we acquired a...Read more
We determine our estimate of...Read more
On a per‑adjusted‑admission basis, other...Read more
Generally, the factors used to...Read more
We measure performance obligations from...Read more
Divestiture of Three South Carolina...Read more
USPI operates its surgical facilities...Read more
For purposes of impairment testing,...Read more
In addition, on a corporate‑wide...Read more
In addition, on a corporate‑wide...Read more
However, the asset group’s estimated...Read more
Also in January 2024, we entered...Read more
Our top 10 managed care...Read more
Net income available to noncontrolling...Read more
In certain cases, information presented...Read more
Other than the obligations described...Read more
•Net cash provided by operating...Read more
Despite these challenges, we experienced...Read more
Our business has also been...Read more
The MS‑DRG operating and capital...Read more
There is limited availability of...Read more
An indemnity‑based agreement generally requires...Read more
For the purpose of comparing...Read more
During the year ended December 31, 2023,...Read more
Impairment charges for the year...Read more
Impairment charges for the year...Read more
This approach requires the recognition...Read more
In response to the Supreme Court’s...Read more
Consolidated net operating revenues increased...Read more
For the purpose of comparing...Read more
The share repurchase program does...Read more
Accordingly, the percentage of reserves...Read more
The IDR process has been...Read more
The insurers require the collateral...Read more
We do not believe there...Read more
As employers and employees have...Read more
Net income available to Tenet...Read more
Same‑hospital other operating expenses as...Read more
The amount of collateral required...Read more
Asset Retirement Obligations—Asset retirement obligations...Read more
For example, our Compact with...Read more
Because of the uncertainty associated...Read more
Generally, as required by EMTALA,...Read more
This amount was recorded in...Read more
Under our Compact and other...Read more
Further testing is required only...Read more
We cannot predict the ultimate...Read more
December 31, 2023Owned with a health system...Read more
Definitive Agreement to Sell Four...Read more
Prior to October 1, 2013, DSH payments...Read more
These analyses are considered in...Read more
We believe this presentation is...Read more
Material adverse trends in our...Read more
Material adverse trends in our...Read more
•No Medicare advances recouped or...Read more
•No Medicare advances recouped or...Read more
At December 31, 2023 and 2022, 4%...Read more
Furthermore, the healthcare industry, in...Read more
For the purpose of comparing...Read more
To qualify for a cost...Read more
We maintain reserves, which are...Read more
The COVID Acts—Provided below is...Read more
At December 31, 2023 and 2022, 68%...Read more
The IPF-PPS is based on...Read more
•Income tax payments that were...Read more
•A $128 million payment of...Read more
•A $128 million payment of...Read more
Supplies expense for our Hospital...Read more
•Unsettled circumstances that, if unfavorably...Read more
In addition, we use these...Read more
The project is currently on...Read more
Net income available to noncontrolling...Read more
Although we continue to incur...Read more
On a per‑adjusted‑admission basis, supplies...Read more
In aggregate, we recognized a...Read more
We expect the Port St. Lucie campus...Read more
We recognize revenues for performance...Read more
Our inpatient admissions have been...Read more
At December 31, 2023, the maximum potential...Read more
We accrue for estimated professional...Read more
Also, in December 2023, we completed...Read more
Net cash used in investing...Read more
•Updates to the three factors...Read more
We were in compliance with...Read more
Continuing operations excludes the results...Read more
Tax Changes—Beginning March 27, 2020, all employers...Read more
If we determine the carrying...Read more
The member’s care is then...Read more
For goodwill, we assess qualitative...Read more
The initial expansion of health...Read more
The timing of reimbursement payments...Read more
While emergency department use is...Read more
Based on all available evidence,...Read more
Because the fair value estimates...Read more
Because the fair value estimates...Read more
Under certain conditions, outlier payments...Read more
AR Days are calculated as our...Read more
These contracts generally relate to...Read more
We do not believe there...Read more
Ongoing Impact of the COVID-19...Read more
Deferred tax amounts were required...Read more
If the presumed level of...Read more
The timing of professional and...Read more
Recent regulatory and legislative updates...Read more
With the expiration of the...Read more
•negative “productivity adjustments” to the...Read more
We anticipate this ratio will...Read more
Continuing operations information excludes the...Read more
Income Taxes—Income tax payments, net...Read more
Neither of the impairment analyses...Read more
The uninsured patient accounts, net...Read more
If the estimated future UDCF...Read more
Over the past several years,...Read more
In both 2023 and 2022,...Read more
We did not have any...Read more
In such circumstances, our estimates...Read more
Net cash provided by operating...Read more
Net cash provided by operating...Read more
Other operating expenses for the...Read more
The items of cost‑reduction focus...Read more
Because this measure excludes many...Read more
During the same period, national...Read more
The final determination of certain...Read more
The fair values of assets...Read more
Moreover, provider groups have been...Read more
As such, our operating cash...Read more
Managed care accounts, net of...Read more
Managed care accounts, net of...Read more
•The inclusion of certain rural...Read more
Although we continue to focus...Read more
In December 2021, we repaid half...Read more
The overall goal is to...Read more
•The availability, or lack thereof,...Read more
However, Medicare and Medicaid managed...Read more
Financial Statements, Disclosures and Schedules
Inside this 10-K Annual Report
Material Contracts, Statements, Certifications & more
Tenet Healthcare Corp provided additional information to their SEC Filing as exhibits
Ticker: THC
CIK: 70318
Form Type: 10-K Annual Report
Accession Number: 0000070318-24-000016
Submitted to the SEC: Fri Feb 16 2024 4:07:13 PM EST
Accepted by the SEC: Fri Feb 16 2024
Period: Sunday, December 31, 2023
Industry: General Medical And Surgical Hospitals