Tenet closed an asset sale tied to Conifer's revenue-cycle contract with CommonSpirit that delivers $2.65 billion in cash, liability reductions and an added 23.8% equity stake), priced at a just-under-14x multiple on 2025 adjusted EBITDA less NCI (about $190 million); CommonSpirit will pay roughly $1.9 billion in installments (including $540 million in Q1 2026 and $453 million in early Q1 of 2027–2029 while Tenet will pay $540 million to redeem CommonSpirit's 23.8% stake, with the equity transfer retroactive to Jan 1, 2026 and a $100 million reduction in NCI expense in 2026. The deal returns full strategic control of Conifer to Tenet to push offshoring, automation and AI initiatives to lower 'cost to collect,' and management said the transaction strengthens cash flow and could accelerate capital deployment with share repurchases as an important priority alongside ambulatory M&A and organic growth while keeping a deleveraged balance sheet.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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