FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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(Print or Type Responses)

1. Name and Address of Reporting Person * FETTER TREVOR   2. Issuer Name and Ticker or Trading Symbol TENET HEALTHCARE CORP [THC] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO & President (Last) (First) (Middle) 13737 NOEL ROAD 3. Date of Earliest Transaction (Month/Day/Year) 11/05/2008 (Street) DALLAS, TX 75240 4. If Amendment, Date Original Filed(Month/Day/Year) 6. Individual or Joint/Group Filing(Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 11/05/2008   P   2,100 A $ 2.64 813,421 D   Common Stock 11/05/2008   P   17,779 A $ 2.65 831,200 D   Common Stock 11/05/2008   P   12,621 A $ 2.66 843,821 D   Common Stock 11/05/2008   P   7,800 A $ 2.67 851,621 D   Common Stock 11/05/2008   P   26,000 A $ 2.68 877,621 D   Common Stock 11/05/2008   P   2,100 A $ 2.69 879,721 D   Common Stock 11/05/2008   P   22,739 A $ 2.7 902,460 D   Common Stock 11/05/2008   P   8,861 A $ 2.71 911,321 D   Common Stock               10,200 I By Spouse Common Stock               10,000 I By Trust

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Underlying Securities (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
1999 C Option (Right to Buy)	$ 11.12							(1)	07/28/2009	Common Stock	25,000		25,000	D
2002 A Option (Right to Buy)	$ 27.95							(1)	11/07/2012	Common Stock	450,000		450,000	D
2003 B Option (Right to Buy)	$ 14.98							(1)	09/15/2013	Common Stock	350,000		350,000	D
2004 March Option (Right to Buy)	$ 12.02							(1)	03/04/2014	Common Stock	469,333		469,333	D
2005 February Option (Right to Buy)	$ 10.63							(1)	02/17/2015	Common Stock	469,333		469,333	D
2006 February Option (Right to Buy)	$ 7.93							(1)	02/22/2016	Common Stock	731,697		731,697	D
2006 February Restricted Units	$ 0 (2)							(2)	(2)	Common Stock	202,969		202,969	D
2007 March Option (Right to Buy)	$ 6.6							(1)	03/01/2017	Common Stock	728,000		728,000	D
2007 March Performance Based Restricted Units	$ 0 (3)							(3)	(3)	Common Stock	800,000		800,000	D
2008 March Option (Right to Buy)	$ 4.94							(1)	03/06/2018	Common Stock	1,667,000		1,667,000	D
2008 March Restricted Units	$ 0 (2)							(2)	(2)	Common Stock	423,000		423,000	D
Stock Units	$ 0							(4)	(4)	Common Stock	18,798		18,798	D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
FETTER TREVOR 13737 NOEL ROAD DALLAS, TX 75240	X		CEO & President

Signatures

/s/ Fetter, Trevor		11/05/2008
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	These derivative securities (stock options) vest ratably on each of the first, second and third anniversaries of the date of grant.
(2)	These restricted units vest ratably on each of the first, second and third anniversaries of the date of grant. Restricted Units are settled in shares of the Company's common stock upon vesting.
(3)	On the first anniversary of the date of grant, 100,000 restricted units vest; on the second anniversary of the date of grant, 100,000 restricted units vest; and on the third anniversary of the date of grant, the remaining 700,000 restricted units vest conditionally based on the average of the closing price of the company's common stock on the last 40 trading days of 2009 ("Stock Price") as follows: 100,000 restricted units vest if the Stock Price is $6.75 or less; 400,000 restricted units vest if the Stock Price is $8.50; and 700,000 restricted units if the Stock Price is $10.25 or greater. Straight-line interpolation will be used to determine the number of restricted units vesting for Stock Prices between the threshold prices stated. Restricted Units are settled in shares of the company's common stock upon vesting.
(4)	These Stock Units were accrued under the Company's Deferred Compensation Plan.

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