By complying with the HRC’s controversial demands, Tenet Healthcare increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, and philanthropic support. Tenet Healthcare uses its corporate funds to support controversial sex and gender ideologies and organizations. However, it has not used its political contributions for ideological purposes. For these reasons, Tenet Healthcare receives a Medium Risk rating.