California Manager's Time-Off Plan

- MTO accrual is based on anniversary date
- MTO account balance cannot exceed 160 hours (20 days) per calendar year
- Accruals pause when MTO limit is reached
- Accruals restart when MTO balance goes below the cap
- MTO hours do not accrue while an employee is on leave of absence (paid or unpaid)
- MTO hours cease to accrue when an employee goes on severance
- MTO is on whole day increments
- Company recognized holidays are paid
- Paid holidays are scheduled and approved by Executive Leadership

- Employee gets a starting balance equal to one year of their current MTO balance at the point of transfer 

- Employee is paid out of their California MTO bank balance at the point of transfer
- Time off after the transfer date is based on the Non-California facility’s MTO plan

- MTO hours are converted to PTO hours

- Accrued PTO/VHS time is converted to MTO time (up to 20 days max)
- Any PTO/VHS balance in excess of 20 days is cashed out at 100% of its value  
- Extended illness hours earned prior to MTO plan eligibility stays as extended illness hours
- Extended illness hours are to be used as whole day increments
- Qualifying events for using extended illness hours are:
  - When an employee is absent for seven consecutive calendar days and is ill or disabled
  - When an employee is admitted to a hospital or undergoes outpatient procedure

- Individuals separating from Tenet receive a lump sum payout of the accrued MTO balance
- Individuals receiving severance pay gets a lump sum payout of the accrued MTO balance at the start of the severance pay period and MTO accruals will cease
- Extended illness hours are not paid out when employment is terminated (voluntarily or involuntarily)