Steve Campanini recalls his first dealings with Tenet Healthcare very well. First, it was his birthday. Second, the way in which he was summoned to the client company's headquarters, then in Santa Barbara, CA, was abrupt.

On November 5, 2002, Campanini, then an MD in Hill & Knowlton's LA and Irvine, CA, offices, got a call from his boss telling him to get to Santa Barbara immediately. "He said, 'Get up here, you can go back home later tonight,'" Campanini, who ...