THe Diffenbaugh Report; A Medical Industry Newsletter for Healthcare Professionals

April
2001
Issue

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SurgiCare Inc. to Launch Its Fourth Surgical Center, Expanding Operation By 33%

SurgiCare, Inc., a Houston-based Ambulatory Surgical Center (ASC) provider, announced today that it will launch the company's fourth multi-purpose surgery center later this month. The new center, located in Pasadena, Texas, a suburb of Houston, has passed its inspection with the Texas Department of Health, and will be assigned an operating license number. It is due to open in the next few weeks, with local surgeons performing procedures in its three operating theaters by the end of the month.

      SurgiCare's newest center, which will be a multi-specialty surgery center with a heavy concentration on orthopedics and general surgery, is a joint venture with Cirrus Health Services, Inc., a company that SurgiCare recently joined forces with. The agreement calls for SurgiCare to help develop and manage co-owned ASCs within Cirrus' growing list of specialty medical buildings. This partnership has expanded SurgiCare's business model beyond traditional mergers and acquisitions, providing it with a lucrative new avenue for generating increasing revenues through its management expertise. Back to TOC.

Private Prison Firms Focus on Treatment as an Option

Faced with a declining crime rate, poor stock performance and bad publicity, private U.S. companies that operate some prisons are shifting their focus to drug treatment and rehabilitation to boost both revenue and their image. And, while measures in California and New York calling for drug treatment instead of prison for first-time offenders puts further pressure on prison companies, the companies see it as a new opportunity.

      Corrections Corp. of America (NYSE:CXW - news) and Wackenhut Corrections Corp. (NYSE:WHC - news) continue to operate mostly prisons, but they are also moving toward mental hospitals and substance abuse clinics. Cornell Cos. Inc. (NYSE:CRN - news), already heavily focused on drug treatment, has plans to open more high schools for juvenile delinquents. And, getting away from their image as the tough controllers of unruly criminals, the companies say they are seeking to cast themselves as caregivers focused on preventing crime, rather than profiting from it.

      "Our industry is still robust, but it's changing because the government is starting to get smart, not soft, on crime,'' said Steve Logan, chief executive of Cornell, which operates nine prisons and dozens of treatment facilities. In a move that illustrates the new trends, prison operators set up the Association of Private Correctional and Treatment Organizations in May and chose Logan, whose company operates many more treatment facilities than prisons, as its head. Analysts say the new approach should eventually pay off for the industry, which has had a rough ride since its inception in the 1980s.

PAST DIFFICULTIES
Wackenhut Corrections, which is 57 percent owned by security firm Wackenhut Corp. (NYSE:WAK - news), is branching out specifically in the areas of psychiatric care and mental health. Wackenhut opened a 520-bed facility in Kyle, Texas, for drug treatment and recently the 350-bed South Florida State Hospital. Wackenhut Corrections Vice Chairman and CEO George Zoley said he expects 20 to 30 percent of overall revenues eventually to come from mental health and drug treatment correctional facilities.

      MacDonald, the only analyst who covers Wackenhut Corrections, expects earnings of 90 cents per share this year, down from 91 cents last year. For the second quarter, he expects earnings of 25 cents per share, compared with 23 cents a year earlier. Wackenhut shares, which are well below their 1996 high of around $45, have risen from a low of about $9 per share in January to $14.50 in early June, after the company said in May it had won a contract to design, build and operate a 600-bed secure civil confinement and treatment facility for sexually violent predators in Florida. It closed at $12.95 on Tuesday.

      Corrections Corp. of America (CCA), the biggest prison operator with 61,462 beds in 65 facilities, is still reeling from a breakout by six prisoners from Youngstown, Ohio, in 1998 and is trying to sell off or fill its empty facilities and reduce its debt. CCA has seen its stock price drop 97 percent from its high near $45 in 1998, and completed a ten-for-one reverse stock split in May. It closed on Tuesday at $13.82. No analysts currently follow the company, according to research firm Thomson Financial/First Call.

      Cornell, in addition to operating nine adult prisons, has 38 juvenile facilities, including eight accredited high schools, and 21 pre-release facilities. In early June, the Arkansas Division of Youth Services awarded Cornell a contract to take over a 134-bed youth facility. Red Chip Review analyst Bryn Harmon said he foresees a steady earnings rise for Cornell. The four analysts who follow Cornell expect, on average, earnings of 89 cents per share for the year, up from 84 cents last year, and 18 cents for the second quarter, compared with 23 cents.

NOT SO FAST
Roy Ross, who heads the leading drug treatment facility operator in the United States, CiviGenics, cautioned that the transition to treatment may not be as easy as some prison 'companies think. "This is not something you can move into overnight,'' Ross said. "You need an understanding of the interface between treatment and security which, historically, has been a point of tension in corrections.'' And the companies still face a serious image problem, especially since six prisoners escaped from CCA's Youngstown, Ohio facility in 1998, and a guard was killed in a 1999 riot in a Wackenhut facility in New Mexico.

      The prison operators respond by noting that the media has paid more attention to their problems than those of public prisons. "We may have disturbances periodically such as escapes and suicides,'' said Wackenhut's Zoley. "But if you compare our incidents to any comparably sized organization, we believe we come out well.'' "Our performance has been no worse than what the public sector provides,'' said CCA's Ferguson.

      Meanwhile, the Nebraska legislature is considering a ban on building private prisons in the state, French food service giant Sodexho Alliance S.A. (EXHO.PA) recently dumped its 8 percent share in CCA after protests from its university clients. Industry leaders say they still have something to offer the public, whether it builds a prison, clinic or psychiatric hospital, saying it usually takes 12 to 18 months to build a facility while it can often take the government up to three to five years. Back to TOC.

Humana to Pay $8M Settlement

One of the nation's largest health maintenance organizations will pay nearly $8 million to settle allegations it charged Medicaid and Medicare for the same services, Florida's attorney general said Thursday. Without admitting wrongdoing, Humana (NYSE:HUM - news) Medical Plan Inc. also agreed to revise its billing practices to ensure they don't double bill in the future.

      An investigation by Attorney General Bob Butterworth's office showed Humana received duplicate payments from Medicare and Medicaid for the same people on a monthly, per capita basis from July 1, 1992 through Dec. 31, 2000. "Public health care funding for patients eligible for both Medicare and Medicaid should be borne by Medicare,'' Butterworth said. Butterworth said Humana, which is based in Louisville, Ky., would reimburse all funds it collected from Medicaid when compensation was also provided through Medicare.

      Medicare, the federally funded health care program for the elderly, is run by the U.S. Health Care Financing Administration, which pays a higher monthly amount to private managed health care companies such as Humana for beneficiaries eligible to Medicare and Medicaid. Back to TOC.

Children's Comprehensive in Talks of Possible Sale

Children's Comprehensive Services Inc. which provides education and treatment to troubled children, said on Friday it is in talks for a possible sale of the company for more than $43 million in cash.

      Children's Comprehensive, which has faced rising costs and funding problems at its residential treatment centers, did not disclose the buyer group. The company, which had previously announced it was evaluating strategic alternatives, said the potential buyer has made a nonbinding proposal to buy all outstanding shares for $6 each. Back to TOC.

LifePoint Hospitals Names Donahey New Chairman and Chief Executive Officer

The Board of Directors of LifePoint Hospitals, Inc. unanimously elected Kenneth C. Donahey to serve as the Company's Chairman and Chief Executive Officer. Mr. Donahey, age 50, will immediately fill the positions left open by the recent death of James M. Fleetwood, Jr. DeWitt Ezell, Jr. has served as Interim Non-Executive Chairman of the Company since Mr. Fleetwood's death. The Board extends its sincere gratitude to Mr. Ezell for his leadership during the interim period in which he served. Mr. Donahey is a seasoned executive with 24 years experience in the healthcare industry. He has served as LifePoint Hospitals' Chief Financial Officer since the Company's inception when it spun off from HCA - The Healthcare Company in May of 1999. In March 2001, he was named as the Company's Executive Vice President and Chief Financial Officer. Prior to joining LifePoint, Mr. Donahey served as Senior Vice President and Controller of HCA. Mr. Donahey served HealthTrust, Inc. as its Senior Vice President and Controller from its creation in 1987 until its merger with HCA. Mr. Donahey first joined HCA in 1977.

      LifePoint Hospitals, Inc. operates 21 hospitals in non-urban areas. In most cases, the LifePoint facility is the only hospital in its community. LifePoint's non-urban operating strategy offers continued operational improvement by focusing on its five core values: delivering high quality patient care, supporting physicians, creating excellent workplaces for its employees, providing community value, and ensuring fiscal responsibility. Headquartered in Brentwood, Tennessee, LifePoint Hospitals is affiliated with over 6,000 employees. Back to TOC.

     

In This Issue--Also See Archive

SurgiCare Continues Growth
SurgiCare, Inc., a Houston-based Ambulatory Surgical Center (ASC) provider, announced today that it will launch...
Treatment Cures Bottom Line for Prisons
Faced with a declining crime rate, poor stock performance and bad publicity, private U.S. companies...
Humana Agrees to Overbilling Settlement
One of the nation's largest health maintenance organizations will pay nearly $8 million to settle allegations ...
CCS Courts Acquisition Suitors
Children's Comprehensive Services Inc. which provides education and treatment to troubled children
LifePoint Names New Chairman/CEO
The Board of Directors of LifePoint Hospitals, Inc. unanimously elected Kenneth C. Donahey to serve...
Magellan Taps Trout as EVP/CCO
Magellan Behavioral Health recently named Deborah Trout, Ph.D., executive vice president and chief clinical officer...
Florida Partners Launche High Tech Hospital
A new, technologically advanced hospital opened its doors here today, the culmination of a unique partnership...
US Oncology Rolls Out New PET Centers
US Oncology Inc. announced it will open Positron Emission Tomography (PET) facilities in Indianapolis and...

Magellan Behavioral Health Names Deborah Trout Executive Vice President and CCO

Magellan Behavioral Health recently named Deborah Trout, Ph.D., executive vice president and chief clinical officer. In this role, Trout will oversee clinical operations, quality management, member and provider services, and clinical risk management and compliance functions company-wide. In conjunction with Magellan's Medical Director and EVP of Business Operations, Trout will be responsible for the clinical integrity, quality and cost efficiency of the company's clinical operations.

      She also will direct the development of clinical policies and contract implementations and will play a key role in the formulation of strategic operational goals.

      Trout has over 15 years of experience in the managed behavioral health care field. She most recently served as general manager and internal auditor for Kapi'olani Health, based in Honolulu, Hawaii, where she managed all internal audit and related performance improvement efforts.

      Prior to that, she served as general manager for Kapi'olani's behavioral health division, where she ran its three operating units.

      Prior to joining Kapi'olani Health, Trout was senior vice president of managed care for United Behavioral Health, of Minnetonka, Minn., where she provided leadership and strategic direction for managed care operations.

      Trout held several other positions with one of United Behavioral Health's legacy companies, United Behavioral Systems, Inc., including that of chief operating officer, vice president of clinical systems, and operations director. Trout also has held clinical and teaching posts in a variety of hospital, outpatient and university settings.

      Trout holds Ph.D. and M.A. degrees in clinical psychology from the University of Kansas and an undergraduate degree from Bucknell University in Lewisburg, Pa.

      In addition to being a licensed psychologist in both Minnesota and Hawaii, Trout is a member of a number of professional organizations including the American Psychological Association, the Organization of Women Leaders, the Health Care Compliance Association, the Society for Psychologists in Management, and the Association of Healthcare Internal Auditors.

      The company specializes in managed mental health and substance abuse services as well as employee assistance/work-life programs, and serves over 3,000 client organizations representing health plans, government agencies, unions, and corporations. Its parent organization is Magellan Health Services, Inc. Back to TOC.

Cleveland Clinic Florida, Tenet Open New Hospital

A new, technologically advanced hospital opened its doors here today, the culmination of a unique partnership between The Cleveland Clinic Florida and a subsidiary of Tenet Healthcare Corporation .

      The 150-bed Cleveland Clinic Hospital is part of a 43-acre, $150-million medical research and education campus being created to serve the fast-growing western region of Broward County and South Florida, as well as international patients.

      In development for more than five years, the new facility will offer a full range of services, including cardiac care (with open-heart surgery beginning Oct. 1), kidney transplantation, comprehensive diagnostic radiology, rehabilitation services and a 24-hour emergency department.

      Under the partnership arrangement, Cleveland Clinic Florida -- a branch of the renowned Cleveland Clinic -- will oversee all aspects of clinical care and medical management while a subsidiary of Tenet will provide operational and management expertise for the new facility.

      In addition to the latest diagnostic equipment and imaging techniques, the facility features advanced design of the environment in which care is delivered. The facility has 108 spacious private rooms. Amenities include internet access, inter-active televisions that permit patients to communicate with nurses and order meals, hotel-style furnishings and couches to accommodate overnight visitors.

      Founded in 1921, The Cleveland Clinic Foundation integrates clinical and hospital care with research and education in a private, non-profit group practice. Its Cleveland Clinic Foundation Hospital in Cleveland has been ranked among the 10 best in the nation in U.S. News & World Report's annual guide to "America's Best Hospitals.'' Cleveland Clinic Florida, founded in 1988, consists of more than 100 physicians in a group practice providing comprehensive diagnoses and coordinated treatment.

      Tenet Healthcare, through its subsidiaries, owns and operates 114 acute care hospitals with 28,250 beds and numerous related health care services. The company is the largest private hospital operator in South Florida, with 14 acute-care facilities and more than 4,600 licensed beds. Back to TOC.

US Oncology to Open PET Centers in Indianapolis and Austin

US Oncology Inc. announced it will open Positron Emission Tomography (PET) facilities in Indianapolis and in Austin, Texas, this month. This will bring the total number of PET facilities operated by the company to seven.

      PET technology provides physicians with valuable information for diagnosing and treating cancer. The technology captures the body's physiologic changes, revealing tumors and tissue activity that cannot be captured by CT and MRI scans. This significantly enhances the capability of physicians to diagnose cancer at earlier stages and identify the best treatment option. PET can eliminate unnecessary surgeries and inappropriate treatments saving countless lives and millions of dollars.

      The Oncology and Hematology Associates opened the Positron Imaging Center of Indiana on June 14 that is the first mobile PET facility for US Oncology and the first in the Indianapolis area. The facility will serve Indianapolis and the surrounding communities including Hancock County at its location at Hancock Memorial Hospital in Greenfield, Ind.

      Southwest Cancer Center in Austin will open the PET Imaging Center of Central Texas on June 21. The center will be located in the Bailey Square Medical Center within the Austin Radiological Association's (ARA) offices. The center will offer the most advanced PET scan technology with the installation of the CTI ECAT EXACT.

      Other US Oncology PET centers are located in Dallas, Denver, Overland Park, Kan., Seattle and Spokane, Wash.

      US Oncology is the largest health care network dedicated exclusively to cancer treatment and research that includes more than 8,900 dedicated physicians, clinicians, nurses and administrators in nearly 500 sites of service, including 74 community-based integrated cancer centers in 27 states. Back to TOC.