THe Diffenbaugh Report; A Medical Industry Newsletter for Healthcare Professionals

January
2002
Issue

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INGAP Begins Clinical Trial

According to the Strelitz Diabetes Institute at the Eastern Virginia Medical School in Norfok, VA, a substance that encourages the growth of insulin-producing cells in the pancreas and has arrested diabetes mellitus in animal model is now undergoing human testing in clinical trials at three sites in the United States.

      This is the first clinical trial involving the INGAP (islet neogenesis gene associated protein) Peptide. It derives from discoveries made by Aaron I. Vinik, M.D., Ph.D., professor of medicine, pathology & neurobiology, and director of research at the Strelitz Diabetes Institutes at Eastern Virginia Medical School in Norfolk, Virginia, and Lawrence Rosenberg, M.D., Ph.D., professor of surgery and medicine, and director of the Division of Surgical Research at McGill University and the McGill University Health Center in Montreal, Canada.

      Vinik and Rosenberg found that administration of the INGAP Peptide to certain species of diabetic animals increased insulin levels and lowered blood glucose levels.

      INGAP Peptide represents a potential anti-diabetic therapy directed at the basis of the disease," Vinik said. "It stimulates the growth of insulin-producing cells in neoislets in the pancreas, rather than treating the metabolic consequences of diabetes such as high blood sugar."

      The researchers identified INGAP as a naturally occurring protein product that is associated with the generation of islets of Langerhans during normal development of the pancreas. Islets of Langerhans are areas within the pancreas that produce hormones, including insulin and glucagon, which are largely responsible for keeping the blood glucose concentration within the normal range. Diabetes is a common disease that affects more than 16 million people in the United States and 130 million people worldwide.

      The trial is being conducted by three leading diabetes specialists at three study sites in the United States: Ralph A. DeFronzo, M.D., Texas Diabetes Institute/The University of Texas in San Antonio; John B. Buse, M.D., Ph.D., Diabetes Care Center / The University of North Carolina at Chapel Hill; and Robert E. Ratner, M.D., MedStar Research Institute in Washington, D.C.

      The start of clinical trials comes after decades of research. Many years ago, Vinik's research was considered too "avant garde" to attract research support, said Leon Paul Georges, M.D., professor and chairman of internal medicine and director of the Strelitz Diabete Institutes at EVMS.

      Georges recruited Vinik to Norfolk from the University of Michigan. Georges was impressed by the logical progression of Vinik's research, though he knew it would take many years to reach fruition.

      "We believe that INGAP Peptide has the potential to be an important approach in the treatment of patients with diabetes mellitus," said Bart Chernow, M.D., president and CEO of GMP Companies, Inc. This company is a large, privately held healthcare company that has funded the research in the past few years. "As an endocrinologist who has seen many patients suffer from diabetes, I am hopeful that the treatment proves to be safe and efficacious so that we can help patients."

      According to Michael Salem, M.D., executive vice president of research & development for GMP Companies, Inc., "the start of these initial clinical trials is an important first step in evaluating a potentially exciting treatment for the many patients worldwide suffering with diabetes. Since INGAP Peptide may stimulate new islet formation with the corresponding production of insulin, many diabetic patients may possibly benefit from this treatment approach." Back to TOC.

AMERIGROUP to Discuss Fourth Quarter Earnings on February 12

AMERIGROUP Corporation has announced that it will report its earnings for the fourth quarter and year ended December 31, 2001, after the market closes on Monday, February 11, 2002. At 9:00 am EST on Tuesday, February 12, 2002, AMERIGROUP's management will host a conference call and webcast to discuss earnings and other information. The company, headquartered in Virginia Beach, Virginia, is a multi-state managed health care company focusing on state-sponsored programs including Medicaid, Children's Health Insurance Program, or CHIP, and Family Care. The Company operates in Illinois, Maryland, New Jersey, Texas and the District of Columbia. Back to TOC.

Universal Health Services, Inc. Completes Two Acute Care Hospital Acquisitions

UHS has announced that it completed the acquisition of two acute care hospitals effective January 1, 2002. North Penn Hospital is a 150-licensed bed community hospital in Hatfield Township in rapidly growing Montgomery County north of Philadelphia. Lancaster Community Hospital in Lancaster, California, is a 117-licensed bed hospital. Lancaster, northeast of Los Angeles, is also a rapidly growing community. Combined net revenues of the two acquired hospitals is approximately $90 million.

      Universal Health Services, Inc. is one of the nation's largest hospital companies, operating in 22 states, Washington, D.C., Puerto Rico and France. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust. Back to TOC.

US Oncology to Make Private Placement of $175 Million Senior Subordinated Notes

US Oncology, Inc. has proposed to make a private placement of approximately $175 million in senior subordinated notes to repay currently outstanding senior debt and for other general business purposes. The company anticipates closing the offering later this month or early February.

      Separately, the company announced the installation of two mobile Positron Emission Tomography (PET) units to serve the East Texas and Rio Grande Valley regions of Texas. These installations bring the total number of US Oncology installed PET units to 12. The two mobile PET imaging units will be a part of Texas Oncology, P.A., a US Oncology affiliated practice with clinical locations throughout Texas and southern New Mexico. The East Texas unit will serve patients in Longview, Paris, and Tyler, Texas. The Rio Grande Valley unit will serve patients in Brownsville, Harlingen, and McAllen, Texas. Back to TOC.

Health Management Associates, Inc. Named to Forbes The Best Big Companies in America

HMA announced it has been named to the Forbes Platinum 400 - The Best Big Companies in America. This prestigious ranking begins with a universe of more than a thousand publicly traded companies with at least $1 billion of revenue, respectively. Profitability and growth are then compared among peers in 23 industries by examining return on capital and sales and earnings per share growth. A ranking is then computed based on the most recent year's results and also the past five years' results, and this ranking is used to assist in choosing the top 400 finalists.

      "We are extremely pleased to be recognized by Forbes for HMA's outstanding history of generating quality earnings, not only for our most recent fiscal year, but also over a long period of time," said Joseph V. Vumbacco, President and Chief Executive Officer. "Our focus of delivering high-quality healthcare to non-urban and rural communities continues to remain strong. We remain committed to achieving the objectives we have announced for both the quality of our healthcare delivery and the quality and growth of our financial results."

HMA is a large non-urban hospital operator of general acute care hospitals in communities situated primarily in the southeast and southwest. The Company operates 42 facilities in 14 states with 5,796 licensed beds. HMA has experienced 13 years of uninterrupted operating earnings growth. Back to TOC.

HealthSouth Comfortable with 2002 EPS Outlook

HRC, the largest U.S. provider of diagnostic imaging, rehabilitation care and outpatient surgery, reiterated that it remains comfortable with analysts' earnings estimates of $1.14 per share in 2002.

      The Birmingham, Alabama-based company, which issued earnings guidance last month, said that it has been preparing for Medicare's switch to a "prospective payment system" (PPS) for in-patient rehabilitation care for several years. Analysts are expecting HEALTHSOUTH to benefit from increased Medicare reimbursements from this new system. Back to TOC.

Community Health Systems Acquires Granite City, Illinois Hospital

Community Health Systems, Inc.announced the acquisition of 386-bed Saint Elizabeth Medical Center, the only hospital in Granite City, Illinois. Granite City is located across the Mississippi River from St. Louis, Missouri. The facility has been renamed `Gateway Regional Medical Center,' reflecting the discontinuation of its religious affiliation. The facility was the only hospital operated by the Sisters of Divine Providence, a Catholic order. The hospital provides a full range of inpatient and outpatient services, as well as physician clinics and other outpatient services in the rural markets it serves, including Edwardsville and Collinsville, Illinois.

      "We are very pleased to start out the new year with the announcement of this transaction," said Wayne T. Smith, Chairman, President and Chief Executive Officer of Community Health Systems, Inc. "We acquired five facilities in 2001 and this transaction demonstrates the continued execution of our key strategy of growing through acquisitions. Granite City exhibits the market characteristics where market share growth can be realized through the enhancement and addition of services. We look forward to making more health care services available to the residents of this community and to working with the high-caliber medical staff, dedicated employees and local leadership."

      Located in the Nashville, Tennessee suburb, Brentwood, Community Health Systems is an owner/ operator of general acute care hospitals in non-urban communities throughout the country. Through its subsidiaries, the company currently owns, leases or operates 58 hospitals in 20 states, including facilities in Marion, Mt. Vernon, and Red Bud, Illinois. Its hospitals offer a broad range of inpatient medical and surgical services, outpatient treatment and skilled nursing care. Shares in Community Health Systems, Inc. are traded on the New York Stock Exchange under the symbol "CYH." Back to TOC.
 

     

In This Issue--Also See Archive

INGAP Begins Clinical Trial
According to the Strelitz Diabetes Institute at the Eastern Virginia Medical School in Norfok, VA, a substance that encourages the gro...
AMERIGROUP Charts Q4 Earnings
AMERIGROUP Corporation has announced that it will report its earnings for the fourth quarter and ye...
2 New Hospitals for Universal Health
UHS has announced that it completed the acquisition of two acute care hospitals effective January 1, 2002. ...
US Oncology Subordinated Notes
US Oncology, Inc. has proposed to make a private placement of approximately $175 million in senior subordinate...
HMA Makes Forbes Best List
HMA announced it has been named to the Forbes Platinum 400 - The Best Big Companies in America. ...
HealthSouth Sees Rosy Picture for EPS
HRC, the largest U.S. provider of diagnostic imaging, rehabilitation care and outpatient surgery, reitera...
Humana Expands Services
HUM, one of the nation's largest publicly traded health benefits companies, has significantly expanded the scope of the curr...
CCS & Americ Merger News
Children's Comprehensive Services, Inc. announced that it has completed its previously announced merger with Ameris Acquis...
CHS Acquires St. Elizabeth Hospital
Community Health Systems, Inc.announced the acquisition of 386-bed Saint Elizabeth Medical Center, the only hospital in Granite City...
E-health Bullish Despite Mounting Losses
Last month alone more than a dozen e-health stocks hit 52-week lows, according to Irving Levin Associa...

Humana Expands Contract for Disease Management Services To 18 Humana Markets

HUM, one of the nation's largest publicly traded health benefits companies, has significantly expanded the scope of the current contract with Accordant Health Services to include its complete range of disease management (DM) services in 18 markets where Humana has health plan members.

      Humana was an early adopter of Accordant programs for population-based DM interventions for a constellation of complex, chronic diseases. Accordant will provide DM services for 13 rare diseases including among them cystic fibrosis, multiple sclerosis, Parkinson's disease, ALS (Lou Gehrig's disease) and rheumatoid arthritis.

      Humana began working with Accordant three years ago to fill a need in providing DM services to its members with rare diseases. "Accordant brought capabilities and expertise that we did not have in-house to help coordinate the health services and resources for members with fragile health. Through this coordination, Accordant has shown that its services have made a favorable difference in the lives of Humana members," said Jonathan T. Lord,M.D., Humana's chief clinical strategy and innovations officer. Specifically, Dr. Lord pointed to the Accordant multiple sclerosis program, which has helped to reduce the percentage of complications that are associated with MS for enrolled Humana members. "Essentially, a program that helps to reduce complications of disease, hospital stays and visits to the emergency room brings value to both patients and their employers," said Dr. Lord. The contract expansion is a strategic step for Humana to provide high-touch services to eligible members with complex clinical needs. Back to TOC.

Children's Comprehensive Services and Ameris Acquisition, Inc. Complete Merger

Children's Comprehensive Services, Inc. announced that it has completed its previously announced merger with Ameris Acquisition, Inc. ("Ameris"). As a result, each outstanding share of CCS common stock has been converted into the right to receive $6.00 in cash, without interest. The Company's exchange agent will mail to each CCS shareholder a letter of transmittal and instructions for surrendering CCS stock certificates in exchange for cash. CCS shareholders should not submit stockcertificates for exchange until receipt of the letter of transmittal and the instructions referred to above.

      Children's Comprehensive Services provides education, treatment and juvenile justice services for at-risk and troubled youth either directly or through management contracts. It currently offers these services through the operation and management of nonresidential specialized education programs and day treatment programs and both open and secured residential treatment centers to approximately 3,200 youth in 14 states. Back to TOC.

E-health Continues to Post More Losses, Some Staggering, But Companies Bullish

Last month alone more than a dozen e-health stocks hit 52-week lows, according to Irving Levin Associates, a New Canaan, Conn.-based healthcare research firm. The following results were reported nationally in the current issue of Modern Healthcare.

      Among the hardest hit:

  • Three-year-old drkoop.com, based in Austin, Texas, reported a net loss of $57.9 million, or $1.60 per share, for the third quarter ended Sept. 30. That's 180% greater than its $20.6 million loss, or 68 cents per share, in the year-ago quarter. Revenue fell 31% to $2 million.
  • HealthStream, a provider of Internet-based medical education, reported a net loss of $5.3 million, or 27 cents per share, on revenue of $2.7 million for the third quarter. The Nashville-based company is headed by Robert Frist Jr., nephew of HCA-The Healthcare Co.'s Thomas Frist Jr.
  • Northbrook, Ill.-based InLight Technologies, founded by former Baxter International Chairman Vernon Loucks Jr., couldn't raise needed capital and closed its doors in September. The company marketed Internet services to patients. It was led by Loucks' son David.
  • iMcKesson, the startup Internet unit of drug distributor McKesson HBOC, lost $10.1 million on operations in its second quarter ended Sept. 30. The unit posted revenue of $69.4 million.
  • Medscape, based in Hillsboro, Ore., lost $111 million, or $2.02 per share, a whopping 7.5 times its revenue of $14.8 million for the third quarter ended Sept. 30.
  • Neoforma.com, an online supply marketplace based in San Jose, Calif., recorded a net loss of $47.5 million, or 46 cents per share, on net revenue of $2.3 million for the third quarter.
  • Internet giant WebMD, which provides online content and transaction support, accelerated its financial decline in 2000 with a loss of $786.9 million, or $3.17 per share, in its third quarter.The Atlanta-based company reported revenue of $151.2 million for the quarter. In the first nine months of 2000, WebMD lost $1.7 billion, or $8.41 per share, on revenue of $318.2 million. And regardless of their dismal financial numbers, WebMD and other vendors remain bullish about efforts to digitize an industry that has been slow to join the information highway.


Industry analysts are not as optimistic. Many e-health contenders "are more like projects or products masquerading as companies," said Bruce Hochstadt, M.D., a principal with investment banking firm Thomas Weisel Partners in San Francisco. At hospitals, they have a tough sell. Many hospital CEOs "don't have the stomach, or for that matter the budget, to go through major (information) system changes unless they have to," Hochstadt said. In many cases, existing systems "are not pretty or fast, but they get the job done," he said.

      Still, some provider organizations have gone forward with e-health partnerships. One is the 140-physician Austin (Texas) Diagnostic Clinic, which last summer turned to Medscape for online transcription services as well an electronic medical record.

      "There has already been a lot of attrition in the (e-health) industry. Medscape was one of the companies that had survived, and we felt (it) would be one of the last standing in terms of providing electronic medical records," said Kenneth Mitchell, M.D., the clinic's board chairman and medical director for managed care. Back to TOC.

Diffenbaugh & Associates, Inc. is a consulting firm specializing in the recruitment and placement of physicians throughout the United States. All day, every day of the year we recruit for our clients’ organizations throughout the United States. We serve the needs of academic and group practices, single and multi-system hospitals, specialty hospitals and community-based programs in more than 40 states. Over the years we have recruited and placed hundreds of physicians for our clients. We attribute our success to our experience, our values and our methods. Visit with one of our 6 associates to learn more about these opportunities.