Former Houston Hospital President Sentenced To 45 Years In Prison

Posted On Tuesday, July 7, 2015

On June 9, 2015, former Riverside General Hospital President Earnest Gibson III was sentenced by U.S. District Judge Lee H. Rosenthal of the Southern District of Texas to 45 years in prison after being found guilty of facilitating a $158 million Medicare fraud and kickback scheme.  The extensive, six-year scheme involved the submission of false claims to Medicare for mental health treatment.  Gibson III’s son, Earnest Gibson IV, the operator of Devotions Care Solutions, a satellite psychiatric facility of Riverside General Hospital, was sentenced to 20 years in prison, and Regina Askew, the owner of Safe and Sound group home, was sentenced to 12 years in prison for their roles in the Medicare fraud scheme.

Following a five-week jury trial, Gibson III, Gibson IV and Askew each were convicted of conspiracy to commit health care fraud, conspiracy to pay and receive kickbacks, as well as related counts of paying or receiving illegal kickbacks.  Gibson III and Gibson IV also were convicted of conspiracy to commit money laundering.  According to the evidence introduced at trial, the defendants submitted to Medicare, through Riverside and its satellite locations, approximately $158 million in false and fraudulent claims for outpatient psychiatric services.  The evidence established that the beneficiaries for which the hospital billed Medicare weren’t qualified for or in need of the mental health services they were being given.  The evidence further demonstrated that instead of receiving intensive outpatient treatment for severe mental illness for which Medicare was billed, patients rarely saw psychiatrists and were instead placed in front of television screens to watch movies.  

The conspiracy did not end there – Gibson III and Gibson IV also paid kickbacks to patient recruiters, including Askew, to facilitate the fraud.  In addition to their lengthy prison terms, Gibson III was ordered to pay restitution in the amount of $46,753,180, Gibson IV was ordered to pay restitution in the amount of $7,518,480, and Askew was ordered to pay restitution in the amount of $46,255,893.  All three defendants have filed notices to appeal their sentences to the Fifth Circuit Court of Appeals.    

Gibson III testified on his own behalf at trial, denying he had any knowledge of the wrong-doing at the heart of the government’s case.  In an extensive interview given to the Houston Chronicle after his trial, Gibson III claimed that the government’s case was motivated by racism and a desire by others to obtain the hospital’s valuable real estate holdings in Houston’s Third Ward. 

According to the Chronicle, Gibson III claimed that he was held to an unfair standard, “I was never accused of knowingly…getting a kickback.  I was accused of ‘should have known’…That’s a tough burden.  It’s not a fair burden for any American citizen.  Either you know or you don’t.  Either you benefited or you didn’t.” 

In addition to the filing a notice of appeal of his conviction, according to the Chronicle, Gibson III has also filed a lawsuit, pro se, with the U.S. Court of Federal Claims, claiming that he was unjustly prosecuted and convicted.

SEC Settlement Contains Rare Clawback Provisions For Individual Executives

Posted On Tuesday, June 9, 2015

On Friday, the U.S. Securities and Exchange Commission (“SEC”) announced a settlement with Computer Sciences Corp. (“CSC”) related to allegations of misleading investors and manipulating financial results regarding its $5.4 billion contract with the United Kingdom’s National Health Service (“NHS”).  In a rare move, the $190 million fine included clawbacks of executive pay.  These clawbacks underline a developing trend in SEC and other federal enforcement actions emphasizing individual accountability and individual culpability.

The SEC alleges that CSC’s project to build an electronic patient record system for the NHS experienced technical problems and delays almost from the start.  As other contractors bowed out, CSC’s role expanded.  While the contract initially had the potential to earn $5.4 billion in revenue for the company, those profits depended on CSC delivering products and services under specific timeframes and volumes, with steep penalties for missed deadlines.  After software implementation delays caused CSC to fall behind in performing the contract in 2008, the company renegotiated an amended contract, effective April 2009. 

But over the next two years, delays continued to plague CSC’s performance of the amended contract and the company repeatedly missed its deadlines.  As its expected profit dwindled, rather than revise its projections downward and alert investors to the problems it was facing, former CEO Michael Laphen and former CFO Michael Mancuso allegedly failed to disclose these issues to investors – even going so far as to repeatedly make public statements that the company was meeting its targets and was on track to fully perform its obligations. 

The SEC has also brought charges against former CSC finance executives Robert Sutcliffe, Edward Parker, and Chris Edwards concerning their alleged roles in the company’s accounting irregularities.  After realizing CSC would lose money on the contract with the NHS because it could not meet its deadlines, Sutcliffe, a finance director overseeing the deal, allegedly avoided having to make large reductions in the company’s earnings in 2010 and 2011 by basing its accounting on terms it was negotiating with NHS rather than the actual terms it struck.  Parker, serving as controller in Australia, allegedly overstated CSC’s earnings in the region by exploiting certain “cookie jar” reserves.  And Edwards, a finance minister for CSC’s Nordic region, allegedly improperly recorded certain expenses as “prepaid assets” so as not to reduce the company’s earnings.

Under the terms of Friday’s settlement, Laphen has agreed to return $3.7 million in compensation to CSC and to pay a $750,000 penalty.  Mancuso has agreed to return $369,100 in compensation and pay a $175,000 penalty.  Under the terms of the settlement, CSC, Laphen, and Mancuso did not admit wrongdoing.

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