Tag Archives: Florida

Exclusive: Nursing Home Sought Help From Lobbyist Friend Of Governor

Source: Jim Defede, CBS Miami, November 3, 2017

State officials intended to permanently shut down the now infamous The Rehabilitation Center at Hollywood Hills in 2014, when a lobbyist with deep ties to Governor Rick Scott interceded on behalf of the man who wanted to take it over, CBS4 News has learned. The role of one of the Governor’s friends lobbying state officials on behalf of Dr. Jack Michel so Michel could obtain the license for the Hollywood Hills nursing home has not been previously reported. The nursing home is now drawing intense scrutiny following the deaths of more than a dozen residents after its air conditioning system lost power during Hurricane Irma. … In 2014, Michel wanted to buy the nursing home, whose owner at the time, Karen Kallen-Zury, had just been convicted of Medicare fraud and was sentenced to 25 years in prison. … Political leaders have questioned whether Michel should have been granted a license given the fact that Michel and two former business partners paid $15.4 million to the federal government to settle fraud claims. …

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Hollywood nursing home should never have been licensed, state senator says
Source: Bob Norman, Local 10 News, October 26, 2017

The U.S. Justice Department hit Michel with civil Medicare fraud charges in 2004, alleging he received $70,000 each month in kickbacks to funnel nursing home patients into Larkin Community Hospital in South Miami for medically unnecessary procedures. … Michel eventually purchased the Larkin hospital (beginning with what the feds alleged appeared to be sham transactions) and, according to the complaint, began paying to other doctors for more bogus Medicare referrals. … Farmer says the fraud described in the Michel complaint has become all too common. … Michel and his business partners — including Chicago Rabbi Morris Esformes and his son, Philip — paid $15.4 million to settle the fraud case while admitting no wrongdoing. Published reports show that the Esformeses have a long history of nursing home violations going back decades in Chicago and other cities, including one case in 2001 involving the deaths of four women during a heat wave in St. Louis. Criminal investigations netted no charges in that case, but the nursing home was hit with a $275,000 civil judgment in one suit while three others ended with undisclosed settlements. But after paying the $15.4 million settlement to the federal government, both Michel and the Esformeses simply continued in the business of running nursing homes and hospitals. …

Hurricane Irma: Hospital linked to nursing-home deaths was paid $48M to care for Florida prisoners
Source: Arek L Sarkissian, Naples Daily News, September 26, 2017

The owner of a Florida nursing home whose 11 residents died after Hurricane Irma has benefited for years from millions of dollars in government contracts despite repeatedly running afoul of state and federal regulators. Dr. Jack Michel, owner of Rehabilitation Center at Hollywood Hills, owns a Miami hospital that has received $48 million in taxpayer money since 2006 to treat state prisoners. The payments to Larkin Community Hospital started the same year Michel settled a federal fraud lawsuit that accused him of bilking taxpayers. They continued after the state barred one of his assisted-living homes from taking new patients. And state officials are giving no indication that the payments will stop now despite Florida Gov. Rick Scott’s comments that the owner is unfit to care for patients after deaths at his nursing home.

Larkin provides the prison hospital care under no-bid agreements that the Florida Department of Corrections approved, according to agency contract and finance records. The hospital has served as a subcontractor to the state’s prison health care vendors with approval from corrections officials. Eight elderly patients died Sept. 13 after Irma knocked out power at Michel’s nursing home and residents remained for several days without air conditioning. Three other patients died days later after being hospitalized with complications. …

Editorial: Improve foster care

Source: The Register-Guard, October 27, 2017

Oregon Democratic Sen. Ron Wyden and Utah Republican Sen. Orrin Hatch have teamed up in support of a bill to better protect children in foster care. This bill is both badly needed and long overdue. The Senate Finance committee launched an investigation in April 2015 into the increasing practice of states giving the responsibility for some of their most vulnerable children over to private, for-profit companies. … Governors in 33 states responded to the committee’s request for information about the consequences of privatizing foster care, as did one of the largest providers in the country, the MENTOR Network. The results of the two-year investigation were both unsettling and, sadly, unsurprising.

The Senate found there were flaws in data collection and oversight when it came to for-profit foster care, at both the state and federal levels. Procedures set up by states to monitor providers’ performance and outcomes weren’t followed. Children under the authority of the state who received services from private, for-profit agencies were abused, neglected and denied services. Profits were prioritized over children’s well-being. High staff turnover sometimes made it impossible to monitor how children were doing, and foster parents with questionable backgrounds were given licenses to care for children, who were inadequately monitored by the state. …

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Senate Finds 86 Children Died In Care Of Giant For-Profit Foster Care Firm, Citing BuzzFeed News
Source: Aram Roston and Jeremy Singer-Vine, Buzzfeed News, October 18, 2017

At least 86 children died in a 10-year period while in the custody of a giant for-profit foster care company, according to an investigation by the US Senate Committee on Finance. In only 13 of those deaths did the company, The Mentor Network, conduct an internal investigation, the committee found. The Senate committee said the company “falsely” claimed that its child death rate was in line with the fatality rates in the overall foster care system.

The Senate probe started in part because of a series by BuzzFeed News that profiled problems at the company, which was the largest for-profit foster care provider in the country. In one case a 2-year-old girl who was placed at a home run by Mentor was murdered by her foster mother. In another case, a series of boys were sexually abused by a Mentor foster father, whom Mentor paid as a foster parent for years despite a series of red flags. He had requested that he be sent boys who were “male, white, any age.” Though Mentor denied the claim, employees told BuzzFeed News that the pursuit of profits sometimes took priority over child welfare. (The company is owned by Civitas Solutions, Inc., which recorded $1.4 billion in revenue last year and trades on the New York Stock Exchange.)

… As a result of the committee’s investigation, the chairman, Orrin Hatch, and its ranking member, Ron Wyden, introduced legislation Monday to require states to disclose the contractors they use in privatized foster care, and to report to the federal government how those contractors perform. …

The Brief Life and Private Death of Alexandria Hill
Source: Brian Joseph, Mother Jones, February 26, 2015

When the government took her from her family, it outsourced her safety to a for-profit corporation. Nine months later she was dead…..

….What happened in Rockdale that night would be the subject of a weeklong trial in the fall of 2014, focusing on the care of Alexandria. But it also opened a window into the vast and opaque world of private foster care agencies—for-profit companies and nonprofit organizations that are increasingly taking on the role of monitoring the nation’s most vulnerable children. The agency involved in Small’s case was the Lone Star branch of the Mentor Network, a $1.2 billion company headquartered in Boston that specializes in finding caretakers, or “mentors,” for a range of populations, from adults with brain injuries to foster children. With 4,000 children in its care in 14 states, Mentor is one of the largest players in the business of private foster care, a fragmented industry of mostly local and regional providers that collect hundreds of millions in tax dollars annually while receiving little scrutiny from government authorities. Squeezed by high caseloads and tight budgets, state and local child welfare agencies are increasingly leaving the task of recruiting, screening, training, and monitoring foster parents to these private agencies. In many places, this arrangement has created a troubling reality in which the government can seize your children, but then outsource the duty of keeping them safe—and duck responsibility when something goes wrong…..

….Mentor and other private foster care agencies say they are committed to children’s well-being, and that nothing can prevent the occasional tragic incident. But in my investigation, I found evidence of widespread problems in the industry—failed monitoring, missed warning signs, and, in some cases, horrific abuse. In Los Angeles, a two-year-old girl was beaten to death by her foster mother, who was cleared by a private agency despite a criminal record and seven prior child abuse and neglect complaints filed against her. In Albuquerque, New Mexico, prosecutors alleged that foster parents screened by a private agency beat their foster son so badly that he suffered brain damage and went blind. (A grand jury refused to return an indictment in the case.) In Chattanooga, Tennessee, a foster father vetted by a private agency induced his 16-year-old foster daughter to have sex with him and a neighbor. In Riverview, Florida, a 10-year-old girl with autism drowned in a pond behind a foster home. The private agency that inspected the home had previously identified the pond as a safety hazard but had not required a fence. In Duluth, Minnesota, a private agency failed to discover that a foster mother’s adult son had moved back into her home. The son, who had a criminal record for burglary that would have disqualified him from being around foster children, went on to sexually abuse a 10-year-old foster girl. In Texas, at least nine children living in private agency homes died of abuse or neglect between 2011 and 2013…..

How the Kochs are trying to shake up public schools, one state at a time

Source: Kimberly Hefling, Politico, October 30, 2017

With school choice efforts stalled in Washington, the billionaire Koch brothers’ network is engaged in state-by-state battles with teachers’ unions, politicians and parent groups to push for public funding of private and charter schools.  One of the newest campaigns is the Libre Initiative, a grassroots drive targeting Hispanic families in 11 states so far, under the umbrella of the Charles and David Koch-funded Americans for Prosperity, a powerful conservative and libertarian advocacy group. … The group has had some initial success — for instance, helping to thwart a moratorium on charter school expansion in New Mexico. But it’s also created bitter divisions in the Latino community and led to accusations the Kochs are trying to undermine public education — and even in some cases, to subvert the Democratic process.

… Despite such criticism, the group is hunkering down for the long haul in states it views as ripe for change even as it eyes new states for expansion. Lima says it’s on track to make contact with more than 100,000 Hispanic households this year on school choice. Besides Nevada and New Mexico, Libre is organizing in Arizona, Colorado, Virginia, Florida, North Carolina, Ohio, Pennsylvania, Texas and Wisconsin. Its recent efforts, with other Koch-backed groups, include:

  • A planned “six-figure” spend in Nevada on “deep canvassing” in Hispanic neighborhoods to build support for educational savings accounts, which enable families to use state tax dollars to pay for private school. …
  • A lawsuit brought by Americans for Prosperity, among others, aimed at stopping a 2018 Arizona referendum asking voters whether they want to keep a school choice law passed earlier this year. …
  • A “six-figure” Libre and Americans for Prosperity campaign in Colorado this summer to promote charter schools and education savings accounts and another ahead of a Nov. 7 school board race by the Americans for Prosperity Foundation to push choice-friendly issues.
  • A seven-figure investment In Virginia’s gubernatorial race by Americans for Prosperity that includes a video criticizing Virginia Lt. Gov. Ralph Northam, a Democrat, for his opposition to education savings accounts.
  • Mailings in Spanish and English supporting a Florida law that encourages charter schools in communities with low-performing schools. After Gov. Rick Scott, a Republican, signed it into law, the state Democratic Party said he’d “declared war on our public schools.” …

Florida proposal seeks to clear the way for public funding of private schools

Source: Jeffrey Solocheck, Tampa Bay Times, November 1, 2017
 
The chairwoman of the State Board of Education, charged with supervising Florida’s system of free public education, has proposed amending the state Constitution to permit funding of some private schooling.  Marva Johnson, a Gov. Rick Scott appointee to the state board and the Florida Constitution Revision Commission, filed a proposal Tuesday to exempt education from the state’s constitutional ban on using public funds for religious organizations.  She further recommended that state money go to private schools, including religious ones, to support students whose individual learning needs are not “completely met and accommodated” at their zoned public schools. … The proposal is a long way from becoming reality. The commission would have to approve it, as would 60 percent of Florida voters.  But if the Constitution were amended as Johnson has proposed, it would set up a major shift, paving the way for state-funded school vouchers, something the Florida Supreme Court ruled a decade ago violate the Constitution. …

Florida lawmakers, officials call for reform of private schools that get state scholarships

Source: Beth Kassab, Leslie Postal and Annie Martin, Orlando Sentinel, October 25, 2017

Lawmakers, local elected officials and policy experts are calling for reform after an Orlando Sentinel investigation revealed that private schools take nearly $1 billion in state scholarships but have little oversight. The Sentinel series detailed how private schools can submit falsified fire inspections and hire teachers with criminal backgrounds — sometimes without Florida Department of Education officials noticing for years. Sen. David Simmons, a Republican member of the education committee, said he is considering legislation to enact reforms. …

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State revokes Melbourne private school’s scholarships
Source: Beth Kassab and Leslie Postal, Orlando Sentinel, October 24, 2017

A private school in Melbourne with ties to two other schools already sanctioned by the state will be revoked from Florida’s scholarship programs, the Florida Department of Education said Tuesday. Yakol Christian opened in August with fewer than 20 students, all of them on one of the state’s three scholarship programs that pay nearly $1 billion in private school tuition for children from low-income families or those with a wide range of disabilities. The Orlando Sentinel reported last week that the church that shares the same name and storefront space as the school has ties to a pastor who ran two earlier schools and was charged earlier this year with lewd or lascivious molestation after a 15-year-old student said he improperly touched her. Samuel Vidal, 41, denies the allegations through his attorney and no trial date has been set. …

After student alleges abuse, principal shutters one private school, opens another.
Source: Annie Martin, Leslie Postal and Beth Kassab, October 18, 2017

After Palm Bay Police began investigating principal Samuel Vidal Jr., who was accused last year of lifting the shirt of a 15-year-old student and putting his mouth on her breast, Vidal shut down his private Christian school. But the police investigation didn’t stop Vidal, 41, from winning approval from the Florida Department of Education to open a new private school in Palm Bay and collect nearly $200,000 in state-backed scholarships. And even after Vidal was charged with felony lewd or lascivious molestation, prompting the state to pull scholarships from the second school, it approved yet another school this year with ties to Vidal. The case illustrates just how easy it can be for operators to open private schools with little scrutiny and to benefit from public scholarships in Florida, which runs one of the largest school choice programs in the country. …

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Nurse says she was fired for missing work during Hurricane Irma

Source: Lauren Seabrook, WFTV.com, September 21, 2017

Hurricane Irma hit Leesburg, Florida, hard, and resident Ami Honea’s neighborhood has piles of debris to prove it. Just before the storm blew through, Honea said she made a decision that ended up costing her job. … Honea said she told her boss she felt that her only option was to leave and that he never told her she would lose her job for it. … Attorney Kelli Hastings, who spoke to WFTV before the storm, said that because Florida is a right-to-work state, the termination is legal. … WFTV contacted the privately contracted company that fired Honea, Armor Correctional Health Services, and was referred to the Lake County Sheriff’s Office. Officials with the Sheriff’s Office said they have nothing to do with the hiring or firing of the medical employees at the company.

This Is How the Trump Administration Will Privatize Our Infrastructure

Source: David Dayen, The Nation, June 20, 2017
 
North Miami Beach’s Norwood water treatment plant is a major source of revenue, serving a region with almost five times as many customers as city residents…. Critics, including plant employees and members of the local Public Utilities Commission, blamed the city for intentional lack of investment and reduced staffing. “It’s on the city workers somehow that the system has fallen into disrepair,” said a spokesman with AFSCME Florida. “If you’re a journalist, and the newspaper is not making money, is that on you?” … As for plant workers, they could lose benefits under CH2M immediately, since the city’s contract with AFSCME expired in 2015. The CH2M contract calls for $2.4 million in annual savings in labor costs starting in year two. And with a fixed fee for operations and maintenance, CH2M can only extract profits and deliver long-term cost savings by cutting corners. …

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North Miami Beach Gives Public Water Utility Serving 180,000 People to Private Firm
Source: Jerry Ianelli, Miami New Times, May 17, 2017
 
None of those facts stopped the North Miami Beach City Commission last night from voting 4 to 2 to outsource its public water utility to global engineering firm CH2M Hill. From here on out, the company will control virtually every operational facet of a water plant that serves more than 180,000 people in North Miami Beach, Aventura, Sunny Isles Beach, and Miami Gardens. … On April 3, the city held a special meeting to begin formal negotiations with CH2M. In the leadup to that meeting, the city’s municipal worker’s union, the American Federation of State, County and Municipal Employees, spoke out against the privatization plan as an attempt at union-busting. The ASFCME warned that privatization deals tend to lead to job or benefits cuts to workers.  Though the final contract guarantees that all city workers who pass a drug test and physical must be rehired by CH2M, the contract does not say what will happen to those workers in the following years. (During that April 3 meeting, multiple city workers accused the government of willfully underfunding the plant to create an excuse to privatize it.) …

North Miami Beach to Vote on Privatizing Its Water System Tomorrow Despite FBI Probe
Source: Jerry Iannelli, Miami New Times, May 15, 2017
 
On April 3, the City of North Miami Beach started negotiating with a global engineering firm to take over the city’s water utility, which services close to 200,000 people in north Dade. Clean-water activists vehemently opposed the move, citing research that water utilities run by private companies tend to get much more expensive over time, and typically provide services at “cheaper” rates by cutting staff or services. … But those facts have not mattered at all to North Miami Beach’s elected officials. Tomorrow, the city commission will vote on whether to hand the utility’s operations over to CH2M Hill Engineering for an annual fee of $18.8 million per year. (The city would retain ownership of the utility, but CH2M would handle the plant’s day-to-day operations. The city will also pay CH2M $19.3 million in the first year to cover startup costs.) …

North Miami Beach Moves Forward With Water-Privatization Deal Despite FBI Probe
Source: Jerry Iannelli, Miami New Times, April 4, 2017

At the beginning of North Miami Beach’s meeting last night about a plan to privatize its water system, City Manager Ana Garcia asked residents to trust the city based on the commission’s track record. That was an odd appeal, considering Mayor George Vallejo is the subject of an ongoing Miami-Dade County criminal probe and the FBI and Miami-Dade County Public Corruption unit have launched investigations into the water negotiations. Despite all of those red flags, commissioners voted 4-2 last night to move forward with the plan after a testy meeting that lasted close to three hours. … The city also did not disclose that an affiliate of the leading company bidding for the project, global engineering firm CH2M Hill, has held a temporary contract to operate portions of the plant since October 17, 2016. The contract raises additional questions as to whether the city’s bidding process has been fair. … The vote authorizes the city to begin negotiating a contract with CH2M, which is angling to take over the full operation of the city’s water plant.

… Per the terms of the city’s request for quotation, the private company is expected to take over full plant operations and take over the contracts of every employee at the utility. The American Federation of State, County and Municipal Employees (AFSCME), a union that represents the utility workers, says roughly 80 employees could be affected. The union warned last week that privatization deals tend to lead to benefit cutbacks and employee layoffs as the new company tries to cut costs. AFSCME does not have an active contract with the city, and union representatives warned last week that, without a contract, a private company could cut benefits and salaries from day one. …

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Did Miami’s biggest developer avoid labor taxes? The feds are investigating.

Source: Nicholas Nehamas, Miami Herald, July 6, 2017

Federal investigators are seeking to learn if the Related Group, Miami’s biggest developer, lowered costs on an affordable-housing project by hiring subcontractors who failed to pay employment taxes, the Miami Herald has learned. … Related’s business practices are under scrutiny because of a long-running federal investigation into South Florida’s affordable-housing industry. … Even so, the U.S. Attorney’s Office and IRS are investigating the project’s cost structure to determine if Related padded bills and hung onto profits illegally, violations which could bring criminal charges, sources said. Prosecutors have already successfully targeted three other affordable-housing developers in Miami-Dade — Carlisle Development GroupBiscayne Housing Group and Pinnacle Housing Group — that used federal tax credits. The new investigation focuses on whether developers misused county funds.

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Miami Developer in Hot Seat Over Low-Income Housing Fraud
Source: Samantha Joseph, Daily Business Review, March 21, 2017

A South Florida developer is in the hot seat after an uptick in fraud among developers using government credits to fund low-income housing ventures grabbed prosecutors’ attention. Pinnacle Housing Group Inc. affiliate DAXC LLC is accused of inflating construction costs to gain about $4.2 million from low-income apartment complexes in Miami, Sunrise, Homestead and Winter Haven. It paid $5.2 million, including forfeiture, and a $1 million fine to the federal government under a deferred prosecution agreement released Monday. Pinnacle’s affiliated contractor solicited bids for concrete shell work for housing developments from 2009 to 2011. It received final bids from a subcontractor to build the concrete structures, but instead of signing contracts with that company, it entered agreements with DAXC at rates of up to $1.5 million above the bids. DAXC in turn paid the subcontractor at the lower rates, making net profits of about $3.1 million. … The apartments rose during the housing market collapse, when contractors tasked with creating concrete shells often went out of business, leaving developers on the hook for stranded projects. Pinnacle’s use of DAXC as a middleman might have been part of a strategy to shield the developer from potential liens. The company has developed more than 8,500 affordable housing units over about 20 years in business. …

Justice Department moves forward in its case against ETMC, Paramedics Plus

Source: Roy Maynard, Tyler Morning Telegraph, May 12, 2017

The U.S. Department of Justice continues to build its case against East Texas Medical Center and its ambulance division, Paramedics Plus, in what they say is a $20 million kickback scheme to ensure Paramedics Plus retained lucrative contracts. Most recently, Justice Department attorneys filed a list of people they expect to depose in coming months. In all, more than 100 people could be deposed as this case moves forward. The government also filed a proposed schedule, which outlines when fact discovery will take place, when expert discovery will occur, deadlines for motions and trial preparation and finally, an expected timeframe for the start of the trial – summer of 2018. … In January, the Justice Department announced it would intervene in a lawsuit against ETMC and Paramedics Plus brought by a whistleblower – former employee Stephen Dean, who was Paramedics Plus chief operating officer. According to the suit, ETMC and Paramedics Plus paid more than $20 million in kickbacks and bribes, including cash payments to Oklahoma officials. …

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You Paid For It: Pinellas Commissioners discuss ambulance kickback settlement Tuesday
Source: Mark Douglas, March 21, 2017

Former U.S Attorney Brian Albritton told Pinellas County Commissioners Tuesday that a federal lawsuit alleging ambulance fee kickbacks could have cost taxpayers as much as $1 billion if they lost in court. Commissioners agreed to settle the case involving Paramedics Plus Sunstar ambulance service for $92,700 and to forgo an estimated $500,000 in uncollected ambulance fees from patients. They will also have to pay legal fees to Albritton who the county secretly hired last year to resolve the case. Pinellas commissioners discussed the case publicly Tuesday for the first time since Eight On Your Side first broke the story of alleged kickbacks and a federal investigation of Pinellas County’s ambulance contract last month. That settlement, signed March 7 by Vice-Chair Kenneth Welch, requires the county to pay $92,700 to federal prosecutors, the Florida Attorney General and attorneys for the whistleblower–a former executive with Paramedics Plus. It also requires Pinellas County to turn over all documents and evidence gathered in the course of the county’s own internal investigation, and to cooperate with an ongoing federal investigation and whistleblower action filed against Paramedics Plus in Texas.

… Since 2004, Paramedics Plus has operated as Pinellas County’s exclusive ambulance provider under the county-owned brand name Sunstar. The current county contract with Paramedics Plus amounts to about $50 million a year. In 2014, a former high-ranking executive of Paramedics Plus filed a whistleblower action in Texas that alleged an ongoing ambulance fee kickback scheme that stretched from Pinellas County to Oklahoma and California for over a decade. The scheme alleged by the whistleblower and federal prosecutors in a related legal action included so-called “profit cap” rebates that essentially funneled overcharges from Medicaid and Medicare to Pinellas County and other local governments that oversee public ambulance contracts. County leaders in Pinellas insist the “rebates” or “kickbacks’ in Pinellas totaled only $35,000 or so and ended up in county bank accounts, not someone’s pockets. In Oklahoma, the whistleblower suit alleges those kickbacks amounted to as much as $20 million. Federal prosecutors in Texas have cited specific acts of corruption in Oklahoma that include kickbacks, political payoffs and self-enrichment involving Paramedics Plus executives and government overseers in Oklahoma. … Pinellas County Administrator Mark Woodard says the settlement has no impact on the county’s ongoing $50 million a year contract with Paramedics Plus because the company has not been charged criminally or been found guilty of anything.

Feds Intervene in Alleged $20M Ambulance Kickback Scheme
Source: Eric Topor, Bloomberg BNA, January 27, 2017

A Texas health system paid an Oklahoma agency and its president $20 million in cash bribes in exchange for lucrative ambulance service contracts over 15 years, federal prosecutors said ( United States ex rel. Dean v. Paramedics Plus, LLC , E.D. Tex., No. 14-cv-203, complaint in intervention 1/23/17 ). The U.S. Attorney’s Office for the Eastern District of Texas partially intervened Jan. 23 in a whistle-blower lawsuit, filed under court seal in 2014, accusing East Texas Medical Center Regional Healthcare System (ETMC) of paying the kickbacks to Oklahoma’s Emergency Medical Services Authority (EMSA). Specifically, the government said ETMC concocted the kickback scheme with EMSA president and co-defendant Herbert S. Williamson, and paid the kickbacks through checks, bank wires and inflated service contracts, mostly through ETMC’s ambulance service company, Paramedics Plus LLC. The government said it paid the defendants over $70 million in Medicare reimbursements and over $38 million in Medicaid reimbursements just from 2009 through 2013, and it was seeking treble damages on all payments tainted by the kickback scheme, plus monetary penalties for each individual false claim submitted. The FCA authorizes monetary fines of up to $11,000 for each false claim submission. The U.S. Attorney’s Office declined to comment on whether criminal charges against Williamson would be coming in the future. … The complaint describes how Paramedics Plus, which contracted with the EMSA to provide ambulance services within the EMSA’s jurisdiction, was forced to “cut corners” due to the amount of its revenue that went to paying kickbacks. Paramedics Plus “avoided training and personnel expenses” to make sure enough money was available to pay kickbacks to the EMSA and Williamson, according to prosecutors. The complaint alleges Paramedics Plus executives were forced to forgo paying drivers and paramedics retention bonuses to stem high paramedic turnover because the company “would not have enough excess profits to make [Williamson] whole.”

Officials Ruled Inmate’s ‘Boiling’ Death An Accident. But Documents Show They Omitted Key Details.

Source: Matt Ferner, Huffington Post, March 29, 2017

The June 2012 death of Darren Rainey, an inmate at the Dade Correctional Institution in South Florida, attracted national attention after other inmates claimed he was burned like “a boiled lobster” after about two hours in a shower that guards had modified to punish prisoners. A Florida prosecutor issued a 101-page report earlier this month that cleared guards of any wrongdoing in Rainey’s death. The prosecutor, Miami-Dade State Attorney Katherine Fernandez Rundle, called Rainey’s death an accident resulting from his schizophrenia and heart disease and from confinement in the shower room. But a trove of official documents reviewed by The Huffington Post indicates that some information from police, the prison and emergency services was not included in the prosecutor’s final report, which raises questions about the circumstances surrounding Rainey’s death. A review of the documents was permitted by a person with close access to the investigation who asked not to be identified sharing non-public information. …

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Madness: In Florida prisons, mentally ill inmates have been tortured, driven to suicide, and killed by guards.
Source: Eyal Press, The New Yorker, May 2, 2016

Shortly after Harriet Krzykowski began working at the Dade Correctional Institution, in Florida, an inmate whispered to her, “You know they starve us, right?” It was the fall of 2010, and Krzykowski, a psychiatric technician, had been hired by Dade, which is forty miles south of Miami, to help prisoners with clinical behavioral problems follow their treatment plans. The inmate was housed in Dade’s mental-health ward, the Transitional Care Unit, a cluster of buildings connected by breezeways and equipped with one-way mirrors and surveillance cameras. “I thought, Oh, this guy must be paranoid or schizophrenic,” she said recently. Moreover, she’d been warned during her training that prisoners routinely made false accusations against guards. … Krzykowski mentioned that she had overheard security guards heckling prisoners. One officer had told an inmate, “Go ahead and kill yourself—no one will miss you.” Again, Perez seemed unfazed. “It’s just words,” she said. Then, as Krzykowski recalls it, Perez leaned forward and gave her some advice: “You have to remember that we have to have a good working relationship with security.” … A few days later, Krzykowski was running a “psycho-educational group”—an hour-long session in which inmates gathered to talk while she observed their mood and affect. After a dozen inmates had filed into the room, she noticed that the guard who had been standing by the door had walked away. She was on her own. Krzykowski completed the session without incident, and decided that the guard must have been summoned to deal with an emergency. But later, when she was in the rec yard, the guard there disappeared, too, once more leaving her unprotected amid a group of inmates. Around the same time, the metal doors that security officers controlled to regulate the traffic flow between prison units started opening more slowly for Krzykowski. …

… Reached by phone, Perez declined to comment, telling me that I could direct any questions to Wexford Health Sources, the private contractor that now provides mental-health services at Dade. In 2013, Florida privatized all the health services in its prisons. According to a series of investigative articles by Pat Beall, of the Palm Beach Post, this policy change has resulted in grossly substandard care. One difficulty with entrusting mental-health services to a for-profit company is that there is a disincentive to acknowledge abuse, because doing so could jeopardize the contract. Wexford’s Web site describes “integrity and ethics” as the “foundation” of the company’s culture. Wexford, too, declined to comment.