Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 1 of 49

UN ITED STA TE S D ISTR ICT C O U R T
SO U TH E RN D ISTR ICT O F FLO RIDA

TB

CaseNo.16-CR-20549-LENARD(s)

18U.S.C.j1349
18U.S.C.j 1347
18U.S.C.j 1035(a)(2)
18U.S.C.j371
42U.S.C.j 1320a-7b(b)(1)(A)
42 U.S.C.j 1320a-7b(b)(2)(A)
18U.S.C.j 1956(h)
18U.S.C.j 1956(a)(1)(B)(i)
18U.S.C.j666
18U.S.C.j 1503
18 U.S.C.j2
18 U.S.C.j981
18 U.S.C.j982

Feb 14, 2017
MIAMI

UN ITED STA TES O F A M ER ICA
VS.

PH ILIP ESFO R M ES,
O D ETTE BAR C H A ,and
A RN ALD O C A RM O U ZE,
D efendants.
/

SEC O N D SU PER SED IN G IN D ICTM EN T
The G rand Jury chargesthat:
G E NER AL ALLE G A TIO N S
A talltim esrelevantto this Second Superseding Indictm ent,
The H ealth lnsurance Proeram s

TheM edicareProgram (tcNfedicare'')wasafederalhealth careprogram providing
benefitsto persons w ho w ere 65 orolderor disabled. M edieare w as adm inistered by the U nited

StatesDepartmentofHea1th and Human Services(ékHHS'')through itsagency,the Centersfor
Medicare& MedicaidServices(:1CM S'').lndividualswhoreceivedbenefitsunderM edicarewere

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 2 of 49

refen-edto asM edicare ilbeneficiaries.''

The Florida M edicaid Program (tûM edicaid'')provided benefitsto certain lowincom e individuals and fam iliesin Florida. M edicaid w asadm inistered by CM S and the A gency

forHealth Care Administration (1kAHCA''). M edicare and M edicaid were each a ithealth care

benefitprogram,''asdetinedbyTitle18,United StatesCode,Section 24(b),andakéfederalhealth
careprogram,''asdetinedbyTitle42,UnitedStatesCode,Section l320(a)-7(b)-f.
The M edicare program was divided into four téparts''thatcover differentservices.

M edicare PartA generally coversinpatienthospitalservices,hom e health and hospice care,and
skilled nursing andrehabilitation care.

Subjectto certain conditions,M edicare Pal'tA coveredup to 100 daysofskilled
nursing and rehabilitation carefora benefitperiod (i.e.,spellofillness)following a qualifying
hospitalstayofatleastthreeccmsecutivedays.42U.S.C.j 1395d(a)(2)(A);42C.F.R.
j409.6l(b),(c).
TheconditionsthatM edicareimposedonitsPartA skillednursingfacility(;tSNF'')
benefitincluded:(1)thatthepatientrequiredskillednursingcareorskilledrehabilitation services
(orboth)onadaily basis,(2)thatthedaily skilled servicesmustbeservicesthat,asapractical
matter,couldonlybeprovided in askillednursingfacility on an inpatientbasis,and (3)thatthe
services were provided to addressa condition forwhich the patientreceived treatmentduring a
qualifying hospitalstay or that arose while the patientwas receiving care in a skilled nursing

facility(foraconditiontreatedduringthehospitalstay).42U.S.C.j1395f(a)(2)(B)'
,42C.F.R.j
409.3l(b).
6.

M edicarerequired thataphysician orcertain otherpractitionerscertify thatthese

conditionswerem etatthe tim eofa patient'sadmission to the nursing facility and to re-certify to
the patient's continued need for skilled rehabilitation therapy services at regular intelwals

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thereafter. See 42 U.S.C.j 1395f(a)(2)(B);M edicare General Inform ation,Eligibility,and
EntitlementM anual,Ch.4,j40.3.
To assistin the adm inistration ofM edicare PartA,CM S contracted with tûfiscal

intermediaries.''42 U.S.C.j 1395h.Fiscalintermediaries,typicallyinsurancecompanies,were
responsibleforprocessingand paying claim sand costreports.
Beginning in or around N ovember 2006,M edicare Administrative Contractors

began replacing both the caniersand fiscalintermediaries. SeeFed.Reg.67960,68181(Nov.
2006). The MACS generally acted on behalfofCM S to process and pay PartA (aswellas

MedicarePartB)claimsandperfonn administrativefunctionsonaregionallevel.See42jC.F.R.
421.5(b).

ln Florida,FirstCoastService Options,lnc.(CûFirstCoast'')served asthe fiscal
intermediary and canieruntilSeptem ber2008,atwhich timeitwasawarded accmtractto serveas
the M A C forthe Florida region.

10.

Providers who wished to be eligible to participate in M edicare Part A were

requestedtoperiodically sign an application fonn,CM S Form 855A .The application,which was
required to besigned by an authorizedrepresentativeoftheprovider,contained acertificationthat
states:

I agree to abide by the M edicare law s, regulations,and program
instructions that apply to this provider. The M edicare law s,
regulations, and program instnlctions are available through the
M edicare contractor. l understand that paym ent of a claim by
M edicare is conditioned upon the claim and the underlying
transaction com plying w ith such law s, regulations and program

instructions(including,butnotlimitedto,thefederalanti-kickback
statuteandtheStarklaw),andontheprovider'scompliancewithall
applicable conditionsofparticipation in M edicare.

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11.

CM S Form 855A contained additional certifications thatthe provider :twillnot

know ingly presentor cause to be presented a false or fraudulentclaim for paym entby M edicare

andwillnotsubmitclaim swith deliberateignoranceorrecklessdisregard oftheirtruth orfalsity.''
12.

Every SN F costreportcontained a kf ertification''thatm ustbe signed by the chief

administratorofthe providerora responsible designeeofthe administrator.
SNFSsubm itted theCM S-1450 electronically underM edicarePartA to theirlocal
fiscalintermediary orM AC,which in thiscasewasFirstCoast. FirstCoast,on behalfofCM S,
processed and paid the M edicarePal'tA claim s.
ln addition to the services covered under M edicare Part A, M edicare PartB
provided coverage for,among otherthings,certain physician office and hom e visits,and other
health care benetits, item s, and services. The physician senices at issue in this Second
Superseding lndictmentwerecovered by PartB.
An tlAssisted Living Facility''or:'ALF''wasafacility licensed by AHCA ,whether
operated forprotk ornot,which undertook through its ownership or managem ent,to provide
housing,m eals,and one orm ore personalservicesfora period exceeding 24 hoursto one orm ore

adultswhowerenotrelativesoftheowneroradm inistrator.M edicaid covered aportionofcertain
costs associated w ith A LF stays.

ln Florida,AHCA is responsible foradministering the M edicaid program ,and is
tasked with regulating and licensing health care facilitiesin Florida,including SNFSand ALFS.
A HCA is funded by both the state and federalgovernm ents. A H CA receives w ell in excess of

$10,000each yearfrom the federalgovernm ent.

17. AHCA'SDivisionofHealthQualityAssuranceinvestigatespatientcomplaintsand
conductsunannounced inspecticm s ofa w ide range ofhealth care facilities in the state ofFlorida,
including A LFS and SN FS. In connection w ith these duties,A H CA surveyors enter and inspect
4

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health carefacilitiestoreview clinicalrecords,interview patients,andinterview staff,am ongother
things,to ensure thattheproviders are com plying with applicable state and federalstatutesin a
mannerthatprotectsthe health and safety ofthepatients.
l8.

lfAHCA surveyorsidentifydeficienciesorfraudduringtheirinspections,they can

fine or,ultim ately,revoke the operating license of the facility. The surveyors also notify the
Florida M edicaid Fraud ControlUnitatthe Florida Attom ey General's Office ifthey observe
evidence offraud.
The D efendants,Related C om paniesand Individuals

19.

DefendantPH ILIP ESFORM ES,a residentofM iam i-Dade County,controlled,

owned,oroperated the following SNFS and ALFS (collectively referred to asthe itEsformes
Network''),located throughoutM iami-Dade County,in the Southern District ofFlorida,and
elseNvhere:
Facility N am e
A D M E Investm entPartners LTD dba
Oceanside Extended Care
A dirhu A ssociatesLLC
AlmoveaAssociatesLLC dbaNorth DadeNursing and
Rehabilitation Center
Ayintove A ssociatesLLC dba
H arm ony H ea1th Center
Courtyard M anorRetirem entLiving,lnc.
Eden Gardens LLC
FairHavensHolding LLC/FairHavensCenterLLC
Flamingo Park M anorLLC/TIZePointe
La Covadonga Retirem entLiving,lne.
LakeErswin LLC dba South Hialeah
M anor/lnteram erican
KabirhuAssociatesLLC dba Golden GladesNursing and
Rehabilitation Center
LauderhillM anorLLC
La Serena Retirem entLiving LLC/La H acienda
Gardens/Rainbow

5

Type ofFacility
SN F
A LF
SNF
SN F
A LF
A LF
SN F/ALF
ALF
A LF
ALF

SNF
ALF
A LF

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Facility N am e
Jene'sRetirem entLiving,lnc./lene's Retirem entInvestors
Ltd dbaN orth M iam iR etirem entLivin
Sefardik A ssociates,LLC dba
TheN ursing CenteratM ercy
Takifhu AssociatesLLC dba South DadeNursing and
Rehabilitation Center
W illiam sburg Retirem entLiving

20.

Type ofFacility
A LF

SN F

SNF
A LF

D efendant O DE TTE BAR C H A , a resident of M iam i-D ade County, w as the

registered agent and director of Barcha Consulting, lnc.(ûçBarcha Consultinf'), a Florida
corporation,and w asthe Directorof Outreach Program s atH ospital l.
DefendantA RN A LD O CA R M O UZE ,a residentof M iam i-D ade County,w as a

physician'sassistant(çkPA'')licensedintheStateofFlorida.
22.

Guillenno D elgado w asa residentofM iam i-Dade County.

23.

GabrielDelgado wasaresidentofM iami-DadeCounty.

24.

Diversified lnvestm ent Group of M iam i, lnc., D iversified M edical Group, La

Covadonga h4anagenaent Group LLC , and Preferred Providers G roup, lnc., w ere Florida

corporationsowned andcontrolledbyGuillermoand GabrielDelgado (collectivelyçltheDelgado
Companies'').
25.

Guillenuo D elgado and GabrielD elgado ow ned,controlled and/oroperated Tender

TouchHomeHea1th LLC (kl-l-enderTouch'')and St.JudeHealth Care,lnc.(tkSt.Jude''),Florida
corporations.
N elson Salazar, a resident of M iam i-D ade County, was the ow ner of N ursing

Unlimited2000,Inc.(ûlNursingUnlimited''),aFloridacorporation.
27.

Jose Carlos M orales, a resident of M iam i-D ade County, w as the ow ner of

Phannovisa,Inc.andPhannovisa,MD,lnc.(collectivelylkpharmovisa''),Floridacorporations.
28.

Pharm acy 1, Phannacy 2, and Pharm acy 3 w ere pharm acies in M iam i-Dade

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County.
29.

Am erican Therapeutic Corporation and Greater M iam iBehavioralHealth Care

Center,lnc.(ilGreaterMiami'')werepartialhospitalizationprogramsinM iami-DadeCounty.
30.

DiagnosticCom pany 1,DiagnosticCompany 2,DiagnosticCompany3,Diagnostic

Company 4,and Diagnostic Company 5,werediagnostic companiesin M iam i-Dadeand Broward
Counties.

Laboratory 1wasalaboratory in M iam i-DadeCounty.
32.

PhysicianVision Group 1wasagroup ofvisionphysiciansin M iam i-DadeCounty.
Physician 1wasa residentofM iam i-Dade County and worked with ARNALDO

C AR M O UZE.
34.

Fem ale Com panion 1 w as a residentofM iam i-Dade County.

FemaleCompanion 2 wasaresidentofM iami-Dade County.
Female Companion 3 wasa residentofBroward County.
37.

Fem ale Com panion4 wasaresidentofM iam i-Dade County.

38.

Fem ale Companion 5 wasaresidentofM iam i-Dade County.

39.

PersonalAssistant1wasaresidentofM inmi-DadeCounty.

40.

BasketballCoach 1wasaresidentofHouston,Texas,in HanisCounty.
IndividuallwasaresidentofPhiladelphia,Pennsylvania,inPennsylvania,County.
A H CA Em ployee 1 w as a residentofM iam i-D ade County.

43.

A H CA Intennediary 1w asa residentofM iam i-D ade C ounty.

44.

A H CA lntennediary 2 w as a residentofM iam i-D ade County.

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C O UN T 1
Conspiracy to Com m itH ealth CareFraud and W ireFraud

(18U.S.C.j 1349)
Paragraphs 1through 38,40,and 42 through 44 ofthe G eneralA llegations section

ofthisSecond Supersedinglndictm entarere-allegedandincorporatedby referenceasthoughfully

setforth herein.
From in oraround January 1998,and continuing through in oraroundJuly2016,in
M iami-Dade County,in the Southel'
n DistrictofFlorida,and elsewhere,the defendants,
PHILIP ESFO RM ES,
ODETTE BARCH A,
and
ARNALDO CARM O UZE,

did willfully,thatis,with the intentto furtherthe objects ofthe conspiracy,and knowingly
combine,conspire,confederate,and agree with Guillenno Delgado,Gabriel Delgado,Nelson
Salazar,Jose CarlosM orales,each other,and othersknown and unknown to the Grand Jury,to
comm itcertain offensesagainstthe United States,thatis:
a.

to know ingly and w illfully execute a schem eand artitice to defraud a health

care benefitprogram affecting comm erce,as defined in Title 18,United States Code,Section

24(b),thatis,M edicareand M edicaid,andto obtain,bymeansofmateriallyfalseand fraudulent
pretenses,representations,and prom ises,m oney and property ow ned by,and under the custody

and controlof,said health carebenefitprogram s,in connection with the delivery ofand paym ent
forhealth carebenefits,item s,and services,in violation ofTitle 18,U nited States Code,l347,
.and
to know ingly and w ith the intentto defraud,devise and intend to devise a

schem eandartificeto defraud,and forobtainingm oney and property bym eansofmateriallyfalse
and fraudulent pretenses, representations, and prom ises, know ing that the pretenses,
representations,and prom isesw ere false and fraudulentw hen m ade,and did know ingly transm it

8

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and cause to be transm itted,by m eans of w ire com m unication in interstate com m erce,w ritings,
signs,signals,pictures, and sounds for the purpose of executing such schem e and artifice,in

violation ofTitle l8,United StatesCode,Section 1343.
Purpose ofthe C onspiracv

Itwasa purpose ofthe conspiracy forthe defendantsand theirco-conspiratorsto

unlawfully enrichthemselvesby,amongotherthings:(a)submitting falseandfraudulentclaims

to MedicareandM edicaidforclaimsbasedonkickbacksandbribes;(b)submittingand causing
the subm ission of false and fraudulent claim s to M edicare and M edicaid for senices thatw ere

medicallyunnecessary,thatwerenoteligibleforM edicareand M edicaid reimbursem ent,andthat

wereneverprovided;(c)concealingthesubmissionoffalseandfraudulentclaimstoM edicareand
Medicaid'
,and(d)divertingproceedsofthefraudforthepersonaluseandbenefitofthedefendants
and theirco-conspiratorsin the fonn ofcom pensation and otherrem uneration.
M anner and M eans

The m anner and m eans by w hich the defendants and their eo-conspirators sought to
accom plish the purpose ofthe conspiracy included,am ong others,the follow ing:

4.

PHILIP ESFORM ES owned and operated the EsfonnesNetwork,which gave

him accessto thousandsofM edicare and M edicaid beneticiaries.
PH ILIP E SFO RM ES and co-conspirators negotiated and paid kickbacks to
A RN ALD O C AR M O U ZE ,O D ETTE BA R CH A and certain m edicalprofessionalsin exchange
form edically unnecessary referralsto the EsfonnesN etw ork and co-conspirators.
6.

PH IL IP E SFO RM ES, through a shell com pany ow ned and/or controlled by

G abrielDelgado,caused the paym entofkickbacksto O D ETTE BA RC H A .

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 10 of 49

PH ILIP E SFO R M ES, O D ETTE BA RC H A ,A R NA LD O CA RM O U ZE,and

otherscaused patientsto beadm itted into the EsformesNetwork,regardlessofwhetherornotthe
patientsactually needed theservices.
8.

The M edicare and M edicaid patients that PH ILIP ESFORM ES, ODETTE

BARCHA,ARNALDO CARM OUZE,and otherscaused to beadmitted to Esform esNetwork
SNFSincludedpatientswith psychiatricissuesthatdidnotneed SNF servicesand did notreceive
treatm entfortheirpsychiatric conditions.

PHILIP ESFORM ES,Guillenno Delgado,GabrielDelgado,and others created
and caused to be created false and fraudulentinvoicesfordurable m edicalequipm ent,w hich w ere

subm itted by Diversified M edicalGroup forpayment,and used the fundsto pay kickbacksand
bribes to physicians and other m edical professionals in exchange for m edically unnecessary

refenulsto theEsform esNetwork and co-conspirators.
On oraboutJune 15,2004,ARNALDO CARM OUZE certified to M edicare that
he would com ply w ith a11M edicare rules and regulations,including thathe would refrain from

violatingthefederalAnti-Kickback statute.
11.

O n or about O ctober 18, 2006, PH ILIP E SFO RM ES signed a civil settlem ent

agreem entwith theUnited StatesDepartmentofJustice,resolving allegationsthathe,and others,
paid kickbacks to a physician to adm it M edicare and M edicaid patients from the Esform es
Network into Hospital1,wherethey received m edically unnecessary services. ln the settlement,
PH ILIP ESFO RM ES did notacltnow ledgethe validity ofthe claim salleged by the United States

oradm itliability.
12.

O n oraboutSeptem ber 28,2009,and again on or aboutJanuary 1,2012,PH IL IP

ESFO RM E S certified to M edicare that H arm ony Health Center SN F w ould com ply w ith a11

M edicare rulesand regulaticms,including thatheand Harmony Hea1th CenterSNF wouldrefrain

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from violating the federalAnti-K ickback statute.

On oraboutFebruary 2,2011,and again on oraboutM arch 22,2011,PH ILIP
ESFO R M E S certified to M edicare thatFair Havens SN F would com ply w ith a1lM edicare rules

and regulations,including thathe and FairHavensSNF would refrain from violating the federal

Anti-Kickback statute. On oraboutJuly 10,2006,June 25,2010,M ay 22,2012 and June 30,
2015,PH ILIP ESFORM ES certified to M edicaid thatFairHavens SNF would comply with al1

M edicaid rules and regulations,including that he and Fair Havens SNF would refrain from
violating federallaw s.

l4.

On or aboutJanuary 24,2014,and again on or about April 3,2014,PHILIP

ESFORM ES certified to M edicarethatTheNursing CenteratM ercy SNF would comply with al1
M edicarerulesand regulations,including thathe and The Nursing CenteratM ercy SNF would
refrain from violatingthefederalAnti-Kickback statute. On oraboutFebruary22,2012,PHILIP
ESFORM ES certified to M edicaid thatTheNursing Hom eatM ercy SNF would comply with all
M edicaid rules and regulations,including thathe and the Nursing Home atM ercy SNF would
refrain from violating federallaws.
15.

O n or about Decem ber 5, 2011, and again on Septem ber 15, 2014, PH ILIP

ESFORM ES certitied to M edicaid thatOceanside Extended Care SNF would comply with a11
M edicaidrulesandregulations,includingthatheand OceansideExtendedCare SNF wouldrefrain
from violating federallaw s.
16.

On or aboutN ovem ber 6,2014,PH ILIP ESFO R M ES certified to M edicaid that

N orth Dade N ursing and Rehabilitation Center SN F w ould com ply w ith a1lM edicaid rules and
regulations, including that he and N orth D ade N ursing and Rehabilitation Center SN F w ould
refrain from violating federallaw s.
O n or about A ugust 24, 2010, and again on or about July l9, 2013, PH IL IP

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E SFO R M ES certified to M edicaid thatCourtyard M anor A LF would com ply w ith allM edicaid

rulesand regulations,including thathe and Courtyard M anorALF would refrain from violating
federallaw s.
18.

On oraboutSeptem ber 1,2009,and again on oraboutJune 12,2012,and A ugust

l0,2015,PHILIP ESFORM ES certified to M edicaid thatFlam ingo Park M anor ALF would
com ply w ith allM edicaid rules and regulations,including thathe and Flam ingo Park M anorA LF

would refrain from violating federallaws.
l9.

O n or about Septem ber 1,2009, and again on or about July l8,2012,PH ILIP

ESFO RM E S certified to M edicaid that La H acienda Gardens ALF w ould com ply w ith a1l
M edicaid rules and regulations,including thathe and La Hacienda G ardens A LF w ould refrain
from violating federallaw s.
O n oraboutD ecem ber l0,2013,PH ILIP E SFO R M ES certified to M edicaid that

LauderhillM anorALF would com ply with a11M edicaid rulesand regulations,including thathe
and LauderhillM anorALF would refrain from violating federallaws.
Priorto,and after,signing each of these certificationsto M edicare and M edicaid,
PH ILIP ESFO R M ES paid kickbacksto physiciansin exchange fortheirreferralofM edicare and
M edicaid beneficiariesto be placed atH arm ony H ealth Center,Fair H avens,the N ursing Center
at M ercy, O ceanside Extended Care, and other SN FS. PH ILIP ESFO R M ES also received
kickbacksprior to,and after,signing each ofthese certificationsfor access to patientsresiding in
those SN FS,Courtyard M anor,LauderhillM anor,Flam ingo Park M anor,La H acienda G ardens,
and otherfacilitiesin the EsfonnesN etw ork.
PH ILIP E SFO RM ES caused Hannony H ea1th Center,FairH avens,The N ursing
Center atM ercy and other SN FS under his controlto tile claim s to M edicare for skilled nursing
senicesforpatients thatw ere obtained through the paym entofkickbacks to physicians.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 13 of 49

23.

Co-conspirators paid PHILIP ESFORM ES kickbacks, bribes, and other

inducem ents,often tllrough Guillermo and GabrielDelgado,in exchangeforreferralsofM edicare
and M edicaid beneficiaries thatwere part of the Esfonues Network. These co-conspirator
providers included: Tender Touch, St.Jude,Nursing Unlim ited, Pharmovisa, Phannacy l,
Pharmacy 2, Pharm acy 3, Am erican Therapeutic Corporation, Greater M iami, Diagnostic
Company 1, Diagnostic Com pany 2, Diagnostic Company 3, Diagnostic Com pany 4, and
Diagnostic Com pany 5,Laboratory 1,Physician V ision G roup 1,and otherproviders.

24.

PHILIP ESFORM ES receivedthekickbacksand bribesfrom the co-conspirators

which were disguised as: a) cash payments;b) payments to Female Companion 1,Female

Companion 2,Female Companion 3, Female Companion 4,and Female Companion 5,
'c)
charitable donations;d)paymentsto BasketballCoach l for coaching his son;and e)lease
paym ents.

PHILIP ESFORM ES,ODETTE BAR CHA,ARNALD O CARM OUZE,and
theirco-conspiratorsfalsifed,fabricated and altered,andcausedthefalsification,fabrication,and
alterationofm edicalrecordsto supportservicespurportedly rendered atHospitall,theEsfonues
Network,and otherhealth care providers operated by co-conspirators.
26.

A RN A LD O CA R M O U ZE signed w hathe knew to be falsified,fabricated,and

altered prescriptionsand m edicalrecords,including hom ehealth refenuls,adm issionsatHospital

1,dischazge paperwork at Hospital 1,and office visit notes without proper supervision of a
physician and,in m any instances,w ithouteverm eeting with the Esfonnes N etw ork beneficiary.
ARN A LD O C A RM O U ZE also prescribed m edically unnecessary narcotics, including

Oxycodone,withoutalicense,to EsfonuesNetwork beneficiaries.
PHILIP ESFORM ES,through AHCA lntermediary 1,AHCA lntennediary 2,
GabrielDelgado,Guillermo Delgado,and otherco-conspirators,bribed AHCA Em ployee 1 for

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 14 of 49

non-public schedules providing advance notice of unarm ounced AH CA inspections and patient
com plaints atthe SN FSand A LFS.
28.

PH ILIP ESFO R M E S, O D ETTE BA RC H A ,A R N ALD O C A RM O U ZE, and

theirco-conspirators used these schedulesofthe unannounced inspectionsand patientcom plaints

to evadedetection by AHCA ofadm inistrativeviolationswhich would lead to the tenninatitm Of
EsfonnesNetwork facilitiesfrom M edicareand M edicaid.
29.

ln June 2015, in order to further concealthe schem e,PH ILIP ESFORM ES

directed Guillenno and Gabriel D elgado to sign falsified docum ents to m ake it appear as if
PH ILIP ESFO R M ES w asnotinvolved in the com m ission ofhealth care fraud.
PH ILIP ESFO R M ES,O DE TTE B AR C H A ,A RN A LD O C AR M O U ZE,and

others,through the use of interstate wires,subm itted and caused the subm ission of false and

fraudulentclaimsto M edicare and M edicaid in an approxim ateamountof$1billion forservices
thatweremedically unnecessary,neverprovided,and procuredthrough thepaymentofkickbacks
and bribes.
31.

PH ILIP ESFO R M E S, O D ETTE BA RC H A ,A R N ALD O C A R M O U ZE, and

others,throughtheuseofinterstatewires,caused M edicareto pay approximately $464 m illion for
services that were m edically unnecessary,neverprovided,and procured through the paym entof
kickbacksand bribes.
A llin violation ofTitle 18,U nited States Code,Section 1349.
C O UN T S 2-3
H ealth C are Fraud

(18U.S.C.j1347)
Paragraphs 1 through 19 and 21 through 33 ofthe GeneralA llegations section of
this Second Superseding lndictm entare re-alleged and incorporated by reference as though fully
setfol'th herein.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 15 of 49

From in or around January 2009,and continuing tllrough in or around June 2016,

in M iam i-DadeCounty,in the Southern DistrictofFlorida,and elsewhere,thedefendants,
PH ILIP ESFO R M E S
and
ARNALDO CARM O UZE,

in connection with the delivery ofand paym entforhealth care benefits,item s,and senices,did
knowinglyandwillfully execute,and attem ptto execute,a schemeandartificeto defraud ahealth
care benefitprogram affecting com merce,as defined in Title 18,United States Code,Section

24(b),thatis,M edicareandM edicaid,andtoobtain,bymeansofmateriallyfalseandfraudulent
pretenses,representations,and prom ises,money and property owned by,and underthe custody
and controlofsaid health care benefitprogram s.
Purpose ofthe Schem e and A rtifice

Itwasapurposeoftheschem eandartificeforthedefendantsand theiraccom plices

tounlawfullyenrichthemselvesby,amongotherthings:(a)creatingfakemedicaldocumentation
forservicesthatwerenotrendered,notnecessary,ornotprovided underthepropersupervision of

aphysician;(b)submittingandcausingthesubmissionoffalseandfraudulentclaimstoM edicare
and Medicaid'
,and (c)concealingthe submissionoffalseand fraudulentclaimstoM edicareand
M edicaid.
The Schem e and A rtifice
The allegations contained in paragraphs 4 thzough 31 of the M anner and M eans

section ofCount 1 ofthis Second Superseding lndictm ent are re-alleged and incorporated by
reference asthough fully setforth herein asa description ofthe schem e and artifice only asthose
allegations relate to PH ILIP ESFO R M ES and A RN A LD O CA R M O U ZE .
A cts in Execution or A ttem pted Execution ofthe Schem e and A rtifice

O n oraboutthe dates setforth asto each countbelow ,in M iam i-D ade County,in

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 16 of 49

theSouthern DistrictofFlorida,and elsewhere,thedefendants,
PH ILIP E SFO R M ES
and
A R NA LD O C A RM O U ZE,

in comzection with the delivery ofand paymentforhealth care benefits,item s,and services,did

knowingly and willfully execute,and attem ptto execute,theabove-described schem eand artifice
todefraud ahealth carebenefitprogrnm affecting comm erce,asdefined byTitle 18,United States

Code,Section 24(b),thatis,M edicareand M edicaid,andtoobtain,bymeansofmateriallyfalse
and fraudulentpretenses,representations,andpromises,moneyandproperty owned by,and under
thecustody and controlofsaid health care benefitprogram s,thatis,the defendantsubmitted and
caused thesubmission offalseand fraudulentclaim sto M edicare,aslisted below :
C ount Beneficiary
N am e

2

S.J.

A pprox.
Claim
R eceiptD ate

Services
C laim ed

A pproxim ate
A m ount
Billed to
M edicare

Claim N um ber

9/1/11

Office Visitin

$95

598312167120160

$62

30000958375508

A LF

3

S.J.

9/14/11

OXYCODONE
H CL
Prescri tion

19301930356

In violation ofTitle 18,U nited States Code,Sections 1347 and 2.
CO UN TS 4-5
False Statem ents R elating to H eaIth C are M atters

(18U.S.C.j1035(a)(2))
Paragraphs lthrough 19 and 21 through 33 ofthe GeneralAllegations section of
the Second Superseding lndictm entare re-alleged and incorporated by reference as though fully
setforth herein.

On or aboutthe dates enum erated below ,in M iam i-D ade County,in the Southern
D istrictofFlorida,and elsew here,the defendant,

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 17 of 49

AR N AL DO CA R M O UZE,
in any m atter involving a health care benefit program , know ingly and willfully m ade any

materially false,fictitious,and fraudulentstatem entsandrepresentations,and m ade and used any
m aterially falsewriting and docum entknowingthesam eto contain any m aterially false, fictitious

and fraudulentstatem entandentry,in eonnection withthedeliveryofandpaym entforhealth care
benefits,item s, and services,that is,the defendant signed prescriptions and physician visit
treatment notes and other docum ents certifying that the defendant and Physieian 1 provided
serviceson thedatesenumerated below,when in truth and in fact,and asthe defendantthen and
therewellknew,the defendantand Physician 1did notprovidethose serviceson thosedates:
Count Beneficiary
N am e

4

S.J.

Approx.
C laim
ReceiptD ate

Services
C laim ed

A pproxim ate
A m ountBilled
to M edicare

C laim N um ber

9/1/11

OfficeVisitin

$95

598312167120160

$62

30000958375508

A LF

5

S.J.

9/14/11

OXYCODONE
H CL
Prescription

19301930356

ln violationofTitle 18,UnitedStatesCode,Sections1035(a)(2)and2.
C O UN T 6
C onspiracy to D efraud the U nited Statesand Pay and R eceive H eaIth C are K ickbacks

(18 U.S.C.j371)
Paragraphs1through 38,40 and 41oftheGeneralAllegationsand 4through 32 of
the m anner and m eans sedion of this Second Superseding lndictm ent are re-alleged and
incop orated by reference as though fully setforth herein.

From inoraround January2002,andcontinuingthrough in oraround July 2016, in
M iam i-D ade County,in the Southern D istrictofFlorida, and elsewhere,the defendants,
PH ILIP E SFO RM ES,
O DE TT E BAR C H A ,

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 18 of 49

and

ARNALDO CARM OUZL

did willfully,thatis,with the intentto further the objects ofthe conspiracy,and knowingly
combine,conspire, confederate and agree with Guillermo Delgado, GabrielDelgado,Nelson
Salazar,Jose CarlosM orales,each other,and othersknown and unknown to theGrand Jury:
to defraud the U nited States by im pairing,im peding,obstructing,and defeating
through deceitful and dishonest m eans, the law ful govenuuent functions of the U nited States
D epartm entofH ealth and H um an Services in itsadm inistration and oversightofthe M edicare and

M edicaid programs,in violation of Title 18,United States Code,Section 371,and to comm it
certain offenses againstthe U nited States,thatis:

b.

to violateTitle42,United StatesCode,Section 1320a-7b(b)(2)(A),by knowingly

and willfully offering and paying remuneration,including kickbacks and bribes,directly and
indirectly,overtly and covertly,in cash and in kind,to any person to induce such person to refer
an individualto a person forthe furnishing and arranging forthe furnishing ofany item and service
forw hich paym entm ay be m ade in w hole and in pal'tundera federalhealth care program ,thatis,
M edicare and M edicaid;

c.

toviolateTitle42,United StatesCode,Section 1320a-7b(b)(1)(A),byknowingly

and willfully soliciting and receiving remuneration,including kickbacksand bribes,directly and
indirectly,overtly andcovertly,incash andin kind,in returnforreferring an individualtoaperson
forthe furnishing and arranging forthe furnishing ofan item and service forw hich paym entm ay
be m ade in whole and in pal4 undera federalhealth care program ,thatis,M edicare and M edicaid'
,
and

d.

to violate Title 42,United States Code,1320a-7b(b)(1)(B),by knowingly and

willfully soliciting and receiving rem uneration,including kickbacks and bribes,directly and

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 19 of 49

indirectly,overtly and covertly,in cash and in kind,in return forpurchasing,leasing,ordering and

arranging forandrecomm ending purchasing,leasing,and orderinganygood,facility,and service,
and item forwhich paym entm ay be m ade in whole and in partunderaFederalhealth care program ,
thatis,M edicare and M edicaid.
Purpose ofthe C onspiracv

lt was a purpose of the conspiracy for PHILIP ESFORM ES, ODETTE
BA RC H A , A R NA LD O CA R M O UZE , and their co-conspirators, to unlaw fully enrich

themselvesby:(1)offering,paying,soliciting,and receivingkickbacksandbribestoensurethat
M edicare and M edicaid beneticiaries w ould sel've as patients in the Esform es N etw ork and co-

conspiratorproviders'
,and (2)submittingandcausingthesubmission ofclaimsto Medicareand
M edicaid formedicalitem sand servicespurportedly provided to theserecruited beneficiaries.
M anner and M eans

The marmer and m eans by which the defendants and their co-conspirators sought to
accom plish the purpose ofthe conspiracy included,am ong others,the follow ing:

4.

PH ILIP ESFORM ES paid and caused the paymentofkickbacks and bribes to

physicians in exchange fortheirreferralsto the Esform esN etw ork.
5.

PH ILIP ESFO R M E S,N elson Salazar,Guillenuo D elgado,G abrielD elgado,and

othercreated and caused to be created false and fraudulentinvoicesfordurable m edicalequipm ent,

which were subm itted to Diversified M edical Group for paym ent,and used the funds to pay
kickbacks and bribes to physicians and other m edical professionals in exchange for m edically
unnecessary referralsto the EsfonnesN etw ork and co-conspirators.
6.

PH ILIP E SFO RM ES, through shell com panies owned and controlled by

Guillenno and Gabriel D elgado, caused the paym ent of kickbacks and bribes to AR N ALD O
CA R M O U ZE in exchange forpatientreferralsto the Esform esN etwork and co-conspirators. In

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 20 of 49

order to concealthese kickbaek paym ents,Guillerm o and GabrielDelgado, at ESFO R M E S'
direction,signed checksm adepayableto CARM OUZE'Sgirlfriend.
PH ILIP ESFORM ES, tltrough a shell com pany owned and/or controlled by
GabrielD elgado,caused the paym entof kickbacks to O D ETTE BA R CH A via cash or checks

madepayableto tkBarchaConsulting''orherboyfriend.
8.

ODETTE BARCHA cashed checksfrom GabrielDelgado and then used the cash

to pay physiciansforrefenulsto theEsfonnesNetwork.
9.

ODETTE BARCHA recruitedphysicianswhoworkedatHospitallandpaidthose

physiciansto referpatientsto PH ILIP ESFO R M ES'SN FS.
The co-conspirators paid PH IL IP ESFO R M E S kickbacks, bribes, and other

inducements,often through Guillermo and GabrielDelgado, in exchangeforreferralsofM edicare
and M edicaid beneficiaries that were pal4 of the Esfonnes Network.

These co-conspirator

providers included: Tender Touch, St. Jude, Nursing Unlimited,Phannovisa, Phannacy
Pharm acy 2, Pharm acy 3, Ameriean Therapeutic Corporation, Greater M iam i, D iagnostic

Com pany 1, Diagnostic Com pany 2, D iagnostic Com pany 3, Diagnostic Company 4, and
D iagnostic Com pany 5,Laboratory 1, and Physician Vision Group 1.

PHILIP ESFORM ES received thekickbacksand bribesfrom the co-conspirators

which were disguised as:a) cash payments;b)payments to Female Companion l, Fem ale
Com panion 2, Fem ale Com panion 3, Fem ale Com panion 4, and Fem ale Com panion

charitable donations;d)payments to BasketballCoach 1 for coaching his son;and e)lease
paym ents.

M edicare and M edicaid m ade paym ents to the Esformes Network and coconspiratorsbased upon claim sform edicalitemsand servicespurportedly provided to M edicare
and M edicaidbeneficiaries.
20

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 21 of 49

O vertA cts

lnfurtheranceoftheconspiracy,andtoaccomplishitsobjectsandpumose,atleastoneof
theco-conspiratorscom mitted andcausedtobecomm itted inM iami-DadeCounty,in theSouthern
DistrictofFlorida,and elsewhere,atleastoneofthefollowing overtacts,among others:

1. On oraboutJuly 7,2010,PH ILIP ESFORM ES caused check number9457 from

Diversified M edicalGroup'sbalzk accountendinginx5606,in theapproxim ateam ountof$1,500,
to bedeposited into Charity 1'sbank accountforthebenefitofESFORM ES'father.
On oraboutN ovem ber 12,2011,A R NA LD O CA R M O U ZE caused check num ber

3001 from Diversified lnvestm entGroup ofM iam i,lnc.bank accountending in x6837,in the

approxim ate amountof$1,250,to bedeposited into hisgirlfriend'sbank accountforhisbenefit.
On oraboutApril2,2012,PHILIP ESFORM ES caused checknum ber1464 from

theFairHavensSNF bank accountending in x7170,in theapproximateam ountof$11,988,to be
deposited into Diversitsed M edicalGroup bank accountendinginx0205.
4.

On or aboutApril2,2012,PHILIP ESFORM ES caused check number23919

from the Oceanside Extended Care SN F bank accountending in x3409,in the approxim ate am ount

of$l1,514,to bedeposited intotheDiversitied M edicalGroup bank accountending in x0205.
On oraboutApril2,2012,PH ILIP ESFORM ES causedcheck num ber1255 from

the Harm ony Hea1th SNF bnnk accountending in x0102,in theapproxim ate am ountof$28,382,
tobe deposited into theDiversified M edicalGroup bank accountending in x5605.
6.

On oraboutApril2,2012,PHILIP ESFORM ES caused check number 17661

from TheNursingCenteratM ercy SNF bank accountendinginx1238,in theapproxim ateam ount

of$17,877,tobe deposited into theDiversified M edicalGroup bank accountending in x0205.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 22 of 49

On or aboutJune 5,2012,O D ETTE BAR C H A caused check num ber 1065 from

Preferred ProvidersGroup,Inc.'sbartk accountending in x4668,in the approxim ate am ountof

$3,500,to bedeposited into herboyfriend'saccountforherbenefit.
On oraboutAugust1,2012,O D ETTE BA R CH A caused check num ber1219 from

DiversifiedM edicalGroup'sbankaccountendinginx4668,intheapproximateamountof$1,500,
tobe deposited into herboyfriend'sbank accountforherbenefit.
On oraboutFebruary 2,2014,PH ILIP E SFO R M ES reserved hotelroom 1401for
him selfatthe Ritz-carlton in Orlando,Florida.
10.

On or about February 2, 2014,G abrielD elgado paid and arranged for Fem ale

Com panion l to be picked up in a lim ousine at her residence in M iam i,Florida,transported to

M iam iInternationalAirport,tlown to Orlando on an Am erican Airlines tlight,picked up in a
lim ousine atthe Orlando airport,and transported to Room 1454 atthe Ritz-carlton in Orlando,

Florida.
On oraboutFebnzary 2,2014,PH ILIP E SFO RM ES m etw ith Fem ale Com panion
1 atthe Ritz-carlton in O rlando.
On or about February 2, 2014, PH ILIP ESFO R M ES funded the travel and
transportation for Fem ale Com panion

with bribes and kickbacks he received from co-

conspirators.
On or aboutFebruary 5,2014,PH ILIP ESFO R M E S caused Fem ale Com panion

1tocashchecknum ber1314,intheapproxim atenm ountof$500,from PreferredProvidersGroup,
lnc.'s bank accountending x4668.
On or about February 13,2014,PH ILIP ESFO R M E S reserved Room 1401 for
him selfatthe Ritz-carlton in Orlando,Florida.
On or about February 13, 2014,G abriel Delgado paid and anunged for Fem ale
22

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 23 of 49

Com panion 2 to be flown to O rlando,Florida on an Am erican A irlines tlight,picked up in a
lim ousine atthe Orlando airport,and transported to Room 1445 atthe Ritz-c arlton in Orlando,
Florida.
16.

On or about Febnzary 13, 2014, PH IL IP E SFO R M ES m et w ith Fem ale

Companion 2 attheRitz-carlton in Orlando.
On or about February 13, 2014, PH ILIP ESFO RM ES funded the travel and

transportation for Female Com panion 2 with bribes and kickbacks he received from coconspirators.
18.

On oraboutM ay 6,2014,PH ILIP E SFO RM ES caused check num ber 1356 from

Preferred Providers G roup,Inc.'s bank account ending in x4668,in the approxim ate am ountof

$3,500,to be deposited into BasketballCoach 1'sbank account.
A llin violation ofTitle 18,U nited States Code,Section 371.
C O UN TS 7-9
R eceiptofK ickbacks in C onnection w ith a
FederalH ealth C are Program

(42U.S.C.j1320a-7b(b)(1)(A))
Paragraphs 1 through 19 and 21 through and 41 ofthe GeneralA llegationssection
ofthisSecond Superseding Indictm entare re-alleged and incorporated by referenceasthough fully
setforth herein.
O n or about the dates set forth below , in M iam i-D ade County, in the Southern
DistrictofFlorida,and elsewhere,the defendants,
PH IL IP ESFO R M ES
and
A RN A LD O C AR M O U ZE,

did knowingly and willfully solicit and receive rem uneration,including kickbacks and bribes,
directly and indirectly,overtly and covertly,in cash and in kind,including by check,as setforth

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 24 of 49

below,in retunzforreferring an individualto a person forthe furnishing and arranging forthe
furnishing ofanyitem and serviceforwhich paym entm ay bem ade in wholeand in partundera
federalhealth careprogram ,thatis,M edicareand M edicaid,assetforth below:

Count
7

Defendant
ARNALDO
CARM O UZE

Approximate
Dateof
Pa m ent

Approxim ate
Am ount

November12,2011

$1,250

Descri tion
Diversified lnvestm entGroup
ofM iami,lnc.Check number
3001

8

PHILIP

February 5,2014

$500

ESFORM ES

9

PH ILIP

Check number 1314 from
Preferred Providers Group,
Inc. bank account ending in
x4668 m ade payable to
Fem ale Com anion 1

M ay 6,2014

$3,500

ESFORM ES

Preferred ProvidersGroup,
lnc.check num ber1356 m ade
a able to B asketballCoach 1

ln violation ofTitle 42,United States Code,Section 1320a-7b(b)(1)(A)and Title 18,
U nited States Code,Section 2.
CO UN TS 10-15
Paym entofK ickbacks in C onnection w ith a FederalH eaIth C are Program

(42 U.S.C.j1320a-7b(b)(2)(A))
Paragraphs 1 through 41 of the G eneral A llegations section of this Second
Superseding Indictm ent are re-alleged and incorporated by reference as though fully set forth
herein.
2.

On oraboutthedatesenum erated below asto each count,in M iami-DadeCounty,

in the Southern D istrictofFlorida,and elsew here,the defendants,
PH ILIP E SFO RM ES
and
O DE TTE BA RC H A ,
did know ingly and w illfully offerand pay rem uneration,thatis,kickbacksand bribes,directly and

indirectly,overtly and covertly,in cash and in kind,including by check,assetfol'
th below,to a

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 25 of 49

personto inducesuch personto referan individualto aperson forthe fum ishingand arranging for
thefurnishing ofany item and service forwhich paym entm ay be madein whole and in partby a
federalhealth careprogram ,thatis,M edicareand M edicaid, assetforth below :

Count
10

1l

Defendant
PHILIP
E SFO R M E S

PHILIP

Approximate
D ate of
Pa m ent

Approxim ate
Am ount

April2,2012

$11,988

num ber 1464 from bank
account ending in x7170
deposited into the Diversified
M edical Group bank account
to be aid to ph sicians

April2,2012

$11,514

ESFORM ES

12

PHILIP

PHILIP

April2,2012

$28,382

PH ILIP

April2,2012

$17,877

PHILIP
ESFORM ES
and
O D ETTE
BA R CH A

Check number17661from
The N ursing CenteratM ercy
bank accountending in x1238
deposited into the Diversified
M ediealGroup bank account
to bepaidto physicians

June5,2012

$3,500

ESFORM ES
and
O DE TTE
BA RC H A

15

Check number 1255 from the
H arm ony H ea1th SN F bank
account ending in x0102
deposited into the Diversified
M edical Group barlk account
to be aid to hysicians

E SFO RM ES

14

Check num ber23919 from the
Oceanside Extended Care
SN F bank account ending in
x3409 deposited into the
D iversified M edical Group
balzk account to be paid to
physicians

ESFO R M ES

13

Descrl tlon
Fair Havens SNF check

Check num ber1065 from
Preferred ProvidersGroup,
lnc. accountending in x4668
deposited into A .H .'sbank
account

August1,2012

$1,500

Check number1219 from
Diversified M edicalGroup
accountending in x4668
deposited into A .H .'Sbank
account

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 26 of 49

In violation of Title 42,United StatesCode,Section 1320a-7b(b)(2)(A)and Title l8,
U nited StatesCode,Section 2.
C O U NT 16
Conspiracy to C om m it M oney Laundering

(18U.S.C.j1956(h))
Paragraphs

through 4 1 of the G eneral A llegations section of the Second

Superseding lndictmentand Counts17-30,arere-alleged andincorporated by referenceasthough
fully setforth herein.

From in or around January 2002,to in or around June 20l6,in M iam i-Dade
County,in the Southel'
n D istrictofFlorida,and elsew here,the defendants,
PH ILIP ESFO R M ES,
O D ETTE BA R CH A ,
and
AR N AL DO CA R M O UZE,

did know ingly and w illfully com bine,conspire,confederate,and agree w ith each otherand others
known and unknown to the Grand Jury,to com m itcertain offensesagainstthe U nited States,that
is,to know ingly conducta financialtransaction affecting interstate and foreign com m erce,w hich

financial transaction involved the proceeds of specified unlawful activity, knowing that the
property involved in the financialtransaction represented the proceeds of som e form ofunlaw ful
activity,and know ing that the transaction w as designed,in w hole and in part,to conceal and
disguise the nature,the location,the source,the ow nership,and the controlof the proceeds of

specifiedunlawfulactivity,inviolation ofTitle 18,United StatesCode,Section l956(a)(1)(B)(i).
It is further alleged that the specified unlaw ful activities are the receipt of kickbacks in
connection with a federalhealth care program ,in violation ofTitle 42,U nited StatesCode,Section

1320a-7b(b)(1)(A),andconspiracy tocommithealth care fraud,in violation ofTitle 18,United
States Code,Section 1349.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 27 of 49

AllinviolationofTitle 18,United StatesCode,Section 1956(h).
C O UN TS 17-30
M oney Laundering

(18U.S.C.j1956(a)(1)(B)(i))
On oraboutthedatessetforth below,in M iami-DadeCounty,in the Southern Districtof
Florida,and elsewhere,thedefendants,
PH ILIP E SFO RM ES,
O DE TTE BA RC H A ,
and
A R N ALD O C A R M O U ZE,
did klzow ingly conduct and attem pt to conduct a financial transaction affecting interstate and

foreign commerce, which financial transaction involved the proceeds of specified unlawful
activity,knowing thattheproperty involved in thefinancialtransaction represented the proceeds
ofsome form ofunlawfulactivity,and knowing thatthetransaction wasdesigned,in whole and
inpart,to concealand disguisethenatlzre,thelocation,the source,theownership,and thecontrol
oftheproceedsofspecified unlaw fulactivity,as setforth below :

Count

17

D efendant

Approxim ate
Date of
Pa m ent

A pproxim ate
A m ount

Descri tion

PHILIP

Novem ber12,2011

$1,250

Diversified lnvestm entGroup

ESFO RM E S
and
A RN A LD O
CA R M O U ZE

18

PHILIP
E SFO RM E S

ofM iam i,lnc.Check #3001
m ade payable to E.M .

April2,2012

$11,988

FairHavensSNF check
//1464 from bank account
ending in x7170 deposited
into the Diversified M edical
G roup bank account

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 28 of 49

Approxim ate
Dateof
Pa m ent
A pril2, 2012

Approxim ate
Am ount

$28,382

Count
19

Defendant
PH ILIP
ESFO RM ES

20

PH ILIP
ESFORM ES

April2, 2012

PH ILIP
ESFORM ES

April2, 2012

PH IL IP
ESFORM ES
and
O DETTE
BA R CH A

June 5, 2012

PH IL IP
ESFORM ES
and
O DETTE
BA R CH A

A ugust1, 2012

$1,500

PH ILIP
ESFO RM ES

N ovem ber l2, 2013

$360,000

PH ILIP
ESFO RM ES

February 5, 2014

$500

21

22

23

24

25

$11,514

Descri tion
Check number23919 from
the OceansideExtended Care
SNF bank accountending in
x3409 deposited into the
Diversified M edicalGroup
bank account

Check number1255 from the
Harmony Health SNF bank
accountending in x0102
deposited into the Diversified
M edicalG rou bank aceount

$17,877

Check number17661from
TheNursing CenteratM ercy
bank aeeountending in x1238
deposited into the Diversified
M edicalGrou bank account

$3,500

Check num ber1065from
Preferred ProvidersGroup,
Inc. accountending in x4668
m ade payable to A .H .

28

Check num ber1219 from

Diversified M edicalGroup
accountending in x4668
m ade payable to A .H .

Check 2459 from bank

accountending in x2747 for
the purchase ofPH ILIP
ESFO R M ES'Greubel
Forse w atch

Check number1314 from

Preferred Providers G roup,
lnc.bank accountending in
x4668 madepayableto
Fem ale Com anion 1

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 29 of 49

Count

Defendant

A pproxim ate
D ate of
Pa m ent

26

PHILIP

M ay 6,2014

Approxim ate
Amount

$3,500

ESFO RM ES

27

PHILIP

lnc.check num ber 1356m ade
payableto BasketballCoach 1

July 8,2015

$75,000

ESFORM ES

28

PHILIP

PHILIP

Decem ber 1,2014

$18,000

PH ILIP

W ire from bank account
x8607 to lndividual 1to
provideabenefitforPH ILIP
E SFO R M ES'im m ediate
fam il m em ber

Odober29,2015

$25,000

ESFORM ES

30

M ahairlnvestm entsLLC
Check 1000 from bank
accountending inx3124 for
the purchase ofPH ILIP
E SFO R M ES'FerrariAperta

ESFO R M ES

29

Descri tion

Preferred ProvidersGroup,

Check 196 from bank account
ending in x5594 to SaksFifth
Avenueforthepurchaseof
clothing forPH ILIP
ESFORM ES

Febnzary 29,2016

$20,000

ESFO R M ES

Check 205from balzk account
x6212 to PH ILIP
ESFO RM ES'personal
assistant

is further alleged that the speeified unlawfulactivities are receipt of kickbacks in
connection with afederalhealthcareprogram ,in violationofTitle42,UnitedStatesCode,Section

1320a-7b(b)(1)(A),health carefraud,in violationofTitle 18,UnitedStatesCode,Section 1347,
and conspiracy to comm itwire fraud and health care fraud, in violation ofTitle 18,United States
Code,Section 1349.

lnviolationofTitle18,UnitedStatesCode,Sections1956(a)(1)(B)(i)and2.
COUNT 31
C onspiracy To C om m itFederalProgram Bribery

(18U.S.C.j371)
Paragraphs 1 through 33,39 and 42 through 44 ofthe GeneralA llegations section

ofthisSecond SupersedingIndictmentarere-allegedand incorporatedbyreferenceasthough fully
setforth herein.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 30 of 49

O n oraboutJuly 15,2014,and continuing through July 14,2015, in M iam i-D ade
County,in the Southern D istrictofFlorida,and elsewhere,the defendant,
PH IL IP E SFO R M ES,

didwillfully,thatis,withtheintenttofurthertheobjectoftheconspiracy,andknowinglycombine,
conspire,confederateandagreewithothersknownandunknowntothegrandjury,toviolateTitle
18,United StatesCode,Sedion666(a)(2),bygivingandofferingathingofvalue,towit:United
States currency,to an em ployee of AHCA,an ageney ofthe Florida State governm entwhich

received benefits in excess of$10,000 under one or more Federalprogram s involving grants,
contracts,subsidies,loans,guarantees,insurance and otherformsofFederalassistance in oneor
m ore one-year periods,to wit:payments in 2014 and 2015 from the Centers for M edicare &
M edicaid,acomponentoftheUnited StatesDepartm entofHealth and Hum an Services, intending
to influenceandreward AHCA Employee 1in connedionwith oneormoretransactionsand series

of transadions involving things of value of $5,000 or m ore,to wit:M edicaid and M edicare
reim bursem entpaym ents to the facilities enum erated in paragraph 19 ofthe G eneralA llegations.
Purpose ofthe C onspiracv

Itwasapurposeofthe conspiracy forPH ILIP ESFORM ES and his
co-conspiratorstounlawfullyenrichthem selvesby offering, paying,and solicitingbribestoobtain
patientcom plaintsand unannounced inspedion schedulesfrom AHCA .
M anner and M eans

The nnanner and naeans by which the defendants and their co-conspirators sought to
accomplishthepurposeofthe conspiracy included,amongothers, the follow ing:
PH ILIP ESFO RM ES,through A H CA Interm ediary 1, A H CA lntennediary 2,and
other co-conspirators, bribed A H CA Em ployee 1 for non-public schedules providing advance
notice ofunannouneed A H CA insped ions and patienteom plaintsatthe SN FS and A LFS.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 31 of 49

PHILIP ESFORM ES and his co-conspirators used these schedules of the
unannounced inspectionsand patientcomplaintsto evade detection by AHCA ofadm inistrative
violationswhich wouldlead tothetennination ofEsform esNetwork facilitiesfrom M edicare and
M edicaid.
OvertActs

ln furtheranceoftheconspiracy,andtoaccomplishitsobjectsandpurpose, atleastoneof
theco-conspiratorscomm ittedandcausedtobecomm itted inM iam i- DadeCounty,intheSouthenz
DistrictofFlorida,and elsewhere, atleastoneofthefollowing overtacts, am ong others:
On or about June 5, 2015, in the Southern District of Florida, PH ILIP
ESFORM ES tookpossession ofanAHCA inspection schedulefrom GabrielDelgadoin thecloset
ofhishom e.
2.

On or aboutJune 9, 2015,GabrielDelgado,purchased an AHCA unannounced

inspection from AHCA lnterm ediary 1, docum enting a patient complaint from patientB.K .at
PH ILIP E SFO R M E S'FairH avensSN F. B.K .inform ed AHCA that,among otherthings hedid
,

notreceive adequatephysicaltherapy servicesatFairHavensSNF.
PH ILIP ESFORM ES billed M edicare and M edicaid for senices purportedly
provided toB.K .athisFairHavensSNF between approximately July 2, 2014,untilM ay 26,2015.
Allin violation ofTitle 18, United StatesCode,Section 371.
CO UN T 32
O bstruction ofJustice

(18U.S.C.j 1503)
In oraround June 2015,in M iam i-Dade County, in the Southern DistrictofFlorida and
,
elsew here,the defendant,
PH ILIP ESFO R M ES,

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 32 of 49

did corruptly intluence,obstructand impede,and endeavorto influence,obstructand im pede,the

due administration ofjusticeby funding Guillermo Delgado'stlightfrom the United Statesto
avoid trialin United Statesv.Guillermo Delgado etal.,CaseNo.14-CR-20359-M a14inez.
In violation ofTitle 18,United StatesCode,Sections1503 and 2.
COUNT 33
O bstruction ofJustice

(18U.S.C.j1503)
In oraround June 2015,in M iam i-D ade C ounty,in the Southern D istrict of Florida,and
elsewhere,the defendant,
PH ILIP ESFO R M E S,
did corruptly intluence,obstructand im pede,and endeavorto intluence,obstructand im pede,the

due administration ofjustice by creating false affidavits forGuillermo and GabrielDelgado,
stating thatPH ILIP ESFO RM E S w asnotinvolved in the com m ission ofhealth care fraud,to be

used in the proceeding, United States v. Guillermo Delgado et al.,Case No. 14-CR-20359M artinez.
In violation ofTitle 18,U nited States Code,Sections 1503 and 2.
C O U NT 34
O bstruction ofJustice

(18U.S.C.j1503)
In oraround June 2016,in M iami-Dade County,in the Southern DistrictofFlorida,and
elsewhere,the defendant,
O D ETTE BA R C H A ,

did com zptly influence,obstructand im pede,and endeavorto intluence,obstructand im pede,the

dueadministrationofjusticebycreatingsham medicaldirectorcontractsforHospital1,toconceal
the fact that O D ETTE BAR C H A paid physicians kickbacks for referrals to H ospital 1, and

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 33 of 49

providing those sham m edical director contracts to the D epartm ent of Justice in response to a

Grand Jury subpoena.
lnviolation ofTitle 18,United StatesCode,Sections1503 and 2.
FORFEITURE ALLEGATIO NS

(18U.S.C.jj981and 982)
The allegations of this Second Superseding lndictm ent,including the General
Allegations section,are re-alleged and incorporated by reference asthough fully setforth herein

forthepurposeofalleging criminalforfeiture to theUnited StatesofAm ericaofcertain propel'ty
in which one or m ore of the defendants,PHILIP ESFORM ES,ODETTE BARCH A, and
A RN ALD O C AR M O U ZE ,have an interest.
U pon conviction ofa violation ofTitle 18,United StatesCode, Section 371,and/or
a violation of,ora conspiracy to violate, Title 18,United StatesCode,Section 666,Section 1035,

Section 1343,Section 1347,and/orTitle42,United StatesCode, Section 1320a-7b(b),asalleged
in thisSeeond Superseding Indid m ent, thedefendantso convided shallforfeittotheUnited States

ofAmerica,pursuantto Title 18,United States Code, Section 982(a)(7),any property,realor
personal,thatconstitutesorisderived,directly orindirectly, from grossproceeds traceable to the
commission ofsuch violation.
Upon convictionofaviolationof,oraconspiraeytoviolate, Title 18,U nited States

Code,Section 1956(a),as alleged in this Second Superseding lndictment,the defendant so
convicted shallforfeitto the United States ofA m eriea, pursuantto Title 18,United StatesCode,

Section 982(a)(1),anyproperty,realorpersonal,thatisinvolved in theoffense,orany property
traceable to such property.
4.

Upon convietion of a violation of Title 18, U nited States Code,Section 1503,as

alleged in this Second Superseding lndictm ent, the defendant so convicted shallforfeitto the

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 34 of 49

United States ofAm erica,pursuantto Title 18, United StatesCode,Section 98l(a)(l)(C),any
property,realorpersonal,thatconstitutesorisderived, directly orindirectly,from grossproceeds

traceable to the comm ission ofsuch violation.

The property which is subjectto forfeiture includes,butis notlimited to, the
following:

(a)

ForfeitureM onevJudcmentstC(MJ)''2A sum ofmoneyequalinvaluetothe

following,forwhichtheUnited Stateswillseek entryasaforfeituremoneyjudgmentagainstthe
defendants,jointlyandseverally,whereapplicable,aspartoftheirrespectivesentenceinthiscase:
(M J1) Theproperty,realorpersonal,thatconstitutesorisderived,directly
orindirectly,from grossproceedstraceable to the federalhealth care offenses, asdefined in Title

l8,United StatesCode,Section 24,asalleged in thisSecond Superseding lndictm ent;

(M J2) Theproperty,realorpersonal,thatwasinvolved in theviolations
of,orthe conspiracy to violate, Title 18,United StatesCode,Section 1956(a)(1)(B)(i),and/orthe

violation ofTitle 18,United StatesCode, Section 1957,as alleged in this Second Superseding
lndictment,orany propertytraceableto such property;and

(M J3) Theproperty,realorpersonal,thatconstitutesorisderived,directly
orindirectly,from grossproceedstraceabletotheviolation ofTitle 18, United StatesCode,Section
1503,asalleged in thisSecond Superseding Indictm ent.

(b)

RealPropertv (édR.
P''):Therealproperty,togetherwith allappurtenances,

im provem ents,fixtures,easem ents and attacbm ents, therein and/orthereon,which areknown and
num bered asfollow s:

(RP1) 5077N.BayRoad,M iamiBeach,Florida33140;
(RP2) 5069N.BayRoad,M iamiBeach,Florida33140;
(RP3) 980W .48th Street,M iamiBeach,Florida33140;
34

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 35 of 49

(RP4) 180E.PearsonUnit7201,Chicago,lllinois60611'
,
(RP5) 6894S.ClydeAvenue59,Chicago,lllinois60649;
(RP6) 9427SawyerStreet,LosAngeles,California90035;
(RP7) 5509th Street,M iamiBeach,FL 33139;
(RP8) 1225NE 135Street,NorthM iami,FL 33161;
(RP9) 9820N KendallDrive,M iami,FL 33176;
(RP10)201CurtissParkway,M iami,FL 33166;
(R.
P11)220SierraDrive,M iami,FL 33179,
.
(RP12)3671S.M iamiAvenue,M iami,FL 33l33.
,and
(RP13)17475SDixieHighway,M iami,FL 33157.
PersonalPropertv:

Barlk Accounts (ttBA''):Allprincipal,deposits,interest,dividends,and/or
any otheram ountscredited to the following:

(BA1)Accountnumber005487691516held atBank ofAmerica,N.A.in
the nam e of SherriBeth Esform esand Philip Esfonnes;

(BA2)Accountnumber898049003513held atBank ofAmerica,N.A.in
the nam e ofSherriBeth Esform es& Philip Esfonnes;

(BA3)Accountnumber003676209546heldatBankofAmerica,N.A.in
the nnm e ofPhilip Esform es& Julie Betancourt;

(BA4)Accountnumber003447083409held atBank ofAmerica,N.A.in
thename ofADM E DBA OeeansideExtended Care;

(BA5)Accountnumber5801046102heldatBank ofAmerica,N.A.in the
nam e ofA yintove AssociatesD BA H arm ony H ealth Center;

(BA6)Accountnumber8666087170held atBank ofAmerica,N.A.in the
35

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 36 of 49

nam eofFairHaven LLC;

(BA7)Accountnumber605575heldat1stEquityBank,N.A in thenam e
.

ofPhilip Esformes;

(BA8)Accountnumber102747heldat1stEquityBank,N.A.in thename
ofSherriEsfonnes,Jason Tennenbaum , orPhilip Esform es;

(BA9)Accountnumber311901heldat1stEquity Bank,N.A.inthename
ofSheniEsformesand Philip Esfonues;

(BA10)Accountnumber204735heldat1stEquityBank,N.A.inthename
ofPhilipEsfonneslnc.(C/O NonnanKnopt);
(BAI1)Accountnumber503456heldat1stEquityBank,N.A inthenam e
.

ofSherriEsformesandPhilipEsformes(SpecialAccountTaxEscrow);
(BA12)Accountnumber209882heldatlstEquityBank,N.A.inthename
ofPhilip Esform esInc.,
'

(BA13)Accountnumber312320heldat1stEquityBank,N.A in the nam e
.

ofPhilipEsfonnesInc.(PensionPlan andTrust);
(BA14)Accountnumber606212heldat1stEquityBank,N.A in thenam e
.

ofPhilip Esfonnes,SherriEsformes, AlvinNormanKnopf(FBO SheniandPhilipEsfonnes);

(BA15)Accountnumber454362heldat1stEquityBank,N.A in thenam e
.

ofPhilip EsformesInc.Pension Plan;

(BA16)Accountnumber507858heldat1stEquityBank, N .A .in thenam e
ofPhilip Esfonnes,JulieBetancourtCharity Account;

(BA17)Accountnumber505872heldat1stEquityBank,N A .in thenam e
.

ofPhilip Esformesand SherriEsfonnes;

(BA18)Accountnumberx606296heldat1stEquityBank,N.A.inthename

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 37 of 49

ofPhitip Esform es C/O A lvin N orm an Knopf;

(BAl9)Accountnumber5050265956heldatFirstMeritBank,N.A.inthe
nam e ofPhilip Esfonnes,lnc.,
'

(BA20)Accountnumber901021308783 held atFirstM eritBank,N.A.in
thename ofPhilip Esform esorAlvinN onnan Knopf;

(BA21)Aecountnumber1560024295heldatMB FinancialBank,N.A.in
the nam e ofPhilip Esform esorA lvin N K nopf;

(BA22)Accountnumber1560001283held atMB FinancialBank,N.A.in
thename ofSefardik DBA Nursing Home atM ercy, exceptasotherw ise accounted for atD E 41;

(BA23)Accountnumber1560025577heldatM B FinancialBank,N.A.in
the nam e ofPhilip Esform es,lnc.;

(BA24)Accountnumber1560024473heldatM B Financialinthenameof
Alvin Norm an KnopforPhilip EsfonnesC/O Alvin Norman Knopf;

(BA25)Accountnumber0002412024heldatThePrivateBank,N.A.inthe
nameofAlmoveaAssociates(DBA North DadeNursingandRehabCenter)-DepositAceount;
(BA26)Accountnumber0002413948heldatThePrivateBank,N.A.inthe
nameofAlmoveaAssoeiates(DBA NorthDadeNursingandRehabCenter)-OperatingAccount;
(BA27)Accountnumber0002369785heldatThePrivateBank,N.A.inthe
nam e ofA dirhu A ssociatesLLC;

(BA28)Accountnumber0002369727heldatThePrivateBank,N.A.inthe
nam e ofK abirhu A ssociatesLLC -D aisa Account;

(BA29)Accountnumber0002369777heldatThePrivateBank,N.A.inthe
nam e ofK abirhu A ssociates,LLC;

(BA30)Accountnumber0002369735heldatThePrivateBarlk,N.A.inthe
37

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 38 of 49

nam e ofTakithu A ssociatesLLC,Gram ercy Park N ursing Center-D aisa A ccount;

(BA31)Accountnumber0002369793heldatThePrivateBank,N.A.inthe
nam e ofTakithu A ssociatesLLC,Gram ercy Park N ursing Center;

(BA32)Accountnumber 11001l129 held atOptimum Barlk,N.A.in the
nameofKabirhu AssociatesLLC DBA Golden GladesNursing & Rehabilitation Center;

(BA33)Accountnumber l10012135 held atOptimum Bank,N.A.in the
nam e ofK abirhu A ssociates LLC D BA Golden G ladesN ursing & Rehabilitation Center;

(BA34)Accountnumber110011137 held atOptimum Bank,N.A.in the
nnm e ofTakithu AssociatesLLC DBA South D ade N ursing & Rehabilitation Center;

(BA35)Accountnumber110012143 held atOptimum Bank,N.A.in the
nam e ofTakithu A ssociates LLC D BA South D ade N ursing & Rehabilitation Center;

(BA36)Accountnumber110011145held atOptimum Bank,N.A.in the
nam e ofAdirhu A ssociates LLC C/O Donna Prieto;

(BA37)Accountnumber16021230heldatNationalSecuritiesBank,N.A.
in the nam e ofPhilip EsfonnesInc.Pension X 1230;

(BA38)AccountnumberNAV-036112heldatinNationalSecuritiesBank,
N .A.thenam eofSherriEsform esX6112;and

(BA39)AccountnumberNAV-008990 held atNationalSecuritiesBank,
N .A .in the nam e ofPhilip Esform esX 8990.

Businesslnterestsû1(Bl)'':Allequityinterestheldbyoron behalfoforfor
the benetitofPhilip Esform es in the follow ing corporationsand entities.

(Bl1)ADM E lnvestmentPartnersLTD dbaOceansideExtendedCare;
(Bl2)AlmoveaAssociatesLLC dbaNorthDadeNursingandRehabilitation
38

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 39 of 49

Center;

(Bl3)AyintoveAssociatesLLC dbaHannonyHealth Center;
(BI4)CourtyardManorRetirementLiving,lnc.;
(BI5)Eden GardensLLC;
(Bl6)FairHavensHoldingLLC/FairHavensCenterLLC;
(Bl7)Flamingo Park ManorLLC/TIAePointe;
(BI8)LakeErswinLLC dbaSouthHialeahM anor/lnteramerican;
(Bl9) Kabirhu Associates LLC dba Golden Glades Nursing and
Rehabilitation Center'
,

(Bl10)LauderhillM anorLLC;
(BI11)LaSerenaRetirementLivingLLC/LaHaciendaGardens/Rainbow

.

(BI12)SefardikAssociatesLLC dbaTheNursingCenteratMercy;and

(BI13)TakifhuAssociatesLLC dbaSouthDadeNursingandRehabilitation
Center.

(d)

M iscellaneousPersonaleffectsé:(M )'':
(M 1) One(1)GreubelForsey Techniquetimepiece(ALDC No.14);and
(M 2) One(1)redHennesBirkinpursefrom GoldenAgeJewelry

.

SubstituteProperty:lfany oftheproperty described above in paragraphs2
through 5 of these Forfeiture A llegations, including subparagraphs,as a result of any act or

omission ofadefendant:

(1)

cannotbelocatedupontheexerciseofduediligence'
,
hasbeen transferred orsold to,ordeposited with, athird party;

hasbeenplacedbeyondthejurisdictionofthecourt;
hasbeen substantially dim inished in value;or
39

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 40 of 49

(5)

hasbeen eommingledwithotherpropertywhiehcannotbedivided

withoutdifticulty,theUnited StatesofAmericashallbeentitledto crim inalforfeitureofany other
property ofthe defendants,ptlrsuantto Title 21,United States Code, Section 853(p),up to the

valueofthepropertydescribedaboveinsubparagraphs(1)through(5),asapplicable.

The property which is subjectto criminalforfeiture as substitute property includes,butisnot
lim itedto,thefollowing'
.

SubstitutePersonalPropertv i1(SPP)'':

(SPPI)One(1)1968SilverFordIVIN 8R02S116990);and
(SPPZ)One(1)2014 BlackPiaggio IVIN ZA13:14591-,0E5802248).
Substitute Real Property dû(SItP)'': The real property, together with al1
appurtenances, im provem ents and attachm ents, therein and/or thereon,which are known and
num bered asfollow s:

(SRP1)240,250and260East5Street,Hialeah,Florida33010;
(SRP2)1595NE 145Street,M iami,Florida33161)

(SRP3)3051E.4Avenue,Hialeah,Florida33010)
(51* 4)59 E 7 Street,67 E.7 Streetand 75 E.7 Street,Hialeah,Florida
33010,

(SRP5)l30 W .28Street,140 W .28 Street,150 W .28 Street,160 W .28
Street,141 W .27 Street,H ialeah, Florida 33010'
,

(SRP6)1221W .DixieHighway,M iami,Florida33161.
Allpursuantto Title 18,United StatesCode, Sections982(a)(l)and(a)(7),Titlel8,United

StatesCode,Section 981(a)(1)(C),andtheproceduressetforth atTitle 21, United States Code,
Section 853,asm adeapplicable by Title 18, United StatesCode,Section 982419 and byTitle28,

United StatesCode,Section2461(c).
40

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 41 of 49

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 UNITED STATES DISTRICT COURT

Case 1:16-cr-20549-JAL Document
200 Entered
on FL
FLSD
SO UTHERN
DISTRICT OF
ORIDADocket 02/15/2017 Page 42 of 49
UNITED STATESOFAM ERICA

CASE NO.

16-CR-20549rLENARDXs)(s1

VS.

CERTIFICATE OFTRIALATTORNEY'
PHILIP ESFORM ES,etaI.

Defendants.

/

SupersedingCase lnform ation:

CourtDivision:(sel
ectone)
X

M iam i
FTL

New Defendantts)

Key W est
W PB

FTP

Num berofNew Defendants
Totalnum berofcounts

Yes

No

X

0
34

Ido herebycertifythat:

lhave carefully considered the allegations ofthe indictment, the num berofdefendants, the num berof

probablewitnessesandthe IegalcomplexitiesoftheIndictment/lnformation attached hereto.

Iam awarethatthe informationsuppliedonthisstatementwillberelied upon bytheJudgesofthisCourtin
s
ting theircalendars and scheduling crim inaltrials underthe m andate ofthe Speedy TrialAct Title 28
Uet
,
.S.
C.Section 3161.
3.

Thiscasewilltake
5.

Yes
Spanish

Interpreter: (YesorNo)
Listlanguageand/ordialect
15

daysforthepartiestotry.

Please check appropriate category and type ofoffense Iisted below:
(Checkonlyone)

0 to 5 days
6 to 10 days
11to 20 days
21to60 days
61daysand over

6.

Ifyes:
JAudge:

Petty
M inor
M isdem .

X

Felony

HasthiscasebeenpreviouslyfiledinthisDistrictCourt? (YesorNo)
LENARDIS)

(YesorNo)

Ifyes:
M agistrate Case No.
Related M iscellaneousnum bers:
Rule 20 from the

YES

CaseNo. 16-CR-20549

(ttachcopyofdispositiveorder)
Hasa complaintbeenfiled inthismatter?

Defendantls)infederalcustodyasof
Defendantts)instatecustodyasof

N

-

No

PHILIPESFORM S,0122 16
Dlstrlcto

Isthisapotentialdeath penaltycase?(YesorNo)

. -

N- O-

Doe
O sthiscase originatefrom a m atterpendinginthe Northern Regionofthe U.S.Attorney'sOffice priorto
ctober14,2003?
Yes
X
No
8.

Does this case ori
ginate from a m atter pending in the CentralRegion ofthe U.S.Attorney'sOffice pri
S
orto
eptember1,2007?
Yes
X
No

ELI ABETH YOUNG
DOJTRI
A LAU O
CourtNo.A5 858

*penaltySheetts)attached

wA N

REV4/8/08

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 43 of 49

U NITED STAT ES D IST RIC T CO UR T
SO UTH ER N D IST RIC T O F FL O R ID A
PEN A LTY SH EET
D efendant's Nam e:

PH ILIP E SFO RM ES

CaseNo:

16-CR-20549-LENARD(s)(s)

Count#:
Conspiracy to Com m itH ea1th Care Fraud and W ire Fraud
Title 18.United States Code.Section 1349

*M ax Penaltv:

Twentv (20)vears'imprisonm ent.

Counts #: 2 -3
Health Care Fraud

Title l8.United StatesCode.Section l347

WM ax Penaltv:

Ten (10)vears'imprisonm entasto each count.

Count#: 6

Conspiracy to Defraud theUnited Statesand Pav and ReceiveHealth Care Kickbacks
Title l8.United StatesCodesSection 371

*M ax Penaltv:

Five(5)years'imprisonm ent.

Counts#: 8 -9

ReceiptofKickbacksin Connection with aFederalHea1th CareProgram

Title42sUnited StatesCodesSection 1320a-7b(b1(1)(A)
*M ax Penalty'
.

Five(5)years'imprisonmentasto each count.

*Refers only to possible term ofincarceration,doesnotinclude possible fines,restitution,
specialassessm ents,parole term s,or forfeitures thatm ay be applicable.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 44 of 49

UN ITED STA TES D ISTR ICT C O U R T
SOUTHERN DISTRICT OF FLORIDA
PEN ALTY SH EET

Defendant'sNam e:

PH ILIP ESFO RM ES

C ase No:

16-C R-20549-LFNARm s)(s)
.

Counts#: 10 - 15

PaymentofKickbacksin Colm ection with aFederalHea1th CareProgram

-

-

Title42eUnited StatesCode,Sedion 1320a-7b(bX2à(A)
*M ax Penaltv:

Five(5)vears'imprisonm entasto each count
.

Count#: 16
Conspiracv to CommitM oney Launderinc

Title 18.United StatesCode.Sedion 1956414)
*M ax Penaltv:

Twentv (20)vears'im prisonm ent.

Counts#:17 - 30
M onev Launderinc

Title 18.United StatesCode.Section 1956(a)(1)(B)(i)
*M ax Penaltv:

Twentv (20)vears'imprisonmentastoeach count.

Counts#: 31
Conspiracvto Comm itFederalProuram Briberv
Title 18.United StatesCode-Section 37l

#rM ax Penaltv:

Five (5)vears'imprisonm ent.

*Refers only to possible term ofincarceration,does notinclude possible fines,restitution,
specialassessm ents,parole term s,or forfeituresthatm ay be applicable.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 45 of 49

UNITED STATES DISTRICT COURT
SO UTHERN DISTRICT OF FLORIDA
PEN A LTY SHEET
D efendant'sN am e:

PH ILIP ESFO R M E S

Case No:

16-CR -20549-LENA R D(s)ts)
-

-

Count#:

18U.S.C.6371
Conspiracy to Com m itFederalProgram Briberv

WM ax Penaltv:

Five (5)vears'imprisomnent.

Counts #: 32 - 33

Obstruction ofJustice
Title 18sUnited StatesCode. Section 1503

*M ax Penaltv:

Ten (10)vears'imprisomnentasto each count
.

*R efersonly to possible term ofincarceration, does notinclude possible fines,restitution
,
specialassessm ents,parole term s,or forfeitures thatm ay be applicable.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 46 of 49

UNITED STATES DISTRICT CO URT
SOUTHERN DISTRICT O F FLO RIDA
PEN A LTY SH EET
D efendant'sN am e:

O DET TE BAR C H A

CaseNo:

16-CR-20549-LENARD(s)(s)

Count#:
Conspiracv to Com mitHea1th CareFraud and W ireFraud
Title 18.U nited StatesCode.Section 1349

SrM ax Penaltv:

Twentv (20àvears'im prisonm ent.

Count#: 6

Conspiracy to Defraud theUnited Statesand Pav and Receive Hea1th CareKickbacks
Title 18.United StatesCode.Section 371

*M ax Penaltv:

Five (5)years'im prisonm ent.

Counts#: 14 -15
Pavm entofK ickbacks in Connection w ith a FederalH ealth Care Procram

Title42.United StatesCode.Section 1320a-7b(b)(2)(A)
*M ax Penaltv:

Five(51years'im prisonmentasto each count.

Count#:

Conspiracy to Com mitM oneyLaunderinc

Title 18-United StatesCode.Section 1956th)
frM ax Penaltv:

Twentv(201vears'imprisonm ent.

*R efers only to possible term ofincarceration, does notinclude possible fines,restitution,
specialassessm ents,parole term s,or forfeituresthatm ay be applicable.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 47 of 49

UNITED STATES DISTRICT COURT
SO U TH ER N DISTR IC T O F FLO R ID A
PEN A LTY SHEET

Defendant'sNam e:

ODETTE BARCHA

CaseNo:

16-CR-20549-LENARD(s)(s)

-

-

-

-

Counts#: 22 -23
M onev Launderinc
Title 18.United States Code. Section 1956(a)(1)(B)(i1

*M axPenaltv:

Twentv (20)vears'imprisomnentasto each count.

Count#:
Obstnzction ofJustice
Title 18sUnited StatesCode. Section 1503

*M ax Penaltv:

Ten (10)years'imprisonm enl
.

*R efers only to possible term ofincarceration, doesnotinclude possible fines
tution,
, resti
specialassessm ents!parole term s, or forfeituresthatm ay be applicable.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 48 of 49

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT O F FLO RIDA
PEN A LTY SH EET

Defendant'sNam e:

ARNALDO CARM OUZE

CaseNo:

16-CR - 20549-LENARD(s)(s)

Count#:
Conspiracy to Com mitHea1th Care Fraud and W ire Fraud
Title 18.United StatesCodes Section 1349
*M ax Penaltv:
-

Twentv (20)vears'imprisonm ent.

Counts#:

Health CareFraud
Title 18,United StatesCodee Section l347

*M ax Penaltv:

Ten (10àvears'imprisonmentasto each count.
-

-

Counts#: 4 - 5

FalseStatem entsRelatin: to Health CareM atters
Title 18-United StatesCode. Section 1035(a)(7)
'

âM ax Penalw :

Five(5)vears'im prisonm entasto each count.

Count#: 6

Conspiracv to Defraud theUnited Statesand Pa
y and Receive Hea1th CareKickbacks
Title 18.United StatesCode. Section 371

*M ax Penalw :

Five(5)vears'imorisonment

.

-

*R efersonly to possible term ofincarcerati does notinclude possible fines
specialassessm ents,parole term s,or forfeiton,
,restitution,
ures thatm ay be applicabl
e.

 Case 1:16-cr-20549-JAL Document 200 Entered on FLSD Docket 02/15/2017 Page 49 of 49

UNITED STATES DISTRICT CO URT
SO UTH ERN DISTRICT O F FLORIDA
PENALTY SHEET
Defendant'sNam e:

ARNALDO CARM OUZE

CaseNo:

16-CR-20549- LENARD(s)(s)

Count#:

ReceiptofKickbacksin Connection with arederalHealth Care Procram
Title42.United StatesCode. Section 1320a-7b(b)(l)(A)

*NfaxPenalty:

Five(5)years'imprisonment
.

Count#: 16

Conspiracyto Comm itM oney Laundering
Title 18.United StatesCode. Section 19564h)

WM axPenalhr:

Twentv(20)vears'imprisonment
.

Count#:

M onev Launderinc
Title 18,United StatesCode. Sedion 1966(a)(1)(B)(i)

WM ax Penaltv:

Twentv (20)vears'imprisppm ent
.

*Refers only to possible term ofincarceration does notinclude possible fines
,
specialassessm
ution,
, restit
ents,parole term s,orforfeituresthatm ay beapplicable.