Qase Document 430 Filed 02/15/17 Page 1 of 7 PagelD 14656 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION THE UNITED STATES OF AMERICA and THE STATE OF FLORIDA ex rel. ANGELA RUCKH, Plaintiffs, v. CASE NO. CMC II, LLC, et a1. Defendants. VERDICT Part (A) Claims A1. The federal and Florida Part (A) Claims. Did the defendant listed below knowingly present, or cause the presentation of, a false or fraudulent claim either to Medicare or Medicaid or to an agent of either? Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Yes 1 No Salus Rehabilitation, LLC . d/ b/ a LaVie Rehab Yes No Verdict? Page 1 of 7 Case Document 430 Filed 02/15/17 Page 2 of 7 PageID 14657 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Yes 1 No 803 Oak Street Operations, LLC d/ b/ a Govemor?s Creek Health and Rehabilitation Center Yes 51 No If you answered ?No? under A1 as to every defendant, do not answer the next two questions but proceed instead to ?Part (B) Liability.? If you answered ?Yes? under A1 as to any defendant, answer the next two questions. A2. Part (A) Number of False Claims. For each defendant with respect to which you answered ?Yes? in A1, state the total number of false or fraudulent demands for payment submitted or caused to be submitted to each of the following programs by that defendant: Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: I L5 Medicaid: Salus Rehabilitation, LLC d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Medicare: I Medicaid: 0 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Medicare: Elf Medicaid: (22 Verdict Page 2 of 7 Case Document 430 Filed 02/15/17 Page 3 of 7 PageID 14658 A3. Part (A) Damages. For each defendant with respect to which you answered ?Yes? in Al and to which you assigned a number in A2, state the total damages incurred by each of the following programs as a result of the false or fraudulent demands for payment made or caused by that defendant: Sea Crest Health Care Management d/b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: $11,133,390 Medicaid: Salus Rehabilitation, LLC . d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Medicare: 03 Medicaid: 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Medicare: 3,352, 2? Medicaid: Part (B) Claims B1. The federal and Florida Part (B) Claims. Did the defendant listed below knowingly make, use, or cause to be made or used, a false or fraudulent record or statement that was material to a false or fraudulent claim submitted to Medicare or Medicaid or an agent of either? Sea Crest Health Care Management d/b/ a LaVie Management Services of Florida and its successor CMC II, LLC Yes No Salus Rehabilitation, LLC d/b/ a LaVie Rehab Yes No Verdict Page 3 of 7 Case Document 430 Filed 02/15/17 Page 4 of 7 PageID 14659 207 Marshall Drive Operations, LLC d/ b/ a Marshall Health and Rehabilitation Center Yes No 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Yes 1 No If you answered ?No? under B1 as to even defendant, do not answer the next two questions but proceed instead to ?Part (G) Liability.? If you answered ?Yes? under B1 as to any defendant, answer the next two questions. B2. Part (B) Number of False Records and Statements. For each defendant with respect to which you answered ?Yes? to B1, state the total number of false or fraudulent records or statements material to claims made or caused to be made by that defendant to each of the following programs: Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: ?0 Medicaid: 2L2 Salus Rehabilitation, LLC d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Medicare: '3 Medicaid: 803 Oak Street Operations, LLC d/b/ a Governor?s Creek Health and Rehabilitation Center Medicare: Lb Medicaid: 0 8:1 Verdict Page 4 of 7 Case Document 430 Filed 02/15/17 Page 5 of 7 PageID 14660 B3. Part (B) Damages. For each defendant with respect to which you answered ?Yes?in B1 and to which you assigned a number in B2, state the total damages incurred by each of the following programs as a result of the false or fraudulent records or statements made or caused by that defendant: Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: 33L Medicaid: Salus Rehabilitation, LLC d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Medicare: Medicaid: 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Medicare: :5 (D Medicaid: Part (G) Claims G1. The federal and Florida Part (G) Claims. Did the defendant listed below knowingly make, use, or cause to be made or used, a false or fraudulent record or statement that was material to an obligation to pay, repay, or transmit money or property to Medicare or Medicaid or an agent of either? Sea Crest Health Care Management d/b/ a LaVie Management Services of Florida and its successor CMC II, LLC Yes 51 No Salus Rehabilitation, LLC d/b/ a LaVie Rehab Yes No 2 8: 1 Verdict Page 5 of 7 Case Document 430 Filed 02/15/17 Page 6 of 7 PageID 14661 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Yes No 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Yes 1 No If you answered ?No? under G1 as to eveg defendant, do not answer the next two questions but proceed instead to sign and date the verdict form. If you answered ?Yes? under G1 as to defendant, answer the next two questions and then proceed to sign and date the verdict form. G2. Part (G) Number of False Records and Statements. For each defendant with respect to which you answered ?Yes? in G1, state the number of false or fraudulent records or statements material to obligations to pay, repay, or transmit money or property made or caused by that defendant to each of the following programs: Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: 1 Medicaid: Salus Rehabilitation, LLC d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/ b/ a Marshall Health and Rehabilitation Center Medicare: L3 Medicaid: 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Medicare: Medicaid: 8: 1 Verdict Page 6 of 7 7 Case Document 430 Filed 02/15/17 Page 7 of 7 PageID 14662 G3. Part (G) Damages. For each defendant with respect to which you answered ?Yes? in G1 and to which you assigned a number in G2, state the total damages incurred by each of the following programs as a result of the false or fraudulent records or statements made or caused by that defendant: Sea Crest Health Care Management d/ b/ a LaVie Management Services of Florida and its successor CMC II, LLC Medicare: :5 Medicaid: Salus Rehabilitation, LLC d/b/ a LaVie Rehab Medicare: 207 Marshall Drive Operations, LLC d/b/ a Marshall Health and Rehabilitation Center Medicare: 33 Medicaid: 35 (D 803 Oak Street Operations, LLC d/b/ a Govemor?s Creek Health and Rehabilitation Center Medicare: Medicaid: ESL SO SAY WE ALL. I Foreperson Dated: ML, 2017 Verdict Page 7 of 7