Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 1 of 32

UN ITED STA TES D ISTR ICT C O U R T
SO U TH E RN D ISTR ICT O F FLO R IDA

CaseNo. tK-8O$ll-c c- qaqenYee,/ 2e(nVG<*
18U.S.C.j1349
18U.S.C.j 1347
18U.S.C.1 1952
18U.S.C.1 1956(h)
18U.S.C.5 1956(a)(1)(B)(i)
18U.S.C.j981(a)(1)
28U.S.C.j2461
FILED BY SD

UN ITED STA TE S O F A M ER IC A

D.C.

JUN 27 2213

V S.

STE
C VEN M . LAFIIMCIAE
LEBK U.s.:)6sT cT.
s o.oFFuA. - w f
qB.

ERIC SN YD ER ,
PAU L R .M A TERIA ,
JO SEPH LU BO W ITZ,and
C H RISTO PH ER FUL LER ,
D efendants.

IN D IC TM EN T

The Grand Jury chargesthat:
G EN ER A T,A LLE G A TIO N S
Ata1ltim es m aterialto thislndictm ent:
FederalG uidelines for Substance A buse Treatm ent

TheU.S.Departm entofHea1th andHum an Services,SubstanceAbuseandM ental

Health ServicesAdministration,CenterforSubstance AbuseTreatment(''SAMHSA'')wastasked
with establishing and im plem enting a com prehensive program to im prove the provision of
treatm ent and related services to individuals with respect to substance abuse and w ith protecting

thelegalrightsofindividualswhoweresubstance abusers. 42U.S.C.j290aa.

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 2 of 32

ççsubstance abuse''w as defined asttthe abuse ofalcoholor otherdrugs.''42 U .S.C .

j290cc-34(4). çt-rreatment''meantçûthemanagementandcareofapatientsuffering from alcohol
ordrug abuse,a condition which isidentified ashaving been caused by thatabuse,orboth,in order

toreduceoreliminatetheadverseeffectsuponthepatient.'' 42C.F.R.j 2.11.
In addition to substance abuse treatm ent program s, SA M H SA prom ulgated
guidelines fortEsoberhom es.'' Soberhom es were living facilitieswhere clientslived together in a
drug-free and alcohol-free environm ent w hile w orking to m aintain sobriety. Sober hom es
generally did notprovide m edical care or clinicalservices to their residents;such services were
provided ata substance abuse treatm entcenter. Clientsatsoberhom es were expected to pay their
own rentand utilities,allow ing the soberhom es to recover theircosts. W hen properly m anaged,
soberhom esoperated as alcoholand drug free residentialenvironm ents forindividuals attem pting
to abstain from alcoholand drugs.

4.

Substance abuse treatm entcenters provided services,such as individualor group

therapy sessions,to assist clients in overcom ing their addictions. There w ere varying levels of

treatment provided,including PartialHospitalization Programs (ttPHP''), lntensive Outpatient
Programs(EEIOP'') andOutpatientPrograms(ç6OP). PHPS,IOPs,orOPscouldbebilledtohealth
care benefit program s w hen they w ere m edically necessary and provided by, or overseen by,
licensed m edicalprofessionals.
Pursuantto SA M H SA G uidelines, PH PS were fonnal substance abuse treatm ent
program s thatw ere provided to clients w ith m ild to m oderate sym ptom s ofw ithdrawalthatw ere
notlikely to be severe or life threatening and thatdid notrequire 24 hourm edicalsupport. PH PS
w ere considered a tçstep dow n''from an inpatient detoxification program for patients w ith m ore
severe and m edically acute w ithdraw al sym ptom s. Clients attending PHPS w ere supposed to
2

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participate in 30 orm ore hours oftreatm entper week,often provided in at leastsix hour-long
sessionsperday,forfive daysa w eek. Clients who successfully com pleted a PHP program w ould
transition to IO P.
According to SA M H SA 'SG uidelines,lO Psw ere form alsubstance abuse treatm ent

program s that adhered to a set of fonnalguidelines. lOPs had to be overseen by a qualified
professional. Clientshad to receive a thorough evaluation to detenuine the severity and stage of

theirillness,includingmedicaland mentaldisorders. Qualitied medicalpersonnelwereto assign
clients to a fonnaltreatm entplan. The lOP w as accountable for the treatm entor referralof the
clientto additionalselwicesasnecessary. The lO P w asobligated to m aintain contactwith theclient

untilrecovery wascompleted. SAM HSA 'SGuidelinesrecom m ended thatlOPsprovided atleast
nine hoursoftreatm entperw eek,typically in three,3-hoursessions. A dditionally,clientsatlO Ps
w ere also supposed to attend atleastone 30-60 m inute individualcounseling session perweek.
Pursuantto SAM H SA 'SGuidelines,O Ps,also known asEçaftercare''orttcontinuing

care,''were traditional outpatient treatm ents that followed residential or intensive outpatient

treatment(ççlOP''). This type oftreatmentwasgenerally associated with mutualhelp support

groups such as the lz-step programs used by Alcoholics Anonymous (ççAA'') and Narcotics
Anonymous(66NA'')
Substance Abuse Treatm entin Florida

8.

Substanceabuseserdcesin Floridaweregoverned bytheçtllalS.M archman Alcohol

and OtherDnlg ServicesAct''(ççtheM archman Act''),Fl.Stat.j 397.301. UndertheM archman
A ct,private substance abuse selwice providers' policies regarding paym ent for services had to

complywith federaland statelaw. Fl.Stat.j397.431.

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 4 of 32

The çdFlorida Patient Brokering Act,''made it a felony offense for any person,
health care provider,or health care facility, including any state licensed substance abuse service

provider,to:tt(a)Offerorpay any commission,bonus,rebate,kickback,or bribe,directly or
indirectly,in cash or in kind,orengage in any split-fee arrangem ent, in any form whatsoever ,to
induce the referralofpatientsreferralofpatients orpatronage to or from a health care provider or

healthcarefacility'
,(b)Solicitorreceiveanycommission,bonus,rebate,kickback,orbribe,directly
orindirectly,in cash orin kind,orengage in any split-fee arrangem ent, in any fonu whatsoever,in
return forreferring patients orpatronage to orfrom a health careprovider orhealth care facility'
,(
c)

Solicitorreceive any comm ission,bonus,rebate,kickback, or bribe,directly orindirectly,in cash
or in kind, or engage in any split-fee arrangem ent, in any form whatsoever,in I'
eturn for the
acceptance or acknow ledgem entoftreatm entfrom a health care provider orhealth care facility;or

(d)Aid,abet,advise,or otherwise participate in the conductprohibited underparagraph (a),

paragraph (b),orparagraph(c).'' Fla.Stat.j817.505.
Florida 1aw also provided that it was çça material om ission and insurance
fraud ...for any service provider,otherthan a hospital, to engage in a generalbusiness practice
ofbilling am ounts asits usualand custom ary charge,ifsuch provider hasagreed with the insured
orintendsto w aive deductibles orcopaym ents, or does not for any other reason intend to collect

the totalamountofsuchcharge.'' Fla.Stat.j8l7.234(7)(a).
Pavm entfor Residinz atSober H om es
11.

U nlike substance abuse treatm ent centers, sober hom es generally did not provide

m edical care or clinical services thatcould be reim bursed by health insurance. W hile there w ere
federaland state guidelines,soberhom esw ere notlicensed orfunded by state orlocalgovenunents.

Since soberhom esw ere ostensibly placesto live,legitim ate soberhom es generated incom ethrough
4

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the colledion ofweekly ormonthly rentpaid by theirresidents,justaswith any landlord-tenant
relationship.
Pavm entfor Substance A buse Treatm ent

12.

lnsurancecoverageforsubstance abusetreatm entand testing w asavailabletk ough

anumberofavenues,including federalhealth carebenetitsprogram slikethe FederalEm ployees

HealthBenefitsProgram (CCFEHBP''),healthplanssponsoredbyemployers(includingtheNational
RailroadPassengerCorporation g''Amtrak'')employeehealth carebenefitplans),andhealth plans
offered directly by private insurance com panies. H ealth plans sponsored by private em ployers

weregovernedby the Employee RetirementIncomeSecurity Actof1974 (:fERISA''),29 U.S.C.
jj1001,g1.seq.,whilethosesponsoredby governmentemployerand certainothersareexempted

from ElklsA'sjurisdiction.
13.

Both ERISA and nOIA-ERISA health benetitplans,including Affordable CareAct

plans,were offered oradm inistered by private insurance com panies.

AetnaHealthM anagementLLC andAetnaLifeInsuranceforM embers(t'Aetna'');
Blue Cross/Blue Shield '
(:CBCBS''I'
5 Cigna Healthcare (ûtCig'
.
na'')'
)Humana lnc (t6Humana'')'
.

MedicalofOhio(çtMedM utual''l;United Hea1th Group,lnc.(t:United''); AdventistHealth Care
Claim s'
, Allegiant'
, Ceridian C OBRA Continuation Services; Conw ay Regional Health System '
,
Coresource; Healthsm art Benefit Solutions; Horizon Bluecross/Blue Shield of N ew Jersey;
lntem ationalO rganization of M asters'
,M ates & Pilots'
,K aiser Pennanente;M agnacare;N ational

A ssociation ofLetterCarriersH ealth BenefitPlan;O ld Dom inion lnsurance Co.;Preferred M edical
Claim Solutions;Tufts H ealth Plan;Unicare Life & Health Ins. Co.;V alue Options,FEH BP;and

A m trak H ea1th BenefitPlan w ere health insm anceprovidersdoing business in the State ofFlorida.

5

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The health insurance providers described above in paragraphs 12 through 14

(collectivelyreferredtohereinaherasççthelnsurancePlans'')wereGçhealth carebenefitprograms,''
as defined in Title 18,United States Code,Section 24(b),thatis tû
public orprivate plans or
contracts,affecting com m erce,underw hich any m edicalbenefit,item orservice isprovided to any
individual.''
16.

Underthe term softhe insurancepoliciesand consistentwith stateand federallaw,

thelnsurancePlanswereonlyresponsibleforclailnsforselwicesthat:(a)werelnedicallynecessary

andactuallyrendered,(b)wereprovidedbyaproperlylicensedserviceprovider,and(c)complied
w ith the term softhehealth careplans,including theobligation to pay co-insurance and deductibles.
Bodilv Fluid Testine

Bodily fluid testing could be used to detectrecentdrug oralcoholuse by a clientby
conducting varioustests on a client'surine,blood,and saliva.

18.

Toaidintheprocessingandadjudicationofclaims,healthcarebenetitsprograms

used standardized codes to describe clients'diagnoses,tests,treatm ents,and procedures for which
health care providers soughtpaym entand reim bursem ent.The proceduralcodesused by substance
abuse treatm entcentersto billhealth care benefitsprogram s forthese item s included:
C PT CO DE C urrentProceduralTerm inolo
H 0015
140035
140048

80101
80152

ProceduralC ode D escription
Code

lOP - Intensive OutpatientProgram
D rug and A lcohol
PH P - PartialH ospitalization Program
Dru and Alcohol
D rug and A lcoholTesting

Drug Screen-Qualitative'
,
Sin le D ru Class M ethod
D nlg Test- A m itripylineam

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C PT C O D E C urrentProceduralTerm inolo
80160

19.

ProceduralC ode D escription
C ode

Drug Test-Desipram ine

80166

Drug Test- Doxepin

80174

D rug Test- lm ipram ine

80182

Drug Test- N ortriptyline

82055

A lcoholTesting - N o Breath

82542

M ass Spectrom etry - Colum n Chrom atography

82646

Dl'ug Test- Dihydrocodeinone

82649

Drug Test-Dihydromorphinone

83925

Dnlg Test-O piates

90853

Group Psychotherapy

Likeothermedicaltests,bodily fluid testing couldbebilledandreimbursedpursuant

to the tenns of the insurance policy. The lnsurance Plans w ere only responsible for claim s for
testing thatwasçtm edically necessaly ''actually perform ed, prescribed,and conducted by aproperly
licensed service provider,and conducted and billed in com pliancew ith the term softhe health care
plan,including the obligation to payco-insurance.

20.

Urine AnalysisorUrinalysis(tçUA'')testingranged in complexity from screening

tests- also known aspointofcare (ççPOC'')testing- which provided instantresults and was
relatively sim ple and inexpensive,to confirm atory testing, which w as sentto a laboratory form ore

com plex analysisand w assubstantially m ore expensive. Laboratoriescould also conductcom plex
analysis on blood and saliva sam ples.

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21.

PointofCare(çTOC'')urinetestinginvolved collectingaclient'surinein aspecific

cup designed fortesting.The specimen wasanalyzed using a colorbanded ornumbered dipstick,
allowingforvisualpositiveornegative results. POC urinetesting usually tested forthepresence

ofnineto thirteen specifictypesofdrugs. POC teststypically costbetween $5 and $10 and could
be read easily by a layperson.Thistesting w asconvenient,lesscostly,and theresults could be read

quickly. POC testing was the most com mon fonn of testing perfonned at sober hom es and
treatm entfacilities.
22.

Confinuatory testing, conducted in a laboratory setting,nAade use of gas liquid

chrom atop uphy, m ass spectrom etry, and/or gas chrom atography, or high perform ance liquid
chrom atography,to analyze the client's urine specim en.These teclm iques w ere highly sensitive,
and accurately and definitively identified specific substances and the quantitative concentrationsof

thedrugsortheirm etabolites.Confinuatorytesting wasm oreprecise,more sensitive,and detected
m ore substancesthan othertypes ofurine testing.Resultsofconfirm atory testing took longer and
were significantly m ore expensive.
D efendants and R elated E ntities
The Treatm entC enter

RealLifeRecoveryDelray,LLC (t:RLR'')waslocatedat258S.E.6thAvenue,Suite
D elray Beach, Florida, in Palm Beach County. RLR purported to operate as a licensed
ttsubstance abuse service provider''or ççsubstance abuse treatm entcenter,''thatis,itpurportedly
offered clinical treatm ent services for persons suffering from alcohol and drug addiction.

According to corporate records filed w ith the State ofFlorida,RLR w as incorporated on or about
M ay 16, 20l1. ERIC SNY DE R w as listed as one of three M anaging M em bers of RLR .
SN YD ER becam e the sole M anaging M em berand ownerofRLR on A ugust27,2013.
8

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T he Sober H om e

24. A Safe Place,LLC ($$ASP'') was a multi-bed residence located at 1100 SW 4th
A venue,Apartm ent21B,D elray Beach,Florida,in Palm Beach County, purporting to operate as a
ççrecovery residence,''also referred to as a t'soberhom e.'' A ccording to corporate records filed w ith
the State of Florida,A SP w as incop orated on D ecem ber 3, 2010,w ith ER IC SNY D ER as the

Registered Agent and one of two M anaging M em bers. SNY D ER becam e the sole M anaging
M emberand ownerofASP on M arch 20,2014. A SP'S corporate bank accounts opened in January
2011 referred thatitdid businessasH alfw ay There Florida, LLC.(çG
HW T'')

HW T wasam ulti-bed residencein Palm Beach County, Florida,located at 1100 SW
4th Avenue,D elray Beach,Florida,purporting to operate as a ''recovery residence,''also referred to
aS a çlsober hom e.'' A ccording to cop oratc records filed w ith the State of Florida, HW T w as

incorporated on September4,2013,andERIC SNYDER becamethesoleownerofHW T onOctober
2,2013.

26.

HW T/ASP and RLR (collectively CCHW T/RLR'')were separate legalentities,but

ftm ctioned asthe sam e business. H W T/A SP w asthe Etsober hom e''portion of the business, w hile

RLR served asthe ttsubstance abusc treatmentcenter''orsubstance abuse treatm entportion ofthe
business. RLR billed health care benefits program s for substance abuse treatm ent services it
purportedly rendered to HW T/A SP ççsober hom e''residents, also referred to as t'clients.'' M ost
HW T/RLR clients w ere betw een the ages of 18 and 26 years old, and w ere dependent on their
parents'health insurance,w hich covered addiction treatm ent services. O ccasionally,HW T/RLR
w ould acceptuninsured clients who w ere referred to as ttscholarship''clients orpatients.
HW T/RLR subm itted claim s for reim bursem ent to m ore than tw enty health benefit
plans,including the FEH BP plans,A m trak'sestablished plans, and private ERISA and IAOn-ERISA

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health benefit plans,and to the health benefitprogramslisted above in paragraph 14 (tt
the

lnsurancePlans'').
28.

From approxim ately January 2011 through Septem ber 2015, HW T/RLR subm itted

claim s for substance abuse treatm ent services in excess of approximately $58,209,385 to the

InsurancePlans,and received insurancepaym entsofapproxim ately $20,190,941.
The D efendants

29.

ER IC SNY DE R, a resident of Palm Beach County, Florida, w as the founder and

ow nerofHW T/RLR ,along w ith Individual#1. ln oraround Augustto Octoberof2013, SN Y DER
becam e the sole ow nerofH W T/RLR . SNY D ER m anaged a1laspects ofthe treatm entcenter and

soberhom e,including hiring and firing personnel, adm itting and discharging patients, and m aking
financial decisions. SNYDER was a signatory on a11 HW T/RLR corporate bank accounts.
SNY DE R w as also the owner of Eric Snyder Inc. ; K lean Consulting Group LLC ; N o Lim it
M anagem ent,LLC ;and N o Lim it Holdings, LLC. A l1ofthese corporations w ere located in Palm
Beach County and incorporated in the State ofFlorida.
PA U L R .M A TE R IA ,a residentofPortSt. Lucie County,Florida,w as the Chief

ExecutiveOfficer(CEO)ofRLR andresponsibleforday-to-dayopcrations. M ATERIA reported
directly to E RIC SNY D ER , and was responsible for the majority ofthe insurance billings at

HW T/RLR. M ATERIA directed and supervised the1ab techniciansresponsible fortheUA testing
procedures in R LR 'S on-site laboratory. M A TERIA also ow ned Lifeline Consulting LLC , and
Treatm entCenter Consulting, LLC. Both ofthese com orations w ere located in St. Lucie County,

FL and incorporated in the State of Florida. Even though he did not appear on the corporate

docum ents,M A TER IA w as an ow nerof Apex Billing, lnc.,a/k/a Apex FinancialEnterprises Inc.,

10

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which was responsible forthe billing for HW T/RLR beginning in 2014. Apex Billing,Inc.,was
located in St.Lucie County,FL and incorporated in the StateofFlorida.
31.

JO SEPH LU BO W ITZ,a Pennsylvania State residentas wellas a residentofPalm

Beach C ounty,Flolida,was a patientbroker who recnzited clients for H W T/RLR . LU BO W ITZ

sentclientsfrom the northeastUnited Statesto treatm entcentersin South Florida. LUBOW ITZ
ow ned m ultiple com panies,including'
. Tli-state Treatm ent Connections, LLC;Big Business of
D elray,LLC;and JA L M anagem ent& Consulting LLC . Allofthese corporationsw ere located in

Palm Beach County,FL and incorporated in the StateofFlorida. LUBOW ITZ alsoowned Humble
Begilm ingsRecovery Centers,w hich w as located in Cam den County,N ew Jersey,and incorporated
in the State of N ew Jersey. LU BO W ITZ w as paid a com m ission for each client he sent to
HW T/RLR .

C H R IST O PH ER FUL LER ,aresidentofPalm Beach C ounty,Florida,w asa patient
broker w ho recruited clients for HW T/RLR. FU LLER w as the owner of Surrender and Survive,
lnc., w hich w as located in Palm Beach County, FL and incorporated in the State of Florida.
FU LLE R received a Efconsulting''fee in exchange forrecruiting patientsto HW T/RLR .
HW T/RLR required clients to undergo a urine drug screen tw o to four tim es per
w eek. Regardless ofthe dnlg screen results,urine specim ens were sentto extem allaboratories
forroutine confirm atory testing.

34.

HW T/RLR and externallaboratories treated insured patients with two different

expensive autom ated drug screens:a qualitative test thatm easured the presence or absence of a

drug or itsm etabolites,followed by a quantitative tested thatm easured how m uch ofa dnlg orits
m etabolite waspresentin the uline. D uring certain peliodspatients w ithoutinsurance would not

11

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getany confirm atory testing atexternallaboratories and w ere tested using only less expensive inhouse testing,w hich included dipstick POC sand analyzers.
35.

W hen a patient tested positive for som ething he or she should not have been

taking, HW T/RLR seldom took action or im posed consequences for clients w ith insurance.
Rarely w ere insured clients evicted from the sober hom e facility.O ften,uline w as collected but
nottested,orurine w as tested butthe testresults w ere notreviewed fordays orw eeks.
HW T/R LR ordered excessive,m edically ulm ecessary contirm atory urine testing
from external laboratories,and failed to use the results of these tests to guide treatm entof their
clients.

H W T/RLR treated uninsured patients differently than insured patients by giving
them differentlaboratory tests based only on their m ethod ofpaym ent,and for reasons thathad
nothing to do w ith theirtreatm ent.
COUNT 1
C onspiracy to C om m itH ealth C are Fraud and W ire Fraud

(18U.S.C.5 1349)
The G eneralA llegations section ofthis Indictm entis rc-alleged and incorporated by
reference as though fully setforth herein.
From in oraround January of2011,through in oraround Septem berof2015,in Palm
Beach County,in the Southern D istrictofFlorida,and elsew here,the defendants,
E ltlc SN Y D ER ,
PAIJL R .M A TER IA ,
JO SEPH LU BO W IT Z ,and
C H R IST O PH ER FULL ER,

didwillfully,thatis,withtheintenttofurthertheobjectsoftheconspiracy,andknowinglycombine,
conspire,confederate and agree w ith each other,and others,known and unknown to the G rand Jury,
to com m itoffensesagainstthe U nited States,thatis:
12

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to knowingly and w illfully execute and attem pt to execute a schem e and
artitice to defraud a health care benetitprogram affecting com m erce,as defined in Title 18,United

StatesCode,Section24(b),thatis,thelnsurancePlans,and toobtain,bymeansofmateriallyfalse
and fraudulentpretenses,representations,and m om ises,m oney and property owned by,and under
the custody and controlof,said health care benefitprogram s,in connection w ith the delivery ofand
paym ent for health care benetits,item s,and selwices,in violation of Title 18,U nited States Code,
Section 1347,
.and
b.

to knowingly and w ith the intent to defraud,devise and intend to devise a

schem e and artifice to defraud and forobtaining m oney and property by meansofmaterially false
and fraudulentpretenses,representations,and prom ises,know ing the pretenses,representations, and

promiseswere false and fraudulentwhen m ade,and forthe purpose ofexecuting the schem e and
artitice,did know ingly transm it and cause to be transm itted by m eans of w ire com m unication in
interstate and foreign com m erce,certain w ritings,signs,signals,picturesand sounds,in violation of
Title 18,United StatesCode,Section 1343.
Purpose ofthe C onspiracv

Itwasapuposeoftheconspiracyforthedefendantsandtheirconspiratorstounjustly
emich themselvesby,amongotherthings:(a)submitting and causingthesubmission offalseand
fraudulentclaimstotheInsurancePlans;(b)concealingthesubmissionoffalseandfraudulentclaims
to thelnsurance Plans,and thereceiptand transferoffraud proceeds'
,and (Q diverting the fraud
proceeds fortheirpersonaluse and benefit,the use and benefitofothers,and to furtherthe fraud.
M anner and M eansofthe Conspiracv

The m annerand m eansby w hich the defendants and theirconspiratorssoughtto accom plish

theobjedsandpurposeoftheconspiracyincluded:

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 14 of 32

E RIC SN YD ER and conspirators established H W T, a sober hom e, w hich w as

purportedlyin thebusinessofprovidingasafeand drug-freeresidenceforindividualssufferingfrom
dnlg and alcoholaddiction.
ER IC SN YD ER and conspirators established R LR, a substance abuse treatm ent

center,which waspurportedly in the businessofproviding effective clinicaltreatmentservices for
persons suffering from alcoholand drug addiction.

ToobtainresidentsforHW T andpatientsforRLR,thedefendantsprovidedkickbacks
and bribes in the fonu offree or reduced rent,paym entfortravel,and otherbenetks to individuals

with insurance who agreed toresideatHW T,and to attenddrug treatment,often in the form ofPHP

and/orlOP sessions,and submitto regularand random drtlgtesting (typically threeormoretimes
perweek)atRLR,somembersoftheconspiracycouldbillthesubstanceabusetreatmentandtesting
to the residents'Insurance Plans.
D efendants furtherpaid patientrecruiterskickbacks and bribesto provide patientsto
HW T/RLR ,including but not lim ited to paym ents to JO SEPH LU BO W ITZ, CH R IST O PH ER
FUL LE R,and others,in return forrefelning individualsto sel've as patients atH W T/RLR .
ln m any instances,individualpatients did notattend the pulported 1O P and/or PH P
sessions and other sessions atRLR,and did notprovide bodily fluid sam ples for testing. O n such
occasions,defendantsand conspiratorscaused em ployeesofHW T/RLR ,and patientsatHW T/RLR ,
to forge patients'signatureson sign-in sheets,to backdate fonns,and to create fraudulentdocum ents
to m ake it appear as though absent patients had attended treatm ent and subm itted bodily fluid
sam ples.
9.

ER IC SN YD ER ,PA U L M A TER IA ,and other conspirators caused confirm atory

testing to be perfonued and substance abuse treatm entto be billed for patients know ing that the
14

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patientswerenotpresentatRLR,and did notreceive treatm entand/orsubmitbodily fluid samples
fortesting atthe treatm entcenter.

10.

ln orderto entice patients to ertrollin and rem ain atH W T/RLR for substance abuse

treatm ent and testing so that conspirators could collect reim bursem ent from the Insurance Plans,
HW T/R LR deliberately did notcollectm andatory co-pays,deductibles,and otherco-insurance from
patients. Conspirators did not inform the lnsurance Plans that they w ere not collecting the coinsurance paym entsasrequired bythe term softhe lnsurance Plans,and by law in the State ofFlorida.
11.

ERIC SN Y DER and otherconspiratorshired doctorsto serve asm edicaldirectorsof

RLR. SN YD ER paid the doctors a m onthly salary,and in return the doctors ordered dnlg testing
forthe substance abuse treatm entcenter'spatients,regardlessofw hethersuch testing wasm edically
necessary orconducted and billed in com pliance w ith the tennsofthe patients Insurance Plans.
ER IC SN Y DER ,PA UL M A TERIA ,and otherconspiratorsordered and caused the
ordedng of expensive udne drug screens and tests w hich w ere not m edically necessary or

reimbursablebythelnsurancePlans,inthat: (i)thetestsweredoublebilledbybothHW T andRLR
forthesamepatientsonthesamedays;(ii)theconfirmatorytestswereduplicativebecausepatients'
urine sam ples w ere deliberately spiltand sentto m ultiple laboratories for the sam e tests ancl/or for

differentteststhatcouldhavebeen accomplished by onelaboratory;(iii)thetestswereperfonned
by outside laboratories butw ere billed to the lnsurance Plansby HW T/RLR as if HW T/RLR had

performedthetests;(iv)thetestsresultswerenottimelyreviewedorused byadoctorortreatment
professionalin developing ormodifying the patients'treatmentplans;(v)testswerenotordered
and/orauthorizeduntilafterthetestswereperformed;and(vi)thetestswerenotdetennined tobe
m edically necessary on an individualized basisby a doctorpriorto being perform ed.

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 16 of 32

13.

Defendantsand conspirators subm itted and caused the submission to the lnsurance

Plans offraudulentinsurance claim s, via interstate and foreign wires thatfalsely and fraudulently
,

represented thatvarioushealth carebenefits, prim arily substance abuse treatmentand bodily fluid
testing,qualified for reim bursem entand were m edically necessary and actually provid
ed,when,in
fact,som e of the claim ed benefits w ere notprovided, and w ere not m edically necessary.

These

fraudulentclaim sfurtherfailedto disclosethatpatientshad notbeen asked topay theirco-paym ents
and deductibles, and failed to disclose that HW T/RLR'S patients had been obtained through
kickbacks,bribes,and other rem uneration paid to patients in violation ofthe law s ofthe State of
Florida.

HW T/RLR billed approxim ately $58,209,385 to the Insurance Plans A s a resultof
.

such false and fraudulent claim s, HW T/RLR received insurance paym ents of approxim ately

$20,190,941from said lnsurancePlans
.

15.

The defendants and conspirators used the proceeds from the false and fraudulent

claim sfortheirown use and the use ofothers, and to furtherthe fraud.
A llin violation ofTitle 18, United Stated Code,Section 1349.
CO UN TS 2-12
H ealth C are Fraud

(18U.S.C.5 1347)
The G eneralA llegationssection ofthis lndictm entis re alleged and incorporated by
-

reference asthough fully setforth herein.
From in oraround January of2011, through in oraround Septem berof2015 in Palm
,

Beach County,in the Southern D istrictofFlolida, and elsew here,the defendants

,

E lt1c SN YD E R ,
PA UL R .M ATE RIA ,
JO SEPH LIJBO W IT Z,and
CH RISTO PH ER FU LLER ,
16

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 17 of 32

in connection with the delivery ofand paymentforhealth care benefits,item s,and services,did
knowingly and w illfully execute,and attem ptto execute,a schem e and artitice to defraud a health

carebenefitprogram affectingcommerce,asdefinedinTitle18,UnitedStatesCode,Section24(b),
thatis,the Insurance Plans,and to obtain,by m eansofm aterially false and fraudulentpretenses,

representations,and prom ises,m oney and property owned by,and underthecustody andcontrolof,
these health carebenefitprogram s.
Purpose ofthe Schem e and A rtifice
3.

Itwasapup oseofthe schem eand artifice forthedefendantsand theiraccomplices

to unlawfully enrichthemselvesby,amongotherthings:(a)submittingandcausingthesubmission

offalseand fraudulentclaimsto thelnsurancePlans;(b)concealing the submission offalse and
fraudulentclaimsto the lnsurance Plans,and the receiptand transferoffraud proceeds'
,and (c)
diverting fraud proceeds for their personal use and benefit,the use and benefit of others,and to
furtherthe fraud.
The Schem e and Artifice
4.

The allegations contained in the M anner and M eans of the Conspiracy section of

Count1 are re-alleged and incorporated by reference as though f'
ully setforth herein asa description
ofthe schem e and artifice.
A cts in Execution or Attem pted Execution ofthe Schem e and A rtifice

On oraboutthe dates setfol'th below ,in Palm Beach County,in the Southern D istrict
ofFlorida,and elsew here,the defendants,in connection w ith the delivery ofand paym entforhealth

care benetits,item s,and services,did knowingly and w illfully execute,and attem ptto execute,the
above-described schem e and artifice to defraud a health care benefitprogram affecting com m erce,

asdefinedbyTitle18,UnitedStatesCode,Section24(b),thatis,thelnsurancePlans,andtoobtain,

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 18 of 32

by m eans of m aterially false and fraudulent pretenses,representations,and prom ises,m oney and
property ow ned by,and under the custody and controlof,said health care benefitprogram s,in that
the defendants subm itted and caused the subm ission of false and fraudulent claim s seeking the
identified dollar am ounts, representing that the services listed below w ere provided to patients
covered by the Insurance Plans:

Count

Defendantts)

Approx. Patient Approx. BenefitProvider/
Claim
Date

2

ERIC SNYDER

06/13/13

S.B.

Description

C laim
A m ount

Claim N o.

ofC laim

$2,450

Aetna Claim No.

Claim forCPT

EHFA7Q93K00

Codes80101,
82055,H0015,
and H 0048

3

ERIC SNYDER

06/25/13

C.B.

$875

M ed M utualClaim
N o.3176614245

4

ERIC SNYDER

07/19/13

C.R.

$250

Claim forCPT
Code H 0015

BC/BS Claim N o. Claim forCPT
11100000363045428 Code 90853

5

ERIC SNYDER

09/18/13

M .H.

$2,050

and
CH R ISTO PH ER
FULL ER

6

ERIC SNYDER

BCBS Claim No. Claim forCPT
1100001R541693105 Code H0015

12/30/13

L.A.

$4,100

BCBS Claim No. Claim forCPT
11100000387114192 Code H 0015

7

ERIC SNYDER

04/01/14

A .B.

$1,254

and
PAUL M ATERIA

BC/BS Claim No. Claim forCPT
11100000401470766 Codes 82542,
82646,82649,
80152,80160,
80174,80182,

80d168$3925
82542,

an

8

ERIC SNYDER

04/01/14

A.B.

$1,500

and
PA UL M A TE RIA

9

ERIC SNYDER

BC/BS Claim No. Claim forCPT
H 100000401470497 Code 80101

5/21/14

J.K.

$1,254

and
PA U L M A TERIA

BC/BS Claim No. Claim forCPT
14100000409827549 Codes 80152,
80160,80166,
80174,80182,
82542,82646,
82649,and
83925

18

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 19 of 32

Count

D efendant

10

ERIC SNYDER

A pprox. Patient A pprox.
Claim
Claim
D ate
A m ount

5/22/14

J.K.

$1,500

and
PA U L M A TER IA

11

Description
ofClaim

BC/BS Claim No. Claim forCPT
11100000410025720 Code 80101

ERIC SNYDER, 05/22/14

T.A .

$2,950

PA UL M ATER IA ,
and
JO SEPH
LU BO W ITZ

12

BeneftProvider/
Claim No.

BC/BS Claim Nos. Claim forCPT
11100000410026475 Code 140035

ERIC SNYDER, 07/14/14

C.S.

$1,475

PA U L M A TERIA ,
and
CH RIST O PH ER
FU LL ER

BC/BS Claim No. Claim forCPT
H 100000418371487 Code 140035

ln violation ofTitle l8,United StatesCode,Sections 1347 and 2.
CO UN TS 13-15

TravelActand Aidingand AbettingPatientBrokering(KickbacksandBribery)
(18U.S.C.j1952(a)(3))
TheGeneralAllegationssectionofthislndictm ent,and theallegationsin theM anner
and M eans Section of the Conspiracy in Count 1 of this Indictm ent refening only to ERIC
SN YD ER ,and those in paragraph 7 referring only to JO SE PH LU BO W ITZ,are re-alleged and

incorporatedby reference asiffully setforth herein.
On oraboutthe datessetforth below ,in Palm Beach County,in the Southern District

ofFlorida,and elsewhere,thedefendants,
E RIC SN Y DE R and

JO SEPH LUBOW ITA
used,aided and abetted the use of,and w illfully caused the use ofm ailand facilities in interstate
com m erce,w ith the intent to othenvise prom ote,m anage,establish,carry on, and facilitate the

prom otion,m anagem ent,establisbm ent,and carrying on ofan unlaw fulactivity,nam ely,kickbacks

and bribesin violation ofthe State ofFlorida PatientBrokering Act,Fla.Stat.j 817.505,and
19

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 20 of 32

thereafter perfonned, attempted to perform ,and aided and abetted and willfully caused the
perfonnance ofan actto prom ote,m anage,establish,and carry on,and to facilitatethepromotion,
m anagem ent,establishm ent,and carrying on ofsuch unlaw fulactivity asfollow s:

COUNT

DEFENDANTIS)

APPROX. TM VEL OR USE

13

ERIC SN Y D ER
and
JO SEPH LU BO W ITZ

O F FA C ILITY IN
INTE RSTA TE
CO M M ERCE
07/30/2013 Purchase and use of
AirTran airlineticket
by Tri-state
Treatm entfrom TriState Treatm entbank
accountending in
5915 forpatientC .Z.
in theam ountof

ACTSPERFORM ED

D A TE

$399

TH EREA FTER

O n oraboutJuly 2013,
patientC.Z.wasenrolled at
HW T/RLR,and w asnot
charged rent. JOSEPH
L UBO W ITZ w as paid a
kickback forreferring C.Z.,
and the Insurance Plansw ere
billed foraddiction treatment

purportedly providedto C.Z.
by HW T/RLR .

14

ERIC SNY D ER
and
JO SEPH LU BO W ITZ

04/15/2014 Purchase and use of
US A irways airline
ticketby R LR from
RLR bank account
ending in 9920 for
patientT.A .in the

am ountof$395

15

ER IC SN Y DER

O n oraboutApril2014,
patientT.A .w as enrolled at
H W T/RLR ,and w asnot
charged rent. JO SEPH
LU BO W ITZ w aspaid a
kickback forreferring T .A .,

and theInsurance Planswere

billed foraddiction treatm ent
purportedly provided to T.A .
b H W T/RLR.
10/30/2014 Purchase and use of On oraboutO ctober 2014,
SpiritA irlinesairline patientJ.G .w asenrolled at
ticketby R LR from
H W T/RLR ,and w as not
RLR bank account
charged rent. A kickback
ending in 9920 for
w aspaid to Tri-state
patientJ.G .in the
Treatm entforreferring J.G .,

am ountof$252

and thelnsurancePlanswere
billed foraddictiontreatment
purportedly provided to J.G .
by H W T/RLR .

lnviolationofTitle 18,United StatesCode,Sectionsl952(a)(3),and2.

20

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 21 of 32

C O U N T 16
C onspiracy to C om m itM oney Laundering

(18U.S.C.j 1956(h))
From in and around January 2011,through in or around Septem ber 2015,in Palm Beach
County,in the Southem D istrictofFlorida,and elsew here,the defendants,
E ltlc sx v o E R ,

PAIJL R.MATEZ A,
Jo sEpu Lcs o w lT z ,and

cultlsrropuER FIJI-EER,
did willfully,thatis,with intentto furtherthe objectofthe conspiracy,and knowingly combine,
conspire,confederate,and agree with each otherand w ith others,known and unknown to the G rand

Jury,toviolateTitle18,UnitedStatesCode,Section 1956(a)(1)(B)(i),thatis,to knowinglyconduct
a tinancialtransaction affecting interstate and foreign com m erce involving the proceeds ofspecified
unlaw ful activity,know ing thatthe property involved in such financialtransaction represented the
proceedsofsom eform ofunlaw fulactivity,and know ingthatsuch fnancialtransaction w asdesigned
in w hole and in partto concealand disguise the nature,location,source,ow nership,and controlof
theproceedsofspecitied unlaw fulactivity.

Itisfurtheralleged thatthespecitied unlawfulactivityishealth carefraud andconspiracy to
com m ithealth care fraud,in violation ofTitle 18,U nited States Code,Sections 1347 and 1349.

AllinviolationofTitle 18,UnitedStatesCode,Section 1956(h).
CO UN TS 17-23
M oney Laundering

(18.S.C.j1956(a)(1)(B)(i))
On or about the date specified as to each count below , in Palm Beach County,in the
Southern D istrictofFlorida,and elsewhere,the defendantsdid know ingly conductand attem ptto
conduct a financial transaction affecting interstate and foreign com m erce, w hich financial

transactioninvolved theproceedsofspecitiedunlawftllactivity,knowingthatthepropertyinvolved
21

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 22 of 32

inthetinancialtransadionrepresentedtheproceedsofsomeform ofunlawfulactivity,andknowing
thatsuch transaction was designed,in whole and in part,to concealand disguise the nature,the
location,the source,theownership,and the controlofthe proceedsofspecitied unlawfulactivity,
asmore specifically described below:
Count

Defendants

17

ERIC SNYDER
and
JO SE PH
L UBO W ITZ

18

an account ending in 1976 at W ells Fargo Bank
m adepayable to Tri-state Treatm ent,and deposited
into Tri-state Treatm entaccountending in 59l5 at
W ellsFar o Bank.

08/20/2013 Negotiated RLR Check No.1504 for$9,000 using
an accountending in 1976 atW ells Fargo Bank
m adepayableto Tri-state Treatmentand deposited
into Tri-state Treatm entaccountending in 5915 at
W ells Far o Bank.
11/01/2013 Negotiated Lifeline Consulting Check No.1001
for $2,500 using an account ending in 9112 at
Bank of America m ade payable to Tri-state
Treatm entand deposited into Tri-state Treatm ent
accountending in 5915 atW ellsFargo Bank.
01/06/2014 Negotiated Tri-state Treatm entCheck No.2106

20

PAUL M ATERIA

and

for $1,000 using an accountending in 5915 at

JO SE PH
LU BO W ITZ

W ells Fargo Bank m ade payable to PA U L
M A TERIA .

ERIC SNYDER

07/23/2014 Negotiated RLR Check No.1763 for$5,000 using

and
C H R ISTO PH E R
FULLER

an account ending in 9904 at W ells Fargo Bank
m ade payable to C H RISTO PH E R FU LLER ,and
deposited into hisaccountending in 5098 atW ells
Fargo Bank.

ERIC SNYDER

08/20/2014 Negotiated RLR Check No.1900 for$2,000 using

and
PAU L M A TER IA
23

07/01/2013 Negotiated RLR Check No.1511for$9,000 using

and
JOSEPH
LUBO W ITZ
ERIC SNYDER
and
JO SEPH
LU BO W ITZ

22

FinancialTransaction

ERIC SNYDER

19

21

pproxim ate
D ate

ER IC SN YD ER

an account ending in 9904 at W ells Fargo Bank
m ade payable to PAU L M A TER IA .
11/14/2014 Purchased Cashier's Check N o.1223702751 for

and

$10,000 using an Apex Billing accountending in

PA U L M A TERIA

5044 m ade payable to N o Lim itM anagem ent,and
deposited into N o Lim it M anagem ent account
endin in 7366 atW ellsFar o Bank.
22

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 23 of 32

Itis furtheralleged thatthe specified unlawfulactivity ishealth care fraud and conspiracy
to comm ithealth care fraud,in violation ofTitle 18,United StatesCode,Sections 1347and 1349.

InviolationofTitle 18,UnitedStatesCode,Sections1956(a)(1)(B)(i)and2.
FO R FEITUR E

(18U.S.C.j982(a)(1)and (a)(7))
The allegationsofCounts 1-12 ofthis Indictm entare re-alleged and incorporated
byreference forthepurposeofalleging forfeiture to theUnited States,pursuanttotheprovisions

ofTitle 18,United StatesCode,Sections982(a)(l)and (a)(7).
2.

Upon conviction ofany ofCounts 1-11,charging offenses in violation ofTitle 18,

United StatesCode,Sections 1347 and 1349 (Hea1th Care Fraud,and Conspiracy to Commit
Hea1thCareFraudandW ireFraud),thedefendantssoconvictedshallforfeittotheUnitedStates,

pursuanttoTitle 18,UnitedStatesCode,Section 982(a)(7),anyproperty,realorpersonal,which
constitutes or is derived from proceeds traceable to the offense. The property to be forfeited
includesthe follow ing:
a.

A requestforamoneyjudgmentintheamountof$20,190,941,representing

the approxim atetotalamountoffraud proceedsdefendantsobtained,directly orindirectly,from
the offenses alleged in Counts 1-12 ofthe Indictm ent'
,
b.

A single fam ily residence located 14948 M arkland Lane,D elray Beach,
Florida;
A single fam ily residence located 426 Lucky Lane,Delray Beach,Florida;

d.

A single fam ily residence located 430 Lucky Lane,Delray Beach,Florida;
A single fam ily residence located 514 Lucky Lane,Delray Beach,Florida;
A single fam ily residence located 518 Lucky Lane,D elray Beach,Florida;

g.

A single fam ily residence located 522 Lucky Lane,D elray Beach,Florida;
23

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 24 of 32

h.

V acant lots located at Lots 12, 13, 14,and 15,block 5, SO UTHRID G E

PLAT NO.2,accordingtotheplatthereofrecorded in PlatBook l3, Page 39,in thePublicR ecords
ofPalm Beach County,Florida.
The allegations of Counts 16 to 23 of this Indictm ent are hereby re-alleged and

incorporated by referenceforthepurpose ofalleging forfeiturespursuantto Title 18, United Sates

Code,Section982(a)(l).
4.

Upon conviction of Counts 16 to 23 of the Indictment, charging an offense in

violation ofTitle 18,United States Code,Section 1956, the defendants so convicted shallforfeit
to the United States any property,realorpersonal, involved in such offense,pursuanttoTitle 18,

United StatesCode,Section 982(a)(1). Thepropertytobeforfeited includesthefollowing:

a.

A requestforamoneyjudgmentintheamountof$20,190,941,representing

the approximate totalam ountoffraud proceeds defendantsobtained, directly or indirectly,from
the offensesalleged in Counts 16 to 23 ofthe Indictm ent'
,

b.

A single family residence located 14948 M arkland Lane, D elray Beach,
Flolida;
A single fam ily residencelocated 426 Lucky Lane,Delray Beach, Florida;

d.

A single fam ily residence located 430 Lucky Lane, Delray Beach,Florida;
A single fam ily residence located 514 Lucky Lane, Delray Beach,Florida;
A single fam ily residence located 518 Lucky Lane, D elray Beach,Florida;

g.

A single fam ily residence located 522 Lucky Lane,D elray Beach, Florida;

h.

V acant lots located at Lots 12, 13,14,and 15, block 5,SO UTHR ID G E

PLAT N O .2,according to theplatthereofrecorded in PlatBook 13, Page 39,in the Public Records
ofPalm Beach County,Florida.
5.

lfany ofthe property described above,asa resultofany actorom ission ofthe
24

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 25 of 32

defendants:
cannotbe located upon the exercise ofdue diligence;
hasbeen transferred orsold to, ordeposited w ith

,

athirdparty;

C.

hasbeenplacedbeyondthejurisdictionofthecourt;

d.

hasbeen substantially diminished in value;or

e.

hasbeen com m ingled w ith otherproperty which cannotbe divided
withoutdifficulty,

then the United States shallbe entitled to forfeiture of substitute property pursuant to Title 21

,

United States Code, Section 853(p),as i
ncoporated by Title 28

,

U nited States Code, Section

246l(c).
A llpursuantto Title 18, U nited States Code

,

Section982(a)(1)and(a)(7).
J

,

R E BILL
FO REPER SON

t

BEN JA M W G . G REEN BER
UN ITED STA TES ATTORN EY

A M ES V .HA Y ES
A SSISTAN T U N ITED STA TES A TTORN EY

Q

 UNITED STATES DISTRICT COURT
SO UTH ERN
ISTRICT on
O FFLSD
FLO RIDocket
DA
Case 9:18-cr-80111-RLR Document
46 DEntered
06/07/2018 Page 26 of 32
UNITED STATESO F AM ERICA

CA SE NO .

C ERTIFICA TE O F TRIA L A TTO R NEY.
ERIC SNYDER etaI.,

Defendants.

/

CourtDivision:(selectone)
M iam i
FTL

X

Superseding Case lnform ation:

New Defendantts)

Key W est
W PB
FTP

N um berofNew Defendants
Totalnum berofcounts

Yes

No

Ido hereby certify that:

Ihavecarefully considered the allegationsoftheindictmept,thenumberofdefendants,thenumber
ofprobablewitnessesand the legalcom plexitiesofthelndlctm ent/lnformation attached hereto.

lam aware thatthe inform ation supplied on this statementwillbe relied upon by the Judgesofthis
Courtin setting theircalendarsand scheduling criminaltrialsunderthem andateofthe Speedy Trial
Act,Title 28 U.S.C.Section 3161.

Interpreter:

(YesorNo)

Listlanguage and/ordialect
Thiscasew illtake

l5

No

daysforthe partiesto try.

Please check appropriate category and typeofoffense listed below:
(Checkonlyone)

(Checkonlyone)

I
11
1II
IV
V

0 to 5 days
6 to 10 days
ll to 20 days
21to 60 days
61 daysand over

Petty
M inor
M isdem .
Felony

6:

Hasthiscasebeenpreviouslyfiled inthisDistrictCourt? (YesorNo) NO

Ifyes:
Judge:

X

U

CaseNo.

tAttachcopy ofdispositiveorder)
Hasacomplaintbeen filed inthismatter?
(YesorNo)
lfyes:
MagistrateCaseNo.
l7-mi-08268-DLB

Yes

RelatedM iscqllaneousnumbers:

Defendantts)lnfederalcustody asof
Defendantts)lnstatecpstody asof
Rule 20from the Distrlctof

lsthisapotentialdeathpenalty case?(YesorNo)

NO

Doesthiscase originate from am atterpending in the Northern Region oftheU .S.Attorney'sOffice
priorto October 14,20032
Yes
No X

Wrr
AM ES V HAYES
A SSISTANT UN ITED STA TES ATTO RN EY
Florida BarNo.A5501717

*penalty Sheetts)attached

REV5/3/17

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 27 of 32

U N ITED STA TES D ISTRIC T C O U R T
SO U TH ERN D ISTR IC T O F FL O R ID A
PENA LTY SHEET
Defendant's N am e: ERIC SNY D ER
C ase N o'
.

Count#:1

Conspiracy to Comm itHealth CareFraud and W ire Fraud
Title 18,U nited States Code. Section 1349

*M ax.Penalty:

Twenty(20)Years'lmprisonment

Counts#:2-12
Health Care Fraud

Title 18,United StatesCode. Section 1347

*M ax.Penalty:

Ten(10)Years'Imprisonmentastoeachcount

Counts #:13-15

TravelActand Aiding andAbetting (Kickback andBriberv)
Title l8.United StatesCode. Section 1952(a)(1)and (3)

*M ax.Penalty:

Ten(10)Years'Imprisonmentasto eachcount

Cotm t#:16

Conspiracy to Com mitM onev Laundering
Title 18.U nited States Code. Section 195641:)

*M ax.Penalty:

Ten(10)Years'lmprisonment

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 28 of 32

Count#:17-23

M oney Launderinc

Title 18-United StatesCode.Section 1956(a)(1)('B)(i)

*M ax.Penalty:

Ten(10)Years'Imprisonmentastoeachcount

WR efers only to possible term ofincarceration,does notinclude possible finessrestitution,
specialassessm ents,parole term s,or forfeitures that m ay be applicable.

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 29 of 32

UN ITED STA TE S D ISTR IC T CO UR T
SO U TH ER N D ISTR IC T O F FLO R IDA
PEN A LTY SH EET
-

-

-

-

D efendant'sN am e: PAU L R . M A TER IA
C ase N o:

Count#:1
Conspiracy to Com m itHea1th Care Fraud and W ire Fraud
Title 18.United States Code. Section 1349

*M ax.Penalty:

Twenty (20)Years'Imprisonment

Counts #:7-12
H ealth Care Fraud
Title 18.U nited States Codes Section l347

*M ax.Penalty:

Ten(10)Years'Imprisonmentastoeachcount

Count#:16
Conspiracy to Com m itM oney Launderina
Title 18,U nited States Code. Section 1956(h)

*M ax.Penalty:

Ten (10)Years'lmprisonment

Count#;19,20,22,23
A4oney Laundehna
Title 18,United StatesCode, Section 1956(a)(1)(B)(i)

*M ax.Penalty:

Ten(10)Years'Imprisonmentastoeach count

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

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 30 of 32

UN ITED STA TE S D ISTR ICT C O UR T
SO U TH ER N DISTR IC T O F FLO RID A
PENA LTY SH EET
D efendant'sN am e: JO SEPH LUB O M qTZ
C ase No:

Count#:1
Conspiracv to Com m itHealth Care Fraud and W ire Fraud

Title 18.United StatesCode. Section 1349

*M ax.Penalty:

Twenty (20)Years'Imprisonment

Counts#:11
Health Care Fraud
Title 18.United StatesCode. Section 1347

*M ax.Penalty:

Ten(10)Years'Imprisonment

Counts#:13-14

TravelActand Aiding and AbettinM (Kickback and Bribery)
Title 18,United States Code, Section 1952(a)(1)and (3)

*M ax.Penalty:

Ten(10)Years'lmprisonmentastoeachcount

Count#:16

Conspiracy to Com m itM onev Launderin/
Title 18.United States Code, Section 1956(h)

*M ax.Penalty:

Ten(10)Years'lmprisonment

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 31 of 32

Count#:17,18,19,20

s4oney Laundeing

Title 18.United StatesCode.Section 1956(a)(1)(B)(i))

*M ax.Penalty:

Ten(10)Years'lmprisonmentastoeachcount

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

 Case 9:18-cr-80111-RLR Document 46 Entered on FLSD Docket 06/07/2018 Page 32 of 32

UNITED STATES DISTRICT COURT
SOUTHERN DISTm CT O F FLORIDA
PEN A LTY SH EET

Defendant'sNam e: CHm STOPHER FULLFR
C ase No:

Count#:1
Conspiracy to Com m itH ealth Care Fraud and W ire Fraud

Title 18-United StatesCode. Sedion 1349

*M ax.Penalty:

Twenty(20)Years'Imprisonment

Counts#:5,l2

Health CareFraud
Title 18.U nited States Code. Section l347

*M ax.Penalty:

Ten(10)Years'Imprisomnentastoeach count

Count#:16
Conspiracy to Com m itM onev Laundering

Title 18.United StatesCode. Section 1956411)

*M ax.Penalty:

Ten(10)Years'Imprisonment

Count#:21

M oney Launderinc
Title l8.United StatesCode. Section 1956(a)(1)(B)(i)

*M ax.Penalty:

Ten(10)Years'Imprisonment

*Refersonly to possible term ofincarceration,doesnotinclude possible fines
specialassessm ents,parole term s,or forfeiture
,restitution,
s that m ay be applicable
.