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Forest Park Executives, $40M Kickback Conspiracy, Texas 2013

Dallas federal prosecutors have unsealed a sweeping indictment charging 21 executives, surgeons, physicians, and insiders tied to the physician-owned Forest Park Medical Center (FPMC) in a $40 million kickback conspiracy that bilked private insurers and federal health programs. The scheme, which ran from 2009 to 2013, involved illegal payments for patient referrals and the brazen resale of Medicare and Medicaid patients to other facilities for cash.

The defendants include Alan Andrew Beauchamp, 64, of Dallas; Richard Ferdinand Toussaint, Jr., 58, of Dallas; Wade Neal Barker, 51, of Dallas; Wilton McPherson Burt, 61, of Costa Rica; Andrea Kay Smith, 37, of Rockwall, Texas; Carli Adele Hempel, 40, of Plano, Texas; Kelly Wade Loter, 48, of Dallas; Jackson Jacob, 53, of Murphy, Texas; Douglas Sung Won, 45, of Dallas; Michael Bassem Rimlawi, 45, of Dallas; David Daesung Kim, 54, of Southlake, Texas; William Daniel Nicholson IV, 46, of Dallas; Shawn Mark Henry, 46, of Fort Worth, Texas; Mrugeshkumar Kumar Shah, 42, of Garland, Texas; Gerald Peter Foox, 69, of Tyler, Texas; Frank Gonzales Jr., 41, of Midland, Texas; Israel Ortiz, 49, of Dallas; Iris Kathleen Forrest, 56, of Dallas; Andrew Jonathan Hillman, 40, of Dallas; Semyon Narosov, 51, of Dallas; and Royce Vaughn Bicklein, 44, of San Antonio, Texas.

FPMC operated as an out-of-network hospital, and prosecutors allege it specifically targeted patients with high-reimbursing private insurance or federally funded benefits. The indictment details how owners, managers, and staff funneled bribes and kickbacks to secure referrals, then submitted over half a billion dollars in false insurance claims, collecting more than $200 million in paid claims through fraudulent means. The hospital’s business model was built on greed, deception, and the exploitation of America’s healthcare reimbursement system.

“Medical providers who enrich themselves through bribes and kickbacks are not only perverting our critical health care system, but they are committing a serious crime,” said U.S. Attorney John Parker of the Northern District of Texas. “Massive, multi-faceted schemes such as this one, built on illegal financial relationships, drive up the cost of healthcare for everyone and must be stopped.”

Dallas FBI Special Agent in Charge Thomas M. Class, Sr. reinforced the message: “The charges announced today show that the government will not tolerate corrupt practices by medical providers motivated by greed. The FBI will continue to work with our law enforcement partners to identify those who manipulate and defraud our healthcare system and to seek their prosecution.”

Special Agent in Charge Janice M. Flores of the Defense Criminal Investigative Service (DCIS) Southwest Field Office added, “Fraud and abuse by healthcare providers poses a significant threat to the viability of government health care programs, and today’s arrests demonstrate the commitment of DCIS and its partners in rooting out health care fraud and holding the perpetrators accountable.” The case marks one of the largest healthcare fraud takedowns in North Texas history.

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