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c BACKGROUND f~l

United States District Court,


N.D. California. FN I. The court's description of the investiga-
UNITED STATES OF AMERlCA, Plaintiff, tion leading to defendants' indictment is de-
v. scribed in greater detail in its October IS, 2002
ST. LUKE'S SUBACUTE HOSPITAL AND NURSING order in the related criminal action against de-
CENTRE, INC. and Guy Roland Seaton, Defendants. fendants, United States v. St. Luke's Subacute
No. C 00-1976 MHP. Hospital and Nursing Centre, Inc., No. CR
02-0044 MHP.
Dec. 16, 2004.
This action arises out of a scheme to defraud Medicare
Alison E. Daw, U.S. Attorney's Office, San Jose, CA, by inflating reimbursable nursing hours at defendants'
Sara Winslow, US Department of Justice, Washington, care facility and providing falsified documentation to
DC, Gail Killefer, Stephen A. Shefler, AUSA, U.S. At- federal auditors in order to support such false claims. At
torney's Office, Oakland, CA, David W. Shapiro, US all times relevant to the allegations in the United States'
Attorney's Office, San Francisco, CA, for Plaintiff. complaint, defendant S1. Luke's Subacute Hospital and
Nursing Centre, Inc. ("'S1.Luke's") operated a nursing
Orrin Leigh Grover, Orrin Leigh Grover Law Offices, facility located in San Leandro, California. Defendant
Woodburn, OR, Guy Seaton, Hayward, CA, Jonathan C. Guy Seaton served as St Luke's chief executive officer
Do, Law Offices of Jonathan C. Do, Oakland, CA, for ("CEO").
Defendants.
As a "subacute facility," S1. Luke's provided care to pa-
tients with severe illness or injury who required more
intensive services than ordinary nursing care could
ORDER provide but did not require hospital acute care. See Cal.
Admin. Code Title 22, § SI124.S. S1. Luke's received
PATEL,]. compensation from the Medicare program for some of
the cost of providing services to certain Medicare-eli-
gible patients. In 1995, the Department of Health and
Re: Plaintiffs Motion for Partial Summary Judgment Human Services ("DHS") Office of the Inspector Gen-
eral began an investigation into allegations that S1.
*1 On June 2, 2000, the United States brought this civil Luke's was fraudulently inflating the cost of the nursing
action against defendants St. Luke's Subacute Hospital services that it provided to Medicare beneficiaries. This
and Nursing Centre, Inc. and Guy Seaton (collectively investigation revealed evidence of an unusually high al-
"defendants"), alleging violations of the False Claims location of nursing costs to Medicare patients and fab-
Act ("FCA"), 31 U.S.c. §§ 3729-33, and of the com- ricated nursing schedules to support defendants' fraudu-
mon law in connection with cost reports that defendants lent claims for reimbursement.
submitted to Medicare. Now before the court is the
United States' motion for summary adjudication as to
the issue of defendants' liability under the FCA. Having A. The Related Criminal Action
considered the arguments presented and for the reasons
stated below, the court enters the following memor- Based on the finding of the DHS investigation, a grand
andum and order. jury returned a six count indictment against both de-
fendants on May 8, 2002. Winslow Decl., Exh. 2
(hereinafter ·'Indictment"). The indictment charged de-

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fendants with conspiracy to defraud the Medicare pro- care program. Pl.'s First Amended Compl. (hereinafter
gram in violation of 18 u.s.c. § 371 (Count 1), three "F AC") ~ 19. Based on these allegations, the amended
counts of submitting false Medicare claims in violation complaint pleads three violations of the FCA, asserting
of 18 U.s.c. § 287 (Counts 2-4), knowingly and will- that defendants: (I) knowingly submitted false claims
fully making false statements to Medicare auditors in for payment to the United States in violation of 31
violation of 18 U.s.c. § 100 I (Count 5), and obstruct- u.s.c. § 3729(a)(I); (2) conspired to defraud the United
ing a federal audit in violation of 18 U.s.c. § 1516 States in violation of 31 u.s.c. § 3729(a)(3); and (3)
(Count 6). Among other things, the indictment alleged knowingly made false statements to the United States in
that defendants misrepresented the level of nursing care violation of 31 U.s.C. § 3729(a)(2). Id. ~~ 23-28. The
provided to Medicare patients in support of false claims complaint also alleges state law causes of action for
for direct nursing services costs incurred in 1996, 1997, payment by mistake, unjust enrichment, and breach of
and J 998. Indictment ~~ 10, 14(a)-(c). These claims contract. Id. ~~ 29-34.
were subsequently paid by Mutual of Omaha, a fiscal
intermediary acting on behalf of the Medicare program. On March 6, 2001, the court ordered that proceedings in
See Winslow Decl., Exh. 1 at 1277-78 (Testimony of the civil action be stayed pending the resolution of the
Charles Potter). The United States also alleged that de- criminal proceedings against defendants. The stay re-
fendants fabricated payroll reports and time cards by mained in place until October 12, 2004, when the court
designating certain employees as working exclusively granted the United States' motion to lift the stay in order
with Medicare patients when in fact these employees to allow the United States to move for summary adju-
also provided care to non-Medicare eligible patients. Id. dication on the issue of defendants' liability under the
~~ 11-12. FCA. That motion is now before the court. The United
States argues that the entry of a final judgment in the
*2 On December 19, 2002, a jury found defendants criminal action estops defendants from denying that
guilty on all counts charged. Winslow Decl., Exh. 6. they are liable for civil damages and statutory penalties
The court entered judgments of conviction against both under the FCA. The court addresses this argument be-
defendants on June 9, 2004. Id., Exhs. 3-4. Defendants' low.
appeal of their conviction is currently pending before
the Ninth Circuit. Defendants also continue to be in-
volved in proceedings before the Medicare Provider Re- LEGAL STANDARD
imbursement Board ("PRRB") for the purpose of de-
termining the amount of damages sustained by the Summary judgment is proper when the pleadings, dis-
United States. covery, and affidavits show that there is "no genuine is-
sue as to any material fact and that the moving party is
entitled to judgment as a matter of law." Fed.R.Civ.P.
B. The United States' Civil Claims 56( c). Material facts are those which may affect the out-
come of the proceedings. Anderson v. Liherty Lobhy,
On June 2, 2000, the United States filed the instant civil Inc, 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202
action against defendants under the FCA, 31 U.s.C. § (J 986). A dispute as to a material fact is genuine if there
3730(a). The allegations, now set forth in the United is sufficient evidence for a reasonable jury to return a
States' amended complaint filed on April 21, ::WOO, arise verdict for the nonmoving party. Id The party moving
from the same series of transactions that led to defend- for summary judgment bears the burden of identitying
ants' criminal convictions. As in the criminal action, the those portions of the pleadings, discovery, and affi-
United States alleges that defendants fraudulently in- davits that demonstrate the absence of a genuine issue
flated labor costs incurred in caring for Medicare pa- of material fact. Ce/otex Corp. v. Catrel/, 477 U.S. 317,
tients and that in seeking reimbursement for these costs, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). On an is-
they submitted false and fraudulent claims to the Medi- sue for which the opposing party will have the burden

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of proof at trial, the moving party need only point out the same transaction as in the criminal proceeding and
"that there is an absence of evidence to support the non- which is brought under subsection (a) or (b) of sec-
moving party's case." Id. tion 3730.

*3 Once the moving party meets its initial burden, the There is no question that the instant action alleging vi-
nonmoving party must go beyond the pleadings and, by olations of 31 U.S.c. § 3729(a) falls within the scope of
its own affidavits or discovery, "set forth specific facts the FCA's statutory estoppel provision. See 31 usc. §
showing that there is a genuine issue for trial." 3730(a) (authorizing the enforcement of section 3729
Fed.R.Civ.P. 56(e). Mere allegations or denials do not by the Attorney General). Thus, the principal issue to be
defeat a moving party's allegations. Id.; see also Gas- resolved is whether the "essential elements" of the of-
away v. Northwestern Alut. Life Ins. Co., 26 F.3d 957, fense of which defendants have been convicted are suf-
960 (9th Cir.1994). The court may not make credibility ficient to establish their liability in the civil action. The
detenninations, Anderson. 477 U.S. at 249, and infer- court addresses each of the United States' three FCA
ences drawn from the facts must be viewed in the light claims below.
most favorable to the party opposing the motion. Mas-
son v. N1!I1' Yorker Magazine, 501 U.S. 496, 520, 11 I
S.Ct. 2419, 115 L.Ed.2d 447 (1991). Nonetheless, even I. Submission of False Claims. 29 USC § 3729(a)(l).
if summary adjudication of an entire claim is not war-
ranted, Federal Rule of Civil Procedure 56(d) allows a The first claim for relief in the United States' amended
court to grant partial summary judgment, thereby redu- complaint alleges violations of 31 U.S.c. § 3729(a)( I),
cing the number of facts at issue in a trial. Fed. R. Civ. which imposes liability on any person who "knowingly
Pro. 56(d); State Farm Fire & Cas. Co. v. Geary, 699 presents, or causes to be presented, to an officer or em-
F.Supp. 756, 759 (N.D.CaI.1987) (Patel, 1.). ployee of the United States Government ... a false or
fraudulent claim for payment or approval" and subjects
defendants who submit such false claims to treble dam-
DISCUSSION ages and civil penalties. Id. Thus, to prove its claim un-
der section 3 729(a)(l), the United States must prove
The question presented by the United States' motion for three elements: "(1) a 'false or fraudulent' claim; (2)
partial summary judgment is whether the doctrine of which was presented, or caused to be presented, by the
collateral estoppel precludes defendants from denying defendant to the United States for payment or approval;
their liability for civil damages and statutory penalties (3) with knowledge that the claim was false." United
under the FCA. In addition to relying on the common States v. Mackby, 261 F.3d 821, 826 (9th Cir.200 I)
law doctrine, the United States asserts that the statutory (quoting 31 USc. § 3729(a)(1»), cert. denied, 541 U.S.
collateral estoppel provision of the FCA bars relitiga- 936, 124 S.Ct. 1657, 158 L.Ed.2d 356 (2004).
tion of the issues determ ined in the criminal proceed-
ings against defendants. Specifically, the United States *4 As noted above, on June 9, 2004, the court entered
cites 31 usc. § 373 led), which states: judgments of conviction in the criminal proceedings
against defendants following a jury verdict finding de-
Notwithstanding any other provision of law, the Fed- fendants guilty on all counts of a six count indictment.
eral Rules of Criminal Procedure, or the Federal Among the offenses of which defendants were con-
Rules of Evidence, a final judgment rendered in favor victed were three counts of presenting false claims in
of the United States in any criminal proceeding char- violation of 18 U.S.c. § 287. Winslow Decl., Exh. 6 at
ging fraud or false statements, whether upon a verdict 2-3. Section 287 prohibits any person from making or
after trial or upon a plea of guilty or nolo contendere, presenting "any claim upon or against the United States,
shall estop the defendant from denying the essential or any department or agency thereof, knowing such
elements of the offense in any action which involves claim to be false, fictitious, or fraudulent." Id. The court

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instructed the jury that in order to find defendants guilty the FCA's collateral estoppel proVISIOn to pre-
under section 287, the United States must prove beyond clude defendants from denying facts were
a reasonable doubt that (I) defendants "knowingly found to be true following a criminal trial by
presented ... false claims to [DHS)" and (2) that they jury. At trial, defendants had a full and fair op-
knew those claims were untrue at the time that they portunity to present evidence to rebut the
were submitted. Winslow Decl., Exh. 5 at 2257-58. In United States' case-in-chief, and the govern-
returning guilty verdicts on all three counts of present- ment bore the burden of proving each element
ing false claims, the jury found these facts to be true of the offense beyond a reasonable doubt. In
with respect to the Medicare reimbursement claims that light of these facts, it is difficult to imagine cir-
defendants submitted for the years of 1996, 1997, and cumstances where the application of the collat-
1998. See id., Exh. 6 at 2-3. Thus, because the jury ne- eral estoppel doctrine would be more fair.
cessarily found to be true each element of the United
States' claims under 31 U.S.C. § 3729(a)(I), the plain Nor is there any serious dispute that defendants' convic-
meaning of the FCNs statutory estoppel provision pre- tion is "final" for the purpose of applying the FCA's
cludes defendants from denying their liability in the in- statutory estoppel provision. Section 3731 (d) requires
stant action. only that the party asserting the estoppel show there has
been "a final judgment in favor of the United States" in
Defendants do not dispute that proof of these facts is a related criminal action. 31 USc. § 373I(d). Defend-
sufficient to establish the elements of the United States' ants do not contest the fact that this court entered final
claim for relief under 31 USC. § 3729(a)( I). Nonethe- judgments against both defendants on June 9, 2004; in-
less, they contend that the court should not apply collat- deed, they must rely on the finality of those judgments
eral estoppel here because it would be unfair to do so in order to have standing to appeal their conviction. See
while defendants' criminal convictions are pending on 28 USC. § 1291. Thus, because all of the requirements
appeaL While it may be true that an issue of fairness is of the FCA's statutory estoppel provision have been sat-
an important consideration in determining whether to isfied, the court concludes that the judgments against
apply the common law doctrine of collateral estoppel defendants in the criminal action are sufficient to estop
offensively against a defendant, see, e.g., Parklane Ho- defendants from denying their civil liability for submit-
siery Co. v. Shore, 439 U.S. 322, 330-31, 99 S.Ct. 645, ting false claims in violation of 31 USc. § 3729(a)( I).
58 L.Ed.2d 552 (1979), such concerns are for the most The court therefore enters summary judgment to that ef-
part inapposite to the application of the statutory estop- fect.
pel provision of the FCA. Because section 3731 (d) ex-
pressly states that its preclusive effect applies
"[n]otwithstanding any other provision of law," the II. Conspiracy to Violate False Claims A ct. 31 US'. C. §
prudential limitations on the common law doctrine do 3729(a)(3).
not apply. Thus, absent a degree of unfairness that rises
to the level of a due process violation-which defendants *5 Having rejected defendants' attempts to avoid the ap-
cannot credibly assert here FN2-the court must interpret plication of the FCNs statutory estoppel provision to
section 3731(d) to mean what it says: namely, that a fi- this action, the court turns to the United States' remain-
nal judgment in any criminal proceeding "shall estop ... ing FCA claims. The second claim for relief in the
defendant[s] from denying the essential elements" of United States' amended complaint alleges that defend-
any offense in a subsequent civil proceeding brought ants conspired to defraud the United States in violation
under the FCA and arising out of the same transaction of 31 USc. § 3729(a)(3). Section 3729(a)(3) states that
or occurrence. 31 U.S.C. § 373I(d). any person who "conspires to defraud the Government
by getting a false or fraudulent claim allowed or paid"
FN2. Indeed, the United States seeks to apply shall be liable for treble damages and statutory penalties
in a civil action brought by the United States. 31 USc.

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§ 3729(a)(3); see also 31 U.s.c. § 3730(a). General Meats, 638 F.Supp. at 824. Biddle did not reach this is-
principles of civil conspiracy apply to this cause of ac- sue; it dealt only with whether a false claim had been
tion. United States ex rei. Durcholz v. FKW, Inc, 189 paid. Reading further in Blusal Meats that court ex-
F.3d 542, 545 n. 3 (7th Cir.1999). Thus, federal courts pressly states that "[p ]roof that a false claim was actu-
have consistently required a plaintiff seeking relief un- ally presented to or paid by the government as a result
der section 3729(a)(3) to plead and prove (1) that the of the conspiracy is not necessary for a defendant to be
defendant conspired with one or more persons to get a held liable for the civil penalty ... under § 3729[aJ(3)."
false or fraudulent claim allowed or paid by the United Id at 828.
States and (2) that one or more conspirators performed
an act to effect the object of the conspiracy. See, e.g, *6 Blusal Meats is thus in keeping with this court's in-
United States ex reI. Taylor v. Gabe/li, ---F.Supp.2d - terpretation of the plain meaning of section 3729(a)(3).
---, No. 03 Civ. 8762, 2004 WL 1719357, at * 10 Section 3729(a)(3) imposes liability on any person
(S.D.N.Y. July 29, 2004); United States v. President & "who conspires to defraud the Government by getting a
Fellows of Harvard Call, No. 00 Civ. 11977, 2004 WL false or fraudulent claim allowed or paid" and provides
1447307, at *36 (D.Mass. June 28, 2004); United States for civi I penalties of up to $10,000 regardless of the ac-
ex reI. Atkins'on v. Pennsylvania Shipbuilding Co. ( tual damages suffered by the United States. 31 U.S.c. §
"Atkinson /" ), 255 F.Supp.2d 351, 371 (E.D.Pa.2002). 3729(a)(3). That is sufficient to recover civil penalties.
If the United States wishes to recover actual damages
A number of district courts have also also articulated against any person who submits (or conspires to submit)
the premise that plaintiffs who bring FCA civil conspir- false claims against the federal government, even
acy claims to prove that the United States suffered dam- though damages may be difficult or impossible to
ages as a result of the conspirators' unlawful act or acts. prove, it may do so and not limit itself to the statutory
See, e.g, United Stales ex rei. Biddle v. Board of Trust- penalties. However, any attempt to read an actual dam-
ees, C 91-20618-RMW, 1995 WL 456345, at *1 ages requirement into the statute would negate the de-
(N.D.Cal. July 28, 1995) (Whyte, 3.) (quoting Blusal terrent effect of this statutory damages provision. Thus,
Meats, Inc. v. United States, 638 F.Supp. 824, 828 because a contrary interpretation would contradict both
(S.D.N.Y.1986», affd, 161 F.3d 533 (9th Cir.1998), the plain meaning and the clearly expressed intent of 31
cert. denied, 526 U.S. 1066, 119 S.ct. 1457, 143 USc. § 3729(a)(3), the court holds that the United
L.Ed.2d 543 (1999); see also United States v. Bouchey, States need not prove actual damages in order to estab-
860 F.Supp. 890, 893 (D.D.C.1994) (citing United lish defendants' liability for conspiracy to submit false
States ex rei. Stinson, Lyons, Galin & Bustamante, P.A. claims. FN' Thus, to establish a claim for civil conspir-
v. Provident Life & Accident Ins. Co., 721 F.Supp. acy under the FCA, the United States need only prove
1247, 1259 (S.D.Fla.1989»; see also John T. Boese, I (1) that the defendant conspired with one or more per-
Civil False Claims and Qui Tam Actions § 2.0 I [C][5], sons to get a false or fraudulent claim allowed or paid
at 2-32 to -33 (2d ed. & Supp.2003) ( "The express lan- by the United State and (2) that one or more conspirat-
guage of Section 3729(c)(3) requires that the 'false or ors performed an act to effect the object of the conspir-
fraudulent claim' must be 'allowed or paid.' This lan- acy. See, eg, Taylor, 2004 WL 1719357, at *10.
guage requires actual payment and thus, actual dam-
ages."). There is no Ninth Circuit precedent directly on FN3. In reaching this conclusion, the court re-
point. This court's observation in Biddle that a plaintiff cognizes that a number of district court de-
seeking to bring an FCA civil conspiracy action bears cisions have implied that state civil conspiracy
the burden of proving "that the United States suffered laws supply the rules of decision for FCA con-
damages as a result of the false or fraudulent claim", spiracy claims brought pursuant to 31 U.S.c. §
1995 WL 456345, at * I, was merely a quotation from 3729(a)(3). See, e.g, United S'tates ex reI. Re-
the Southern District of New York's decision in Blusal agan v. East Tex. Med Or. Reg'l Healthcare

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Sys .. 274 F.Supp.2d 824, 857 (S.D.Tex.2003) 18 U.S.c. § 371. "Three elements establish a conspiracy
(applying Texas law), affd, 384 F.3d 168 (5th under section 371 :[a]n agreement to achieve an unlaw-
Cir.2004); United States ex reI. Atkinson v. ful objective, an overt act in furtherance of the illegal
Penmylvania Shipbuilding Co. ( "Atkinson 11" purpose, and the requisite intent to defraud the United
), No. Civ. A. 94-7316, 2004 WL 1686958, at States." United States v. Tuohey, 867 F.2d 534, 537 (9th
*4 (E.D.Pa. July 28, 2004) (applying Cir.1989) (citations omitted). The indictment against
Pennsylvania law). It is also true that under defendants alleged that they "knowingly and intention-
California law, a plaintiff seeking to hold a de- ally conspire[ d) to make false statements and defraud
fendant liable on a civil conspiracy theory must the United States of its right to have ... federal Medicare
prove that damages resulted from the act or program funds disbursed in accordance with the laws of
acts done in furtherance of the conspiracy. the United States." Indictment ~ 9. The court instructed
Doctors' Co. v. Superior Court. 49 Ca1.3d 39, the jury that proof of the conspiracy charge required the
44, 260 Cal.Rptr. 183, 775 P.2d 508 (1989). United States to show that: (I) there was an agreement
However, even assuming that Congress' draft- between two or more persons to commit the crime
ing of section 3729(a)(3) left room for the court charged in the indictment; (2) defendants became mem-
to fill a "gap" in the statute by borrowing the bers of the conspiracy knowing of at least one of its ob-
elements of a state law cause of action, the jects and intending to accomplish it; and (3) one of the
rules of decision for filling such gaps are members of the conspiracy performed at least one overt
provided by federal common law. See United act in furtherance of the conspiracy. Winslow Decl.,
States ex reI. Green v. Northrop Corp .. 59 F.3d Exh. 5 at 2253. The jury found defendants guilty of con-
953, 960 (9th Cir.1995) (applying federal com- spiracy. Id.. Exh. 6 at 1-2. The verdict also identified a
mon law to qui tam action), cert. denied. 518 number of overt acts committed in furtherance of the
U.S. 1018, 116 S.Ct. 2550, 135 L.Ed.2d 1069 conspiracy, finding that defendants submitted false
(1996). A Ithough a federal court may borrow claims to the Medicare fiscal intermediary for nursing
such common law rules from analogous state services costs incurred in 1996, 1997, and 1998 and that
law causes of action, a state law rule of de- St. Luke's employees prepared and presented a binder
cision cannot be permitted to "frustrate specific containing false nursing schedules and logs to Medicare
objectives of the federal program." Id. at 961 auditors in August 1999. Id.; Indictment ~ 14(a)-(c), (g).
(quoting Mardan Corp. v. CUe. Music. Ltd.. Under 31 U.S.c. § 373I(d), defendants are estopped
804 F.2d 1454, 1458 (9th Cir.1986)); see also from denying these facts in the instant action. The court
United States v. Kimbell Foods. Inc .. 440 U.S. therefore holds as a matter of law that defendants are li-
715, 728, 99 S.Ct. 1448, 59 L.Ed.2d 71 I (1979) able for civil conspiracy in violation of 31 USc. §
. For the reasons stated above, the deterrent ef- 3729(a)(3) and grants the United States' motion of sum-
fect of the FCA's statutory damages provision mary judgment as to that cause of action.
would be negated if the court adopted Califor-
nia's actual damages requirement. Accordingly,
the court need not address whether borrowing III. Making False Records. 3 JUS. C § 3 72Y(a) (2).
the elements of a state law cause of action for
purposes of interpreting the FCA would other- *7 The United States' final claim for relief under the
wise be appropriate. FCA alleges that defendants "knowingly mal de], user d],
or causer d] to be made or used, a false record or state-
In the criminal proceedings related to this action, de- ment to get a false or fraudulent claim paid or approved
fendants were charged with and convicted of conspiring by the Government" in violation of 31 U.S.c. §
to submit false claims to the Medicare program and to 3729(a)(2). Jd The requirements for proving a civil
obtain fraudulently payment therefrom in violation of claim for making false records are similar to the ele-
mentsofclaim for relief under 31 U.S.c. § 3729(a)(I)

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discussed in Section I, supra. However, unlike section FN4. In addition to moving for summary adju-
3729(a)(I), a person may be liable for making or using dication as to liability, the United States urges
false records under section 3729(a)(2) without proof of the court to impose civil penalties pursuant 31
"presentment" to the relevant government agency; USc. § 3729(a). As the United States ob-
rather, the plaintiff need only show either that the de- serves, section 3729(a) directs courts to award
fendant knowingly made or used falsified records in or- statutory penalties of "not less than $5,000, and
der to obtain payment from the United States or that he not more than $10,000" for each violation of its
or she directed someone else to make or use such a re- provisions. 31 U.S.c. § 3729(a). However, in
cord. See United States e.x rel. Riley v. St. Luke:~ Epis- lifting its order to stay proceedings in this ac-
copal Hospital, 355 F.3d 370, 379 (5th Cir.2004) tion, the court observed that it was doing so for
(holding that although the parties stipulated that defend- the limited purpose of allowing the United
ants did not file claims for payment, that fact "does not States to move for summary judgment as to de-
exonerate them" from liability under section 3729(a)(2) ). fendants' liability under the FCA. Order Lifting
Stay at 2. In so limiting its order, the court con-
As noted above, the jury in the related criminal action cluded that in the interest of judicial economy,
found that defendants committed a number of overt acts it would allow proceedings before the PRRB to
in furtherance of their conspiracy to defraud Medicare. move forward before adjudicating the United
Specifically, the jury concluded that defendants submit- States' civil claim for damages. See id at 1-2.
ted false nursing services reimbursement claims in three The court sees no reason to abandon that ap-
separate years and prepared and presented a binder con- proach and has no motion before it to do so.
taining false nursing schedules and logs to Medicare Because the court will be in a better position to
auditors. Winslow Decl., Exh. 6 at 1-2; Indictment , assess the appropriate statutory penalties after
14(a)-(c), (g). These findings are sufficient to establish it has determined the amount of compensatory
that defendants knowingly made or used false records damages to which the United States is entitled,
for the purpose of defrauding the United States. Thus, the court defers assessing such penalties until
because defendants are estopped from denying these that time.
facts, the court concludes that there is no material dis-
pute of fact regarding defendants' liability under 31 IT IS SO ORDERED.
U.S.c. § 3729(a)(2) and grants the United States' mo-
tion for summary judgment as to that cause of action.
* * CERTIFICATE OF SERVICE * *
CONCLUSION I, the undersigned, hereby certify that 1 am an employee
in the Office of the Clerk, U.S. District Court, Northern
For the reasons stated above, plaintiffs motion for par- District of California.
tial summary judgment as to the issue of defendants' li-
ability under the FCA is GRANTED. The court ad- That on December 16, 2004, I SERVED a true and cor-
judges defendants liable for violations of the 31 U.S.c. rect copy(ies) of the attached, by placing said copy(ies)
§ 3729(a)( I)-(3) arising out of the submission of false in a postage paid envelope addressed to the person(s)
Medicare reimbursement claims for nursing services hereinafter listed, by depositing said envelope in the
costs incurred in 1996, 1997, and 1998. Further pro- U.S. Mail, or by placing said copy(ies) into an inter-
ceedings in this action related to determining the office delivery receptacle located in the Clerk's office.
amount of damages for which defendants are liable, in-
cluding plaintiffs request for civil penalties under 31
USc. § 3729(a), shall remain stayed. F'l4

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Page 90f9

Page 8
Not Reported in F.Supp.2d, 2004 WL 2905237 (N.D.Cal.), Med & Med GO (CCH) P 301,576
(Cite as: 2004 WL 2905237 (N.D.Cal.»

Sara Winslow, Esq. ABfMHP


United States Attorney's Office
450 Golden Gate Ave., 10th Floor
P.O. Box 36055
San Francisco, CA 94102
*8 Guy Seaton

27253 Greenhaven Rd

Hayward, CA 94502

Jonathan C. Do, Esq.

Law Offices of Jonathan C. Do

864 Walker Ave

Oakland, CA 94610

N .D.Cal.,2004.
U.S. v. St. Luke's Subacute Hospital and Nursing
Centre, Inc.
Not Reported in F.Supp.2d, 2004 WL 2905237
(N.D.Cal.), Med & Med GO (CCH) P 301,576

END OF DOCUMENT

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