USA v. Shah, No. 21-10292 (5th Cir. 2023)
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Seven codefendants appeal their various convictions stemming from a multi-million-dollar healthcare conspiracy involving surgery-referral kickbacks at Forest Park Medical Center in Dallas, Texas. They challenge convictions under the Anti-Kickback Statute (“AKS”), the Travel Act, and for money laundering. The defendants in this case are, with three exceptions, the surgeons whom Forest Park paid to direct surgeries to the hospital—Won, Rimlawi, Shah, and Henry. One exception is Forrest— she is a nurse. Another is Jacob—he ran Adelaide Business Solutions (Adelaide), a pass-through entity. The other is Burt—he was part of the hospital’s staff. Defendants raise many of the same issues on appeal, often adopting each other’s arguments.
The Fifth Circuit affirmed. The court wrote that the state law at issue here is the Texas Commercial Bribery Statute (TCBS). Here, it does not matter if the physician was acquitted because there could still be sufficient evidence in the record that defendants “offer[ed]” a benefit in violation of the TCBS regardless of whether any physician accepted it. Further, the court explained that even assuming no rational jury could have found a single conspiracy, the surgeons fail to show that this error “prejudiced their substantial rights.” Henry and Forrest do not raise this point at all. Won and Shah address it only briefly and fail to provide any record citations to support the proposition that “clear, specific, and compelling prejudice” resulted in an unfair trial.
The court issued a subsequent related opinion or order on March 8, 2024.
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