United States v. Butler

CourtCourt of Appeals for the Fifth Circuit
DecidedNovember 8, 2005
Docket04-10364
StatusPublished

This text of United States v. Butler (United States v. Butler) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Butler, (5th Cir. 2005).

Opinion

United States Court of Appeals Fifth Circuit F I L E D REVISED NOVEMBER 8, 2005 UNITED STATES COURT OF APPEALS October 25, 2005 For the Fifth Circuit Charles R. Fulbruge III Clerk

No. 04-10364

UNITED STATES OF AMERICA,

Plaintiff-Appellee,

VERSUS

THOMAS CAMPBELL BUTLER, MD,

Defendant-Appellant.

Appeal from the United States District Court For the Northern District of Texas, Lubbock Division

Before WIENER, DeMOSS, and PRADO, Circuit Judges.

PER CURIAM:

Appellant Dr. Thomas Butler was convicted on 47 of 69 counts

of various criminal activity relating to work he performed as a

medical researcher at the Texas Tech University Health Sciences

Center (“HSC”). Of these 47 counts, Butler was convicted of 44

counts of contract-related crimes, including theft, fraud,

embezzlement, mail fraud, and wire fraud, (collectively, the

“Contract Counts”). Butler was also convicted of three counts

relating to the transportation of human plague bacteria (“yersinia

pestis” or “YP”), including the illegal exportation of YP to

Tanzania, the illegal transportation of hazardous materials, and making a false statement on the waybill accompanying the YP vials

shipped to Tanzania, (collectively, the “Plague Counts”). The

district court sentenced Butler to 24 months’ imprisonment followed

by 3 years’ supervised release, a $15,000 fine, and ordered him to

pay restitution to HSC in the amount of $38,675. Butler timely

filed the instant appeal. For the reasons discussed below, we

affirm.

BACKGROUND AND PROCEDURAL HISTORY

Butler was a professor and Chief of Infectious Diseases in

HSC’s Internal Medicine Department since 1987. As part of Butler’s

pay structure, a percentage of his income was provided by the State

of Texas while the remainder came from the Medical Practice Income

Plan (“MPIP”). Under MPIP, a doctor earned money by seeing

patients, receiving research grants, or conducting clinical studies

under the auspices of HSC. The monies received from the patients

a doctor treated and the funds paid out for the research/studies

was remitted to HSC. Part of these monies paid for HSC’s overhead

costs and other expenses while another part was paid out as the

non-state portion of the doctor’s income. Any remaining funds from

a clinical study was transferred to a developmental account for the

researcher’s department or division. The money in this account was

earmarked for expenses such as professional dues and business

travel, none of which was related to any particular project.

When a researcher at HSC was in a position to obtain a

2 research grant or conduct a clinical study, it was required that

the accompanying documentation be submitted to the institution for

approval. Moreover, any monies paid out as a result of the

research grant or clinical study were required to be paid directly

to the institution. Consulting contracts, however, received

different treatment from research grants or clinical studies.

Specifically, a consulting contract was viewed by HSC as a means

for a doctor to sell his or her expertise or advice directly to a

third party, such as in designing a drug study. The consulting

would not involve patient care or patient safety issues, and the

consultant would not be using HSC’s resources such as labs and

personnel. Because of these considerations, consulting contracts

were permissible without HSC’s financial involvement or approval,

unlike contracts covering clinical studies.

Between 1998 and 2001, Butler entered into several clinical

study contracts with two different pharmaceutical companies,

Pharmacia and Chiron. The first contract entered into with

Pharmacia occurred in March 1998. Under this contract, Pharmacia

agreed to pay HSC $2,400 for each patient enrolled in the clinical

study. Apparently unbeknownst to HSC, however, Pharmacia and

Butler entered into another “shadow” or “split” contract that

provided Butler with an additional $2,400 per patient enrolled in

the same study. A similar contract was entered into between

Pharmacia and Butler in the spring of 2000 and again in the fall of

2000.

3 With respect to the contract in the fall of 2000, there was

another HSC researcher, Dr. Casner, who was working on the same

study as Butler. Dr. Casner’s contract with Pharmacia was not

split, and therefore it appeared that he had a budget twice the

size of Butler’s. A representative with HSC who was aware of Dr.

Casner’s contract, contacted Butler to inform him that she could

get Butler a bigger budget. Butler allegedly refused the offer and

informed the HSC representative that he would remain in charge of

negotiating his own contracts. Butler had also negotiated two

similar contracts with Chiron (another pharmaceutical company),

using the contracts with Pharmacia as a template. The contracts

with Chiron involved drug studies that were conducted in February

1999 and March 2000.1 Butler received payments under the contracts

with Pharmacia and Chiron until August 2001.

The existence of the shadow contracts first came to the

attention of HSC in July 2002, when an HSC representative learned

from a Pharmacia representative that Butler was getting one-half of

the money from the Pharmacia studies, while HSC received the other

half. HSC initiated a preliminary investigation into the split

contracts that continued until January 9, 2003, when HSC informed

Butler by letter that an additional investigation by authorities

charged with compliance issues was to begin. In the letter, HSC

sought a response from Butler by no later than January 21, 2003.

1 By all accounts, Butler was the only researcher to have split contracts with these pharmaceutical companies.

4 For the reasons discussed below, HSC never received the requested

response.

In addition to his work at HSC in Texas, Butler conducted

plague research in Tanzania in 2001.2 Then, in April 2002, Butler

returned to Tanzania where, for approximately 10 days, he worked on

research of plague in human patients at clinics there. Part of his

research involved personally culturing and subculturing specimens

that he planned to bring back to the United States for additional

studies.

Having returned to the United States with the yersinia pestis

cultures, Butler continued his research. Then, on January 13,

2003, four days after receiving the letter from HSC auditors

warning of the impending investigation into the alleged shadow

contracts, Butler reported that 30 vials of the yersinia pestis

were missing from his HSC laboratory in Lubbock. The FBI was

immediately notified and within hours descended upon Lubbock, where

Butler was questioned. Eventually, Butler revealed that the

yersinia pestis was not actually missing, but that he had destroyed

the vials accidentally.

In April 2003, a grand jury returned a 15-count indictment

charging Butler with various crimes relating to his transporting of

yersinia pestis, the providing of false statements to FBI agents

2 This work was reportedly encouraged by the Food and Drug Administration (the “FDA”), the Center for Disease Control and Prevention (“CDC”), and the United States Army.

5 regarding yersinia pestis, and a tax crime. A superceding

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