United States v. Jackson

876 F. Supp. 1208, 1994 U.S. Dist. LEXIS 19135, 1994 WL 735561
District Court, D. Kansas·Decided December 12, 1994·No. No. 94-40001-01/02-SAC·Published·Cited by 1 cases

Opinion

MEMORANDUM AND ORDER

CROW, District Judge.

The case comes before the court on the sentencing of these defendants. For the court’s consideration, the parties submitted sentencing memoranda, oral arguments, and evidence. At the conclusion of the sentencing hearing on December 12, 1994, the court summarily ruled on all pending objections and explained that a written order would follow with additional findings and reasons in support of its rulings. The court submits the following findings and conclusions in support of the sentences imposed at that hearing.

VICTIM

The prosecution originally objected to the presentence investigation reports (PSIRs) for omitting an upward adjustment for official victims pursuant to U.S.S.G. § 3A1.2(A). The prosecution argued that the Postal employees were the “grist” of the defendant’s patients-for-money “mill.” Since making this objection, the prosecution has received opposing responses from both the defendants and the probation officer. This objection does not appear in the prosecution’s sentencing memorandum to the court. By all indications, the prosecution may have conceded or at least waived that objection. Even so, the court will consider it briefly.

A § 3A1.2 adjustment for official victims “applies when specified individuals are victims of the offense,” and not “when the only victim is an organization, agency, or the government.” U.S.S.G. § 3A1.2, comment, (n. 1). Of the different victims named by the prosecution, the only one possibly fitting this category would be the postal employees referred to Parkview Hospital by Louis Garcia. The evidence of record utterly fails to show that the employees lost money or property or were otherwise harmed by having been treated by Parkview Hospital. Witnesses at trial testified that every patient referred by Garcia needed inpatient care and received appropriate medical care from Parkview Hospital. This testimony rules out opposing inferences that these same patients received unnecessary inpatient care and that they could have been adequately treated through available outpatient programs. Instead of victims, the patients were beneficiaries of not only Park-view’s quality medical care but also its routine waiver of deductibles and out-of-pocket expenses. The court overrules the government’s objection for a victim adjustment under § 3A1.2.

NUMBER OF BRIBES

The base offense level for bribing a public official is 10. “If the offense involved more than one bribe ..., increase by 2 levels.” U.S.S.G. § 201.1(b)(1). The commentary to this provision reads:

Subsection (b)(1) provides an adjustment for offenses involving more than one incident of either bribery or extortion. Related payments that, in essence constitute a single incident of bribery or extortion (e.g., a number of installment payments for a single action) are to be treated as a single bribe or extortion, even if charged in separate counts.

U.S.S.G. § 2C1.1, comment, (n. 6). Relying on this guideline comment, the defendants maintain there was one bribe consisting of the agreement to refer on the average three patients each month in exchange for monthly payments of $3,000. The defendants emphasize their deal was memorialized in a one-year consulting agreement entered on November 1, 1990, and then renewed on October 4, 1991, on nearly identical terms. They say the monthly payments were like installment payments, as Parkview Hospital regularly issued every check in the same amount of $3,000. Their argument is bolstered by the fact that the defendants did not approach Garcia each month with separate offers of money for his referral services.

The prosecution responds that the defendants confuse one bribe with one conspiracy. [1213]*1213While the payments were part of one conspiracy, they were not made for a single action. There was no agreement to pay Garcia a set sum in installments over a specified period of time. Instead, the bribes were paid as long as Garcia referred patients. On one occasion, Garcia received a bonus of another $3,000 for making ten referrals in one month. The prosecution stresses that Garcia received different types of bribes, including checks, expense-paid trips, a calling card, and a cellular phone. The bribes came from two different sources, Parkview Hospital and Charter by the Sea Hospital. The prosecution points to Garcia’s testimony that the consulting agreements were mere subterfuges. Even if the written agreements represent to some extent the parties’ course of dealings, there was still more than one consulting agreement consummated.

A preponderance of evidence establishes that Garcia received more than one bribe and performed more than a single action. The conspiracy agreement was not for a final fixed sum paid in regular installments in return for a single action from Garcia. Instead, the conspiracy was more open-ended and indefinite in actions, terms, and duration. It was understood that Garcia would receive monthly payments for referring on the average three patients each month for as long as both sides wanted to perform. The evidence does not show that the parties contemplated how much compensation ultimately would be received by Garcia, how many patients ultimately would be referred by him, or how long their conspiracy ultimately would last. While sharing a common purpose, the fifteen separate payments are not so related as to constitute “a single action of bribery.”

Other facts also support this conclusion. Garcia was not asked to do just a single act or a single set of acts. Each monthly payment compensated Garcia for his work that month in recommending Parkview Hospital to those postal employees who happened to seek his counsel and for referring some of them to Parkview Hospital. On one occasion, Garcia received a bonus for referring more than three patients in one month. This bonus was in addition to the regular monthly payment and was given in exchange for Garcia doing more than was expected of him. The bribes given to Garcia were not just monthly checks. Garcia also received expense-paid trips, a calling card, and a cellular phone. The defendants even arranged for Parkview Hospital to pay the airfare for Garcia’s brother to attend the funeral of their father.

That the defendants are able to distinguish this case from United States v. Morales, 11 F.3d 915 (9th Cir.1993), is not decisive. Granted, the court there found multiple bribes based upon numerous payments from different sources, in different amounts, and.at different intervals. 11 F.3d at 917. Such factors are common indicators of multiple bribes. The absence of such factors, however, does not necessarily mean there was only one bribe. If additional payments are made to promote different or more work from the bribed official, then the payments are not installment payments but separate bribes. See United States v. Kahlon, 38 F.3d 467 (9th Cir.1994). Each monthly payment to Garcia was in return for referring additional patients to Parkview Hospital. On the weight of these findings and conclusions, the court increases the base offense level by two points for multiple bribes as required by § 201.1(b)(1).

AMOUNT OF BRIBE OR LOSS

Section 2C1.1 of the Sentencing Guidelines provides that the base offense level is to be enhanced as follows:

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United States v. Jackson, 876 F. Supp. 1208, 1994 U.S. Dist. LEXIS 19135, 1994 WL 735561 (D. Kan. 1994).

876 F. Supp. 1208 (United States v. Jackson) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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