United States v. John Holland

117 F.4th 1352
Court of Appeals for the Eleventh Circuit·Decided September 25, 2024·No. 22-14219·Published

Opinion

[PUBLISH]

In the

United States Court of Appeals For the Eleventh Circuit

No. 22-14219

UNITED STATES OF AMERICA, Plaintiff-Appellant,

versus JOHN HOLLAND, EDMUNDO COTA, WILLIAM MOORE, Defendants-Appellees.

Appeal from the United States District Court for the Northern District of Georgia D.C. Docket No. 1:17-cr-00234-AT-CMS-1

2 Opinion of the Court 22-14219

Before WILSON, JILL PRYOR, and BRASHER, Circuit Judges. BRASHER, Circuit Judge:

This appeal is about an exclusion from the hearsay rule for the statements of a party’s coconspirators. The government accused the defendants of participating in an illegal healthcare kickback scheme and sought to introduce at trial out-of-court statements made by the defendants’ alleged coconspirators. But because the district court held that the government failed to prove that the defendants had the relevant mental state to make their conduct a crime, the district court refused to admit the statements. The district court erred. One need not show that a conspiracy was unlawful to introduce coconspirator statements. So long as those statements were made during and in furtherance of a joint venture that included an opposing party, the statements are admissible. Because the district court excluded the statements in this case based on an erroneous view of the law, we reverse and remand.

I.

The Anti-Kickback Statute is a federal law prohibiting people from referring or accepting the referral of patients covered by a federal healthcare program in exchange for a payment. 42 U.S.C. § 1320a–7b. This statute was allegedly violated by John Holland, William Moore, and Ed Cota. Cota and his wife Tracey ran a set of clinics for Hispanic women and children, which the parties call Clinica. Holland and Moore, meanwhile, were hospital executives for Tenet Healthcare. Holland and Moore allegedly increased the number of childbirths at Tenet hospitals by paying the Cotas to

USCA11 Case: 22-14219 Document: 87-1 Date Filed: 09/25/2024 Page: 3 of 18

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refer Medicaid or Medicare-covered pregnant women to the hospitals . The payments, the government says, came in the form of contracts to hire the Cotas to provide translation services for the women that they referred.

Tracey Cota pleaded guilty to violating the AKS by participating in this scheme. The district court accepted that plea, finding “a basis of fact that comprehends each and every element of the offense charged to which she is pleading.” But the other defendants maintain that their business relationship did not violate the AKS, in part because they lacked the relevant mental state or mens rea.

In prosecuting the three defendants, the government intended to rely on out-of-court statements from several of their unindicted coconspirators. The defendants moved for a pretrial hearing under United States v. James, 590 F.2d 575 (5th Cir. 1979) (en banc),1 which requires a district court to determine the admissibility of coconspirator statements under an exclusion from the hearsay rule. The government consistently objected to how the defendants envisioned the hearing, calling it an improper “attempt to conduct a mini-trial” on the AKS conspiracy charge. The government argued that the court should not allow the defendants “to contest whether a crime occurred” or address the “wholesale exclusion of all co-conspirator statements on the ground that no crime occurred .” In its final brief in response to the defendants’ arguments,

1 We are bound by decisions of the United States Court of Appeals for the Fifth Circuit issued before October 1, 1981. Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir. 1981) (en banc).

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the government asked the district court to decline the defendants’ “invitation to hold an impermissible summary judgment proceeding ” on whether the defendants committed a crime.

Over the government’s objection, the district court decided to hold a pretrial “paper” hearing to test whether the government could prove that the defendants engaged in an AKS conspiracy with their alleged coconspirators. Based on the government’s evidentiary presentation, including the guilty plea of one coconspirator, Tracey Cota, the district court recognized that the charged coconspirators worked together toward a common goal: “It is beyond dispute that (1) Holland, Moore, and Cota worked together to create contractual relationships between Clinica and Tenet hospitals, (2) under the terms of the contracts, Tenet paid Clinica, and (3) Clinica referred patients to Tenet hospitals.” But the district court held that this showing was not good enough. To admit the offered coconspirator statements, the district court believed that the government had to prove by a preponderance of the evidence that the defendants’ conduct was illegal to meet its burden under Rule 801(d).

Specifically, the district court concluded that the government needed to show that the participants in this scheme willfully violated the AKS. And the district court believed willfulness required knowledge of illegality. Because the district court found that the government did not prove knowledge of illegality, and thus willfulness, to its satisfaction at the paper hearing, the district court reasoned that the government had not proven the existence of an

22-14219 Opinion of the Court 5

illegal AKS conspiracy. And without an illegal conspiracy, the district court held that it could not admit coconspirator statements under the coconspirator exclusion from the hearsay rule.

The government appealed the district court’s decision. In their briefing, all parties assumed implicitly that the government had to prove the charged AKS conspiracy to admit the statements, with the government insisting that it could prove the defendants’ guilt and the defendants maintaining that it could not. But in a letter to the parties, we raised a question left unaddressed by them: Does a conspiracy need to be unlawful to introduce coconspirator statements under the Federal Rules of Evidence? In other words, was the district court wrong to conclude that the government needed to prove, before trial, all the elements of an illegal AKS conspiracy to have the coconspirator statements admitted? The parties addressed this question at oral argument and in letters to the court under Federal Rule of Appellate Procedure 28(j). We answer it now.

II.

Under 18 U.S.C. § 3731, the United States can appeal a district court’s decision to exclude evidence in a criminal proceeding. Here, the government appeals after the district court excluded statements from the defendants’ alleged coconspirators. We review a district court’s evidentiary rulings, including those concerning the admissibility of coconspirator statements, for an abuse of discretion. United States v. Magluta, 418 F.3d 1166, 1177 (11th Cir. 2005). But a district court abuses its discretion “per se” when it bases

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“an evidentiary ruling on an erroneous view of the law.” Bearint ex rel. Bearint v. Dorell Juv. Grp., Inc., 389 F.3d 1339, 1345 (11th Cir. 2004) (citing Conroy v. Abraham Chevrolet-Tampa, Inc., 375 F.3d 1228, 1232 (11th Cir. 2004)). In essence, “[a] district court’s interpretation of the Federal Rules of Evidence receives de novo review.” United States v. Ahmed, 73 F.4th 1363, 1380 (11th Cir. 2023) (citing Doe No. 1 v. United States, 749 F.3d 999, 1003 (11th Cir. 2014)).

III.

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United States v. John Holland, 117 F.4th 1352 (11th Cir. 2024).

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