United States v. Stephen Snyder

Court of Appeals for the Fourth Circuit·Decided July 14, 2026·No. 25-4218·Published

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 25-4218

UNITED STATES OF AMERICA, Plaintiff - Appellee,

v.

STEPHEN L. SNYDER, Defendant - Appellant.

Appeal from the United States District Court for the District of Maryland, at Baltimore. Deborah L. Boardman, District Judge. (1:20-cr-00337-DLB-1)

Argued: May 7, 2026 Decided: July 14, 2026

Before WILKINSON and WYNN, Circuit Judges, and KEENAN, Senior Circuit Judge.

Affirmed by published opinion. Judge Wynn wrote the opinion, in which Judge Wilkinson and Senior Judge Keenan joined.

ARGUED: C. Justin Brown, BROWN LAW, Baltimore, Maryland, for Appellant. Mary Jessica Kirsch Munoz, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Appellee. ON BRIEF: Lylian Romero, BROWN LAW, Baltimore, Maryland, for Appellant. Kelly O. Hayes, United States Attorney, Greenbelt, Maryland, David C. Bornstein, Assistant United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, Baltimore, Maryland, for Appellee.

WYNN, Circuit Judge:

A defendant who is competent to stand trial is competent to waive the right to counsel.

Stephen Snyder was charged with attempted extortion of a hospital and insisted on representing himself at trial. His performance was so poor and his relationship with the judge so contentious that he served a night in jail for contempt of court during the trial. The jury found him guilty. Snyder now asks this Court to overturn his conviction because his cognitive decline affected his performance as his own attorney.

But his concession that he was competent to stand trial precludes this argument, and his other arguments on appeal also lack merit. Accordingly, we affirm.

I.

A.

For nearly fifty years, Snyder was a prominent Maryland attorney, primarily representing plaintiffs in medical malpractice suits. But toward the end of his career, he developed a scheme in which he threatened to run a targeted advertising campaign against the transplant center of the University of Maryland Medical System (“the Hospital”) unless it agreed to pay him, personally, $25 million. The details of that scheme follow.

In 2017 and 2018, Snyder represented patients who had received allegedly substandard care when receiving transplants at the Hospital. At the settlement conference for one of those cases in January 2018, Snyder met with the Hospital officials, including attorneys Natalie Magdeburger and Sue Kinter and Dr. Stephen Bartlett, then the Hospital’s chief medical officer. Snyder took Barlett aside and privately told him that he had other

clients with medical malpractice claims. He asked for Bartlett’s personal cell phone number, which Bartlett gave him.

Snyder and Bartlett exchanged text messages and ultimately agreed to meet for dinner in March 2018, to be joined by Snyder’s girlfriend and Bartlett’s wife. At the dinner, Snyder asked to speak privately with Bartlett at the bar. He had the maître d’ deliver a folder that contained gruesome post-operative photos of one of his clients, Jeffrey Sanders. Snyder told Bartlett that he would use the Sanders case to take down the Hospital by making a video about the Hospital’s transplant program “and he was prepared to show it and put it on TV and do newspaper ads if [Bartlett] did not cooperate with him.” J.A. 1106. 1 By “cooperate,” Snyder made clear, he meant that the Hospital should personally pay him $25 million by employing him “in some capacity, perhaps as a consult.” Id.

When Bartlett and Snyder rejoined their companions at the dinner table, Snyder continued to press the issue. He “repeated over and over and over again,” while looking at Bartlett’s wife, that “as long as [Bartlett] does what I want him to do, you’ll be okay.” J.A. 1107. Bartlett’s wife left the dinner feeling “scared and threatened.” J.A. 1180.

In the weeks after the dinner, Snyder continued to text Bartlett about the Sanders case. Snyder texted Bartlett to ask whether he had “talked to” the Hospital’s attorney, Kinter. J.A. 1108. He later texted, “If I don’t get a straight answer, I’m going to go forward full blast.” Id. He then wrote, “The debacle at your hospital at your helm must be taken extremely seriously. Otherwise, I cannot help you.” Id. Finally, Bartlett responded,

1

Citations to the “J.A.” and “S.J.A.” refer, respectively, to the Joint Appendix and Sealed Joint Appendix filed by the parties in this appeal.

“[Kinter] and I just spoke. I explained to her that we’re in jeopardy for fraud and punitive damages. She understands the ball is in your court.” J.A. 1109.

At some point after his transplant, Jeffrey Sanders passed away. Snyder represented his wife, Michele Sanders (“Sanders”), as the representative for Jeffrey’s estate and met with the Hospital on three separate occasions.

In April 2018, Snyder and his associate Kevin Stern met with Kinter, Magdeburger, and Dr. DePriest Whye, who represented the hospital. There, Snyder threatened the Hospital again: with a press conference, a front-page story in The Baltimore Sun, a television commercial, and a targeted digital campaign that would direct anyone searching for the Hospital’s transplant services online to an advertisement for Snyder’s law firm. However, as relayed in his prepared remarks for the meeting, he also told the Hospital that it could “silence” Sanders and “bury what [his] investigation has uncovered” if the Hospital would “pay a $25 million premium.” J.A. 1766.

In June 2018, Snyder and Stern met again with Kinter, Magdeburger, and another Hospital attorney, Alicia Reynolds. Unlike in the first meeting, this time Snyder “changed course” by separating the settlement of the Sanders case, which he thought could settle for up to $5 million, from the $25 million he wanted the Hospital to pay him personally. J.A. 1490. However, he told the Hospital that it “had to do both and if [it] didn’t do both, he would go on this media campaign and destroy the hospital and destroy the transplant program and destroy Dr. Bartlett’s . . . career.” Id. He also told Kinter that if the Hospital did not agree to the deal, it “would blow up in [her] face,” and that “the University would fire [her].” Id. To accentuate his point, he played a video he had created that compared the

fallout the Hospital would experience to a similar downfall by the transplant program at Baylor University in Texas.

To avoid those outcomes, he proposed that the Hospital hire him as a consultant for $25 million to conflict him out of any further cases he might otherwise bring against it. As to what the proposed consultancy would look like, Snyder seemed unconcerned with the details. At one point, he suggested the payment could be broken up over ten years, if necessary. And as for what he would do in return, he suggested “he could be a janitor, [he and the Hospital] could have lunch once a month, catch up, or [the Hospital] didn’t have to see him for ten years.” J.A. 1510.

Kinter left the June 2018 meeting “absolutely stunned.” J.A. 1493. Feeling that she was being extorted, she contacted both a criminal-law attorney and law enforcement to seek advice on how to respond. From that point on, she worked with the FBI to record conversations she had with Snyder.

One such conversation took place in August 2018, when Snyder and Stern met with Kinter, Magdeburger, Reynolds, and Whye at the Hospital. Snyder again repeated his demand to settle the Sanders case and, separately, to collect $25 million as a consultant to the Hospital. He also mentioned to the Hospital that he had retained an ethics attorney, Andrew Graham, to make sure the consultant agreement was ethical. He requested that Magdeburger meet with Graham “to figure it out ethically, morally, comfortably, to see if there’s a solution how to do it.” J.A. 223.

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