HEALTHCARE FRAUD
HCA Inc. - $631 million under the False Claims Act
In 2003, HCA Inc. (formerly known as Columbia/HCA and
HCA)– The Healthcare Company) paid $631 million to settle allegations
of cost report fraud, the payment of kickbacks to physicians and overbilling
Medicare for HCA’s wound care centers. The company previously
paid $731.4 million in a 2000 a civil settlement and criminal guilty
plea. Total settlements paid by HCA under the False Claims Act currently
amount to $1.7 billion.
Tenet Healthcare - $22.5 million under the False Claims Act
In March 2004, Tenet Healthcare Corporation agreed to
pay $22.5 million to resolve allegations that one of its facilities
improperly billed Medicare for millions of dollars for referrals provided
by doctors with whom the hospital had prohibited financial arrangements.
At that time the settlement was the largest False Claims Act recovery
the government had obtained from a single hospital arising out of
alleged violations.
Schering-Plough - $345 million under the False Claims Act
In July 2004, Schering Sales Corp., the sales and marketing
subsidiary of drug manufacturer Schering-Plough, agreed to pay $52.5
million, while Schering-Plough Corporation agreed to pay more than
$290 million to resolve allegations stemming from its fraudulent pricing
of Claritin, its blockbuster allergy medication. The charges alleged
that the company paid a health maintenance organization (HMO) a kickback
of $1.8 million to induce the HMO to keep Claritin on its list of
drugs that were covered for its beneficiaries. The suit also charged
that Schering-Plough overcharged Medicaid by failing to report its
true best price for Claritin.
Gambro Healthcare - $350 million under the False Claims Act
In December 2004, Gambro Healthcare agreed to pay more
than $350 million to settle allegations of healthcare fraud in the
Medicare, Medicaid and TriCare programs. As part of the global resolution,
Gambro Supply Corporation, a sham durable medical equipment company
and a wholly owned subsidiary of Gambro Healthcare, admitted to executing
a healthcare fraud scheme and agreed to plead guilty to criminal felony
charges, pay a $25 million fine and be permanently excluded from the
Medicare program. Gambro Healthcare also agreed to pay in excess of
$310 million to resolve allegations that it paid kickbacks to physicians
and made false statements to procure payment for unnecessary tests
and services.
DEFENSE FRAUD
SAIC (Science Applications International Corp) - $2.5 million under
the False Claims Act
In April 2005, SAIC agreed to pay $2.5 million to settle
allegations that it made false claims and engaged in defective pricing
on delivery orders with the Air Force for environmental clean up at
Kelly Air Force Base in San Antonio, Texas. The complaint alleged that
SAIC knowingly failed to disclose information about its costs during
price negotiations with the Air Force, as required by the federal Truth
in Negotiations Act. The lawsuit alleged that SAIC utilized hidden management
reserves to inflate its estimates of the amount of labor hours it would
require to complete the delivery orders, but never told the Air Force
about the reserves or the padded hours. Under federal law, a company
bidding for a government contract must disclose if it is increasing
its cost estimates in its formal bid based upon the possibility of cost
overruns due to unforeseen circumstances. It cannot give the government
the impression that speculative costs are certain costs, and thus falsely
tell the government that its profit margin on a contract is, for example
10% when it fact it is 40%
Lockheed Martin - $37.9 million under the False Claims Act
In August 2003, Lockheed Martin Corporation agreed to
pay $37,900,000 to resolve allegations that it inflated the cost of
performing several Air Force contracts. The suit alleged that the
company deliberately inflated the cost of contracts for the purchase
of navigation and targeting pods for military jets.
Northrop Grumman Space & Mission Systems Corporation
- $111 million under the False Claims Act
In June 2003, Northrop Grumman Space & Mission Systems Corporation
(NGSMS), the successor to TRW Inc., agreed to pay $111.2 million for
allegedly overcharging on government contracts. The suit alleged that
between 1990 and 1997, TRW employees engaged in five separate schemes
that increased the costs the government paid the aerospace contractor.
OTHER TYPES OF FRAUD
Shell Oil - $49 million under the False Claims Act
In August 2003, Shell Oil Company agreed to pay $49 million
to resolve allegations that the energy company improperly vented and
flared gas from various offshore federal leases and failed to property
report, or pay royalties on, the vented and flared gas. Regulations
issued by the Department of the Interior prohibit unauthorized venting
and flaring of gas in excess of small volumes that are not economical
to recover. The lawsuit charged that Shell vented and flared for extended
periods large volumes of gas at its Auger platform, located about
150 miles off the coast of Louisiana, and other facilities in the
Gulf of Mexico.
OfficeMax, Inc. - $9.8 million under the False Claims Act
In May 2005, OfficeMax agreed to pay $9.8 million to
settle allegations that it submitted false claims when it sold office
supply products manufactured in countries not permitted by the Trade
Agreements Act to U.S. government agencies. The settlement resolves
allegations that OfficeMax sold products from countries that do not
have reciprocal trade agreements with the U.S. OfficeMax was required
by its contract with the General Services Administration (GSA) to
prevent such items from being offered for sale to U.S. government
agencies.
The Mayo Foundation - $6.5 million under the False Claims Act
In May 2005, The Mayo Foundation, the parent organization
of the Mayo Clinic, paid $6.5 million to resolve allegations that
it charged the government under federal grants for research costs
unrelated to the research projects sponsored by those grants. The
Foundation receives hundreds of grants each year from the National
Institutes of Health (NIH) and other government agencies, each grant
covering a distinct research project. The Mayo Foundation may charge
the government only for costs related to the specific research covered
by the grant. The settlement resolves allegations that Mayo wrongly
charged the government by including on underspent grants research
costs incurred on overspent grants and internal Mayo cost centers.
As a result, the Foundation was paid more under the grants than they
were entitled to receive.
Turner Construction Company - $6.6 million under the False Claims Act
In June 2005, Turner Construction Company paid $6.6 million
to settle allegations that it received credits for bonds on dozens
of federal contracts without passing the credits along to the federal
government. The contracts in question include one for the construction
of the VA’s Boston Medical Center in Massachusetts, one with
the GSA for the construction of a courthouse in Islip, New York, numerous
Navy contracts, and several other construction contracts or subcontracts
with these and other agencies.
Humanscale Corporation - $9 million under the False Claims Act
In June 2005, Humanscale Corporation (formerly Softview
Computer Products) agreed to pay $9 million to resolve allegations
that they overcharged the government on furniture and office products.
The government alleged that the firm failed to disclose current, accurate
and complete discount and pricing information to the General Services
Administration (GSA) contract negotiators and failed to comply with
the price reduction clauses for three of its GSA Multiple Award Schedule
contracts, resulting in the overcharging of the government.
PriceWaterhouseCoopers, LLP - $41.9 million under the False Claims
Act
In July 2005, PriceWaterhouseCoopers, LLP (PWC) agreed
to pay $41.9 million to settle allegations in connection with claims
it made to federal agencies for travel reimbursement. PWC received rebates
on its travel expenses from travel and credit card companies, airlines,
hotels, rental car agencies and travel service providers. The allegations
charged that the company did not consistently disclose the existence
of travel rebates and did not reduce its travel reimbursement claims
by the amounts of the rebates and knowingly presented claims for payment
for amounts greater than the travel expenses actually incurred and in
violation of contractual provisions and the applicable provisions of
the Federal Acquisition Regulations. (recast previous sentence)
Electrolux - $700,000 under the False Claims Act
In October 2002, Electrolux Home Products agreed to pay
$687,781.77 to settle claims that it defrauded the U.S. Customs Service
by failing to declare the value of certain tooling molds, assembly
labels and parts that it provided to overseas manufacturers on entry
summaries it filed with the Customs Service.
Intertek Testing Services Environmental Laboratories – nearly
$9 million under the False Claims Act
In March 2002, Intertek agreed to pay $8.7 million to
resolve allegations that the firm did not carry out certain tests pursuant
to contractual requirements with the government. Intertek’s now-defunct
Richardson, Texas laboratory tested air, liquid and soil samples for
hazardous substances. The government’s claims against the company
were made on behalf of the Army Corps of Engineers, Department of the
Air Force, Department of the Navy and the Environmental Protection Agency
(EPA).


