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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Investigative Reports
Date Issued
Agency Reviewed / Investigated
Report Title
Type
Location
Federal Deposit Insurance Corporation
DOJ Press Release: Life Insurance Trustees Charged
Mark Hernandez, a psychiatrist based in Miami, Florida, Brian Dublynn, Vice President of Safe Haven Recovery Inc, and medical marketer, Jennifer Sanford, pleaded guilty in United States District Court for the Southern District of Florida on August 17, 2021, to conspiracy charges related to a health care fraud investigation. The defendants conspired to defraud private health companies by causing Safe Haven, a substance abuse treatment facility in Miami, along with several clinical laboratories, to submit false and fraudulent claims to health insurance plans for addiction treatment services that were not provided as billed and laboratory tests that were not medically necessary. As a result of the scheme, Amtrak’s insurance providers were fraudulently charged approximately $86,130. The three defendants will be sentenced at a future date.
Suspected Violations of the Architect of the Capitol (AOC) “Government Ethics,” “Standards of Conduct,” “Absence and Leave” Policies and “Title 31, United States Code §3729 – False Claims”: Substantiated
The OIG investigated allegations that a Bureau of Reclamation (BOR) employee misused a U.S. Government purchase card. Specifically, the complaint alleged that the employee deliberately overbought supplies for a BOR office and gave the excess items to a family member for personal use or sale.We did not substantiate the allegations. We concluded that all the purchases were properly authorized and were consistent with supply requirements at the facility. We also concluded the employee did not improperly dispose of any office supplies.This is a summary of an investigative report we issued to the BOR Commissioner.
An Amtrak trackman/flagman based in Chicago, Illinois, resigned from employment on August 5, 2021, prior to his administrative hearing. Our investigation found that the former employee violated company policies by driving and operating company-owned vehicles without a valid driver’s license on a routine basis. We further determined that he was arrested and convicted on two occasions for operating a vehicle while intoxicated and did not report the incidents to the company as policy required.
Report of Investigation Regarding Alleged Unauthorized Contacts by Federal Bureau of Investigation Employees with the Media and Other Persons in Advance of the 2016 Election
DOJ Press Release: Jury Convicts Five Former Officers and Employees of Banc-Serv Partners in $5 Million Scheme to Defraud the Small Business Administration
Findings of Misconduct by a then FBI Unit Chief for Failure to Satisfy Financial Obligations and Honor Just Debts, Misuse of Position by Requesting and Obtaining a Loan from a Subordinate, and Lack of Candor in FBI and Federal Financial Disclosure Forms
John Pangelinan, a medical marketer based in Los Angeles was sentenced on August 2, 2021, to time served and two years’ probation for conspiracy to commit honest services mail fraud and health care fraud. Pangelinan brokered kickbacks and bribe payments to doctors in exchange for their referrals of compounded medications, durable medical equipment, and other health care goods to certain providers.Our investigation found that Pharmacy Acquisition LLC provided medically unnecessary compounded drug prescriptions to Precise Compounding Pharmacy that were reimbursed by health care benefit programs, including Amtrak’s plan. As a result of the scheme, Amtrak’s insurance providers were fraudulently charged approximately $22,000.
Allan Lummer, Farshad Sassounian, Sidney Cobos and Ashkan Kohanpour, medical marketers based in Los Angeles, were sentenced in United States District Court, Central District of California, in July 2021 for aiding and assisting in the preparation of a false tax return. Sassounian, Cobos, and Kohanpour were each sentenced to six months in prison and ordered to pay $24,147.50 in restitution. Lummer was sentenced to two years’ probation for his role in the scheme.Our investigation found that the four defendants aided in the preparation and presentation of a false tax return to the Internal Revenue Service for Pharmacy Acquisition LLC. The defendants knew the tax return falsely claimed a deduction for expenses that were actually distributions made to them, as owners of the pharmacy. Further, our investigation found that Pharmacy Acquisition LLC provided medically unnecessary compounded drug prescriptions to Precise Compounding Pharmacy that were reimbursed by health care benefit programs, including Amtrak’s plan. As a result of the scheme, Amtrak’s insurance providers were fraudulently charged approximately $22,000.
Findings of Misconduct by a Then- Senior FBI Official for Having Numerous Unauthorized Contacts with the Media, and for Accepting Unauthorized Gifts from Members of the Media