P is for Peril

"You were a regular troublemaker."

"I sincerely hope so."

"So even before the audit, they were unhappy with you."

She nodded and said, "Very. They let some time pass and then they fired me. Dr. Purcell tried to intervene, but he had no power and he was overruled. Penelope got upset and she quit in a huff, which really worked in their favor. It made it look like we were guilty of wrongdoing and Genesis was cleaning house. That still gave them Dr. Purcell as a fire wall if the MFCU investigation proceeded . . ."

"Which it did."

"Oh, yes. They're not going to give up until they nail this one down."

"As I remember it, Joel told me Genesis was part of a group called Millennium Health Care."

"It is, but my guess is that some, if not all, of those companies are shell corporations, set up to conceal the real ownership."

"As in what?"

"Company A, owned by Mr. Smith, buys a residential nursing home. Smith sets up a phony company with a slate of officers who appear to be unconnected to him. His company, A, sells the facility to this second company-also his-at a greatly inflated price, effectively converting the profits into capital gains . . ."

"Which are taxed at a lower rate," I said.

"Right. The second company can use the trumped-up value of the newly purchased facility as collateral for new loans. Meanwhile, bogus company C comes along and leases the building and grounds from the 'new' owner with a substantial boost in rents."

I held a hand up. "Hang on a minute." I ran the chronology back through my mind, trying to figure out what had caught my attention while she was laying it out to me. It wasn't anything she said; it was something I'd been wondering since I'd arrived at her door. "The night he disappeared, Dr. Purcell left Pacific Meadows at nine o'clock. Did he, by any chance, stop by to talk to you?"

She paused so long I didn't think she'd answer me. "Yes."

"About what?"

"He told me he had a meeting scheduled with the FBI. He thought he knew what was going on and who was behind it, namely Harvey and Joel."

"But those two wouldn't have been in any jeopardy, would they? I mean, from what I was told, they had nothing to do with the day-to-day running of Pacific Meadows. The real fiddle must have come from Genesis, since the Medicare checks were sent to them."

"There may be more of a connection than you think. Dr. Purcell must have gotten greedy because he began to sign off on charges he knew were fraudulent: X-ray and ambulance services among them. He probably took kickbacks for those. The FBI put the squeeze on him and that's why he agreed to help."

"But what would be the point of silencing him? There must be plenty of other people who know about the scam. You, for one."

"I never had any real authority. Now that he's gone, they can blame it all on him."

"Did he tell anyone else what he knew?"

"He never said so if he did."

"But why come to you? I gather you didn't even know him that well."

"He wanted my help. He figured I had nothing to lose."

"Do you think he told Joel and Harvey what he was up to?"

"Not if he was smart. I know he had lunch with Joel that day, but he didn't say anything else about it to me."

"I don't get it. With all these agencies at work, how come they haven't been caught?"

She shrugged. "Most of what they submit is legitimate and where the figures are false, everything else looks good. They use standard diagnoses and standard treatments. They're careful not to cross the line in any obvious way. It's like playing the float. They know how far they can push the system before the flags go up."

"But the flags did go up. Any idea why?"

"Someone must have phoned in a complaint because I talked to the fraud investigator last week and most of what I told him he already had in his files."

The phony bills for Klotilde had to be part of the scheme. "I've got some information that should be of help and I'd be happy to do a paper search early in the week if there's time."

"That'd be great. I'll be talking to him again and I can pass it on."

"Something else I'm unclear on. Why take the chance on billing items out to someone deceased?"

"Listen, you're dealing with the local, state, and federal governments. You get caught, you say 'Oops' and give the money back. You think the government would prosecute for a couple hundred dollars' worth of 'errors'?"