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They include United Nurses & Allied Professionals, the union for hospital workers at Our Lady of Fatima; elected officials, including five Democratic members of the U.S. Congress, Rhode Islands state treasurer and its senate majority leader; and the Private Equity Stakeholder Project, a union-backed research group that has produced critical reports about Leonard Greens conduct and lobbied the firms public pension fund investors. This time, two patient deaths triggered the jeopardy findings. But a new problem had emerged behind the scenes during this period: improper Medicare billing. Prospect Medical Holdings, Inc. ("Prospect") leases and operates 13 of MPT's facilities. His body was later found on a beach 7 miles away; the man had drowned. One day youre like a superstar and the future of the company, said Steve Aleman, who became Prospects CFO in 2013. State officials approved the companys acquisitions on a conditional basis in 2016, while imposing a three-year monitoring regime that health department officials describe as unprecedented. That episode, as well as the death of the ER-overflow patient whose body was found on the beach, resulted in immediate jeopardy findings. This includes publishing or syndicating our work on platforms or apps such as Apple News, Google News, etc. Prospect and Leonard Green declined to comment on the bill. Then, in early 2016, U.S. capital markets tightened amid fears of a recession, dashing the companys hopes to get even more. Leonard Green extracted $400 million in dividends and fees for itself and investors in its fund not from profits, but by loading up the company with debt. MPW LAWSUIT ALERT: Levi & Korsinsky Reminds ), A second lawsuit filed in federal court claimed the hospital inflated Medicaid revenues at its Miracles detox center by admitting financially needy or homeless patients with no medical reason for being hospitalized for chemical dependency. The plaintiff, a former nurse there who sought whistleblower status for the suit, alleged that some patients were admitted so often, without undergoing standard addiction screenings, that the staff referred to them as frequent fliers. Federal prosecutors ultimately declined to join the case but allowed it to proceed as a private action against Prospect and the hospital under the False Claims Act. The company raised $1.55 billion. Already deeply indebted, Alta had to borrow more to pay the $5.3 million.