Former health care chief executive sentenced to 9.5 years in federal prison

James Burkhart’s conspiracy reaped nearly $19.4 million in fraud and kickbacks, funding

private jets, vacation homes, diamond jewelry, and gold bars


INDIANAPOLIS B United States Attorney Josh J. Minkler today announced the sentencing of the former CEO of American Senior Communities (ASC) in a massive fraud, kickback, and money laundering conspiracy. James Burkhart, 53, of Carmel, was sentenced to 114 months imprisonment by U.S. District Court Judge Tanya Walton Pratt.

“In spite of receiving a salary of over $1 million, Burkhart abused his official position of trust to steal tax payer dollars intended to benefit this community’s sick, elderly and mentally challenged,” said Minkler. “Because this thief was motivated by nothing other than corruption and greed, we sought a justifiably harsh sentence. Hopefully, the sound of the prison door slamming shut on this 9.5 year sentence will deter other officials from the culture of corruption and greed we see in this district.”

Today’s sentencing caps a three-year federal investigation and prosecution of Burkhart, who was charged with ASC Chief Operating Officer Daniel Benson, Burkhart friend and associate Steven Ganote, and Burkhart’s younger brother, Joshua Burkhart. In September 2015, federal agents executed search warrants at Burkhart’s residence and ASC office, among other locations. By October 2016, a federal grand jury indicted Burkhart and his co-defendants. And by January 2018, all of the defendants had pleaded guilty to federal felony charges.

For his part, Burkhart pleaded guilty to three federal felony offenses: conspiracy to commit fraud, conspiracy to violate the health care anti-kickback statute, and money laundering. All told, he and his co-conspirators funneled nearly $19.4 million in fraud and kickbacks to themselves through a web of shell companies. The majority of the money they stole came from the Health & Hospital Corporation of Marion County, part of Indiana’s public health system and the operator of health care facilities like Eskenazi Hospital.

Burkhart’s fraud and kickback schemes, which spanned nearly six years, exploited numerous aspects of ASC’s operations. ASC is Indiana’s largest nursing home chain. It manages approximately 70 senior care facilities throughout the state, and to run those nursing homes, ASC purchases a wide variety of goods and services provided by outside vendors. The bulk of the money to pay those vendors’ bills comes from Health & Hospital.

Burkhart used his position as ASC’s CEO to cut secret side deals with over a dozen of ASC’s vendors. He dangled the golden carrot of the purchasing power of the State’s largest nursing home chain. All they had to do was pay something back.

In some cases, Burkhart had vendors inflate their bills to ASC, which Burkhart would pay with Health & Hospital’s money, and the vendor would kick the overage back to Burkhart and his co-conspirators. In other cases, he formed shell companies that would inflate vendors’ bills and submit them to ASC as if the shell companies were the real vendor. In still other cases, he caused vendors or shell companies to submit completely false bills for fictitious services that were never provided. And finally, in some cases, he simply demanded vendors to pay him kickbacks in exchange for him allowing them to service ASC’s large number of facilities.

This last category included home health and hospice care, where Burkhart received a kickback for each patient ASC referred to Burkhart’s chosen home health or hospice company.

Landscaping, electrical generators, employee uniforms, patient gifts, American flags, furniture, heating and air conditioning, wound care creams, medical supplies, air fresheners, speech therapy, pharmacy services, food services, home health care, and hospice care – Burkhart concocted secret side deals involving all of those aspects of ASC’s operations.

His motive was pure greed. He was caught on tape telling an informant, in reference to one of his schemes that netted him over $600,000 per year, “I ain’t givin’ that up. . . . It doesn’t sound like much money, but it’s money.” Over the six years, Burkhart use the money he stole to buy lakefront real estate on Lake Wawasee, golf vacations, trips to Las Vegas, political contributions, diamond jewelry, gold coins and gold bars. In addition, Burkhart spent over $1.5 million of other peoples’ money on over 150 flights on private jets.

As Burkhart told the informant, “I’ll get mine, I always told ya, I’ll get mine one way or another.” That was true until 2015, when a vendor Burkhart tried to ensnare went to the FBI.  Burkhart and his co-conspirators had asked the vendor to inflate his bills by 30% and pay the overage to a shell company. The vendor thought that did not sound right or ethical, so he reported it to law enforcement. What followed was an extensive investigation involving multiple undercover informants, search warrants, and a detailed analysis of numerous shell companies and nearly 100 bank accounts – all of which culminated in the indictments, guilty pleas, and ultimately, today’s sentencing of Burkhart to 114 months in federal prison.

This case was jointly investigated by the Federal Bureau of Investigation (FBI), the Internal Revenue Service-Criminal Investigation Division (IRS-CID), and the Department of Health and Human Services, Office of Inspector General (HHS-OIG).

“This defendant was paid a large salary and viewed as an industry leader, but he chose to abuse his power and position out of pure greed,” said Grant Mendenhall, Special Agent in Charge of the FBI’s Indianapolis Division. “The FBI works diligently with partner agencies to uncover and investigate corporate executives who enrich themselves through kickbacks and theft. We applaud the concerned citizen who brought this fraud to our attention, and we encourage anyone else who wants to bring these types of fraudulent behavior to light to contact us.”

David Talcott, Acting Special Agent in Charge of IRS Criminal Investigation’s Chicago Field Office said, “Burkhart’s theft from the most vulnerable citizens of our communities is sickening. Taxpayers deserve honesty and integrity from business leaders. IRS-CI’s thoroughness of the financial investigation represents our commitment to protect the taxpayers of this community.”

“Health Care Fraud is fueled by greed and is perpetrated by criminals with the intent of concealing their acts and securing financial riches at the expense of taxpayers”, said Lamont Pugh III, Special Agent in Charge, U.S. Department of Health & Human Services, Office of Inspector General. “Mr. Burkhart spun a web of deceit through side deals, inflated invoices and shell companies in order to pilfer funds from Medicare and Medicaid which ultimately led him to the doorstep of law enforcement and prosecutorial authorities. The OIG will continue to work with our federal, state and local law enforcement partners to uncover these schemes and hold those who execute them accountable.”

“I am eager to collaborate with other public offices and agencies to stop fraudsters from stealing money from Medicaid,” said Attorney General Curtis Hill. “This is a program intended to help people who truly need it. We will stay vigilant in holding accountable all those who seek to bilk taxpayers by misappropriating funds.”

According to Assistant U.S. Attorneys Nick Linder and Cindy Cho, who prosecuted the case, the gold bars, gold coins, and other assets seized from Burkhart will be criminally forfeited.  In addition, Burkhart must pay full restitution and serve three years of supervised release following his sentence.

Burkhart’s co-defendants will be sentenced on the following dates and times:

  • Daniel Benson on July 6 at 9:00 a.m.
  • Steven Ganote on July 9 at 9:00 a.m.
  • Joshua Burkhart on July 9 at 2:00 p.m.
  • David Mazanowski on July 10 at 2:00 p.m.
  • In October 2017, United States Attorney Josh J. Minkler announced a Strategic Plan designed to shape and strengthen the District’s response to its most significant public safety challenges. This prosecution demonstrates the Office’s firm commitment to prosecuting complex, large-scale fraud schemes, particularly those that exploit positions of trust. See United States Attorney’s Office, Southern District of Indiana Strategic Plan 5.1


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