From PEU Report
Carlyle's Latest Bankruptcy: Medicaid Dental for Kids
The Tennessean reported: A Nashville-based company that manages dental care centers in 22 states has filed for bankruptcy to restructure its debt and eventually attempt to sell its operations and assets.
Church Street Health Management LLC’s filing with the Middle Tennessee U.S. Bankruptcy Court this week listed roughly $85 million of assets and $300 million of liabilities.
How much goodwill did it take to get Church Street's sheet to balance? Owners not only stretched the value of the company, they took liberties with kid's teeth and billing Uncle Sam.
That debt includes $150 million owed to its lenders and $17 million owed to several states and the U.S. Department of Justice under a settlement of charges that it billed Medicaid for unnecessary dental procedures for low-income children.
The settlement period runs from September 2006 to January 2010, all years under PEU ownership. Church Street's sins include:
(1) causing claims to be submitted by the Centers for reimbursement for performing pulpotomies that were not medically necessary and/or were performed in a manner that did not meet professionally-recognized standards of care
(2) causing claims to be submitted by the Centers for reimbursement for placing crowns that were not medically necessary and/or were performed in a manner that did not meet professionally-recognized standards of care
(3) causing claims to be submitted by the Centers for reimbursement for the administration of anesthesia (including, without limitation,nitrous oxide) that was not medically necessary, that was performed in a manner that did not meet professionally-recognized standards of care, and/or was administered by an unlicensed, non-certified, or otherwise unauthorized individual
(4) causing claims to be submitted by the Centers for reimbursement for extractions that were not medically necessary and/or were performed in a manner that did not meet professionally recognized standards of care
(5) causing the Centers to fail to obtain informed consent for certain dental procedures and services
(6) causing claims to be submitted by the Centers for reimbursement for fillings that were not medically necessary and/or were performed in a manner that did not meet professionally-recognized standards of care
(7) causing claims to be submitted by the Centers for reimbursement for sealants that were not medically necessary and/or were performed in a manner that did not meet professionally-recognized standards of care
(8)causing claims to be submitted by the Centers for reimbursement for radiographs (i.e., x-rays) that were not medically necessary, were taken in a manner that did not meet professionally recognized standards of care, and/or were taken by an unlicensed, non-certified, or otherwise unauthorized individual
(9) causing claims to be submitted by the Centers for reimbursement for behavior management techniques, including without limitation those techniques involving a papoose board, that were not medically necessary and/or were performed in a manner that did not meet professionally-recognized standards of care.
The above behavior resulted in a $24 million (plus interest) fine. It seems Carlyle and Church Street are morally bankrupt as well as literally.
Did Church Street pay dividends or special distributions since The Carlyle Group invested in the company in September 2006?If so, did PEU owners load Church Street with debt to fund payouts?
Medicaid considers management fees and capital cost reimbursable items on the acute side of health care. Does it do the same for dental?
How much did Carlyle, American Capital Strategies and Arcapita pull out of Church Street before it imploded?[A LOT!]
Did any buy credit default swaps on Church's debt? That could help ease the ache, but it would continue the morally bankrupt theme.
Private equity purports to be the savior of America's lopsided health care system. Greed won't help, not in the least.
Arcapita(f/d/b/a First Islamic Bank), another principal part of the terrorizing company, also filed bankruptcy.
Below are Statements and Reports of Church Street Health Management – Small Smiles filed with the Bankruptcy Court. You don’t want to miss these.
- March Monthly Operating Report
- Statement of Financial Affairs for Small Smiles Holding, LLC
- Statement of Financial Affairs for Church Street Health Management, LLC
- Statement of Financial Affairs for EEHC, LLC (the executives and directors arm of Small Smiles dental centers)
- Statement of Financial Affairs for FORBA NY, LLC
- Statement of Financial Affairs for FORBA Services, LLC
For some kids a trip to the dentist can be a traumatic experience. But just imagine what it might be like strapped into a cocoon-like restraining device called a papoose board that is sometimes used to immobilize children at the dentist's office.
Dove.