AltaMed also reported $1.66 billion in assets and its revenues exceeded expenses by $68.4 million. It operates more than 70 clinics, employs roughly 5,000 people, and serves more than 700,000 patients throughout Southern California, making it one of the nation's largest federally qualified health center (FQHC) systems.

But AltaMed's extraordinary growth raises another question that extends far beyond Southern California: What happens when a nonprofit grows into a multibillion-dollar enterprise while retaining the governance structure of a traditional charity?

That question has become increasingly relevant as individual nonprofit hospital systems, universities, and other charitable organizations now control hundreds of billions of dollars in assets while benefiting from tax exemptions, government reimbursements, tax-deductible donations, and public financing. Their primary accountability mechanism is a board of directors charged with ensuring that charitable resources remain devoted to public benefit rather than private profits.

Since 2001, AltaMed has paid more than $32 million in compensation to its CEO, Castulo de la Rocha, his wife Zoila Escobar, and one of their sons - which is significantly higher than most of its peer FQHCs. For instance, the chief executives of Family Health Centers of San Diego, Family HealthCare Network, and Comprehensive Community Health Centers each earned substantially less than de la Rocha in 2024 despite overseeing similarly large healthcare organizations.

Following scrutiny of excessive executive pay more than a decade ago, AltaMed adopted a split-dollar life insurance loan program designed to help retain selected executives. The program has provided substantial loans to a small group of senior leaders to finance life insurance policies. Split-dollar arrangements are technically legal, although federal officials have cautioned that similar structures have been used improperly in certain tax-avoidance schemes.

Executive compensation is only one measure of nonprofit governance. Equally important is how charitable organizations deploy their resources and whether those expenditures advance the mission for which they receive tax-exempt status.

Over the past two decades, AltaMed has built one of the country's most prominent collections of Chicano and Latino art. It says the collection supports its "Art as a Holistic Approach to Healthcare" initiative, and that artwork displayed throughout its clinics creates a more welcoming and therapeutic environment for patients.

However, AltaMed's involvement in the arts extends far beyond decorating clinic walls - it owns a collection of approximately 4,000 works of Chicano, Mexican, and Latin American art, the value of which exceeds $6 million. It has spent as much as $2 million on art-related activities outside the United States in places like Mexico City, Rome, Berlin, and Madrid. More recently, it has supported plans for a Museum of Chicano and Mexican Art in downtown Los Angeles, spending at least $150,000 on lobbying related to the proposal.

The organization has unquestionably expanded access to healthcare for hundreds of thousands of Californians. But AltaMed's growing role as an arts patron raises legitimate questions about how closely those activities are connected to its charitable healthcare mission.

That is a challenge that extends well beyond AltaMed. Nonprofit executives regularly oversee budgets larger than many cities, yet they remain governed by rules and oversight mechanisms developed for a much smaller nonprofit sector.

Congress created the tax-exempt status because charitable organizations provide public benefits that markets alone may not deliver. That public trust depends on confidence that charitable assets are being used primarily to advance charitable purposes, and not the financial interests of insiders. As nonprofits continue to grow in both size and complexity, policymakers should ask whether the accountability standards governing billion-dollar charities have kept pace with the institutions they now oversee.

https://www.zerohedge.com/political/when-billion-dollar-non-profits-stop-looking-charities

>>24813633

you bitchez need to read this

you retarded bitchez need to stop giving money to multi-millionaires who are running for political office

Six people have been charged in connection with an alleged scheme to defraud Medicare and Medicaid involving a doctor and other medical professionals issuing medically unnecessary prescriptions to a pharmacist in exchange for cash kickbacks. The defendants allegedly caused a loss of about $20,684,264 to Medicare and Medicaid.

The following individuals were charged by Information in the District of New Jersey on July 7, 2026 and appeared before Judge Karen M. Williams in federal district court in Camden in connection with the scheme:

Sherif Elmasri, 45, of Morganville, New Jersey, pled guilty to a two-count Information charging him with conspiring to commit health care fraud and to violate the Anti-Kickback Statute on June 16, 2025.

Boris Veysman, 48, of Freehold, New Jersey, pled guilty to a two-count Information charging him with conspiring to commit health care fraud and unlawfully distribute controlled substances on June 17, 2025.

Stephanie Cupo, 45, of South Plainfield, New Jersey, pled guilty to an Information charging her with conspiring to make false statements relating to health care matters and to use a Drug Enforcement Administration registration number issued to another person on January 7, 2026.

Nikki Steidle, 53, of Toms River, New Jersey, pled guilty to an Information charging her with conspiring to defraud the United States, solicit and receive kickbacks, offer and pay kickbacks, and unlawfully distribute controlled substances on June 30, 2026.

Janet Tadros, 59, of Union City, New Jersey, pled guilty to a two-count Information charging her with conspiring to commit health care fraud and to violate the Anti-Kickback statute on July 7, 2026.

Additionally, Ashlee Maixner, 39, of Lakehurst, New Jersey, was charged by indictment with conspiracy to defraud the United States, solicit and receive kickbacks, offer and pay kickbacks, unlawfully distribute controlled substances, and two counts of soliciting and receiving a kickback. Maixner was arraigned before Magistrate Judge André M. Espinosa in Newark on June 25, 2026, and pled not guilty.

“Each of the defendants had a unique role in this alleged scheme, but the common thread is a complete disrespect for the Medicare and Medicaid programs that so many Americans rely on,” said Newark Special Agent in Charge Stefanie Roddy. “The defendants defrauded these programs through kickbacks that lined their pockets, while over $20 million taxpayer dollars were quietly disappearing. The FBI will continue to root out conspiracies to commit health care fraud and restore balance to a system that will not be shaken by these disrupters.”

According to documents filed in these cases and statements made in court:

From October 2022 to November 2025, Elmasri, a pharmacy owner, paid illegal kickbacks and bribes to several health care providers in exchange for them issuing prescriptions for high-reimbursement medications, which Elmasri selected, to Medicare and Medicaid beneficiaries. Elmasri personally profited from these prescriptions and the insurance claims it generated for his pharmacies.

One of the providers involved in the scheme was Dr. Boris Veysman, an emergency medicine doctor with offices in New Jersey. Elmasri paid Veysman to issue prescriptions recommended by Elmasri to Medicare beneficiaries Elmasri referred to Veysman from approximately May 2023 to December 2024. Veysman, at times, did not examine the patients prior to issuing the prescriptions. Maixner and Steidle were advanced practice nurses who worked for Veysman and are also alleged to have received illegal kickbacks from Elmasri for issuing prescriptions. Cupo also worked for Veysman and submitted prior authorizations with false information to increase the likelihood that the prior authorizations she prepared would be approved by Medicare and other health care benefit programs.

https://townhall.com/tipsheet/scott-mcclallen/2026/07/10/six-charged-in-20-million-medicare-fraud-scheme-involving-nj-pharmacy-n2679208

>>24813638

thankful that dr oz and rfk jr are trying to address and eliminate this medicaid/medicare fraud

we would have balanced budget if this fraud eliminated

>>24813636

most of the perverts running for office today would prolly enjoy

>>24813646

that needs to be addressed, too