“Did [the defendant] intend to 12 Case: 24-10515 Document: 73-1 Page: 13 Date Filed: 04/15/2025 No. 24-10515 induce referrals, which is illegal, or did [the defendant] intend to compensate advertisers, which is permissible.” (cleaned up)
How later courts described this case
- “Did [the defendant] intend to 12 Case: 24-10515 Document: 73-1 Page: 13 Date Filed: 04/15/2025 No. 24-10515 induce referrals, which is illegal, or did [the defendant] intend to compensate advertisers, which is permissible.” (cleaned up)
- concluding there was no error when the given “instructions substantially covered Defendants’ requested instructions”
- “A conspirator is vicariously liable for reasonably foreseeable substantive crimes committed by a coconspirator in furtherance of the conspiracy.” (citation omitted)
- “[C]onviction for conspiracy to commit money laundering . . . does not require proof of an overt act in furtherance of the conspiracy . . . . Instead, all that is required is agreeing to obtain illegal proceeds and to launder those proceeds.” (cleaned up)
Written by the judges who cited it.
The opinion
Case: 24-10515 Document: 73-1 Page: 1 Date Filed: 04/15/2025
United States Court of Appeals
for the Fifth Circuit
____________
United States Court of Appeals
Fifth Circuit
No. 24-10515 FILED
____________ April 15, 2025
Lyle W. Cayce
United States of America, Clerk
Plaintiff—Appellee,
versus
Richard Hall,
Defendant—Appellant.
______________________________
Appeal from the United States District Court
for the Northern District of Texas
USDC No. 3:18-CR-623-1
______________________________
Before Elrod, Chief Judge, and Jones and Stewart, Circuit Judges.
Carl E. Stewart, Circuit Judge:
Richard Hall wanted in on the lucrative market for compounded
drugs. Federal insurers paid well. He and his partners built a pharmacy, hired
marketers, and found doctors to write prescriptions. The money flowed. But
so did the fraud. The government charged Hall with paying illegal kickbacks
to secure prescriptions, laundering the proceeds, and defrauding federal
healthcare programs under the Anti-Kickback Statute (“AKS”).
A grand jury indicted him. A jury convicted him. The district court
sentenced him to 52 months’ imprisonment and ordered him to pay more
Case: 24-10515 Document: 73-1 Page: 2 Date Filed: 04/15/2025
No. 24-10515
than $59 million in restitution. Hall now appeals. For the reasons that follow,
we AFFIRM.
I.
Richard Hall reconnected with an old classmate, Dustin Rall, at a 2012
golf tournament. Their conversation turned to compounding pharmacies.
Rall needed a licensed facility to mix prescription drugs. Hall’s father, Lewis
Hall, was a pharmacist struggling to sell his business. To them, the solution
seemed clear: repurpose the pharmacy for compounding.
By 2013, Hall, Rall, Lewis, and Scott Schuster formed Rxpress. Each
played a role—Hall handled compliance, his father oversaw pharmacy
operations, Rall managed finances, and Schuster led marketing. The business
model relied on existing physician networks. Schuster expanded outreach,
recruiting marketers to promote the pharmacy’s compounded drugs. The
four each identified high-reimbursement formulations, secured
prescriptions, and billed both private and federal insurers.
A year later, the group restructured. They launched a second
pharmacy, Xpress Compounding, after consulting legal counsel. The plan
was strategic. Rxpress would handle private insurance claims, allowing
physician investment, while Xpress would process prescriptions covered by
federal programs like Medicare and TriCare. This structure also allowed
marketers to receive commission-based pay. If the drugs were federally
reimbursed, these payments likely violated the AKS. So to avoid liability,
Hall and his partners claimed they converted Xpress marketers from
independent contractors to W-2 employees.
The distinction was more form than substance. Marketers for both
pharmacies continued to induce physicians to write prescriptions and still
received commissions tied to prescription value—in effect, kickbacks. To
secure physician cooperation, the marketers offered incentives:
2
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No. 24-10515
directorships, consulting agreements, luxury trips, and fine dining. Between
2014 and 2016, Xpress received over $59 million in federal healthcare
reimbursements.
In 2018, a grand jury indicted Hall and seven co-conspirators. Charges
included conspiracy to defraud the United States and to receive health care
kickbacks under 18 U.S.C. § 371 (Count 1) and multiple counts of paying and
receiving illegal kickbacks under 42 U.S.C. § 1320a-7b(b)(1) and (2) (Counts
2–5). A superseding indictment added charges of money laundering
conspiracy under 18 U.S.C. § 1956(h) (Count 7) and substantive money
laundering under 18 U.S.C. § 1957 (Count 9). The case proceeded to trial on
Counts 1 through 5 and Count 7.
The jury found Hall guilty on Counts 2 through 5 and 7. The district
court sentenced him to 52 months in prison, three years of supervised release
and imposed restitution in the amount of $59,879,871. Hall filed a Motion
for Release Pending Appeal. But the district court and this court denied his
request. He subsequently appealed.
II.
The AKS’s provision at issue, 42 U.S.C. § 1320a-7b(b)(2),
“criminalizes the payment of any funds or benefits designed to encourage an
individual to refer another party to a [Federal health care program provider]
for services to be paid by the [Federal healthcare] program.” United States v.
Miles, 360 F.3d 472, 479 (5th Cir. 2004). Section 1320a-7b(b)(2) provides
that:
Whoever knowingly and willfully offers or pays any
remuneration (including any kickback, bribe, or rebate)
directly or indirectly, overtly or covertly, in cash or in kind
to any person to induce such person—
3
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No. 24-10515
(A) to refer an individual to a person for the furnishing or
arranging for the furnishing of any item or service for which
payment may be made in whole or in part under a Federal
health care program, or
(B) to purchase, lease, order, or arrange for or recommend
purchasing, leasing, or ordering any good, facility, service,
or item for which payment may be made in whole or in part
under a Federal health care program,
shall be guilty of a felony and upon conviction thereof, shall
be fined not more than $100,000 or imprisoned for not
more than 10 years, or both.
Under the AKS’s safe-harbor provision, however, the statute’s criminal
prohibition does not apply to “any amount paid by an employer to an
employee (who has a bona fide employment relationship with such employer)
for employment in the provision of covered items or services.” Id.
§ 1320a-7b(b)(3)(B).
III.
Hall presses four arguments on appeal: (A) the district court erred in
its jury instructions by placing the burden of persuasion on Hall to establish
the safe-harbor defense under the AKS; (B) the district court erred in its jury
instructions by defining “employee” related to the safe-harbor defense and
rejecting Hall’s proposed instruction; (C) the district court erred by refusing
to include Hall’s jury instruction on the recipients of the alleged kickbacks;
and (D) the district court erred in imposing restitution. We address each in
turn.
A.
We begin with whether the district court erred in instructing the jury
that Hall bore the burden of persuasion to establish the bona fide employee
safe-harbor defense under the AKS. Hall calls this a matter of first impression
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No. 24-10515
for this court. On that much, we agree. But he goes further, arguing that while
he accepted the burden of production, the court wrongly placed on him the
burden of persuasion, requiring proof by a preponderance of the evidence.
He believes that warrants reversal. We disagree.
We generally review jury instructions for abuse of discretion. United
States v. Hamilton, 46 F.4th 389, 394 (5th Cir. 2022). A jury instruction is not
an abuse of discretion if it “is a correct statement of the law” and “clearly
instructs jurors as to the principles of law applicable to the factual issues
confronting them.” Id. (quoting United States v. Freeman, 434 F.3d 369, 377
(5th Cir. 2005) (internal quotes omitted)). But a district court abuses its
discretion when it “appli[es] an erroneous view of the law.” Id. (quoting
United States v. Ayelotan, 917 F.3d 394, 400 (5th Cir. 2019)). We also review
the district court’s statutory interpretation de novo. See United States v.
Garcia-Gonzalez, 714 F.3d 306, 312 (5th Cir. 2013).
“Hornbook criminal law distinguishes between offense elements and
affirmative defenses.” United States v. Ortiz, 927 F.3d 868, 873 (5th Cir.
2019) (citing Paul H. Robinson, Criminal Law Defenses:
A Systematic Analysis, 82 Colum. L. Rev. 199, 291 n.164
(1982)). 1 By definition, an affirmative defense is “[a] defendant’s assertion
of facts and arguments that, if true, will defeat the plaintiff’s or prosecution’s
claim, even if all the allegations in the complaint are true . . . . The defendant
bears the burden of proving an affirmative defense.” Defense, Black’s
Law Dictionary (12th ed. 2024). The Supreme Court has long held that
when Congress forbids an act in one provision and sets out exceptions in
another, the law places no duty on the government to disprove the exception;
_____________________
1
See also Richard C. Boldt, The Construction of Responsibility in
the Criminal Law, 140 U. Pa. L. Rev. 2245, 2248 n.10 (1992) (distinguishing an
affirmative defense from a missing element defense).
5
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No. 24-10515
that burden falls to the defendant. See Dixon v. United States, 548 U.S. 1, 13
(2006) (citing McKelvey v. United States, 260 U.S. 353, 357 (1922)). Put
another way, “it is incumbent on one who relies on such an exception to set
it up and establish it.” McKelvey, 260 U.S. at 357. This is “the general rule of
law, which has always prevailed, and become consecrated almost as a maxim
in the interpretation of statutes.” United States v. Dickson, 40 U.S. 141, 165
(1841); see also United States v. Haggerty, 997 F.3d 292, 299 (5th Cir. 2021)
(“It is a ‘well-established rule of criminal statutory construction that an
exception set forth in a distinct clause or provision should be construed as an
affirmative defense and not as an essential element of the crime.’” (quoting
United States v. Santos-Riviera, 183 F.3d 367, 370–71 (5th Cir. 1999)).
It is an immutable principle of criminal procedure that “[t]he
[g]overnment must prove beyond a reasonable doubt every fact necessary to
constitute the crime.” Smith v. United States, 568 U.S. 106, 110 (2013)
(internal citations omitted); see also ALI, Model Penal Code § 1.12(1) (2023)
(“No person may be convicted of an offense unless each element of such
offense is proved beyond a reasonable doubt.” (cleaned up)); Id.
§ 1.13(9)(iii)(c) (noting that an element of an offense means, inter alia, “such
a result of conduct as negatives an excuse or justification for such conduct”).
But the government need not prove “the nonexistence of all affirmative
defenses.” Smith, 568 U.S. at 110. Only when an “affirmative defense”
negates an element of the offense does the burden remain with the
government. Id. (quoting Martin v. Ohio, 480 U.S. 228, 237 (1987) (Powell,
J., dissenting)). A defense does not shift the burden to the government when
it “excuses conduct that would otherwise be punishable but does not
controvert any element of the offense.” Id. (quoting Dixon, 548 U.S. at 6.)
(cleaned up).
In dicta in an unpublished, nonprecedential opinion, we have
described the safe-harbor defense in the AKS as one “which the defendant
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No. 24-10515
must prove.” United States v. Turner, 561 F. App’x 312, 319–320 (5th Cir.
2014) (unpublished). Our sister circuits agree. 2 So do our pattern jury
instructions. See 5th Cir. Pattern Jury Instructions (Criminal Cases) § 2.109B
(2019 ed.) (“These safe harbor provisions are affirmative defenses for which
the defendant bears the burden of proof.” (citing United States v. Robinson,
505 F. App’x 385, 387 (5th Cir. 2013) (unpublished))). Having established
this point, we turn to whether the defense negates the AKS’s remuneration
element.
When the meaning of a statute is unambiguous, “our inquiry begins
with the statutory text, and ends there as well.” Nat’l Ass’n of Mfrs. v. Dep’t
of Def., 583 U.S. 109, 127 (2018) (quoting BedRoc Ltd., L.L.C. v. United
States, 541 U.S. 176, 183 (2004)). The text of the AKS leaves no doubt that
“any remuneration[,]” given or received in exchange for referrals, is
prohibited. 42 U.S.C. § 1320a-7b(b)(2). The safe-harbor provision does not
rewrite that rule; it carves out a narrow exception. And Congress did not
place the safe-harbor provision within the statute’s main proscription.
Instead, it set it apart in a separate clause, § 1320a-7b(b)(3), reinforcing that
it is “incumbent on one who relies on such an exception to set it up and
establish it.” McKelvey, 260 U.S. at 357. Further, an excuse does not undo a
rule; it presupposes one. The safe-harbor provision acknowledges that
_____________________
2
See United States v. George, 900 F.3d 405, 413 (7th Cir. 2018) (holding that once
the government proves an AKS violation, the burden shifts to the defendant to establish
the safe-harbor by a preponderance of the evidence); United States v. Vernon, 723 F.3d 1234,
1271 (11th Cir. 2013) (holding that the jury reasonably rejected the safe-harbor affirmative
defense); United States v. Ekwebelem, 669 F. App’x 868, 868 (9th Cir. 2016) (unpublished)
(affirming that the safe-harbor provision is an affirmative defense and rejecting the need for
the government to negate all enumerated safe-harbors); United States v. Norton, 17 F.
App’x 98, 102 (4th Cir. 2001) (unpublished) (holding that failure to present sufficient
evidence of an affirmative defense relieves the court of any duty to instruct the jury on it
(citing United States v. Bailey, 444 U.S. 394, 414–15 (1980) and United States v. Sarno, 24
F.3d 618, 621 (4th Cir. 1994))).
7
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No. 24-10515
remuneration occurs but provides an exception where the payment is made
within a legitimate employer-employee relationship. See 42 U.S.C. § 1320a-
7b(b)(3)(B). This is the hallmark of an affirmative defense. It does not contest
the government’s proof of the elements. See Smith, 568 U.S. at 110.
Explained differently, “[o]nce the government establishes the
elements of a violation of the [AKS], the burden shifts to a defendant to
demonstrate by a preponderance of the evidence that her conduct fell within
the safe harbor provision of the statute.” United States v. George, 900 F.3d
405, 413 (7th Cir. 2018) (citing United States v. Jumah, 493 F.3d 868, 873 (7th
Cir. 2007) and United States v. Vernon, 723 F.3d 1234, 1269–71 (11th Cir.
2013)); see also McKelvey, 260 U.S. at 357. To read the statute otherwise
would circumvent this “general rule of law which has always prevailed . . . .”
See Dickson, 40 U.S. at 165. Because the AKS’s safe harbor has all the
earmarks of an affirmative defense, the district court did not err in placing
the burden of persuasion on Hall to establish it. See Haggerty, 997 F.3d at 299.
We turn to the caselaw that Hall cites, which he believes supports his
argument. He cites Ruan v. United States, 597 U.S. 450 (2022), United States
v. Haggerty, 997 F.3d 292 (5th Cir. 2021), and United States v. Kloess, 251 F.3d
941 (11th Cir. 2001), to argue that the government must disprove the AKS’s
safe-harbor defense beyond a reasonable doubt. None of which offer refuge
to his argument. Ruan held that the Controlled Substances Act’s “knowingly
or intentionally” mens rea applied to the statutory authorization exception
because that exception directly shaped the scope of criminal liability under
21 U.S.C. § 841(a). See 597 U.S. at 457. The AKS’s safe-harbor provision
does no such thing; it excuses conduct that otherwise meets the statute’s
elements. Haggerty addressed 18 U.S.C. § 1152’s intra-Indian carve-out,
which defined the jurisdictional reach of a purely jurisdictional statute. See
997 F.3d at 299–302. Jurisdictional elements govern a court’s power to hear
a case, not the substantive elements of a crime. The AKS safe-harbor
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No. 24-10515
provision has no such jurisdictional role. Finally, Kloess involved an
obstruction statute where the defense of lawful, bona fide legal representation
directly negated the “knowingly” mens rea element. See 251 F.3d at 948. The
AKS’s safe-harbor provision neither negates the remuneration element nor
alters the required intent; it merely excepts otherwise unlawful payments if
they satisfy narrow statutory criteria. None of these cases, therefore, support
shifting the burden of persuasion to the government.
For all these reasons, we hold that the district court properly
instructed the jury that Hall carried the burden of persuasion for the bona
fide employee safe-harbor defense under the AKS.
B.
We next address whether the district court erred in its jury
instructions defining “employee” under the safe-harbor defense and
rejecting Hall’s proposed instructions. Hall argues it did. Those instructions
were as follows:
[sic] For Counts 2 through 5, the government must prove
beyond a reasonable doubt, in addition to the elements I have
described in my previous instructions, that the payment or
offer to pay remuneration was not made by an employer to an
employee who had a bona fide employment relationship with
the employer, for employment in the provision of any item or
service for which payment may be made in whole or in part by
TRICARE or FECA.
An employer-employee relationship generally exists where the
company for which services are performed—here, Xpress
Compounding—has the right to control and direct the person
who performs the services, not only as to the result to be
accomplished by the work but also as to the details and means
by which that result is accomplished. That is, an employee is
subject to the will and control of the employer not only as to
what shall be done but how it shall be done. In this connection,
9
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No. 24-10515
it is not necessary that the employer actually direct or control
the manner in which the services are performed; it is sufficient
if it has the right to do so. The right to discharge is also an
important factor indicating that the company possessing that
right is an employer.
We explain below why Hall’s argument is misguided.
As stated, statutory interpretation is reviewed de novo. See Garcia-
Gonzalez, 714 F.3d at 312. A district court’s refusal to give a requested jury
instruction is reviewed for abuse of discretion. See United States v. Cervantes,
107 F.4th 459, 469 (5th Cir. 2024). An abuse of discretion occurs when a
requested instruction (1) is substantively correct, (2) is not substantially
covered in the charge given to the jury, and (3) concerns a key issue in the
trial such that its omission seriously impairs the defense. See id. Still, trial
judges have broad discretion in crafting jury instructions. See United States v.
Marchetti, 96 F.4th 818, 829 (5th Cir. 2024). A district court does not err
when it gives a charge that tracks this circuit’s pattern jury instructions and
correctly states the law. See United States v. Richardson, 676 F.3d 491, 507
(5th Cir. 2012).
The district court’s jury charge here was not a verbatim copy of this
circuit’s pattern jury instructions, but it substantially followed them. It
included the relevant substantive elements and the explanatory notes citing
Nationwide Mut. Ins. Co. v. Darden, 503 U.S. 318 (1992). See 5th Cir. Pattern
Jury Instructions (Criminal Cases) § 2.109B (2019 ed.) (“For a list of factors
to consider when deciding whether the bona fide employee safe harbor
provision applies, see id. (citing [Darden], 112 S. Ct. [at] 1347–48.”)).
In Darden, the Supreme Court “adopt[ed] a common-law test for
determining who qualifies as an ‘employee’ under ERISA.” 503 U.S. at 323.
The test consists of a non-exhaustive array of factors, which includes
10
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the hiring party’s right to control the manner and means by
which the product is accomplished. Among the other factors
relevant to this inquiry are the skill required; the source of the
instrumentalities and tools; the location of the work; the
duration of the relationship between the parties; whether the
hiring party has the right to assign additional projects to the
hired party; the extent of the hired party’s discretion over
when and how long to work; the method of payment; the
hired party’s role in hiring and paying assistants; whether the
work is part of the regular business of the hiring party; whether
the hiring party is in business; the provision of employee
benefits; and the tax treatment of the hired party.
Id. at 323–24 (quoting Cmty. for Creative Non-Violence v. Reid, 490 U.S. 730,
751–52 (1989)). Because this test, however, “contains ‘no shorthand formula
or magic phrase that can be applied to find the answer, . . . all of the incidents
of the relationship must be assessed and weighed with no one factor being
decisive.’” Id. at 324 (quoting NLRB. v. United Ins. Co. of Am., 390 U.S. 254,
258 (1968)).
Given this, Darden forecloses Hall’s argument. Specifically, he argues
that the district court should have instructed the jury that the “right to
control is decisive.” But Darden taught that while an employer’s right to
control the manner and means of work is important, it is only one factor
among many in determining the employer-employee relationship. See 503
U.S. at 324. No single factor is dispositive. See id. Because of this, the district
court’s jury instructions were not an abuse of discretion. We hold that the
charge substantially aligned with our pattern jury instructions and correctly
stated the law. See Richardson, 676 F.3d at 507.
C.
We consider whether the district court abused its discretion in
declining Hall’s proposed jury instruction on the recipients of the alleged
11
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No. 24-10515
kickbacks. Hall contends the jury should have been instructed to decide
whether “the recipient of the remuneration was in a position” to make
referrals or purchases of healthcare goods or services, or whether the
recipient “unduly influenced or acted on behalf of a person in such a
position.” He leans on this court’s decision in Marchetti, 96 F.4th at 818, and
its discussion of Miles, 360 F.3d at 472. Neither case carries his argument.
In Marchetti, we framed “[t]he central question” as whether the
defendant’s payments were intended to induce referrals or merely to
compensate advertisers. 96 F.4th at 826. There, we noted that “the identity
of the payee, while not essential, speaks to the intent of the payer.” Id. But
the true inquiry, we emphasized, is whether the payer “intended improperly
to influence those who make healthcare decisions on behalf of patients.” Id.
at 827 (quoting Miles, 360 F.3d at 481) (cleaned up).
Hall seizes on this language but overlooks the context. The passage he
cites concerns evidentiary sufficiency, not jury instructions. When Marchetti
did turn to jury instructions, it rejected a similar claim. Id. at 829–33. The
defendant there argued that the jury should have been told that percentage-
based compensation is not per se unlawful. Id. at 831 We disagreed, holding
that the district court’s instructions were “quite clear that the payments have
to be made in order to induce an unlawful referral.” Id. The instructions
given here were materially identical. See Final Jury Instructions at 20–21,
United States v. Marchetti, No. 5:19-cr-25 (E.D. Tex. Dec. 16, 2021) (No.
595).
The district court here, like the one in Marchetti, hewed to the
language of the AKS and our jury pattern instructions. It laid out each
element and instructed the jury to decide whether the payments were made
“to induce” referrals. That is the dividing line between lawful and unlawful
conduct. See Marchetti, 96 F.4th at 826 (“Did [the defendant] intend to
12
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No. 24-10515
induce referrals, which is illegal, or did [the defendant] intend to compensate
advertisers, which is permissible.” (cleaned up)). Given that the district
court’s instruction fully covered the substance of Hall’s request and
mirrored the instruction upheld in Marchetti, nothing more was required. See
United States v. Lucas, 516 F.3d 316, 324 (5th Cir. 2008) (concluding there
was no error when the given “instructions substantially covered Defendants’
requested instructions”). Because of these reasons, we hold that the district
court did not err by declining Hall’s proposed jury instructions.
D.
We now address whether the district court erred in imposing
restitution. Hall thinks so. He argues that the district court’s reliance on
“relevant conduct” rather than convicted counts to determine restitution
violated the Mandatory Victims Restitution Act (“MVRA”). He also asserts
that the court’s basis for restitution was unclear, and if it was tied to his AKS
convictions, his liability should be limited to the benefit he personally
received—$70,406.16—rather than the government’s total loss. A
restitution award based on the money laundering conviction, in Hall’s view,
would be improper because it was not the but-for cause of any federal loss.
Again, we disagree.
We review the legality of a restitution order de novo and its amount for
abuse of discretion. See United States v. King, 93 F.4th 845, 850 (5th Cir.
2024). Because Hall challenges only the legal basis of restitution, our review
here is de novo.
The MVRA mandates restitution for defendants convicted of “an
offense against property.” 18 U.S.C. §§ 3663A(a)(1), (c)(1)(A)(ii). The
MVRA defines a “victim” of such an offense as
a person directly and proximately harmed as a result of the
commission of an offense for which restitution may be ordered
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No. 24-10515
including, in the case of an offense that involves as an element
a scheme, conspiracy, or pattern of criminal activity, any
person directly harmed by the defendant’s criminal conduct in
the course of the scheme, conspiracy, or pattern.
Id. § 3663A(a)(2). Under this definition, members of a conspiracy may be
held jointly and severally liable for all foreseeable losses within the
conspiracy’s scope, even if a specific loss cannot be attributed to a single
conspirator. See King, 93 F.4th at 854; United States v. Swenson, 25 F.4th 309,
322 (5th Cir. 2022) (observing that “where a fraudulent scheme is an element
of the conviction, the court may award restitution for actions pursuant to that
scheme” (internal quotations omitted)). 3 The MVRA also permits
restitution to be imposed on any defendant for the full amount of the victim’s
losses or apportioned based on each defendant’s contribution. See 18 U.S.C.
§ 3664(h).
Conduct that generates illegal proceeds is conduct in furtherance of a
conspiracy to commit money laundering. See United States v. Shah, 95 F.4th
328, 360 (5th Cir. 2024) (“Conspiracy to commit money laundering does not
require that the defendant know exactly what unlawful activity generated the
proceeds . . . . The defendant merely must know that the transaction
_____________________
3
See also United States v. Ochoa, 58 F.4th 556 (1st Cir.), cert. denied, 144 S. Ct. 178
(2023) (“[U]nder the MVRA, members of a conspiracy may be ‘held jointly and severally
liable for all foreseeable losses within the scope of their conspiracy regardless of whether a
specific loss is attributable to a particular conspirator.’”) (quoting United States v. Moeser,
758 F.3d 793, 797 (7th Cir. 2014))); United States v. Goodrich, 12 F.4th 219, 228 (2d Cir.
2021) (holding that restitution under the MVRA extends to “the reasonably foreseeable
actions of [a] defendant’s co-conspirators,” including “the common plan of the
conspiracy” (internal quotation omitted)); United States v. Riley, 335 F.3d 919, 932 (9th
Cir. 2003) (“A conspirator is vicariously liable for reasonably foreseeable substantive
crimes committed by a coconspirator in furtherance of the conspiracy.” (citation omitted)).
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involved profits of unlawful activity.” (cleaned up)). 4 The jury convicted
Hall of conspiracy to commit money laundering. The superseding indictment
charged that the conspiracy’s purpose was to “engage and attempt to engage
. . . in monetary transactions in criminally derived property of a value greater
than $10,000,” with those funds stemming from “conspiring to defraud the
United States by paying and receiving health care kickbacks . . . and paying
and receiving illegal health care kickbacks . . . .” The indictment further
alleged that Hall and his co-conspirators used the proceeds to “enrich
themselves and others through the purchase of luxury vehicles and chartered
vessels, among other property.” Trial evidence confirmed that the kickback
scheme’s proceeds funded this spending. At sentencing, the district court
expressly found that Hall’s money laundering conspiracy conviction directly
and proximately caused the government’s loss. Because Hall’s conduct was
both part of and essential to the scheme, the district court properly based its
restitution order on the government’s total loss. We hold that the district
court did not err in imposing restitution. See King, 93 F.4th at 854.
IV.
For the foregoing reasons, we AFFIRM Hall’s convictions and the
district court’s restitution order.
_____________________
4
See also United States v. Woodmore, 127 F.4th 193, 220 (10th Cir. 2025)
(“[C]onviction for conspiracy to commit money laundering . . . does not require proof of
an overt act in furtherance of the conspiracy . . . . Instead, all that is required is agreeing to
obtain illegal proceeds and to launder those proceeds.” (cleaned up)); United States v.
Abbas, 100 F.4th 267 (1st Cir.), cert. denied, 145 S. Ct. 319 (2024) (concluding that the
defendant’s emails were “overt acts that furthered the [money laundering] conspiracy
because the steps a conspirator takes to produce the proceeds subsequently laundered
furthers a money-laundering conspiracy.” (citing United States v. Day, 700 F.3d 713, 727
(4th Cir. 2012))).
15