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Campaign for Accountability @accountableorg.bsky.social · 18/09/2026

“In another era, Congress would be outraged and take immediate action, but since that’s out of the question, a lawsuit offers the only possible remedy. We look forward to discovery so the American public can learn exactly which companies are willing to pay up.” — CfA's Michelle Kuppersmith.

campaignforaccountability.org

Watchdogs Sue Trump Admin Over Truth Social $100K-a-Month Scheme

The scheme gives paying subscribers early access to official government announcements posted on Truth Social — for a fee of up to $100,000 a month.

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Campaign for Accountability @accountableorg.bsky.social · 18/09/2026

The complaint argues that this scheme violates the 1st Amendment’s protection of the public’s right to receive government information and to access designated public fora, the 5th Amendment’s guarantees of equal protection and due process, and more.

campaignforaccountability.org

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Campaign for Accountability @accountableorg.bsky.social · 18/09/2026

These fees go to Trump Media & Technology Group, the company that owns Truth Social and in which President Trump’s revocable trust is the largest shareholder.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

“Evidence suggests AltaMed is spending a fortune to serve the interest of its CEO and his family, rather than focusing its spending on the low-income clients it was created to serve,” said CfA’s Michelle Kuppersmith.

campaignforaccountability.org

Watchdog Requests IRS Investigation into AltaMed Health Services Corp.

The complaint asks the IRS to investigate whether AltaMed violated rules prohibiting private inurement and excess benefit transactions.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

If the IRS determines that de la Rocha is using AltaMed for his private inurement, or AltaMed has engaged in excess benefit transactions with de la Rocha or his family, the agency has discretion to impose financial penalties and even revoke AltaMed’s tax-exempt status.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

CfA’s complaint details how these financial arrangements appear to violate multiple sections of the Internal Revenue Code governing Section 501(c)(3) tax-exempt organizations.

documentcloud.org

CfA - IRS - AltaMed Health Services Corporation

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

AltaMed also pledged $15 million to the University of La Verne in 2023 for a facility that will be named for de la Rocha personally.

lifestylesmagazine.com

$15 million gift to University from Cástulo de la Rocha – Lifestyles Magazine

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

AltaMed also has spent millions supporting de la Rocha’s self-described “obsession” with collecting art, enabling him to reach the top of the art world—attending extravagant art openings and galas, sitting on museum boards of directors, and receiving awards as an arts patron.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

This generous benefit was supposedly established to attract and retain key employees, but most of the program’s expenditures appear to have gone to the de la Rocha family.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

He and his wife also appear to benefit substantially from AltaMed’s complex, split-dollar life insurance arrangements, which have loaned the pair $17.34 million and $4.17 million, respectively, to pay the premiums on permanent life insurance policies.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

In 2024, Cástulo de la Rocha earned a reported $1,925,688 in compensation—dramatically exceeding that paid to executives at similar, large California federally qualified health centers.

documentcloud.org

CfA - IRS - AltaMed Health Services Corporation

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

In addition to de la Rocha and his wife, all five of their children and stepchildren work at the organization, some in prominent positions.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

Despite its nonprofit status, AltaMed appears to operate like a closely held business that disproportionately benefits the family and private interests of CEO Cástulo de la Rocha, his wife, Zoila Escobar, Executive VP and Chief Administrative Officer, and their children.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

AltaMed operates one of the largest community health and managed care networks in LA and Orange County, serving over 700,000 low-income patients. It reported over $1.7 billion in revenue in 2024, much of it reimbursed through Medicare, Medicaid, and California's Medi-Cal.

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Campaign for Accountability @accountableorg.bsky.social · 20/08/2026

NEW: This week, CfA filed a complaint asking the IRS to investigate whether AltaMed Health Services Corp., a California nonprofit public benefit corporation and Section 501(c)(3) public charity, violated rules prohibiting private inurement and excess benefit transactions.

campaignforaccountability.org

Watchdog Requests IRS Investigation into AltaMed Health Services Corp.

The complaint asks the IRS to investigate whether AltaMed violated rules prohibiting private inurement and excess benefit transactions.

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Campaign for Accountability @accountableorg.bsky.social · 10/08/2026

Most states lack an agency responsible for overseeing CPCs, but that doesn’t mean centers aren’t capable of violating the law. If they do, they should be held accountable. The @newyorkstateag.bsky.social told States Newsroom it is investigating CfA’s complaint.

documentcloud.org

CfA - New York Attorney General - CPCs Ectopic Rule Out

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Campaign for Accountability @accountableorg.bsky.social · 10/08/2026

One registered diagnostic medical sonographer who has volunteered for CPCs for decades expressed worry over what she’s seen in the industry. She said many CPC nurses “have good hearts,” but “don’t know what they don’t know” and often leave ultrasound training “knowing nothing.”

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Campaign for Accountability @accountableorg.bsky.social · 10/08/2026

The @statesnewsroom.com investigation and CfA’s letter both highlighted how many CPCs admit to not following the standard set by the American Institute of Ultrasound in Medicine, stating that a doctor should review ultrasounds within 24 hours.

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Campaign for Accountability @accountableorg.bsky.social · 10/08/2026

When auditors in Louisiana tried to take inventory of how CPCs were spending tax dollars, their inability to find out whether doctors were involved in day-to-day operations was one of many things that confounded them.

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Campaign for Accountability @accountableorg.bsky.social · 10/08/2026

CfA also compiled a list of 100 CPCs across 49 states that say their ultrasound services can “rule out” a dangerous ectopic pregnancy. Only a doctor can diagnose whether a pregnancy is ectopic—and it appears many CPCs do not have physicians readily available to do so.

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

CfA Executive Director Michelle Kuppersmith said, “It is noteworthy that in just a few short months on the job, the Grievance Committee found Mr. Sarcone violated the rules of professional conduct, but ridiculous that those findings remain secret. campaignforaccountability.org/watchdog-fil...

campaignforaccountability.org

Watchdog Files to Unseal John Sarcone Disciplinary Proceedings

CfA filed to unseal all records concerning the disciplinary proceeding against John A. Sarcone III, the First Assistant U.S. Attorney for the NDNY.

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

CfA's petition comes on the heels of a 2nd Circuit ruling affirming a presumptive 1st Amendment right of public access to Grievance Committee proceedings involving prosecutors accused of misconduct. ww3.ca2.uscourts.gov/decisions/OP...

ww3.ca2.uscourts.gov

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

Mr. Sarcone still serves the public as NDNY’s most senior attorney, so the contents of his disciplinary proceeding are a matter of vital public interest. The materials present no risk of any new reputational harm, considering the already extensive news coverage of his actions.

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

Despite the serious nature of Mr. Sarcone’s conduct, the Grievance Committee wrote only that it “determined there was a sufficient basis for a finding of professional misconduct” against Mr. Sarcone and that it “took appropriate action” against him, without specifying further.

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

Eight months later, the Grievance Committee responded with a letter stating it had determined that some of Mr. Sarcone’s actions amounted to professional misconduct. www.documentcloud.org/documents/28...

documentcloud.org

AGC Correspondence - John Sarcone Bar Complaint - Campaign for Accountability

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

... (3) providing a false residential address in a sworn statement, seemingly in violation of federal law requiring that he reside in the district in which he was serving, and (4) retaliating against the newspaper whose reporting raised questions about his residency.

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

This conduct included: (1) making false statements about an alleged assault, (2) causing an unwarranted charge of attempted murder to be filed (and later dropped) against the alleged assailant...

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

On Aug. 6, 2025, CfA filed a complaint with the Attorney Grievance Committee for the 3rd Judicial Department against Mr. Sarcone—then serving as Interim U.S. Attorney for the NDNY—for a series of actions that appeared to break the Rules of Professional Conduct. www.documentcloud.org/documents/26...

documentcloud.org

CfA - NY Bar Complaint - John A. Sarcone III

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Campaign for Accountability @accountableorg.bsky.social · 30/07/2026

NEW: Today, CfA—represented by Patterson Belknap Webb & Tyler LLP—petitioned to unseal all records concerning the disciplinary proceeding against John A. Sarcone III, the First Assistant U.S. Attorney for the Northern District of New York. campaignforaccountability.org/watchdog-fil...

campaignforaccountability.org

Watchdog Files to Unseal John Sarcone Disciplinary Proceedings

CfA filed to unseal all records concerning the disciplinary proceeding against John A. Sarcone III, the First Assistant U.S. Attorney for the NDNY.

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

“The purpose of private equity is to squeeze every last penny out of the operation it takes over,” CfA's Michelle Kuppersmith told NBC. “For patients, the cost will potentially bankrupt you, and, secondarily, you may get worse healthcare.”

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

Shannon is not alone in appearing to experience a private equity mark-up. CfA's new analysis found private equity-controlled hospitals collected $669 more in profit per patient than other ownership types — with no reduction in operating costs.

campaignforaccountability.org

Overbilled and Overtreated: Private Equity and the Healthcare Cost Crisis

A report finds that private equity-owned hospitals netted $669 more per patient than comparable hospitals with other ownership structures.

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

"For the most common port placement, which Shannon was likely to receive, Memorial’s discounted cost for cash-pay patients is $6,088," according to NBC's review of a bill analyzer tool from OrbDoc "Medicare, meanwhile, pays $3,226 for a standard port placement."

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

“My world just kind of collapsed,” she told @gmorgenson.bsky.social for @nbcnews.com “For me, the diagnosis was hard, but that was harder because there was no give.”

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

Jill Shannon, a cancer patient in New Mexico, was told by private equity-owned Memorial Medical Center in Las Cruces that she needed to pay $4k–$6k upfront before a critical procedure—even though she was insured. She couldn't pay, so she canceled.

nbcnews.com

How private equity is squeezing more profit out of hospital patients

Patients at hospitals owned or operated by private equity should prepare for bigger bills, new research shows.

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

"For the most common port placement, which Shannon was likely to receive, Memorial’s discounted cost for cash-pay patients is $6,088," according to NBC's review of a bill analyzer tool from @OrbDoc. "Medicare, meanwhile, pays $3,226 for a standard port placement."

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Campaign for Accountability @accountableorg.bsky.social · 26/06/2026

“My world just kind of collapsed,” she told @gmorgenson.bsky.social for @nbcnews.com. “For me, the diagnosis was hard, but that was harder because there was no give.”

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

Writing for @nbcnews.com, @gmorgenson.bsky.social tells the story of a cancer patient who was asked by a PE-owned hospital to pay thousands of dollars up front, out of her own pocket, before getting a critical procedure.

nbcnews.com

Is your hospital run by private equity? Expect a bigger bill

Hospitals owned or operated by private equity squeeze more profit from each patient, new research shows.

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

PE’s presence in the US healthcare industry has grown dramatically over the past two decades. The number of healthcare businesses acquired by PE firms rose from 352 in 2010 to 937 in 2020. Between 2019 and 2023, 65% of physician practice acquisitions were completed by PE firms.

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

In addition to CfA’s new statistical analysis, the report provides a comprehensive review of healthcare spending data, litigation, regulatory investigations, investor materials, and media reports, supporting the conclusion that private equity has driven up healthcare costs.

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

The difference in profit margins between private equity-owned hospitals and others was highest for privately insured patients, with whom hospitals have more latitude to set prices.

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

Private equity hospitals netting $669 more per patient cannot be explained away by firms simply finding ways to reduce the cost of care: Private equity acquisition has no statistically significant effect on hospital operating costs per patient.

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Campaign for Accountability @accountableorg.bsky.social · 25/06/2026

NEW: Private equity firms are driving up healthcare costs for patients already struggling to afford everyday essentials, according to a new CfA report. CfA's analysis found that PE-owned hospitals netted $669 more per patient compared to other hospitals.

campaignforaccountability.org

Overbilled and Overtreated: Private Equity and the Healthcare Cost Crisis

A report finds that private equity-owned hospitals netted $669 more per patient than comparable hospitals with other ownership structures.

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Campaign for Accountability @accountableorg.bsky.social · 24/06/2026

Yet this diagnosis can legally only be made by a properly licensed medical professional, and the CPC-support org Heartbeat International publicly acknowledged that many centers lack doctors available to review ultrasound scans within the first 24 hrs.

heartbeatservices.org

24 Hour Turn-Around on Ultrasound Scans?

An analysis of new guidelines from the American Institute of Ultrasound in Medicine and Heartbeat International's recommendation on how to respond

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Campaign for Accountability @accountableorg.bsky.social · 24/06/2026

CfA compiled a list of 100 CPCs across 49 states—including multiple in New York—that advertise their free ultrasound services can help women “rule out” a dangerous ectopic pregnancy.

documentcloud.org

CPCs Offering to Rule Out Ectopics - Campaign for Accountability - 6.22.26

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