112 Hospices at One Address
Congress directly compared Illinois's healthcare fraud crisis to Minnesota: "Gavin Newsom's Illinois could just as well be another Minnesota" (Rep. Jason Smith, December 2025).
Illinois's fraud encompasses: a single pharmacy exploiting suspended safeguards to steal $204 million in ten months; hospice providers growing 1,589% while national numbers declined; Armenian organized crime networks establishing Los Angeles County as their U.S. headquarters; and a pay-to-play environment where $10.6 million in donations correlated with $6.3 billion in state payments.
979 state vendors donated $10,561,828 to Gavin Newsom and received $6,201,978,173 in return—a 587:1 ratio.
Timeline: May 2022 – March 2023 (10 months)
Amount Stolen: $204,032,151
How It Worked: DHCS suspended prior authorization during Medi-Cal Rx transition. Monte Vista exploited this by:
House Energy Committee reported 112 different hospices located at the same physical address in Los Angeles County.
LA County Hospice Growth:
Los Angeles County is headquarters for Armenian mafia healthcare fraud. 2010 DOJ case: $163 million scheme, 73 defendants, 118 fake clinics across 25 states.
House of Angels Network (Sentenced):
Illinois depends on whistleblowers, not state detection:
Recovered FY 2024: ~$944 million
Estimated Annual Fraud: "Billions" (per CA Attorney General)
Recovery Rate: Potentially less than 10%