Opinion
Nos. 01-09-00926-CR, 01-09-00927-CR
Opinion issued February 24, 2011. DO NOT PUBLISH. Tex. R. App. P. 47.2(b).
On Appeal from the 182nd District Court Harris County, Texas, Trial Court Case Nos. 1028067 1030104.
Panel consists of Chief Justice RADACK and Justices ALCALA and BLAND.
MEMORANDUM OPINION
A jury found appellant, Mark Allen Strange, guilty of two offenses of misapplication of fiduciary property, and the trial court assessed punishment at 15 years' confinement for each offense, to run concurrently. On appeal, appellant contends (1) the evidence is insufficient and (2) the trial court erred by improperly ordering restitution. We modify the judgments and affirm as modified.
BACKGROUND
The Nature of Third-Party Administrators
Appellant, a former sales director for several insurance companies, began working for a third-party administrator in 1993. A third-party administrator is a company hired to administer an employer's self-funded health plan. In a self-funded health plan, the employer collects premiums from its employees and often makes its own contribution to the plan. With these funds, the employer opens a bank account at a bank of its choosing. The employer grants the third-party administrator the ability to write checks on this account. When an employee visits a doctor, the doctor will send the bill to the third-party administrator, who will then pay the doctor by writing a check on the employer's account. The third-party administrator keeps a check registry that reflects the checks that it writes out of the employer's account. The third-party administrator sends this check registry to the employer on a regular basis so that the employer can deposit funds into the account to cover the checks on the registry. The accounts on which the third-party administrator writes the checks to the doctors are usually "zero-based" accounts, which means that money is transferred into this account from a separate operating account to cover the exact amount of checks reflected on the check registry. The indictments in these cases alleged that, in his role as a third-party administrator, appellant misapplied funds from the McAllen Independent School District ("McAllen ISD") and the Association of Vineyard Churches, U.S.A. ("Vineyard").The McAllen ISD Case
John Bryan, Bruce Margulis, and Ralph Margulis owned a third-party administrator called Administrative Services of North America ("ASO"). Bryan and the Margulises hired appellant as president and Chief Excutive Officer of ASO in 1997. Appellant handled the day-to-day operations of the business and was paid an annual salary of $150,000. McAllen ISD was a client of ASO and had a contract for third-party administrative services while appellant was ASO's president. Debbie Prukop, McAllen ISD's benefits coordinator, testified that ASO would send her a weekly check registry showing all the medical claims that ASO had processed during the previous week. Prukop would send the money necessary to pay these claims to a "claim-specific trust account," which was a zero-based account maintained solely to hold funds necessary to pay McAllen ISD's medical claims. Appellant's signature, along with three others, was on this account's signature card. Once McAllen ISD funded this account in an amount necessary to pay claims on the weekly check registry, ASO would mail the checks to the doctors who had submitted claims for treating McAllen ISD employees. Prukop testified that the money McAllen ISD sent to this bank account was to be used only for the payment of medical provider claims as shown on the check registry. During the school year, McAllen ISD would place money in the account on a weekly basis to cover the claims shown on the weekly check registry. However, during the winter holidays, the school district was closed for three weeks. Prukop estimated the claims that would come in during this three week period to be approximately $300,000, and she deposited that sum in the account on December 18, 1998. The purpose of "pre-funding" the account was permit ASO to continue to pay physician's claims during the district's three-week winter break. When Prukop returned to work in January 1999, she learned that some of the doctor's claims checks had been returned for insufficient funds. Although Prukop had deposited sufficient funds to cover claims during the three-week holiday, the account was empty. Prukop contacted Ken Wethe, a employee benefit consultant for the district, to determine what she should do. Wethe contacted ASO, and appellant told him that he would investigate the reasons for the bounced checks. Appellant suggested that new procedures adopted by ASO may have caused the problem. Wethe asked to see the bank records for McAllen ISD so that he could determine how the $300,000 deposit had been used. Appellant said that he would provide the bank records, but he never did. Wethe, therefore, contacted the Texas Department of Insurance, and, with its assistance, obtained the bank records he sought. Wethe saw that several wire transfers had been withdrawn from the account. This was unusual, because the only withdrawals should have been checks made out to health care providers. Wethe also noticed some deposits into the accounts which did not come from McAllen ISD and which he could not explain. Wethe noticed a pattern of deposits and withdrawals into the account over a period of two months. Wethe eventually was able to calculate that McAllen ISD had suffered a net loss of over $300,000. This amount represented money that was withdrawn from the account but was not used to pay health care providers. Shirley Sheu was ASO's corporate controller during the time of these events. Sheu recalled that, at the time, ASO was performing poorly and was unable to meet its payroll in December 1998. When Sheu told appellant about the situation, he instructed her to transfer $258,000 from McAllen ISD's account to ASO's payroll account on December 30, 1998. During the following months, appellant had Sheu transfer money from McAllen ISD's account to ASO's on several occasions. ASO's owner, Bryan, learned of the bounced checks on the McAllen ISD account and asked appellant about it. Appellant told Bryan that Sheu had placed some funds in the wrong account, which caused the McAllen ISD account to be underfunded. Bryan assumed that appellant was going to move the money back to McAllen ISD's account, but he never did so. Checks continued to bounce on the McAllen ISD account. Bryan, who lived in New Jersey, decided to visit Houston to investigate the situation. He soon discovered that appellant had been paying himself unauthorized $25,000 quarterly bonuses and buying unauthorized purchases for himself with corporate money, so Bryan fired him. One month later, in April 1999, ASO went out of business. Bryan contacted the Department of Labor and reported the problems at ASO. The Department of Labor conducted an investigation, and at its conclusion, appellant signed a "consent order and agreement" with the Department. Under the terms of the consent order, appellant agreed not to act as a fiduciary for any employee benefit plan for ten years. He also agreed not to exercise authority or control over the management or disposition of the assets of any employee benefit plan or to be a signatory to any bank account holding employee benefit plan assets. Appellant testified that he mistakenly approved the transfer of $458,000 from McAllen ISD's account to ASO accounts because he believed that ASO's money had been erroneously placed in McAllen ISD's account. He later learned that his information was not correct that the transferred funds had never belonged to ASO. He admitted on cross-examination that, even though he thought that $458,000 of ASO's money had been mistakenly put in McAllen ISD's account, he authorized the transfer of $641,000 from the McAllen ISD account.The Vineyard Case
Almost two weeks after he was fired from ASO, appellant met Don Marsh, and they began exploring the possibility of purchasing a third-party administration. In 2001, Marsh and James Holtz formed a company, National Administrators, Inc. ("NA"). Appellant was a 51 % owner of NA. When NA was unable to obtain a third-party administrator license from the State, NA purchased another company, National Employee Benefit Administrators, Inc. ("NEBA"), which already had a third-party administrator license and an existing client base. Appellant, Marsh, and Holtz also owned another company called Health Corp Group, Inc. ("HC"), and appellant was its president and Chief Operating Officer. HC purchased National Health Care Administrators, Inc. ("NHA"), which was not an operational company at the time, but which did hold a third-party administrator license. HC sold NHA to Marsh and Holz, individually. Appellant was not an officer or director in NHA, but he was its manager. NHA began doing business as a third-party administrator, and the clients from NEBA, the subsidiary of HC, were transferred to NHA. HC, NA, and NHA were in the same office building in Houston. Appellant ran the office and made the day-to-day decisions for all three companies. Marsh ran another NA office in Austin. Jane Hardesty was the employee benefits plan administrator for Vineyard, an association of 650 churches. When Hardesty was unable to obtain a fully-funded health insurance plan for Vineyard employees, she decided to consider a self-funded plan with a third-party administrator. Appellant met with Hardesty and Gary Jurney, a benefits broker, on several occasions and explained how self-funded plans were put together. Appellant said that his company was NA, and he acted as if he owned it. Appellant was the only person representing NA at these meetings. Finally, appellant put together a proposal that he presented to Vineyard's national board. The board approved the proposal and entered an "administrative services agreement" with NA. The contract states that the third-party administration would be NHA, doing business as NA. Don Marsh, rather than appellant, signed the contract, presumably because appellant was not an officer or director of NHA. Appellant explained to Hardesty that Marsh was NA's president and that he would sign the claims check that NA paid on Vineyard's behalf to health care providers. Appellant set up the accounts for both his companies and for Vineyard. Appellant told Gayle Wilson, an employee of Compass Bank, that he owned HC and explained that the company administered health care benefits for several clients. Appellant told Wilson that he wanted to open several bank accounts. The HC account would be the "parent account" and the NHA accounts and client accounts, including Vineyard's, would be under the "HC Umbrella." Appellant told Wilson that he wanted all the accounts to be set up so that he could electronically transfer money between all the accounts. The accounts were set up as appellant requested, and he was the only person who could access them. In January 2003, the checks that appellant sent to health care providers on Vineyard employees' behalf began to bounce. Hardesty testified that this should not have happened because she fully funded the Vineyard account every two weeks based on the check registry that appellant provided her. Often, Hardesty personally hand delivered the checks to appellant to be placed in Vineyard's account. When Hardesty complained about the bounced checks, appellant told her that the bank had made a mistake and placed the money in the wrong account. She later learned this was not true. Vineyard continued to fund the account, but the checks continued to bounce. Hardesty had an audit conducted and determined that $470,000 was missing from Vineyard's account and had not been used to pay health care providers. Appellant, the only person with access to the accounts, had been transferring money out of Vineyard's account into other accounts, including NHA's payroll account. Appellant testified that, although he made the transfers, he did so at Marsh's direction. Marsh testified that he never told appellant to transfer money out of client accounts into corporate accounts.SUFFICIENCY OF THE EVIDENCE
In points of error one through four, appellant contends the evidence is legally and factually insufficient to show (1) that he was a fiduciary for McAllen ISD or Vineyard, (2) that the complainants, Prukop and Hardesty, were "persons for whose benefit the property was held," or (3) that any funds were misapplied.Standard of Review
This Court now reviews both legal and factual sufficiency challenges using the same standard of review. Ervin v. State, No. 01-10-00054-CR, 2010 WL 4619329, at *2-4 (Tex. App.-Houston [1st Dist.] Nov. 10, 2010, pet. filed) (construing majority holding of Brooks v. State, 323 S.W.3d 893, 905, 912-13 (Tex. Crim. App. 2010)). Under this standard, evidence is insufficient to support a conviction if, considering all the record evidence in the light most favorable to the verdict, no rational factfinder could have found that each essential element of the charged offense was proven beyond a reasonable doubt. See Jackson v. Virginia, 443 U.S. 307, 319, 99 S. Ct. 2781, 2789 (1979); In re Winship, 397 U.S. 358, 361, 90 S. Ct. 1068, 1071 (1970); Laster v. State, 275 S.W.3d 512, 517 (Tex. Crim. App. 2009); Williams v. State, 235 S.W.3d 742, 750 (Tex. Crim. App. 2007). Viewed in the light most favorable to the verdict, the evidence is insufficient under this standard in two circumstances: (1) the record contains no evidence, or merely a "modicum" of evidence, probative of an element of the offense; or (2) the evidence conclusively establishes a reasonable doubt. See Jackson, 443 U .S. at 314, 318 n. 11, 320, 99 S. Ct. at 2786, 2789 n. 11; Laster, 275 S.W.3d at 518; Williams, 235 S.W.3d at 750. Additionally, the evidence is insufficient as a matter of law if the acts alleged do not constitute the criminal offense charged. Williams, 235 S.W.3d at 750. An appellate court determines whether the necessary inferences are reasonable based upon the combined and cumulative force of all the evidence when viewed in the light most favorable to the verdict. See Clayton v. State, 235 S.W.3d 772, 778 (Tex. Crim. App .2007) (citing Hooper v. State, 214 S.W.3d 9, 16-17 (Tex. Crim. App. 2007)). In viewing the record, direct and circumstantial evidence are treated equally; circumstantial evidence is as probative as direct evidence in establishing the guilt of an actor, and circumstantial evidence alone can be sufficient to establish guilt. Id. (citing Hooper, 214 S.W.3d at 13). An appellate court presumes that the factfinder resolved any conflicting inferences in favor of the verdict and defers to that resolution. See Jackson, 443 U.S. at 326, 99 S. Ct. at 2793; Clayton, 235 S.W.3d at 778. An appellate court also defers to the factfinder's evaluation of the credibility of the evidence and weight to give the evidence. See Williams, 235 S.W.3d at 750.Law Applicable to Misapplication of Fiduciary Property
A person commits misapplication of fiduciary property if he misapplies property, held as a fiduciary, and such misapplication involves a substantial risk of loss to the owner of the property or to a person for whose benefit the property is held. See TEX. PENAL CODE ANN. § 32.45(a)-(b) (Vernon Supp. 2009). "Misapply" means to deal with property contrary (1) to an agreement under which the fiduciary holds the property; or (2) by law prescribing the custody or disposition of the property. Id. § 32.45(a)(2). The agreement need not be written, but must merely be a harmonious understanding as to a course of action. Bynum v. State, 767 S.W.2d 769, 777 (Tex. Crim. App. 1989). "[A] fiduciary is one in whom another has justifiably reposed confidence to act in a certain manner." Talamantez v. State, 790 S.W.2d 33, 35 (Tex. App.-San Antonio 1990, pet. ref'd); see also Coplin v. State, 585 S.W.2d 734, 735 (Tex. Crim. App. 1979) (holding that fiduciary capacity includes joint adventurers, partners and other fiduciary relationships not specifically mentioned in the statute). The Insurance Code provides the following regarding third-party administrators:(a) an administrator holds in a fiduciary capacity:
(1) a premium or contribution the administrator collects on behalf of an insurer, plan, or plan sponsor[.]TEX. INS. CODE ANN. § 4151.106(b) (Vernon 2009).