By: Christopher A. Parrella, Esq., CPC, CHC, CPCO
Parrella Health Law, Boston, Ma.
A Health Law Defense and Compliance Firm
In a significant legal development, three former executives of Outcome Health, a Chicago-based
health technology startup, have been sentenced for their roles in a massive fraud scheme that
defrauded the company’s clients, lenders, and investors out of approximately $1 billion. This
case highlights the serious consequences of corporate fraud.
Sentences and Charges
Rishi Shah, the co-founder and former CEO of Outcome Health, received a sentence of seven years
and six months in prison. Shradha Agarwal, the co-founder and former president, was sentenced to
three years in a halfway house. Brad Purdy, the former COO and CFO, was sentenced to two years
and three months in prison. These sentences reflect the severity of their actions and the
extensive impact of their fraudulent activities.
The Fraud Scheme
Outcome Health, established in 2006 and previously known as Context Media, installed television
screens and tablets in doctors’ offices across the United States, selling advertising space on
these devices primarily to pharmaceutical companies. However, Shah, Agarwal, and Purdy sold
advertising inventory that the company did not possess and failed to deliver on these
advertising campaigns. Despite under-delivering, they still invoiced clients as if they had
fulfilled the contracts. This deceptive practice led to a material overstatement of the
company’s revenue for the years 2015 and 2016, misleading clients, investors, and lenders.
Impact on Clients and Investors
The fraudulent activities led to over $45 million in overbilled advertising services. The
executives’ actions also resulted in significant financial gain for themselves. The
under-deliveries and fabricated data used to deceive Outcome’s auditor allowed the company to
secure $110 million in debt financing in April 2016, $375 million in debt financing in December
2016, and $487.5 million in equity financing in early 2017. These transactions resulted in
substantial dividends to Shah and Agarwal, amounting to millions of dollars.
Legal and Financial Repercussions
This case underscores the legal repercussions of corporate fraud. Shah was convicted of multiple
counts of mail fraud, wire fraud, bank fraud, and money laundering. Agarwal and Purdy were
similarly convicted of various counts of fraud. In addition to the prison sentences, the
convictions send a clear message about the seriousness of such offenses.
Parrella Health Law
For more information and updates on legal proceedings, contact Parrella Health Law at
857-328-0382 or email me directly at cparrella@parrellahealthlaw.com. Our team is dedicated to
providing expert legal guidance and support in navigating complex healthcare and corporate legal
landscapes.

Christopher Parrella, ESQ, CPC, CHC, CPCO, is the founding partner of Parrella Health Law in Boston, Mass. The firm focuses exclusively on healthcare defense and compliance matters. Chris also travels the country on behalf of a wide range of healthcare organizations, lecturing on a variety of health care enforcement and compliance topics. Chris is one of a handful of health care attorney’s that are also Certified Professional Coders (CPC) and is a member of the AAPC’s National Legal Advisory Board and Ethics Committee. He is also a Certified Professional Compliance Officer (CPCO) and Certified in Health Care Compliance (CHC.)


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