Group's ad attacks Rick Scott over history as Columbia/HCA CEO

With his multi-millions and meteoric rise to frontrunner status in the Republican gubernatorial primary, former Columbia/HCA hospital CEO Rick Scott has become a formidable figure in Florida politics.

Look no further than a new attack ad by Florida First Initiative that paints Scott as a ruthless moneyman whose success hinged on shunning the nation's poor, and in at least one incident, the near-dead. The shadow group, a 527 under federal tax code, has used rival Bill McCollum's name in its fundraising pitch and is unregistered in Florida.

Attack ads generally try to undermine an opposing camp, and the rancor seeping from this ad campaign comes across as a screaming alarm bell.

"As CEO, Rick Scott profited from the largest Medicare fraud in American history," begins Refused, a 30-second spot that began airing June 12, 2010. "His hospitals illegally refused emergency room patients who were poor. They turned away sick people... and pregnant women."

The ad is set against a backdrop of images of seemingly frail elderly men and women and a harrowing score.

The most shocking claim comes near the end of the ad: "A top executive said they even turned away a poor man and left him to die outside their door." The words, "they even turned away a poor man and left him to die outside their door" flash across the screen.

The $616,282 TV ad buy is scheduled to air through Wednesday -- two days before the state election filing deadline.

Scott's opponents have rarely missed the opportunity to point out his corporate troubles.

Scott was CEO of Columbia/HCA in 1997 when federal agents made public an investigation into the company. Scott resigned that year. He notes that he was never indicted and says he was never questioned in the case. In a 2000 settlement, the company agreed to plead guilty to at least 14 corporate felonies, including three counts of conspiracy to defraud the United States, and pay a $1.7 billion fine.

But the claim that a man died at one of the company's hospitals after being turned away was new to us. Could it be true?

Federal records list Alachua County GOP Chairman Stafford Jones as the contact for Florida First Initiative. Reached by phone, he declined to answer questions and did not return a request for comment. The group's registered agent, Ken Cleary, hung up on a reporter when reached by phone.

The ad attributes the allegation to an ABC News 20/20 interview from Sept. 26, 1997. We found no reference in the 20/20 transcript to "they even turned away a poor man and left him to die outside their door." We also searched a newspaper database and found no references to those exact words.

The interview features Marc Gardner, a former Columbia administrator who went on a 1997 media blitz, including the appearance on 20/20, in a bid to secure a book deal about the hospital chain's alleged illegal dealings. Among his many allegations of wrongdoing, Gardner claimed the hospital and other facilities owned by Columbia/HCA limited treatment of uninsured patients. "Columbia hospitals exist to make money -- period," he told the Wall Street Journal in 1997. Gardner pointed to several deaths tied to improper care at the hospitals, including a 1995 case involving Adolph Anguiano, a homeless man who was found dead outside the Las Vegas hospital -- where Gardner served as vice president -- hours after he was examined by an emergency room doctor. We couldn't reach Gardner for comment.

Scott's campaign attributed the allegation to Gardner in an e-mail response to the ad. The campaign dismissed Gardner as a "publicity hungry wannabe writer" and insisted the hospital did not turn Anguiano away. Rather, he was evaluated and then discharged. The emergency room physician, Susan Meyer, was later suspended over the incident, Scott's campaign said.

With Meyer's name, we tracked down court records that detail the July 1995 death.

On the day he died, Anguiano was found unconscious on the lawn of a hotel and taken by ambulance to Columbia Sunrise Hospital in Las Vegas. Meyer gave him a full physical, but decided against further tests, according to court records. Anguiano had not eaten in three days and had been drinking and smoking marijuana. He was given some juice and crackers, and hospital security escorted him out. He was found dead on the hospital grounds two hours later.

Hospital officials said Meyer treated Anguiano for roughly seven minutes, which violated hospital rules, according to court records.

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Meyer was suspended. She sued the hospital and lost. The Nevada Supreme Court eventually concluded the hospital acted with the reasonable belief that it was furthering quality care.

Hospital officials said they worried Anguiano's death might be seen as new evidence of "patient dumping," or refusal to treat patients in need of emergency care, according to court records. Federal law prohibits emergency rooms from turning away patients because they don't have insurance.

Columbia Sunrise had already been under investigation for denying care to uninsured patients after a homeless person passed out at a casino shortly after being released from the hospital in 1994, according to multiple news reports. Federal officials threatened to take away the hospital's Medicare contract until a second investigation a few weeks later found the hospital was providing emergency beds to the uninsured.

Columbia Sunrise wasn't the only Columbia/HCA hospital hounded by reports of patient dumping. From 1988 to 1997, Columbia/HCA was fined at least $180,000 for alleged patient dumping violations at eight hospitals, according to news accounts. In all of those settlements, the company did not admit wrongdoing.

Where does all that leave us? We know a former Columbia/HCA executive did complain about the company's alleged penchant for patient dumping. In several interviews, he discussed the death of Adolph Anguiano, a homeless man who was found on hospital property. Court records confirm Anguiano died outside a Columbia/HCA hospital and that the hospital was under scrutiny for mistreating poor patients.

But Anguiano was not turned away, as the ad claims. He received some care before he was shown the door. Also, court records state Anguiano wasn't intentionally left to die.

So while what happened to Anguiano is an ugly tale, it is not as ugly as the story portrayed in the attack ad. We rule this Barely True.