The saga entails an ₹8,300 crore ($1 billion) fraud scheme that rattled prominent investors, including Goldman Sachs Group Inc., Google’s parent company Alphabet Inc., and the venture capital firm of Illinois Governor JB Pritzker.

New Delhi – Indian-American businessman Rishi Shah, the former billionaire co-founder of Outcome Health, has been sentenced to seven and a half years in prison by a US court. The case revolves around a ₹8,300 crore ($1 billion) fraud scheme that impacted high-profile investors including Goldman Sachs Group Inc., Google parent Alphabet Inc., and Illinois Governor JB Pritzker’s venture capital firm. The verdict, delivered by US District Judge Thomas Durkin, marks the end of one of the largest corporate fraud cases in recent history.

According to Bloomberg, Outcome Health was conceived by Mr. Shah during his university days. Originally known as Context Media Health, the company was founded in 2006 with the goal of revolutionizing medical advertising by installing televisions in doctors’ offices to stream health ads targeted at patients. Mr. Shah was joined by co-founder Shradha Agrawal, and the company experienced exponential growth, aiming to bridge the communication gap between patients and healthcare providers through innovative ad placements.

By the mid-2010s, Outcome Health had become a significant player in the tech and healthcare investment communities. The integration of cutting-edge technology into traditional healthcare marketing attracted high-profile investors. During its rapid rise, Outcome secured enormous funds and clientele, positioning Mr. Shah as a rising star in Chicago’s corporate circles.

Lies and Deceit

However, behind the glittering success, Outcome Health’s foundations were decaying. Prosecutors revealed that Mr. Shah, 38, along with Ms. Agrawal and another defendant, chief financial officer Brad Purdy, engaged in a monumental fraud scheme against investors, clients, and lenders by misrepresenting the company’s operational and financial health. Central to the fraud was selling more advertising inventory than Outcome Health could deliver and fabricating data to cover up the shortfall.

The company defrauded pharmaceutical giant Novo Nordisk A/S and other clients about its network size and ad reach. Misleading information and fraudulent data painted a picture of exponential revenue growth, attracting further investment and financial backing.

Mr. Shah’s lavish lifestyle, funded by inflated ad sales and investor financing, included exotic trips on private jets and yachts, and the purchase of a $10 million home. In 2016, Mr. Shah’s net worth was estimated at over $4 billion, a figure inflated by deceptive accounting practices.

The facade began to crumble in 2017 when a Wall Street Journal exposé brought the fraudulent activities to light. Subsequently, a group of investors, including Goldman Sachs, Alphabet, and Governor Pritzker’s firm, filed lawsuits against Outcome Health, accusing the firm of fraud in its $487.5 million fundraising earlier that year. The fundraiser had returned a $225 million dividend for Mr. Shah and Ms. Agrawal but left investors with a grossly overvalued stake in a company on the brink of collapse.

Legal Consequences

Mr. Shah was indicted on more than a dozen counts of fraud and money laundering and was convicted on these charges in April 2023. He was joined by Ms. Agrawal and Mr. Purdy. Prosecutors had sought 15 years for Mr. Shah and 10 years for his co-conspirators. However, District Judge Durkin’s final rulings varied: Ms. Agrawal received a three-year sentence in a halfway house, and Mr. Purdy was sentenced to two years and three months in prison. Additionally, the US Securities and Exchange Commission filed a civil action against Mr. Shah, Ms. Agrawal, Mr. Purdy, and former chief growth officer Ashik Desai. Mr. Desai and other Outcome employees had pleaded guilty prior to the jury trial.

Public Apology

In ill health, Mr. Shah expressed remorse and accepted responsibility at his sentencing. In prepared remarks, he acknowledged his failure to manage the aggressive expansion of Outcome Health and the creation of a corporate culture that permitted deceptive practices. He admitted to being “ashamed and embarrassed” by the misconduct that led to the company’s downfall.

“The culture I created permitted people on my team to think it was okay to create false data in response to a client question,” he confessed.

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