Mashiyat Rashid, the CEO of Tri-County Wellness, a Michigan and Ohio-based group of pain clinics was sentenced to 15 years in prison for developing and approving a corporate policy to administer unnecessary back injections to patients in exchange for prescriptions of over 6.6 million doses of medically unnecessary opioids. Rashid was also ordered to pay over $51 million in restitution to Medicare, as well as forfeiture to the United States of property traceable to proceeds of the health care fraud scheme. Patients, including patients who were addicted to opioids, who told the doctors that they did not want, need, or benefit from the injections, were denied medication by the defendants and their co-conspirators until they agreed to submit to the expensive and unnecessary injections. The Tri-County clinics intentionally targeted the Medicare program and recruited patients from homeless shelters and soup kitchens.