A superseding indictment was unsealed charging Isabel Tcruz and Noli Tcruz with tax evasion and multiple healthcare fraud offenses, and charging Dr. Terry S. Baul with participating in a healthcare fraud conspiracy. Previously, only Isabel Tcruz had been indicted with healthcare fraud offenses in this case. According to the Superseding Indictment, during May 2011 to January 2018, Isabel Tcruz and Noli Tcruz owned and operated multiple home healthcare companies in Roseville, Michigan, including Maxicare Home Health Agency, Inc., Faith Home Care Services, LLC, and Affinity Home Care, LLC, though they sold Affinity Home Care in December 2014. They also owned and operated home health agencies in Arizona and Nevada. The companies were enrolled as participating providers with Medicare and submitted claims to Medicare. As part of that enrollment, Isabel and Noli Tcruz agreed to comply with all Medicare rules, which included that they would not violate the Anti-Kickback statute. Dr. Terry S. Baul operates a family practice in Detroit. The superseding indictment alleges that, from approximately September 2007 through the present, Isabel and Noli Tcruz engaged in tax evasion. The superseding indictment further alleges that, from May 2011 through January 2018, Isabel Tcruz, Noli Tcruz, Dr. Terry Baul, and other doctors conspired to defraud the United States by paying and receiving healthcare kickbacks.