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And they do this to avoid paying their own portion of Social Security and unemployment taxes and also workers compensation insurance.

This doesn’t just mean the dollars for paying staff but includes other costs, such as payroll tax and workers compensation insurance.

But separately, that August, the Orange County District Attorney’s Office charged him and two of his executives with tax and workers’ compensation insurance fraud.

Following a three-year investigation, the Orange County district attorney’s office said on Friday that David Fish, 55, of Laguna Niguel allegedly masterminded an extensive scheme “to control clinics and providers who would see patients, refer them to specific providers in order to receive illegal referral payments, and then unlawfully bill workers’ compensation insurance companies for these services.”

Part of Scipione’s struggle was finding care through workers compensation insurance.