A member company filed a civil suit involving a health care fraud case against imprisoned Middletown Chiropractor James A. Spina. Spina was arrested by the FBI in a criminal health care fraud investigation assisted by NICB. The member company was awarded $6.3 Million. U.S. District Judge Kenneth M. Karas had previously ordered Spina to pay nearly $9.8 million in restitution in the criminal case and sentenced him to 9 years in prison. The 09/23/21 Civil award was charged against several Middletown medical businesses Spina operated.