Defunct Sovereign Health to pay $11 million to settle wrongful death lawsuit

Brandon Nelson was an outstanding student at Santa Monica High School. (Courtesy of the Nelson family)
Brandon Nelson was an outstanding student at Santa Monica High School. (Courtesy of the Nelson family) 

Was it lies and sins of omission that killed Brandon Nelson?

The promise of a professional mental health team’s care — psychiatrists, psychologists, therapists — that turned out to include guys with experience in furniture moving and construction and credit card processing and house painting, who took online CPR classes, who were too freaked out by his body dangling from the ceiling to recall the address for the 911 dispatcher?

Perhaps it was that the company was imploding financially and workers were fleeing. Or that the “facility” where Sovereign Health placed him was little more than a tract home in San Clemente. Or that no one “treating” him on that final day had any clue about his medical history, his psychotic breaks, his desire to die.

The powerful anti-psychotic medications he required twice daily were slow to be filled and forgotten on a desk in a corporate office — Nelson hadn’t taken them for nearly 24 hours and was howling and crying, “I want my meds! I want my meds!” just hours before he used a pair of sweatpants to hang himself from the sprinkler system in his room.

Workers said he should have been sent to a higher level of care. He should have been closely monitored. He should never have been left alone. There should have been “breakaway” systems to thwart suicide attempts in a facility for mentally ill patients.

“He needed, like, clinicians. He needed, like, doctors,” said a house manager on duty that night.

These harrowing, heartbreaking details are drawn from hundreds of pages of depositions in the wrongful death lawsuit Nelson’s family filed against Sovereign/Dual Diagnosis and its principal, Tonmoy Sharma, in 2019. The two sides have settled for $11 million, to be paid through insurer Capitol Specialty Insurance Corporation.

“We were pleased the parties could reach a settlement,” Laurie N. Stayton, attorney for Sovereign and Sharma, said by email. “We hope the settlement brings some comfort to the family for their loss. The settlement reflects the parties’ compromise of disputed claims and not an admission of liability.”

That’s not quite how Nelson’s parents see it.

‘Lied to’

“If Brandon didn’t go to Sovereign, he would be alive today,” said his mother, Rose Nelson. “I was totally lied to. I went online and looked — ‘Oh it’s beautiful!’ —he’ll have a psychiatrist and psychologist and group therapy! — ‘give us 30 days and he’ll be great.’ When your child is going through this, you’re so desperate. You sign on the dotted line.”

Brandon Nelson played on the varsity football team at Santa Monica High School. (Courtesy of the Nelson family)
Brandon Nelson played varsity football at Santa Monica High School. (Courtesy of the Nelson family) 

The Nelsons rejected a request for settlement confidentiality, they said. They want everyone to know exactly what happened and why — especially the lawmakers and regulators who can fix California’s fractured mental health system.

It has been plagued with dysfunction since psychiatric hospitals were shuttered in favor of more friendly — and less expensive — community-based treatment centers decades ago, experts say. The pursuit of profit among private-pay mental health providers, and the sloppiness of state regulatory systems tragically ill-equipped to oversee them, fail patients and cost lives.

California is committing billions to bolster mental and behavioral health services through CARE courts — for “Community Assistance, Recovery and Empowerment” — aiming to get people with mental health and substance use disorders the support and care they need. That sounds great on paper, but threatens to compound the problems, said Allen Nelson, Brandon’s father.

“I’m very concerned that it’s going to be placing tens of thousands of people into programs like (Sovereign’s), and you’re going to get more of these people who are in it for the wrong reasons, just for money,” he said. “They know there’s not going to be any oversight. There’s not any oversight now. Given our experience, it could be very detrimental to many people.”

It felt like a step forward when the governor signed “Brandon’s Law” in 2021, prohibiting operators from misrepresenting or making blatantly false claims about the services they offer or where they’re located. But the best laws in the world don’t matter if they’re not enforced.

Expressly non-medical providers continue to tout 24/7 “medical supervision” in promotional material. “Oversight,” Allen Nelson said, “is terribly lacking.”

‘Lives were ruined’

Tonmoy Sharma, founder and CEO of Sovereign Health. (File photo by Mindy Schauer, Orange County Register/SCNG)
Tonmoy Sharma, founder and CEO of Sovereign Health. (File photo by Mindy Schauer, Orange County Register/SCNG) 

The Nelson settlement is just the latest in a series of multi-million-dollar hits for Sharma and his now-defunct companies.

An enormous loss came last year when a Los Angeles jury ordered Sharma/Sovereign/DD to pay Health Net nearly $45 million in damages and interest for, among other things, violating the Racketeering Influence and Corrupt Organization Act. Sovereign sued Health Net for not paying; Health Net accused Sovereign of massive fraud; and the jury found that Sharma acted with “malice, oppression or fraud.” That case is on appeal, said attorney Lisa Kantor.

In 2021, Sharma/Sovereign/DD settled for $2.3 million two lawsuits from women who said they were sexually assaulted by the employee supervising their care. The women alleged that the man at Sovereign’s Palm Desert facility offered them drugs and/or money for drugs in exchange for sexual favors. The man was not a licensed healthcare professional and Sovereign knew he had a history of harassing patients, but he was allowed to supervise and manage patients anyway, the suits said.

In 2019, a Sovereign client — who suffered brain damage after overdosing on painkillers while in outpatient treatment at a Sovereign facility in San Juan Capistrano — won an $8.88 million binding arbitration award against the company.

A Sovereign Health employee is escorted into the office in the 1200 block of Puerta Del Sol in San Clemente Tuesday morning after the business was raided by 40 federal agents on Tuesday, June 13, 2017. (Photo by Sam Gangwer, Orange County Register/SCNG)
Sovereign Health was raided by federal agents in 2017. (Photo by Sam Gangwer, Orange County Register/SCNG) 

And more than 140 workers who felt compelled to remain on duty and help patients, even as Sovereign was imploding and they hadn’t been paid for weeks, then months, filed wage claims for tens of thousands of dollars with the state in 2018. Many abandoned those claims, giving up hope of ever being paid.

“So many lives were ruined,” said Malakiah McGuire, who was the school director for Sovereign’s adolescent treatment program in San Diego. Sharma owes her $27,255 in unpaid wages, plus interest, according to her claim with the state Department of Industrial Relations.

“I had a conscience, and there were still adolescents enrolled in our residential program, living there and attending classes,” she said by email. “I sacrificed a lot to help those kids in the end, and I know their parents were grateful. It is too bad the company thought it was enough for those of us who stayed to be told how humbled they were by our dedication. … Humility doesn’t pay the bills.”

McGuire hasn’t gotten far with the state. Officials want her to provide asset information and/or proof that Sovereign is operating under a different name, but she is not a private detective. Sharma has said he advised other treatment programs — including Invictus Health, which the Nelson family charged was simply Sovereign resurrected — but no businesses currently appear to be in his name.

It seems criminal that Sharma can get away with this, she said. “I am hopeful that one day I will get what I rightfully earned.”

Brandon Nelson once transformed black plastic bags into solar hot-air balloons (Courtesy of the Nelson family)
Brandon Nelson transformed black plastic bags into solar hot-air balloons (Courtesy of the Nelson family) 

‘I am a lie’

The Southern California News Group chronicled Brandon Nelson’s tragic death in a two-part series in 2018. He had a gift, his parents said: He taught himself computer programming, was an outstanding student at Santa Monica High, was enchanted with flight and earned a degree in aerospace engineering from UCLA. He loved basketball and soccer and played on the varsity football team in high school, where a coach predicted that his smarts would ensure that no dream was beyond his reach.

The lawsuit produced more agonizing details about his death.

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