UNITED STATES of America, Appellant, v. Thomas M. COUGHLIN, Appellee.
No. 06-3294.
United States Court of Appeals, Eighth Circuit.
Submitted: April 12, 2007. Filed: Aug. 28, 2007.
500 F.3d 813
Before LOKEN, Chief Judge, BYE and RILEY, Circuit Judges.
Although the district court has some discretion to find that, on balance, other factors militate against the imposition of a sentence consistent with the sentencing guidelines and the underlying congressional priorities embodied therein, the district court failed to enunciate a sufficiently strong and legitimate rationale to justify reducing Bradford‘s criminal history category on an order of five times what Congress had intended to be possible.4 In fact, instead of taking full measure of congressional priorities as reflected in the guidelines provisions governing the definition and sentencing of “career offenders,” the district court replaced the concept with its own understanding of the term: “When someone thinks of a career criminal, I think they are thinking of someone who is in continuous activity. I understand what the statute says, but, I mean, I think there is an ability to exercise some discretion.” Resent. Tr. at 10-11. Although it is appropriate for the district court to consider the nature and circumstances of the offense and the history and characteristics of the defendant, see
Blair G. Brown, argued, Washington, DC, William W. Taylor, III and Caroline Judge Mehta, Washington, DC, and W.H. Taylor, Fayetteville, AR, on the brief, for appellee.
RILEY, Circuit Judge.
Thomas Coughlin (Coughlin), a successful and prominent corporate executive, pled guilty to six felony counts: five counts of aiding and abetting wire fraud, in violation of
I. BACKGROUND
From January 1997 to October 2001, Coughlin was Wal-Mart Stores, Inc.‘s (Wal-Mart) Chief Operating Officer and then Wal-Mart‘s Executive Vice President and Vice Chairman of the Board of Directors. During this period, Coughlin defrauded Wal-Mart by (1) directing that Wal-Mart employees’ travel vouchers be falsely adjusted to request unwarranted reimbursements, which were then converted into cash and pocketed by Coughlin; (2) falsifying invoices so Wal-Mart paid Coughlin‘s personal expenses; (3) altering Wal-Mart employees’ expense vouchers to include fictitious expenses, which were then converted into cash and pocketed by Coughlin; (4) using large quantities of Wal-Mart gift cards for personal use; and (5) looting audio equipment and cameras using Wal-Mart‘s Merchandise Transfer Report.
The United States Probation Office prepared a presentence investigation report (PSR). The PSR set Coughlin‘s base offense level at 6 and, due to the amount of the loss, increased Coughlin‘s offense level by 9 levels. See
At sentencing, the government and Coughlin stipulated the PSR properly calculated Coughlin‘s advisory Guidelines sentencing range, and the court accepted the PSR‘s calculation. The issues at sentencing were a departure based on Coughlin‘s health pursuant to Guideline
Dr. Joel Carver (Dr. Carver), Coughlin‘s treating physician, testified with a reasonable degree of medical certainty (1) sending Coughlin to prison would increase Coughlin‘s stress level and significantly increase the risk of another heart attack; (2) Coughlin regularly took thirteen different medications, two of which Dr. Carver understood are not available through the Bureau of Prisons (BOP); and (3) Coughlin‘s medications should not be changed. Dr. Carver has never visited a BOP facility and conceded he has no knowledge regarding how the BOP operates or treats the inmates medically, or even what medical capabilities exist within the BOP.2 Dr. Carver was asked on direct examination whether Coughlin could survive in the BOP, and Dr. Carver stated, “[it] honestly would be hard for me to speculate.” According to Dr. Carver, his medical opinion about Coughlin and the BOP is “[j]ust based on common sense.”
Dr. Tecora Ballom (Dr. Ballom), the Clinical Consultant for the South Central Region and Acting Clinical Director at the Federal Medical Center located at Carswell, Texas, testified the BOP would review and assess Coughlin‘s medical history and treat him appropriately. The BOP classifies inmates according to their medical needs. Level one usually includes healthy patients with uncomplicated diseases who can perform the activities of daily living. Level two includes patients with chronic diseases who require more frequent monitoring. Level-three patients may not be able to perform all of the activities of daily living, require even more frequent monitoring, and are housed in a community with access to medical resources. Level-four patients have the most difficulty with daily living, require monitoring up to twenty-four hours a day, and are housed at medical referral centers.
Dr. Ballom testified Coughlin probably would be classified as a level-three patient (or possibly as a level-four patient), which would include access to medical treatment for patients with pacemakers and defibrillators and availability to a continuous positive airway pressure machine at night. Dr. Ballom discussed the procedure by which Coughlin could continue to take his current medications that are not typically available through the BOP. Dr. Ballom testified the BOP could help Coughlin cope with any increase in stress by using medical monitoring and possibly psychological or psychiatric consultations. Dr. Ballom noted Dr. Carver‘s testimony concerning an increase in stress appeared to assume Coughlin would be housed at a level one or two prison from a camp situation to a maximum-security penitentiary rather than at a dormitory-style facility. Dr. Ballom also testified Coughlin‘s health conditions might improve because Coughlin would be in a controlled environment.
II. DISCUSSION
After United States v. Booker, 543 U.S. 220, 125 S.Ct. 738, 160 L.Ed.2d 621 (2005), the sentencing court first must calculate the advisory Guidelines sentencing range. See United States v. Ture, 450 F.3d 352, 356 (8th Cir.2006). Next, the sentencing court must decide whether a traditional departure from the advisory Guidelines sentencing range is appropriate based either on Parts H or K of Chapter Five of the Guidelines, policy statements, or commentary. See United States v. Dalton, 478 F.3d 879, 881 (8th Cir.2007). The sentencing court has then arrived at a final advisory Guidelines sentencing range. Id. Then, the sentencing court must consider the factors set forth at
A. Physical Condition Departure
The first issue before the court is the propriety of the district court‘s downward departure pursuant to Guideline
The first and third questions are not in dispute; thus, we will focus on the second question. Coughlin‘s only evidence regarding how imprisonment would affect Coughlin‘s health is Dr. Carver‘s testimony that life in prison is more stressful than life outside of prison and Coughlin should avoid stress. Dr. Carver has never visited a BOP facility. Dr. Carver conceded he had no personal knowledge of prison conditions or where Coughlin would be housed within the BOP, nor does Dr. Carver have specific knowledge regarding the accompanying stress level. “Common sense” was the basis for Dr. Carver‘s opinion. In contrast, Dr. Ballom‘s testimony was based on her considerable personal experiences with the BOP. Dr. Ballom commented that while life in prison may be stressful, the BOP has the capability to help inmates cope with stress. Furthermore, Dr. Ballom stated a controlled environment helps many inmates control and manage their health problems and the BOP will provide Coughlin with any medication or other necessary medical care. The record, omitting conjecture, does not show Coughlin‘s condition will worsen in a BOP facility or that Coughlin requires special care the BOP cannot provide, that is, the record does not establish imprisonment would subject Coughlin to more than the normal inconvenience or danger.
Coughlin relies on United States v. Wadena, 470 F.3d 735 (8th Cir.2006), where this court affirmed a sentence of 5 years’ probation based in part on the defendant‘s poor health. In Wadena, the defendant had a worsening kidney disease, which required three-hour dialysis treatments three times a week. Id. at 737. Here, Coughlin‘s health ailments were not as severe as Wadena‘s ailments. On this record, the district court clearly erred in finding Coughlin suffers an extraordinary physical impairment and abused its discretion by departing downward eight levels pursuant to Guideline
B. Non-Guidelines Sentence
In the event our court concluded the district court abused its discretion in departing downward pursuant to Guideline
Section
III. CONCLUSION
For the foregoing reasons, we must remand for resentencing. Cf. United States v. Peterson, 455 F.3d 834, 837-38 (8th Cir.2006). The district court‘s eight level departure or variance, based on this record, does not fall within the range of reasonableness. We reverse Coughlin‘s sentence and remand for further proceedings consistent with this opinion.5 Both the government and Coughlin should have an opportunity to supplement the sentencing record with additional evidence and argument on these resentencing issues, if either desires to do so.
The district court did not err when it found Coughlin suffers from an extraordinary physical impairment. The district court did not abuse its discretion when it determined it was appropriate to downward depart, pursuant to
A
Whether Coughlin has an extraordinary physical impairment for the purpose of a
As the majority indicates, the first and third questions are not in dispute. Both the BOP expert, Dr. Ballom, and Coughlin‘s expert, Dr. Carver, agree Coughlin is “at very high risk cardiac and pulmonary wise.” Dr. Ballom testified Coughlin is in the highest risk category, his condition being more than serious. Both medical experts agree, Coughlin‘s physical condition has a substantial present effect on his ability to function and will cause Coughlin to find imprisonment more than the normal hardship.
The majority concludes the record does not establish imprisonment would subject Coughlin to more than the normal inconvenience or danger, and holds the district court clearly erred when it so found. I disagree. Dr. Carver, a respected cardiologist whose credentials the government does not dispute, testified unequivocally Coughlin meets every one of the Rabins factors for an extraordinary medical impairment.
Coughlin has an unusual heart condition in that he has suffered multiple life-threatening cardiac episodes as a result of stress. The majority incorrectly concludes, however, Coughlin‘s only evidence regarding how imprisonment would adversely affect his health is Dr. Carver‘s testimony that life in prison is more stressful than life outside of prison. While the record does detail how strip searches, the risk of physical assault from younger aggressive inmates, overcrowding, sleep disturbance, unnerving noise, the threat of disciplinary sanctions, separation from loved ones, and limited access to health care would likely elevate Coughlin‘s stress to dangerous levels,6 life-endangering stress is not the only adverse medical consequence that could result from Coughlin‘s incarceration.
The government argues if we grant Coughlin a downward departure based on an extraordinary medical impairment, it will open the floodgates for everyone to argue prison is too stressful. In other words, it asks, who will go to prison if Coughlin does not? The framing of this argument minimizes the gravity of Coughlin‘s medical condition. The record is replete with evidence of Coughlin‘s—in the words of the government‘s own expert—“very high risk” condition. A respected cardiologist testified, and four to five inches of medical records confirmed, incarceration would “significantly increase [Coughlin‘s] risk of another heart attack or death” and “place him in a position of danger.” In light of the overwhelming medical evidence in this case, a more prescient concern is who will be granted a departure for an extraordinary physical impairment if not Coughlin? Indeed, the district court wondered, “why even have a provision in the Guidelines [ ] that it can be departed from if you can show an extraordinary physical impairment if the Bureau of Prisons takes the [ ] stance we can treat everybody and can and will and provide good care?”
In my judgment, the district court did not clearly err when it concluded imprisonment would subject Coughlin to more than the normal inconvenience or danger and ruled Coughlin has an extraordinary physical impairment. Furthermore, the district court departed downward only to the extent needed to allow it to substitute home detention for incarceration. The district court‘s decision to impose twenty-seven months of home detention, instead of the six to twelve months prescribed for an offense level of ten, further satisfies me that the court did not abuse its discretion in sentencing Coughlin.
B
Section
The variance in this case is substantial in that it resulted in no incarceration where the Guidelines called for at least twenty-seven months imprisonment. Nevertheless, I find the sentence was reasonable because the district court offered appropriate justification, taking into account the
The district court believed the circumstances of Coughlin‘s case were extraordinary, describing it as “the most unusual case that this Court‘s handled or probably ever will handle,” and felt strongly home detention was the appropriate sentence for Coughlin.9 The district court stated, “even if I‘m incorrect in what I have determined about 5H1.4 and my comments concerning 5H1.6, 1.11, and 5K.2, I restate and adopt all of my findings under 3553 [(a)] and make them my factors in imposing a reasonable sentence on Coughlin.” The majority claims this statement shows the district court alternatively relied on factors set forth in
The majority claims the district court did not state with enough specificity its reasons for the imposition of a non-guidelines sentence and did not properly balance the considerations of
Furthermore, the district court carefully considered the advisory Guidelines sentencing range of twenty-seven to thirty-three months imprisonment.16 By imposing a sentence of five years probation, with twenty-seven months of home detention, the district court imposed the length of sentence prescribed by the Guidelines; the district court varied only in its substitution of home detention for incarceration.
Sentencing courts have the unique ability to appraise the evidence and personally assess a defendant. The district court had the discretion to decide it would be more efficient, effective and less costly for Coughlin to receive treatment from his current physician and serve his sentence at home. The other
For the above reasons, I dissent.
