Medical-practice manager sentenced for payroll embezzlement
Sep 20, 2026 edition · GC-2026-0043 · Published 2026-09-20 · Version 2 · Final
Adam Gentile received four years in prison after embezzling from two medical practices through payroll and personal spending. Restitution, stated losses and forfeiture are separate amounts.
What happened
DOJ’s September 2 release reports that Adam Gentile was sentenced August 27, 2026 to four years in prison and four years of supervised release after a March guilty plea to three wire-fraud counts. The court ordered restitution of $3.8 million and $3.3 million to the two victim medical practices, respectively, plus $7.8 million forfeiture. These financial orders are distinct from the more than $4.5 million and more than $3.3 million losses described for the two employment periods.
Gentile had payroll and administrative responsibilities at the first practice and sole payroll responsibility at the second. DOJ describes extra paychecks sometimes labeled bonuses and personal credit-card payments from practice bank accounts during roughly 2015–November 2020 and April 2021–May 2024. The second practice’s funds also supported a home and a side business. The repeated mechanism across employers makes independent payroll-change approval and bank reconciliation pertinent; a practice manager’s recordkeeping role is not independent verification of their own compensation.
Scope and timing
- Authority status
- Final
- Applicability
- Operationally relevant
- Audience
- Health systems, Provider networks
- Jurisdiction
- Federal
Why it matters
Payroll access and bank-payment authority need independent review even when a trusted practice manager controls the records.
Recommended action
Review payroll changes, bonus authorization and bank/card reconciliations independently of the employee receiving payments. Investigate unusual self-payments and restrict incompatible payment duties.
Case details
- agencies
- DOJ
- entities
- Adam Gentile
- action Type
- Criminal resolution
- event Date
- 2026-08-27
- alleged Conduct
- Guilty-plea case involving extra payroll payments, purported bonuses and personal spending from two medical practices during separate employment periods.
- resolution
- August 27 sentence of four years imprisonment and four years supervised release; restitution to two victims $3.8 million/$3.3 million and separate $7.8 million forfeiture, announced September 2. No completed recovery inferred.
Operational lessons
- Require independent review of payroll changes and bonuses.
- Reconcile bank and credit-card payments outside the payroll manager’s control.
- Distinguish losses, restitution and forfeiture amounts.
Sources
- Medical-practice manager sentenced for payroll embezzlementOfficial · DOJ, District of Massachusetts · 2026-09-02 · Source review 2026-09-06
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