DeSantis gave $103.4 million in no-bid contracts to Sunrise’s MedPro, accused of ‘trafficking’ foreign nurses, to staff vaccine sites

Gov. Ron DeSantis discussing vaccinations in MIami in February. Photo: CBS4

By Daniel Ducassi,

The administration of Florida Gov. Ron DeSantis has given more than $100 million in no-bid, COVID-19 related contracts to a healthcare staffing company accused in court of profiting from the “forced labor” of foreign workers under a system of “indentured servitude.”

State contracting records show the governor’s office entered into four contracts worth a total of $103.4 million with Management Health Systems, based in Sunrise. Payments began as early as August 2020, and a state transparency website reveals nearly $47 million in payments from the Florida Division of Emergency Management, which state law houses within the governor’s office.

The largest contract, worth $45 million, is described on the state’s contract website as “Blanket for Medical Staff at Vaccination Sites.” The contract’s specifications are not further detailed. The state has already paid more than $21 million on that contract, with payments starting in early April.

Meanwhile, on May 5 Management Health Systems showered some green on the governor, giving $10,000 to his political committee, Friends of Ron DeSantis.

Management Health Systems, which does business as MedPro Healthcare Staffing, has made no secret of its fondness for recruiting foreign nurses — a practice that makes the firm an odd choice for an immigration hardliner like DeSantis.

Patty Jeffrey, the company’s vice president of international operations, wrote an opinion piece for the Sun Sentinel last year making the case for bringing in more foreign healthcare workers to bolster the country’s nursing staff amid the pandemic.

How MedPro profits

MedPro makes its money by charging hospitals, healthcare facilities – and taxpayers – more than the company pays its nurses and other healthcare staff.

MedPro boasts it has “successfully placed more foreign-educated professionals into the U.S. healthcare system than any other company in the industry.” The company often brings foreign nurses and other healthcare workers from places like the Philippines and the Caribbean into the country on H1B temporary worker visas.

However, MedPro has been repeatedly accused in court of exploiting the foreign healthcare workers that Jeffrey says are so important to America’s healthcare system.

Gov. DeSantis has spoken out forcefully against “labor trafficking,” telling attendees at Florida’s 2019 Human Trafficking Summit that people shouldn’t be treated as “indentured servants.” Still, his office had nothing to say about why his office had repeatedly awarded valuable no-bid contracts to MedPro, a company accused of doing just that.

The company has filed dozens of lawsuits against foreign recruits who have tried to leave MedPro or find work elsewhere, claiming they’ve broken their three-year employment contracts, often seeking tens of thousands of dollars.

Sometimes the workers fight back, and their responses in court frequently touch on several recurring themes: workers were deceived or rushed into signing complex and “unconscionable” employment agreements; MedPro would underpay its foreign nursing staff or not pay them at all between placements; MedPro frequently used the threat of lawsuits, financial ruin and deportation to hold employees captive while the company failed to live to up to its side of the bargain by ensuring workers had stable employment.

‘Indentured servitude’

Cherine Clunis, a Jamaican nurse enticed by the promise of life in the United States, signed an employment contract with MedPro in 2015.

“In reality, MedPro’s operations and circumstances surrounding the nurses’ work for MedPro result in indentured servitude,” lawyers for Clunis wrote last year in response to a lawsuit from MedPro. It’s only after getting the nurses to “sign a non-negotiable form document” agreeing to work for MedPro, and after bringing them into the country, do they tell the nurses that they’ll be subject to a penalty of up to $125,000 (later reduced to $40,000 after another trafficking lawsuit) if they leave before the three-year employment term is over.

Clunis is countersuing MedPro for violations of the federal Trafficking Victims Protection Act. The company has twice before settled countersuits alleging violations of the TVPA. The lawsuit seeks class-action status to sue on behalf of potentially thousands of foreign nurses and healthcare workers the company has placed in the country. Her lawyers argue MedPro kept foreign nurses working for the company “against their wills with the contract’s terms of indentured servitude, with an unenforceable monetary penalty and threats of litigation.”

And they contend the company is raking in “substantial profits” from “the forced labor venture.”

‘The American dream’

Despite marketing materials with profuse references to helping recruits make their “American Dream” come true, the reality was far less than Clunis hoped for.

After signing the contract and coming to the country, the company housed Clunis in a two- bedroom, two-bathroom apartment with seven other women. And it was only in an “inadequate” orientation shortly after she arrived that the company told her for the first time that she would owe the company up to $125,000 if she left before the three-year term was up, prorated for the time she had worked. The contract, however, never specified the amount, stating only that they would be on the hook for actual damages.

The company reduced the $125,000 penalty after a 2018 settlement with a Filipina nurse, Eden Selispara, that included all current and future employees for the next five years. The settlement required the company to “only seek to recover actual damages for healthcare workers that left before the end of the three-year term” and capped the amount they could recover at $40,000.

But Clunis’s lawyers wrote that the company doesn’t even try to calculate the costs, and simply threatens nurses with the $40,000 amount, reduced in proportion to time worked.

The contract itself is “unconscionable,” they say. For one, the agreement barred Clunis from looking elsewhere for work, even as she “waited, unpaid, for placement” — a common theme in many of the responses to MedPro’s litany of lawsuits against former recruits. But another part of the problem, they argue, is that the company holds all of the chips and presents the complicated contract, filled with legal jargon and tilted heavily in favor of the company, on a “take-it-or-leave-it basis” to people who often have limited command of English. 

At first, Clunis worked in MedPro in Miami for 15 months. But after the hospital where she was working ended its contract with MedPro, the company forced her to move to New York to work at a different facility or face a lawsuit for breach of contract.


A while later, she was told not to return to the New York facility, but the company refused to let her use her paid time off even though they weren’t paying her and hadn’t placed her in a new hospital.

“This meant that Clunis was trapped, without an income, and unable to leave her job without facing a financial penalty that she could not possibly afford and a lawsuit,” her lawyers wrote.

So she broke her lease in New York and moved back to Jamaica while waiting for a new placement. She tried to get MedPro to submit her name for a job at a hospital in Georgia, but never heard back from MedPro about it. She even got a job offer from the hospital, but turned it down out of fear of violating her contract with MedPro.

But with no income and no freedom to seek another job, she decided to end her contract with MedPro after two years of work, leading the company to sue her.

“MedPro continues to use threats of serious financial penalty and abuse of legal process in an attempt to force nurses like Clunis to continue working for MedPro,” her lawyers wrote. “This allows MedPro to profit off a captive and often terrified foreign labor force that remains working for MedPro for substandard wages.”

The last item in the court docket shows the case went to mediation in January. The law firms representing Clunis are Varnell & Warwick, based in Tampa; Towards Justice, based in Denver, CO; and Nichols Kaster, based in Minneapolis, MN.

The law firm representing MedPro in the Clunis case is Krinzman Huss Lubetsky Feldman & Hotte, based in Fort Lauderdale.

MedPro accused before

The accusations about MedPro exploiting foreign nurses aren’t new. The 2018 settlement with Selispara garnered attention from both the Sun Sentinel and the Miami Herald. When Selispara complained about the “untenability of indefinite unemployment without pay and confinement in South Florida,” she said the company’s representatives threatened “to make a baseless report of fraud to U.S. immigration officials” and demanded more than $150,000 within three days. That lawsuit also alleged violations of the Trafficking Victims Protection Act — as did another countersuit filed against MedPro in October on behalf of Grenadian nurse Althea Martineau. MedPro settled that case with Martineau in December.

Neither Jeffrey nor MedPro CEO Liz Tonkin would personally speak about or answer any Florida Bulldog questions about the repeated accusations of labor trafficking.

Laura Beth Ellis, a contracted public relations representative for MedPro, provided a statement attributed to MedPro spokeswoman Rebecca Bovinet addressing the Clunis case, which it described as “an employment dispute involving a breach of contract. We categorically reject the accusations contained in the countersuit and strive to provide each of our foreign-educated healthcare professionals with a positive experience.”

Ellis told Florida Bulldog that language in MedPro’s Florida contracts restricts the company from talking about its business with the state without the state’s permission, which they couldn’t get.

“We tried and tried,” Ellis said, confirming MedPro’s efforts to reach out to Florida Division of Emergency Management (FDEM) Director Kevin Guthrie.

MedPro gets big cash infusion

MedPro had a partial ownership change in 2016 following a $275 million recapitalization by Charlottesville, VA-based private equity firm Harren Equity Partners. Harren’s investment was to be used to fund further growth.

A man who picked up the phone at Harren, and who refused to identify himself, said Harren declined to comment.

MedPro agreed to pay $500 in 2018 to the Florida Agency for Health Care Administration after failing to submit a change of ownership application in time. AHCA’s website shows a company called “Nurse Blocker Corp.” now has a 79 percent ownership interest in MedPro.

MedPro would not provide any details on who owns Nurse Blocker Corp., which is registered in Delaware where ownership information is routinely kept secret. So-called “blocker corporations” are typically used in private-equity situations to shield tax-exempt and foreign investors from taxation.

Florida corporate records identify MHSI Holdings Inc. as the “title member” of MedPro. MHSI is run by M. Wayne Starks and James H. Parker, both of Columbus, GA, and Michael K. LeMonier of Scottsdale, AZ.

The cloud of labor trafficking accusations did not deter the DeSantis administration from entering into several multimillion dollar contracts with the company. The company was not selected as part of a formal competitive procurement process — the governor’s pandemic emergency order allows state agencies to suspend normal procurement policies. The administration has quickly and quietly handed out hundreds of millions of dollars in state contracts in this way, often with little scrutiny before inking agreements.

Governor’s office mum

Former FDEM director Jared Moskowitz declined to speak in detail to Florida Bulldog about the MedPro contracts, directing questions to the agency spokesperson and Guthrie as the current director.

“I believe Kevin [Guthrie]… signed that contract,” he wrote in a text message. “Kevin handled all the nursing contracts.”

Neither the governor’s office nor the Florida Division of Emergency Management answered any questions or provided any comment about the contracts or the accusations of labor trafficking

FDEM would not provide copies of the contracts to Florida Bulldog. Likewise, the contracts are not available online despite a state law called the Transparency Florida Act requiring agencies post copies of contracts within 30 days of signing them.

There are numerous examples of months-old contracts entered into the state system without any actual copies of the agreements. Neither the governor’s office nor the Florida Division of Emergency Management provided any explanation for why state officials have refused to comply with this law.

‘Modern-day slavery’

Despite the silence of the governor’s office on MedPro’s alleged labor trafficking, DeSantis has spoken out against the practice.

“Doesn’t get as much attention probably in the press, but I think that that’s something here in Florida that we see as a problem,” he said at the state’s 2019 Human Trafficking Summit. “And we want to make sure that people aren’t being treated as effectively indentured servants, working for folks for next to nothing.”

Financially vulnerable and unfamiliar with the American legal system, many MedPro recruits who are sued don’t (or can’t) get a lawyer to represent them. Sometimes, they never respond to the lawsuit or show up to court, leading to a default judgment against them. Other times, they try to fight it on their own.

While representing herself in response to a MedPro lawsuit, Cavetta Tulloch-Lewis, a Jamaican nurse who signed a MedPro contract in 2016, blasted the company’s treatment of its foreign workers, many of whom are fearful of speaking out because “we have all been threatened with deportation.”

She framed her experience of working for the company in no uncertain terms.

“Their actions towards their international nurses are such of indentured labouring or modern-day slavery,” she wrote. “You cannot do anything without them giving you the permission to do so, they promised an American Dream and while working for them it was a nightmare.”

Print Friendly, PDF & Email

Latest comments

  • I always knew this company was crooked. Liz Tonkin is the sleaziest piece of trash I have ever had to work for in my life. I hope they go down!


  • Finally!!! What comes around goes around. Drunk Liz terminated me and other employees for absolutely no reason. Based on us not wanting to join the click of fraudulent transactions and unacceptable treatment of foreign nurses who are promised the world.

  • A ARNP told me, a retired a
    RN, that when the pandemic began DeSantis was paying $1000 a day to the traveling nurses he imported from other states. All the while there were nurses here that wanted to work.
    It appears thatDe Santis took pages from trump’s play book on how to accumulate ‘donations’ by outsmarting
    Those who are looking like the dreaded media. A worm for sure!

  • Finally. What comes around goes around. I was terminated without justification and paid out 1 month of salary not to take them to court or they would revenge and sue me. Liz, you drunk. What an unprofessional, hostile environment.

  • Medpro is a slave camp, hiring black nurses from other countries and treating them like trash, not only that the hospitals they send them too are full of racist mangers and when the nurses complain Medpro says their lying and encourages the hospitals to fire the nurses and black list them. Horrible company!

  • Finally someone calling out the scam that MedPro is! The CEO employs her entire family, and is visabily drunk in the office weekly. Drunk Liz should stop playing on her phone and yelling at epio and take a look in the mirror…
    Leadership is trash and makes money off the slavery it imports from abroad.

  • This is alllll true! They treat the nurses like cramp, especially those from Jamaica! They abandon the nurses and try every thing to manipulate them into taking jobs outside of their scope. The entire company is nasty! I know all the inside scoop. Hey Daniel, are you open for further discussion on this or should I go straight to the news?

    Hey Liz, guess what?

    “You about to lose yo job!” lol


  • Drunk Liz and Pervy Frank…running the company to the ground while making everyone work in the office during the pandemic and taking MILLIONS from the tax payer to “try and help”…start by letting your employees work remote to stop the spread…
    They take the poor foreign nurses to court, but when a couple of scammers pretended they had a kid that died and they didn’t do nothin to them because it’’d be bad PR. But there employees lost thousands in donations to the scammers.

  • Let’s discuss [email protected]

  • From the very first day I set foot in medpro’s office in Florida I told everyone I was an indentured worker. I felt like a slave. I am only paid $27/hr with no additional benefits of working nights, weekends or with covid patients, even though the hospital pays those allowances. I live in a high cost of living state and my rent is more than half of my pay.
    The first week I went to medpro’s office we were told that immigration is watching us and if we break the contract we will not get out citizenship when we apply. The workers at medpro are disrespectful and they care about US. They find every way to take money out of our pay. I could continue but this is making me sad.

  • This is the most unethical organization I have ever worked for. The treat their corporate employees as bad as they treat their foreign nurses. Someone really should pay attention to what goes on in this organization. Liz does show up to work drunk and Frank is inappropriate in his behavior as mentioned in previous comments. There’s more story here at a corporate level. I hope someone’s starts asking questions.

  • I hope this opens up the can of worms. The state labor board needs to intervene. The internal employee turnover is outrageous. You are terminated for no reason and then threatened so that you do not try to sue or file a complaint. This place is a joke. Employees have been crying out for help for years and no one is doing anything about it. Liz has hurt so many people , leaving families without income just because they were not part of the nepotism click. The daughter oversees all the payroll and finance functions. That should tell it all. It is so sad that this company still exist. For all you international nurses and therapist, I feel for you. Don’t let your H1B visa stand in the way to file a complaint and get a lawyer. Oh wait, Liz’s son in law is a lawyer. It only gets better. The lies, the deceit, the fake promises, it is the worse place to work.

  • Can we get together and do up a petition against medpro .
    We all need to let our voices heard to make them do better for us and others in the future

  • I hope MedPro goes down! There are so many horror stories that foreign nurses go through while working for them including myself! Modern day slavery at its best!

  • I had the misfortune to work for medpro in the international department. They did whatever it took…lots of gaslighting and manipulation…advise straight from Liz and Frank.
    The amount of money that is blown away in raffles (minimum of 5k a week), and spirit weeks, and the managers salary is stolen from the pockets of the foreign nurses. In leadership Imeetubg they told us and gave us a script to call government officials to push for foreign nurses to be allowed to come over.
    You can ask anyone in that office and 90% have a healthy fear of losing their job and more than half had been bright to tears from management.
    It is a HR nightmare. By any HR standard and legal standard, Frank and Liz would should have been fired.

  • I just resigned from Medpro due to grave issues to my workplace and I am just waiting for the retaliation from them. Those issues are serious enough to go to the highest court. I am waiting to see if I will need to publish this in the paper because they are dreaming and need to wake up. The need to care about their worker just a little bit. They have beach the contractual agreement and already telling me I owe them.

  • Hi guys, sorry for what you ha e been forced to go through while in the hands of Medpro.
    I am a Kenyan nurse, currently engaging medpro after I entered I to an agreement with them late 2020.
    I have been keenly following your comments on the above post, and would admit that I am disturbed by the unfoldinga in the company, especially on how they mistreat foreign nurses.
    My question is, what happens after the three years contract with them!, do they leave you in peace?
    Second question, is it posible to breach one’s contract with medpro, once you are done with NCLEX, for another agency?, and if yes, what happens there after ?
    A response to this will highly be appreciated.

  • As soon as they told us bit to reply to any media, everyone was on the hunt to find it…
    The leadership, if you call them that, have zero cares about this. I’m shocked our marketing team did I not address it, as I have no idea who this PR lady is…but marketing is another BFF of Liz’s daughter… just another example of nepotism running through thick and hard.
    When people say in meeting a”I hope this (covid) never ends bc it is great for business”….it is dissguting.
    Whe. Toy can’t even keep corporate staff unless they are related…it should be a sign of a major problem.
    They just don’t abuse their foreign nurses and line the pockets of hospital admins…they do it in the home office as well.

  • Wow! i justed retired from nursing and spoke to a few nurses from NORTH SHORE HOSPITAL that were making extra money working for MEDPRO. I AM GLAD I DID NOT SIGN ON. I JUST DISTRUST TRAVELING NURSING AGENCIES. THEY LOCK YOU IN ON A CONTRACT and you need HOUDINI to escape! AWFUL..

  • At last the truth is here.I was wondering why so many of their nurses passed NCLEX long time ago but they are not going to US.I cant imagine being enslaved.I thank God for the day Medpro told me I don’t meet their qualifications??

  • This is a fradulent company. They commit immigration fraud by asking their nurses to lie during embassy interviews.
    Liz Tonkin should be in jail for all that she has done.

  • They change VP of HR like underwear because what goes on is illegal. CEO daughter in charge of all the $$$. Same daughters college roomies all part of the leadership team. The drunkenness is out of control. And the sexual harassment from Frank is appalling. Racism is all over the place, only Friend and Family get promoted. It’s truly insane. People with legitimate health issues not allowed to work from home, and yet every aspect of the job could be worked from home and was proven during the spring of 2020. Great employees were forced to quit due to not having childcare and schools were closed, they made allowances for only their families and friends, it was screw everyone else. Liz , Frank and their cronies need to be in jail.

  • wow! very scary. i have signed with them and almost doing NCLEX MedPro paying for it. I am truly Scared Now

  • I worked for Medpro as a clinical laboratory scientist for more than 2 years. Thank God I was able to transfer to Quest. This company takes all your money. One time I wanted to be transferred to somewhere else after working almost a year in a very remote town and depression is starting to hit me, they threatened me that they will make it look like I am rejecting assignment. This company is ran by white people employing asians and jamaicans and treating us like slaves.

  • Not just nurses who experience this. We PTs as well. I recently got terminated because I “breached the contract” for not signing the assignment agreement as I’m currently in my third trimester (location issue). I requested to work close to my home, but they kept on sending my resume everywhere (even where I’m not licensed in). I feel like this is intentional. With the “breach of contract”, I am bound to pay “actual damages”.

    They have a lot of Dept of Labor violations. As much as I wanna file a lawsuit, this is just putting too much stress on me. I don’t know what to do now.

  • London Bridge is falling down. Medpro u owe all these foreign nurses thousands of dollars individually. It shall come to pass. Pay up or your company shall perish! I can give u a copy of my contract if u so wish. I still have PTSD from working with this company. I’m looking for a lawyer to sue for emotional distress.

  • To my fellow pinoy RNs and to the PTs and Medtech as well. Please do yourself a favor and don’t even consider working at MP. They will ruin your career here in the US. For them, pinoy will always be second rate because US is different than the Philippines. To an extent it is true that US and Philippines are different. But second rate? First, they will enroll you in a language program. It may differ from person to person and they will think of ways they can put you in that program, so be careful. But Filipino English is just not acceptable to them. For them, to thrive here in the US, you must be have ALL the intricacies and nuances just like the natives. I passed the IELTS on my first try but I was still put in that program. They convinced me that it the program will prepare me to communicate more using in the American way. How do you feel about that? To me personally, when I was told that, I felt inadequate and I thought of finding another agency. Also, I was told I was not communicating myself the proper way but when I think of it, they are not IELTS. Who gives them the authority to evaluate my communication skills. It was too late to get out of MP however because I don’t have the money to pay them back for their expenses. I was already too advanced in the process and my fear was to start all over again. To be honest, the program that they put me in did not even have the structure that will help me communicate in the American way which was their intention in enrolling me in that program. I soon found out that it was their way to find out personal details about me so they can sniff every business advantage. In the end, I was placed in a working environment where I was treated like a CNA instead of an RN. After a few months of working in my current facility, I learned that MP has a CNA program where they recruit Filipino nurses and pay them $20/hour to work as CNA. Medpro does not only think of us Pinoys as second rate in English but also not worthy of RN work. They think of us as subpar among our native counterparts on every level. And they will make sure that we stay in that level until we speak like them. Also, to be an RN here in the US, the native RNs must go through student loans, and years in school. Unless, we Pinoy nurses go through the same process, Medpro will never acknowledge us as USRN. The VP of Medpro is a nurse and has some influence to how the healthcare in general is run here in the US. Their perception of us pinoy RN’s is shaping the way RNs are evaluated, paid, etc. It is very dangerous for their perception of us is shaping the structure of nursing in the US to the extent that just because we are Filipino nurses, we are not perceived as safe and competent nurses. We Filipino nurses deserve to be treated as native nurses. Don’t do the same mistake I did in trusting Medpro. They think Filipinos must be thankful the fact that we are here in the US earning dollars and having something to send to our family in the Philippines and it does not matter how we are treated in our facility or whatever Medpro require of us even if it’s not helpful like that language program. Speaking of being treated in our facility, Medpro will place you in environment where they can earn the most with the least possible risk to them. Don’t believe they care about your growth or your goals. As long as we are going to get paid in dollars. That’s what they think of us. And if you have any negative feedback to your facility, they will think it is you that is the problem and will not transfer you even if you are miserable and depressed in the working conditions in your facility. They will break us here in the US. But I refuse. The only reason why I am writing this review anonymously is because once I posted in lefora and I was punished. They don’t have non retaliation processes and will talk behind your back with the facility if you have any complaints with the facility. We are the problem. That’s why I started with my experience with the language training they put me through. They think that there is a problem with our “English” and our skills are simply inferior. I was called delusional and trying to be sophisticated because all I deserve to do is the job of the CNA. I was told to work harder so I can be CNO status when I complained about my facility. I was told to just be thankful the fact that I am working here in the US and I am changing the life of my family back home. My Pinoy RNs, we just want to work and enjoy our work and live here in the US decently and respectfully as we are culturally known across the world no matter what country we choose to go. We don’t need MEDPRO treating as a subclass. Once I finish my contract, I will just consider my stay with Medpro as a bad nightmare I can’t wait to wake up from.

    These are the exact words from a medpro staff to me as an explorer, “maybe you’re not as good as you think.” “Then why don’t you apply as your facility’s CNO?”, “just because you are expressing your concerns does mean that something will be done about them.” You be the one to decide if this is a company that is worth your valuable time.

    To my fellow pinoy RNs, It is important that you start your journey in the USA with an agency that will advocate you and not take advantage of you and treat you like you are just somebody who wants to earn dollars here in the USA because we do not have ample opportunities in our home country. It is important that you start your journey with a company where you are valued, not devalued and treated as a second rate nurse and gives you CNA work. It is important that the company does not think you owe them for setting your foot in the USA. It is important that you have your mental health intact so you can do your job helping people and nursing them back to health. You don’t need them constantly telling you you are not enough, so you just need to take the job that is handed to you. It is important that your goals are considered before accepting an assignment instead of pressuring you in taking an assignment and insulting you when you try asking them for you to be reassigned. This is not the American journey that you want. However, this is the sad reality that Filipino contract nurses feel at Medpro. Please do yourself a favor and do not make the same mistake I did. Medpro knows that here in America, if you want to insult somebody, hit them in the pocket. They will hit you in the pocket when you do not finish the contract. Be careful and don’t believe their promises and their advice. They do not have your best interest in mind. Just an example, driving lessons. I am still paying for my driving lessons with them because I was lead to believe that I need more lessons even if I don’t necessarily need it. It’s so insulting. Don’t believe that your skills and experience are considered in picking a facility. Just stay away from Medpro. Remember, they will set your start here in the US and they will mess you up.

  • All of you commenters sound like a bunch of whiny ass liberal pieces of $hit. GFY.

leave a comment