Hernandez et al v. County of Monterey et al

5:13-cv-02354Cand14.07.2026

Gesamter Gesetzestext

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United States District Court
Northern District of California
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
SAN JOSE DIVISION
JESSE HERNANDEZ, et al., on behalf of
themselves and all others similarly situated,
Plaintiffs,
v.
COUNTY OF MONTEREY; MONTEREY
COUNTY SHERIFF’S OFFICE; AND
CALIFORNIA FORENSIC MEDICAL
GROUP, INC.,
Defendants.
Case No. 13-cv-02354-BLF
ORDER GRANTING FINAL
APPROVAL OF SETTLEMENT
OF CFMG’S CIVIL CONTEMPT
LIABILITY; AND AUTHORIZING
DISTRIBUTION OF SETTLEMENT
FUND
[Re: ECF 1314]
This class action was filed more than a dozen years ago by inmates (“Plaintiffs”) seeking
relief from constitutionally deficient conditions at the Monterey County Jail (“Jail”). The Jail is
operated by Defendants County of Monterey and the Monterey County Sheriff’s Office
(collectively, “the County”). During the relevant period, the County contracted with Defendant
California Forensic Medical Group, Inc. (“CFMG”) to provide health care to Jail inmates.
After two years of litigation, the parties entered into a court-approved Settlement
Agreement and thereafter developed court-approved Implementation Plans setting forth each
defendant’s areas of responsibility for improving conditions at the Jail. See Final Approval Order
and Ex. A (Settlement Agreement), ECF 494; County Implementation Plan, ECF 514; CFMG
Implementation Plan, ECF 532. Unfortunately, the settlement did not bring about the changes in
Jail conditions anticipated by Plaintiffs. Instead, Plaintiffs’ counsel found themselves drawn into a
decade-long struggle to enforce Defendants’ compliance with their agreed-upon obligations.
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In 2023, this Court found CFMG in civil contempt for failing to comply with forty-three
requirements of the Settlement Agreement and the CFMG Implementation Plan. See Contempt
Order, ECF 838. The Court imposed conditional monetary contempt sanctions and granted
CFMG six months to purge the contempt and thereby avoid paying those sanctions. See id.
Failure to meet the purge conditions would subject CFMG to liability for civil contempt sanctions
of $25,000 for each noncompliant requirement plus additional sanctions of $25,000 per
noncompliant requirement after each future round of reports by court-appointed neutral monitors.
At the conclusion of the purge period, the neutral monitors reported continued, sustained
violations of the Settlement Agreement and the CFMG Implementation Plan in virtually all
categories of medical care. After spending months arguing that it had cured or soon would cure
the deficiencies in health care at the Jail, CFMG ultimately conceded that it could not show
compliance. The parties then agreed to mediate CFMG’s liability for its sustained noncompliance.
Plaintiffs and CFMG filed a stipulation for settlement of CFMG’s contempt liability in the
amount of $2,470,000. See Stip., ECF 981. With the Court’s guidance, Plaintiffs created a plan
for notice and distribution of the settlement fund to current and former inmates who were deprived
of adequate health care at the Jail as a result of CFMG’s conduct. As part of that process, the
Court received and considered hundreds of letters from current and former Jail inmates. See, e.g.,
Letters, ECF 1009-1256, 1258-1266.
The Court held a final approval hearing on June 18, 2026, and thereafter issued an interim
order approving both the settlement of CFMG’s contempt liability in the amount of $2,470,000
and Plaintiffs’ proposed plan for distribution of the settlement fund. See Minute Entry, ECF 1316;
Interim Order, ECF 1319. The interim approval order was issued to expedite distribution of the
settlement fund pending the Court’s issuance of a lengthier final approval order.
For the reasons discussed below, the Court HEREBY GRANTS FINAL APPROVAL of
the settlement of CFMG’s contempt liability in the amount of $2,470,000. The Court HEREBY
AUTHORIZES DISTRIBUTION of the settlement fund to inmates and former inmates of the Jail
pursuant to the distribution plan proposed by Plaintiffs in their supplemental brief filed on June
10, 2026. See Pls.’ Suppl. Br., ECF 1314.
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I. BACKGROUND
Class Action Filed in May 2013
Plaintiffs filed this class action in May 2013 on behalf of themselves and all other similarly
situated Jail inmates, alleging that the County and CFMG failed to provide adequate health care,
reasonable accommodations for disabilities, and protection from violence at the Jail. See Compl.,
ECF 1. The Court certified a class defined to include “all adult men and women who are now, or
will be in the future, incarcerated in Monterey County Jail[.]” Order at 50, ECF 431.
Settlement Agreement Approved in 2015 and Implementation Plans Approved in 2016
In May 2015, Plaintiffs, Defendant County, and Defendant CFMG entered into a
Settlement Agreement that was approved by the Court. Among other things, the Settlement
Agreement provided for Defendants’ development of Implementation Plans for improvement of
care, services, programs, and activities at the Jail. See Settlement Agreement ¶ 31. The County
developed an Implementation Plan addressing Intake Screening, Safety Cell and Sobering Cell
monitoring, Custody Staffing, Mental Health, Safety and Violence Reduction, Suicide Prevention,
ADA, Health and Safety Checks, and Compliance. See County Implementation Plan. CFMG
separately developed an Implementation Plan addressing Medical Care, Mental Health Care,
Dental Care, and related areas. See CFMG Implementation Plan. The Court approved both plans
with modifications in May 2016. See Order, ECF 549.
The Implementation Plans developed by Defendants are enforceable by the Court “as part
of the Settlement Agreement.” Settlement Agreement ¶ 34. The Settlement Agreement provides
for the appointment of neutral experts to monitor Defendants’ compliance with the Settlement
Agreement and Implementation Plans. See id. ¶¶ 35-43. The Court did appoint neutral monitors
and authorized them to conduct site visits and prepare written reports regarding Defendants’
compliance. See Order, ECF 563. The Court retains jurisdiction to enforce the terms of the
Settlement Agreement and Implementation Plans. See Settlement Agreement ¶¶ 44, 46-47.
Defendants’ Failure to Comply with Settlement Agreement and Implementation Plans
Between February 2020 and December 2022, Plaintiffs gave the County and CFMG
multiple written notices that they were not in substantial compliance with the Settlement
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Agreement and Implementation Plans. See 2020 Joint Status Report and Order, ECF 671; 2022
Joint Status Report and Order, ECF 751; Dec. 16, 2022 Letter, ECF 825-8. Plaintiffs and the
County resolved their issues through mediation with Magistrate Judge Nathanael M. Cousins, but
Plaintiffs and CFMG were not able to reach resolution. See Minute Entry, ECF 771.
Civil Contempt Sanctions Imposed against CFMG in September 2023
In May 2023, Plaintiffs filed a motion to enforce the Settlement Agreement and the CFMG
Implementation Plan. See Pls.’ Mot. to Enforce, ECF 825 (unsealed version of ECF 788).
Plaintiffs asked the Court to issue coercive civil contempt sanctions against CFMG as a means to
compel CFMG’s compliance with the Settlement Agreement and the CFMG Implementation Plan.
See id.
After receiving extensive briefing and conducting a hearing, the Court issued an order
granting Plaintiffs’ motion in September 2023. The Court found that CFMG was not in
compliance with forty-three requirements of the Settlement Agreement and the CFMG
Implementation Plan. See Contempt Order, ECF 838. The Court imposed conditional civil
contempt sanctions against CFMG in the amount of $25,000 per each of those forty-three
requirements. See id. at 25-26. CFMG was granted six months to purge the contempt and thereby
avoid paying the sanctions. See id. The Court granted Plaintiffs leave to seek additional civil
contempt sanctions in the amount of $25,000 per requirement after the filing of each round of
monitoring reports. See id. at 27.
Litigation until October 2024 re CFMG’s Compliance
The parties thereafter engaged in protracted litigation regarding the extent to which CFMG
had come into compliance (if at all) with the above-referenced forty-three requirements of the
Settlement Agreement and the CFMG Implementation Plan. The Court set deadlines for
discovery, meet-and-confer, and settlement discussions with Magistrate Judge Cousins; held
multiple status conferences; and set a two-day evidentiary hearing for December 2024. See Order,
ECF 900. The parties submitted more than 1,000 pages of briefing and exhibits in advance of the
evidentiary hearing. See, e.g., ECF 905-909, 913, 919-921, 939-941. However, the hearing was
vacated in October 2024 after the parties submitted a stipulation in which CFMG conceded it
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could not prove compliance with its obligations under the Settlement Agreement and the CFMG
Implementation Plan. See Stip., ECF 944. At the parties’ request, the matter was referred to
Magistrate Judge Cousins to mediate resolution of the remaining issues relating to CFMG’s civil
contempt liability. See Order, ECF 945.
Notice of Bankruptcy Stay filed in November 2024
Resolution of CFMG’s civil contempt liability was derailed when CFMG filed a notice of
bankruptcy stay in November 2024, arising from the bankruptcy of an entity called Wellpath
Holdings, Inc. (“Wellpath”) and certain of its debtor affiliates. See Notice of Stay, ECF 948. The
parties and the Court understood Wellpath to be Defendant CFMG operating under a new name.
See Order, ECF 950. In June 2025, CFMG filed a notice of discharge of the bankruptcy stay as to
“non-party Wellpath.” Notice, ECF 972. It became clear that Wellpath was not the same entity as
CFMG.
Settlement of CFMG’s Civil Contempt Liability in August 2025
On August 22, 2025, Plaintiffs and CFMG filed a joint stipulation for resolution of
CFMG’s civil contempt liability. See Stip., ECF 981. The parties proposed a settlement under
which CFMG’s would pay contempt sanctions in the amount of $2,470,000 to a community
organization for the establishment of a “Monterey County Jail Litigation Fund” that in turn would
fund nonprofit organizations whose work benefits Jail inmates. See id.
The Court rejected that approach, declining to sign the parties’ stipulation and immediately
issuing an order clarifying that any resolution of contempt sanctions imposed by the Court would
require approval of the Court, and that distribution of funds would be approved by the Court and
not delegated to a nonprofit organization. See Order, ECF 982. The Court also expressed concern
about the proposed payment of the contempt sanctions to an organization unknown to the Court,
questioning whether that proposal was in the best interest of the class. See id. The Court directed
the parties to file a joint status report providing further information about the proposed settlement
of CFMG’s contempt liability. See id.
The parties filed the requested status report on September 2, 2025, advising that CFMG
would no longer be providing health care at the Jail after the expiration of its contract at the end of
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2025. See Joint Status Report, ECF 983. Given CFMG’s impending exit in a matter of months,
Plaintiffs and CFMG had negotiated a settlement of all potential civil contempt fines against
CFMG through December 31, 2025. See id. Upon receipt of that status report, the Court
requested briefing addressing what notice (if any) should be provided to the class regarding the
proposed settlement of CFMG’s contempt liability. See Order, ECF 984. The Court also set a
hearing for October 16, 2025 at 9:00 a.m. See id.
At the October 16, 2025 hearing, the Court engaged in a lengthy discussion with counsel
about the proposed settlement of CFMG’s civil contempt liability, whether notice should be
provided to the class, and related issues. See Hrg. Tr. 10/16/25, ECF 995. The Court and the
parties agreed that Federal Rule of Civil Procedure 23 does not apply to the settlement of CFMG’s
liability for civil contempt, but the Court determined that there would be significant benefit to it
and counsel if class members were invited to comment on distribution of the contempt sanctions
that resulted from the inadequate medical care they received at the Jail. See id. at 8:9-11:2. The
Court and Plaintiffs’ counsel also agreed that any civil contempt sanctions paid by CFMG under
the settlement belonged to the Plaintiff class. See id. at 11:3-16. It was agreed that Plaintiffs’
counsel would develop a plan for giving notice of the settlement to the class and submit it to the
Court for approval. See id. at 12:15-13:4. The Court made clear that it anticipated a robust
community-based notice plan. See id. at 10:4-16.
Notice to Current and Former Jail Inmates of Settlement of CFMG’s Contempt Liability
Plaintiffs submitted their proposed class notice plan to the Court on October 29, 2025. See
Pls.’ Proposed Class Notice Plan, ECF 1002. Plaintiffs indicated that after researching the matter,
they had concluded that all current and former inmates at the Jail during the period of CFMG’s
contemptuous conduct “are entitled to the benefits of the contempt fines issued by the Court[.]”
See id. at 1. In Plaintiffs’ view, that class includes all inmates at the Jail between May 27, 2016,
the date the CFMG Implementation Plan was approved, and December 31, 2025, the last day of
CFMG’s contract with the County. See id. at 2. Plaintiffs laid out a plan for giving notice to that
“Settlement Class” through postings at the Jail and through community-based organizations. See
id. at 2-5. Plaintiffs also submitted a proposed one-page written notice advising the Settlement
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Class of the proposed settlement of CFMG’s civil contempt liability and requesting input as to
who should receive the $2,470,000 settlement fund. See Pls.’ Proposed Notice, ECF 1002-1. The
notice stated that under Option 1 “[t]he money would be given to people who were incarcerated at
the Jail between May 27, 2016 and December 31, 2025,” while under Option 2 “[t]he money
would go to the Community Foundation for Monterey County, a nonprofit organization.” Id. The
Court approved Plaintiffs’ proposed notice plan on October 31, 2025. See Order, ECF 1004.
Overwhelming Response of Inmates in November and December 2025
Remarkably, hundreds of current and former inmates responded to the notice by letter.
See, e.g., Letters, ECF 1009-1256, 1258-1266. Unsurprisingly, the vast majority of them clearly
indicated a strong preference for direct distribution of the settlement fund to individual members
of the Settlement Class. See id.
Many of inmate letters expressed sentiments similar to the following: “I propose option 1
and for the money from the settlement to be shared among the inmates from the jail, because we
are the ones that have had to suffer these unjust actions from the jail and its bad medical staff.”
Lopez Letter, ECF 1236; see also Williams Letter, ECF 1015 (“I vote us inmates going through
this hazardist conditions and medical deprivation due to medical needs not being met should be
paid not anyone else!”); Michmali Letter, ECF 1187 (“I choose option 1 that the money should go
to the inmates that delt with the corrupt medical staff.”); Gonzales Letter, ECF 1205 (“I request
option 1 fund to inmates, and suffered condition in (Salinas) Monterey County Jail. The medical
care is very poor I almost died[.]”); Cruz Letter, ECF 1234 (“So option 1 would be best where
individuals who were incarcerated receive a sum of money for the pain and suffering we had to
endure here in this jail.”); Sanchez Letter, ECF 1244 (“I feel that option #1 would be best to
choose from for all the inmates who suffered in this”).
Some letters simply expressed a preference for Option 1, distribution of the civil contempt
sanctions directly to inmates, without providing reasons. See, e.g., Mason Letter, ECF 1016 (“I
feel option 1 is good for me.”); Chavez Letter, ECF 1261 (“I vote for option 1.”); Perez Letter,
ECF 1281 (“I would like the court to impose OPTION ONE in the above entitled case before it.”);
Rodriguez Letter, ECF 1292 (“[T]he settlement is fair I believe the best option would be to give
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the money to the people who were incarcerated”). Finally, some letters described inmates’
experiences at the Jail without expressly addressing distribution of the settlement fund. See, e.g.,
Meneses Letter, ECF 1018 (“My experience here in Monterey County Jail is to deal with people
dying and grief of seeing girls rolled in a body bags I waz depressed for a long time.”); Turner
Letter, ECF 1053 (“I witnessed an inmate have a severe sizure and due to the lack of response by
medical I was forced to intervene and help the inmate by turning on his side and placing a tshirt in
his mouth so he wouldn’t injury himself.”).
Preliminary Approval of Settlement of CFMG’s Contempt Liability in January 2026
On January 15, 2026, the Court held a hearing on a joint motion brought by Plaintiffs and
CFMG for approval of the proposed settlement of CFMG’s civil contempt liability. See Minute
Entry, ECF 1275. The parties proposed payment of $2,470,000 by CFMG to settle its contempt
liability, distribution of that settlement fund directly to members of the Settlement Class,
appointment of Kroll Settlement Administration LLC (“Kroll”) as the settlement administrator,
and issuance of a claim form pursuant to a proposed notice plan. See Pls.’ Mot., ECF 1257. The
Court granted the joint motion for preliminary approval of the settlement in a written order issued
January 26, 2026. See Order, ECF 1288. The order reiterated the Court’s prior determination that
Rule 23 does not apply to the settlement of CFMG’s contempt liability, but it indicated that the
Court would evaluate the proposed settlement under the standards set forth in Rule 23(e). See id.
Final Approval Hearing of Settlement of CFMG’s Contempt Liability in June 2026
The Court held a final approval hearing regarding the settlement of CFMG’s civil
contempt liability on June 18, 2026. See Minute Entry, ECF 1316. Plaintiffs filed a supplemental
brief in advance of that hearing along with a supplemental declaration of Kroll employee Tara
Trapani and a supplemental declaration of Plaintiffs’ counsel Ben Hattem. See Pls.’ Suppl. Br.,
ECF 1314; Suppl. Trapani Decl., ECF 1314-1; Suppl. Hattem Decl., ECF 1314-2.
The County provided 35,979 unique records of Settlement Class members who were
incarcerated at the Jail between May 27, 2016 and December 31, 2025. See Suppl. Trapani Decl.
¶¶ 4, 11. Kroll established a settlement website and toll-free settlement hotline that has received
more than 1,000 calls. See id. ¶ 7. Kroll also conducted a digital media campaign; conducted
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outreach through community organizations, churches, and corrections staff; and provided direct
mail notice to 1,158 Settlement Class members housed in California State prisons. See id. ¶¶ 9-11.
Kroll received 2,814 settlement claims, a claims rate of approximately 7.8%. See id. ¶ 13. There
were 507 paper claim forms received through the mail, 1,370 claim forms filed through the
settlement website, 260 letters received by the Court, and 677 claims submitted through Jail
tablets. See id. Kroll estimates that there are 2,094 valid claims. See id. ¶¶ 15-16.
Plaintiffs propose that after deducting approximately $146,000 in administration costs,
one-third of the settlement fund should be allocated to pay a baseline minimum amount to all
members of the Settlement Class. The remaining two-thirds of the settlement fund would be
allocated to pay additional per diem amounts to claimants who were incarcerated for more than ten
days. No attorneys’ fees would be paid from the settlement fund, and no portion of the settlement
fund would revert to CFMG.
Plaintiffs estimate that the baseline award per claimant could be as high as $391 and that
claimants who were incarcerated for more than ten days would receive an additional per diem
amount of approximately $1.95 per day beyond the tenth day of incarceration. See Interim Order
at 3, ECF 1319. Those figures are slightly higher than the baseline award and additional per diem
estimated by Kroll at the time Plaintiffs’ supplemental briefing was filed. Plaintiff’s counsel
indicated at the hearing that the largest award would likely be approximately $6,000. About a
dozen claimants would receive more than $4,000 and about 125 claimants would receive awards
of $2,000 or more. See Suppl. Trapani Decl. ¶ 18. All other claimants would receive checks for
amounts between the baseline of $391 and $2,000. See id.; Interim Order at 3.
Interim Approval Order Issued in June 2018
At the June 18, 2026 hearing, the Court stated that it intended to grant the motion for final
approval of the proposed settlement and to authorize distribution of the settlement fund in the
manner proposed by Plaintiffs, but that it would take some time to issue a reasoned final approval
order. The Court directed Plaintiffs’ counsel to submit a proposed interim approval order to
expedite distribution of the settlement fund. The Court signed the interim approval order on June
22, 2026. See Interim Order, ECF 1319.
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II. DISCUSSION
Evaluation of Plaintiffs’ motion for final approval of the proposed settlement and
distribution plan involves two inquiries. First, the Court must determine whether CFMG’s
$2,470,000 payment to settle its civil contempt liability properly may be distributed to members of
the Settlement Class. Second, the Court must determine whether the proposed settlement is fair.
As noted above, Rule 23 does not control here, but in the Court’s view the rule provides a useful
framework in the absence of other applicable guidance regarding settlement of civil contempt
sanctions in a class action.
A. The Settlement Fund may be Distributed to the Settlement Class
There is a surprising dearth of authority addressing either settlement of civil contempt
liability or distribution of civil contempt sanctions to individual class members in a class action.
The Court therefore discusses the general legal standards governing courts’ civil contempt power
and then applies those standards to the facts of the present case.
1. Legal Standard
“A court’s contempt powers are broadly divided into two categories: civil contempt and
criminal contempt.” Shell Offshore Inc. v. Greenpeace, Inc., 815 F.3d 623, 628 (9th Cir. 2016).
“Criminal contempt sanctions are ‘punitive’ – meant to punish prior offenses.” Oracle USA, Inc.
v. Rimini St., Inc., 81 F.4th 843, 858 (9th Cir. 2023) (citation omitted). Generally, criminal
contempt sanctions “may not be imposed without the constitutional protections afforded ordinary
criminal proceedings.” Id. “In contrast, the purpose of civil sanctions is to ‘coerce’ compliance
with a court order or to ‘compensate’ the aggrieved party for sustained losses.” Id. (citing Shell,
815 F.3d at 629). Fewer procedural protections for such civil contempt sanctions have been
required. See id. at 858.
Coercive civil contempt sanctions generally take the form of conditional fines payable to
the court. See Shell, 815 F.3d at 629. A contemnor may avoid payment of such fines by purging
the contempt, that is, by coming into compliance with the court’s order. See id. The ability to
purge distinguishes a coercive civil contempt sanction from a criminal contempt sanction, which
cannot be avoided by coming into compliance. See id. “Thus, the ability to purge is perhaps the
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most definitive characteristic of coercive civil contempt.” Id.
Compensatory civil contempt sanctions are remedial. See Shell, 815 F.3d at 629. They are
intended to compensate the contemnor’s adversary for injuries suffered as a result of the
contemptuous conduct. See id. Thus, compensatory civil contempt sanctions typically take “the
form of unconditional monetary sanctions paid to the aggrieved party.” Oracle, 81 F.4th at 859
(internal quotation marks and citation omitted). “Compensatory awards are limited to actual
losses sustained as a result of the contumacy.” Gen. Signal Corp. v. Donallco, Inc., 787 F.2d
1376, 1380 (9th Cir. 1986) (internal quotation marks and citation omitted).
A civil contempt sanction can be coercive, compensatory, or both. See United States v.
United Mine Workers of Am., 330 U.S. 258, 303-04 (1947) (“Judicial sanctions in civil contempt
proceedings may, in a proper case, be employed for either or both of two purposes; to coerce the
defendant into compliance with the court’s order, and to compensate the complainant for losses
sustained.”); Donallco, 787 F.2d at 1380 (“Sanctions for civil contempt may be imposed to coerce
obedience to a court order, or to compensate the party pursuing the contempt action for injuries
resulting from the contemptuous behavior, or both.”). A district court should specify whether a
contempt sanction is intended to be coercive or compensatory. See Donallco, 787 F.2d at 1380. If
the contempt sanction is both coercive and compensatory, the district court should specify the
amount awarded under each theory and split payment of the contempt sanction between the court
and the contemnor’s adversary accordingly. See id.
2. Analysis
Applying these legal standards, there is no question that the civil contempt sanctions
imposed on CFMG in 2023 were coercive in nature. As discussed above, the contempt sanctions
were imposed as part of the Court’s order granting Plaintiffs’ motion to enforce the Settlement
Agreement and the CFMG Implementation Plan. See Pls.’ Mot. to Enforce, ECF 825 (unsealed
version of ECF 788); Contempt Order, ECF 838. Plaintiffs asserted that “[f]or more than seven
and a half years, [CFMG]1 has defied its Court-ordered obligations and provided systemically
1 Plaintiffs’ motion to enforce refers to CFMG as “Wellpath,” because at that time Plaintiffs and
the Court were under the mistaken impression that CFMG had changed its name to Wellpath. To
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inadequate care to people incarcerated at the Monterey County Jail[.]” Pls.’ Mot. to Enforce at 1.
It was Plaintiffs’ position that “[CFMG]’s ongoing refusal to comply with this Court’s orders,
coupled with the continued harms to incarcerated people, shows that only the threat of monetary
sanctions will force private equity-owned [CFMG] to take its obligations seriously.” Id. at 3.
The Court agreed, opining that “[CFMG] has left it no viable option but to impose coercive
sanctions in the form of a conditional fine in the hope that a threat to its bottom line may galvanize
[CFMG]’s compliance where other measures have failed.” Contempt Order at 25-26. The Court
found CFMG to be in civil contempt of forty-three requirements of the Settlement Agreement and
the CFMG Implementation Plan, and imposed “a conditional coercive civil contempt fine on
[CFMG] in the amount of $25,000 per each of the forty-three requirements[.]” Id. at 26. The
Court granted CFMG six months to purge the contempt, and thereby avoid paying the sanctions,
by coming into substantial compliance with each and every one of the forty-three requirements as
to which CFMG had been found to be out of compliance. See id. The Court granted Plaintiffs
leave to seek additional civil contempt sanctions in the amount of $25,000 per requirement after
the filing of each round of monitoring reports. See id. at 27. Those sanctions were to be paid to
the Court. See id.
While the civil contempt sanctions clearly were coercive when imposed against CFMG in
2023, “it is possible for sanctions that were initially imposed for a civil, coercive purpose to
change over time[.]” Shell, 815 F.3d at 629. “This is because, in order to categorize the contempt
properly, a court must look to the purpose of the contempt at the time it is enforced, rather than at
the time it is imposed.” Id. at 630. In Shell, the Ninth Circuit considered whether fines that began
as coercive civil contempt sanctions could evolve into criminal contempt sanctions. See id. at
629-30. The Shell court observed that the ability of the contemnor to comply with a coercive
order may change over time, and that if that happens continued enforcement of a monetary
sanction would constitute punishment implicating the due process protections required for
criminal contempt proceedings. See id. at 630-31.
avoid confusion, the Court refers to the Jail health care provider as “CFMG” throughout this order
even where the underlying documents refer to the provider as “Wellpath.”
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In the present case, there is no suggestion that the coercive civil contempt sanctions
imposed by the Court in 2023 have evolved into criminal contempt sanctions. However, it is clear
from the record that the sanctions at issue have evolved from coercive sanctions to compensatory
sanctions. At the first hearing on the matter following the parties’ proposal to settle CFMG’s
contempt liability for $2,470,000, both the Court and Plaintiffs’ counsel expressed the view that
the settlement “belongs to the Plaintiff[s], not the Court.” Hrg. Tr. 10/16/25 at 11:8-10, ECF 995.
The parties and the Court thereafter proceeded on the understanding that current and former
inmates of the Jail “are entitled to the benefits of the contempt fines issued by the Court[.]” Pls.’
Proposed Class Notice Plan at 1, ECF 1002. The only question was whether that benefit to the
class would take the form of distribution of the settlement fund to a nonprofit organization for
programs designed to help inmates and former inmates of the Jail, or direct distribution to inmates
and former inmates of the Jail. See id. at 3. Based on letters received from hundreds of inmates
and former inmates of the Jail, Plaintiffs’ counsel abandoned their initial suggestion that the
$2,470,000 be distributed to a cy pres recipient and instead proposed direct distribution of the fund
to the Settlement Class. See Pls.’ Mot. at 5 n.1, ECF 1257. CFMG did not take a position on how
the settlement fund should be distributed. See id.
The sub silentio decision to treat CFMG’s settlement payment as compensatory civil
contempt sanctions rather than coercive civil contempt sanctions is consistent with the change in
the factual landscape at the time the settlement was proposed and then fine-tuned. The parties
advised the Court in a status report filed September 2, 2025 that CFMG would no longer be
providing health care at the jail after the expiration of its contract with the County on December
31, 2025. See Joint Status Report, ECF 983. In light of that development, any continued efforts to
compel CFMG’s compliance with its obligations under the Settlement Agreement and the CFMG
Implementation Plan would have been pointless. The only civil contempt sanctions that could
have been imposed on CFMG were compensatory. A court retains the authority to award
compensatory sanctions to the plaintiffs after a coercive sanction would no longer serve any
purpose. See Shell, 815 F.3d at 630 (“Once an injunction has been terminated, a court may still
award compensation to the plaintiff as a result of injuries caused by its opponent’s contumacy. But
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a coercive sanction would no longer serve any purpose[.]”). The Court now states expressly the
understanding that has underpinned the conduct of Plaintiffs’ counsel, the current and former
inmates who have taken the time to give their perspectives in this matter, and the Court since the
settlement of CFMG’s civil contempt liability was proposed: the coercive civil contempt
sanctions imposed on CFMG in 2023 have evolved into compensatory civil contempt sanctions.
CFMG’s payment of $2,470,000 in settlement of its civil contempt liability is deemed to be
payment of compensatory civil contempt sanctions. “[A] district court retains discretion to
establish appropriate sanctions” based on the facts before it. United States v. Bright, 596 F.3d
683, 696 (9th Cir. 2010).
Compensatory contempt sanctions must be limited to the actual losses resulting from the
contumacy. See Donallco, 787 F.2d at 1380. As noted herein, the Court found that CFMG was
not in compliance with forty-three separate requirements relating to health care in the Jail. Those
requirements include: medical, mental health, and dental staffing; medical intake screening; sick
call; chronic care; health care maintenance; continuity of care; outside care referrals; treatment of
intoxicated patients; treatment of communicable diseases; pharmaceutical practices; medical
quality assurance; initial mental health screening; nursing rounds in administrative segregation;
treatment planning; chronic care; acute care; outpatient services; psychiatric follow-up visit
intervals; consideration of mental health in discipline; segregation placement screenings; mental
health programming in segregation; involuntary medication; suicide risk assessment; medical
records; corrective action plans; provider visits to holding and isolation cells; mental health quality
assurance; dental intake screening; initial health inventory; dental training for intake staff;
treatment for urgent and emergent conditions; dental sick call; chronic care; comprehensive care;
restorative and palliative care; extractions; specialty care referrals; endontics; periodontics;
informed consent; sanitary treatment space; electronic medical records; and dental quality
assurance. See Contempt Order at 9-24.
The Court has no difficulty finding that inmates who were incarcerated at the Jail under
those conditions suffered actual losses as a result of CFMG’s failure to comply with the
Settlement Agreement and the CFMG Implementation Plan. Thus, to the extent the proposed
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distribution of the settlement fund must be commensurate with the losses suffered by the members
of the Settlement Class, the Court determines that to be the case here. The baseline award of $391
per claimant constitutes reasonable compensation for living under the above conditions for up to
ten days. The per diem award of an additional $1.95 for each day beyond the tenth day of
incarceration is quite modest given the severity of the deficiencies in health care caused by
CFMG’s contumacy, although as discussed below all members of the Settlement Class will
receive a substantial benefit.
Accordingly, the Court finds that CFMG’s $2,470,000 settlement payment is a
compensatory civil contempt sanction that properly may be distributed to members of the
Settlement Class.
B. The Settlement is Fair, Reasonable, and Adequate
The Court next evaluates the adequacy of the proposed settlement of CFMG’s contempt
liability using the Rule 23(e) factors as guideposts. The Court finds that notice to the Settlement
Class was adequate under Rule 23(e)(1). In fact, the claims rate of 7.8% indicates that the notice
was excellent.
The Court also finds that the proposed settlement is fair, reasonable, and adequate after
consideration of the factors enumerated in Rule 23(e)(2). Plaintiffs’ counsel has diligently and
zealously represented the class throughout the case, including with respect to issues relating to
CFMG’s civil contempt liability. The proposed settlement agreement was negotiated at arm’s
length. The proposed settlement confers substantial benefits on the Settlement Class, especially
considering CFMG’s historical intransigence and recent disassociation from the Jail. The
proposed settlement treats the members of the Settlement Class equally relative to each other by
awarding all class members a substantial baseline award of $391 and thereafter apportioning the
settlement fund based on the length of time each claimant spent at the Jail and subject to the
deficient conditions cause by CFMG’s conduct.
Finally, the Court finds that the objections submitted by members of the Settlement Class
do not provide any basis to reject the proposed settlement under Rule 23(e)(5). A number of the
objectors simply assert that the proposed settlement is “unfair” without explaining why they
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formed that opinion. See, e.g., Objections, ECF 1155-1158, 1160, 1029. Other objectors assert
that the proposed settlement is unfair based on a bare assertion that the settlement amount should
be higher. See, e.g., Objections, ECF 1012-1013, 1018, 1073, 1076, 1078. Some of the objectors
arguing for a higher settlement amount offer details regarding the ways in which they have
suffered mentally or physically due to Jail conditions. See, e.g., Objection, ECF 1018, 1035,
1068, 1074. A desire for a larger settlement fund does not constitute a meritorious objection to a
proposed settlement.
In summary, after evaluating the proposed settlement of CFMG’s civil contempt liability
under the Rule 23(e) factors, the Court finds the proposed settlement to be fair, reasonable, and
adequate, and an excellent result for the Settlement Class.
III. ORDER
(1) The Court GRANTS final approval of the proposed settlement of CFMG’s
contempt liability in the amount of $2,470,000.
(2) The Court AUTHORIZES distribution of the settlement fund to inmates and former
inmates of the Jail pursuant to the distribution plan proposed by Plaintiffs and set
forth in detail in the Interim Order issued on June 22, 2026 (ECF 1319).
(3) The objections received by the Court are OVERRULED.
(4) A status conference has been set for October 29, 2026 at 9:00 a.m. to address any
remaining issues regarding distribution of the settlement fund.
Dated: July 14, 2026
______________________________________
BETH LABSON FREEMAN
United States District Judge
Case 5:13-cv-02354-BLF Document 1324 Filed 07/14/26 Page 16 of 16

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