2. Background and Procedural History
The fraudulent operation
Hess operated Sunset Mesa Funeral Directors and a nonprofit known as Donor Services. Although Donor Services ostensibly assisted people unable to afford funeral services, its primary purpose was to market human remains for scientific, medical, and educational uses. Koch worked at the funeral home, participated in dealings with families, and helped dismember and prepare remains for sale.
The defendants sometimes obtained limited donation authorizations through false representations and then exceeded those authorizations. In other instances, they sold remains despite receiving no permission or an express refusal. Families frequently paid for cremations that never occurred and received ashes falsely represented as their relatives’ remains.
The operation’s records documented transactions involving 811 individuals. Investigators confirmed that at least 222 bodies had been stolen and concluded that another 338 almost certainly had been. Only 42 bodies were identified as having been obtained through informed consent. The defendants also misrepresented the legitimacy of donations to purchasers and, in some instances, falsified disease-test results.
The illicit sales subsidized unusually inexpensive cremation prices. That pricing strategy became central to the resentencing analysis: low advertised prices and offers of free services drew financially distressed families to the funeral home, supplying bodies for the fraudulent operation.
Guilty pleas and the first appeal
Each defendant pleaded guilty to one count of mail fraud and aiding and abetting. The remaining charges were dismissed. Koch’s plea agreement required the government to recommend a sentence within an anticipated advisory range of 63 to 78 months.
At the original sentencing, the district court applied both components of the vulnerable-victim adjustment:
- A two-level increase under § 3A1.1(b)(1), requiring knowledge or constructive knowledge of a victim’s vulnerability.
- An additional two-level increase under § 3A1.1(b)(2), applicable when the offense involves a large number of vulnerable victims.
The court initially treated deceased persons and their grieving family members as two large groups of vulnerable victims. In United States v. Hess, 106 F.4th 1011 (10th Cir. 2024), the Tenth Circuit rejected that reasoning. Persons already deceased when the fraud occurred could not qualify on that basis, and grief alone did not establish the required connection between an individual victim’s vulnerability and the fraud.
The earlier appeal also identified errors involving loss calculations and Koch’s sophisticated-means enhancement. The case returned to the district court for resentencing, including an opportunity to make particularized vulnerability findings.
Resentencing
On remand, the government accepted a twelve-level loss enhancement rather than the original fourteen-level increase. It also presented additional victim statements and expert testimony from Dr. Doug Shadel concerning the relationship between multiple stressful life events and susceptibility to fraud.
The district court identified twenty-one individual victims whose circumstances, it concluded, facilitated the scheme. It again imposed the large-number enhancement and then varied upward from the recalculated advisory ranges:
| Defendant |
Resentencing advisory range |
Sentence imposed |
| Megan Hess |
121–151 months |
240 months, the statutory maximum |
| Shirley Koch |
78–97 months |
180 months |
Both defendants appealed the resentencing judgments and subsequent judgments incorporating restitution. The appellate issues addressed in the opinion concerned the sentencing enhancement, rehabilitation evidence, and Koch’s sentence length.
4. Analysis: Legal Reasoning
A. The enhancement requires offense-specific susceptibility
Section 3A1.1(b)(1) applies when a defendant knew or should have known that a victim was vulnerable. If that provision applies and the offense involved a large number of vulnerable victims, § 3A1.1(b)(2) adds another two levels.
The Guidelines commentary defines a vulnerable victim as someone victimized by the offense or relevant conduct who is unusually vulnerable because of age, physical or mental condition, or another characteristic making the person particularly susceptible to the criminal conduct. Neither defendant challenged the initial two-level enhancement in this appeal. The dispute concerned the additional increase.
The central limitation is relational: a person must be unusually susceptible to the particular offense, not merely vulnerable in ordinary life. Poverty, grief, illness, and age may be relevant, but their existence alone does not complete the analysis. The sentencing court must explain how the characteristic enabled or facilitated the crime.
B. The nexus can arise when defendants obtain access to the property involved
Hess argued that the victims were no more vulnerable than anyone else because no ordinary customer could have discovered what happened once the funeral home obtained unsupervised possession of the bodies. On her account, the enhancement required proof that vulnerable victims were less able than others to detect or thwart the scheme.
The court rejected that proposed restriction. Nothing in the Guidelines commentary makes impaired fraud-detection ability an essential element. Its example of an ineffective cancer cure demonstrates that vulnerability can consist of a condition that makes a fraudulent offer especially appealing or relevant.
The defendants’ access to the bodies was not treated as a fixed circumstance divorced from the fraud. Rather, obtaining that access was a necessary part of the operation. Particular victims’ inability to afford conventional services made offers of inexpensive or free cremations unusually effective in inducing them to entrust remains to the defendants.
This reasoning distinguishes a vulnerability that merely creates an opportunity to meet a victim from one that directly helps procure the subject matter of the fraud. The defendants did not simply encounter financially distressed people and later commit an unrelated offense. Their promises addressed those people’s immediate financial needs and secured the bodies the scheme required.
C. Particularized findings do not become categorical merely because victims share a characteristic
The district court’s original error was to assume that grief made all bereaved customers unusually susceptible. On remand, it relied instead on individual accounts describing financial pressures, caregiving burdens, illness, isolation, and the reasons particular families selected Sunset Mesa.
The appellate court highlighted several concrete connections:
- J.D. could not afford immediate cremation costs. Koch offered free cremation in exchange for a supposed brain donation for Alzheimer’s research. The grandfather’s entire body was instead sold.
- M.C.-P. had little income and serious health problems. The defendants persuaded her to abandon planned embalming for cheaper cremation, obtaining access to her grandmother’s body for fraudulent sale.
- K.B. faced financial and caregiving pressures and received a purported special price because her husband was a veteran.
- N.H. was managing debt and had to borrow funeral money. Low prices and assurances of careful treatment induced her choice.
- T.F. faced debt after her husband’s prolonged cancer treatment and selected Sunset Mesa over a local provider because of price.
Comparable findings supported the treatment of M.B., D.Mc., D.W., A.S.J., and R.B. as financially vulnerable victims. Together with five victims whose terminal-illness or hospice-related vulnerability Hess did not contest, these findings supported fifteen qualifying victims.
The court did not affirm every one of the district court’s twenty-one findings. It found fifteen sufficient and left the remaining findings unresolved. Consequently, the decision should not be cited as approving every form of financial or emotional vulnerability described in the resentencing record.
The distinction between an impermissible class assumption and permissible shared evidence is important. Multiple victims may have the same vulnerability. What matters is whether evidence connects that vulnerability to each victim’s participation in the particular transaction, rather than substituting group membership for proof.
D. “A large number” depends on the offense context
The Guidelines do not supply a universal numerical definition for § 3A1.1(b)(2). The court therefore considered the nature of the offense and analogous Guidelines provisions.
Fraud provisions contain victim-related thresholds of five, ten, and twenty-five. Earlier circuit authority had also upheld the large-number enhancement in a fraud case involving sixteen particularly vulnerable victims. Against that background, fifteen qualifying victims were enough here.
The holding is deliberately limited. The court did not decide whether five or ten vulnerable victims would suffice in a fraud case, and it did not transform an earlier involuntary-servitude decision into a universal ten-victim rule.
E. Koch’s responsibility extended beyond customers she personally met
Koch argued that she lacked meaningful contact with most identified victims and therefore could not have exploited their vulnerabilities. The court answered through the Guidelines’ relevant-conduct provisions.
The commentary to § 3A1.1 includes victims of conduct attributable to a defendant under § 1B1.3. Section 1B1.3(a)(1)(A), in turn, includes acts committed, aided, abetted, counseled, induced, procured, or willfully caused by the defendant in connection with the offense.
The distinction between the two enhancement provisions was decisive:
- Section 3A1.1(b)(1) expressly requires that the defendant knew or should have known of a victim’s vulnerability.
- Section 3A1.1(b)(2) adds no separate requirement that the defendant know the vulnerabilities of every victim included in the large-number calculation.
Once the first enhancement applies, the additional enhancement is offense-specific and reaches qualifying victims of attributable relevant conduct. Koch’s aiding-and-abetting responsibility therefore prevented her from limiting the count to people with whom she personally dealt.
This is not unlimited attribution based on association alone. The relevant victims must still fall within conduct for which the Guidelines make the defendant accountable.
F. The government’s recommendation did not control the legal calculation
Consistent with its understanding of Koch’s plea agreement, the government recommended against the additional enhancement and requested 78 months. That position did not bind the sentencing court on a legal question.
The government could also defend the resulting judgment on appeal despite its position below. The court distinguished an appellee’s ability to support an existing judgment from an appellant’s attempt to secure reversal through an unpreserved argument.
Koch suggested that the government’s presentation of evidence might have breached the plea agreement, but she did not develop that contention. The court deemed it waived. Accordingly, the opinion does not resolve the substantive plea-breach question or establish that every form of government advocacy inconsistent with a sentencing promise is permissible.
G. Rehabilitation evidence did not establish reversible plain error
Hess submitted evidence of educational work, courses, inmate assistance, supportive letters, and other productive prison activities. The district court described her conduct as commendable but also expected, and noted the availability of good-time credit.
Because Hess did not object at resentencing, she had to satisfy plain-error review. The appellate court assumed, without deciding, that the district court erred, but rejected her claim on two independent grounds.
First, any error was not obvious under settled law. The Supreme Court’s rehabilitation precedent permits consideration of post-sentencing rehabilitation and recognizes that it can support a lower sentence. It does not require a reduction whenever such evidence exists. Nor did it clearly prohibit considering good-time credit when deciding how much weight to give the evidence.
Second, Hess failed to establish prejudice. The district court repeatedly stated that the nature and consequences of the offense outweighed mitigating circumstances. Its concerns included her continued minimization of the victims’ injuries and lack of remorse. The appellate court found no reasonable probability that a different treatment of rehabilitation would have produced a shorter sentence.
The ruling is therefore narrower than an unqualified endorsement of the district court’s approach. It does not authorize a categorical refusal to consider rehabilitation or declare that constructive prison activities are irrelevant.
H. Koch’s substantial variance remained within permissible sentencing discretion
Koch emphasized her age, serious health problems, limited criminal history, and lesser role relative to Hess. She argued that a fifteen-year sentence was effectively a life sentence and disproportionate to what she characterized as a white-collar fraud.
The court concluded that the district judge had considered these matters rather than ignored them. The judge also identified circumstances inadequately captured by the ordinary fraud calculation: prolonged desecration and unauthorized sale of remains, extraordinary emotional injury, betrayal of trust, and virtually no remorse. Koch’s prior fraud-related felony, although not producing criminal-history points, also informed the court’s evaluation of her history.
The district court recognized comparative culpability by sentencing Koch to five years less than Hess. The appellate court did not independently rebalance these considerations. It asked whether the district court’s explained judgment fell outside the bounds of permissible choice and held that it did not.
6. Potential Impact
Financial exploitation beyond cognitive impairment
The decision makes clear that unusual vulnerability need not involve diminished intelligence, confusion, or inability to investigate. Financial constraints may make a particular fraudulent offer unusually compelling. Future applications could therefore focus on how defendants tailored inducements to documented needs, rather than exclusively on victims’ capacity to recognize deception.
Acquisition-stage evidence will matter
The opinion directs attention to how defendants obtained access, authority, or possession. A scheme that becomes difficult for anyone to detect after a transfer may still exploit vulnerability in securing that transfer. Victim statements explaining provider selection, price sensitivity, and responses to individualized promises can therefore be important sentencing evidence.
Continued protection against categorical enhancements
The decision preserves meaningful limits. A prosecutor cannot establish the enhancement simply by identifying poor, elderly, ill, or grieving victims. The record must connect their circumstances to unusual susceptibility to the particular offense. Successful victimization and a defendant’s unsupported assumptions remain insufficient.
Broader attribution within accountable conduct
Participants who aid and abet a scheme cannot necessarily narrow the vulnerable-victim count to their personal contacts. Nevertheless, courts must identify conduct attributable under the Guidelines and confirm that the initial knowledge-based enhancement applies.
Limited numerical and rehabilitation holdings
Fifteen vulnerable victims suffice in this fraud setting, but the minimum remains unresolved. Similarly, the rehabilitation ruling principally demonstrates the importance of preserving objections and proving prejudice; it does not settle every question about the appropriate weight of rehabilitation evidence.
Exceptional harm can sustain major variances
The affirmance confirms that a fraud guideline may inadequately reflect profound nonfinancial injuries. A substantial variance can survive where the district court explains those injuries, considers mitigation, and distinguishes defendants’ culpability. The decision does not make similar variances automatic or insulate them from review.