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Building a health-technology startup on nothing but hot air may be easier than you’d think — at least, according to a federal indictment unsealed Monday and related civil charges brought by the Securities and Exchange Commission.

Federal prosecutors charge that executives at Outcome Health, a high-flying startup, are guilty of defrauding their clients, lenders, and investors, leading to nearly $1 billion in fraudulently obtained investments and debt. The SEC made its own complaint, alleging that Outcome raised $487 million by falsely portraying itself as a success to its investors, which included Goldman Sachs, Google-affiliated CapitalG, and the Pritzker Group.

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Outcome was founded in 2006 as Context Media by two Chicago entrepreneurs: Rishi Shah, now 33, and Shradha Agarwal, 34. According to the SEC, Shah owned 80% of the startup and Agarwal the other 20%.

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