On May 14, 2013, she began working at Healing Hearts Home Care, Inc. ( Id. at ¶¶ 5, 30). On her first day of work, Healing Heart's billing and administrative assistant, "Mama Mers, " instructed Fiederer that every patient's chart should indicate that the patient is hard of hearing, incontinent, homebound, confused, and is visually impaired, regardless of the patient's actual condition. ( Id. at ¶ 31). "Mama Mers" also told Fiederer that every Healing Hearts employee, including its physician, receives a $500.00 bonus for new patient referrals. ( Id. at ¶ 32).