City of Pontiac Gen Empl Retmn v. Vinit Asar, et a

CourtCourt of Appeals for the Fifth Circuit
DecidedAugust 6, 2018
Docket17-50162
StatusPublished

This text of City of Pontiac Gen Empl Retmn v. Vinit Asar, et a (City of Pontiac Gen Empl Retmn v. Vinit Asar, et a) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of Pontiac Gen Empl Retmn v. Vinit Asar, et a, (5th Cir. 2018).

Opinion

Case: 17-50162 Document: 00514587918 Page: 1 Date Filed: 08/06/2018

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit

No. 17-50162 FILED August 6, 2018 Lyle W. Cayce ALASKA ELECTRICAL PENSION FUND, Clerk

Plaintiff - Appellant

v.

VINIT K. ASAR; GEORGE MCHENRY; HANGER, INCORPORATED; THOMAS F. KIRK,

Defendants - Appellees

Appeal from the United States District Court for the Western District of Texas

Before WIENER, GRAVES, and HO, Circuit Judges. WIENER, Circuit Judge: Plaintiff-Appellant Alaska Electrical Pension Fund (“the Fund”) is a pension fund representing a class of investors. It claims that Defendants- Appellees Hanger, Inc. (“Hanger”) and three of its officers engaged in securities fraud. The Fund’s allegations are based predominantly on a report by Hanger’s Audit Committee after Hanger restated its financial results. That report indicates that some defendants set an inappropriate “tone at the top” and engaged in improper accounting. The district court granted the defendants’ motions to dismiss, holding that the complaint did not adequately allege scienter. For the reasons stated below, we affirm in part and reverse in part. Case: 17-50162 Document: 00514587918 Page: 2 Date Filed: 08/06/2018

No. 17-50162 I. FACTS AND PROCEEDINGS Hanger is the largest provider of orthotic and prosthetic patient care services in the United States. 1 Hanger’s principal sources of revenue are reimbursements for its services and products from public and private insurers. Federal programs, such as Medicare, Medicaid, and the Department of Veterans Affairs, are the source of a significant portion of Hanger’s revenue. Before the period of time at issue, Hanger recorded positive growth in same- store sales for every quarter since 2005. Defendant Thomas Kirk was Hanger’s President from March 2008 to September 2011 and its CEO from March 2008 until he retired in May 2012. 2 Defendant Vinit Asar was Hanger’s President and COO from September 2011 to May 2012, when he became President and CEO. Defendant George McHenry was Hanger’s CFO until he retired at the end of 2014. The Fund invested in Hanger stock. In 2010, Congress expanded a Medicare audit program—one that reviewed medical records in support of Medicare claims—to scrutinize the medical necessity of the claimed services or devices. Hanger’s clinics did not collect the required documentation in a timely manner, so after Medicare scrutiny increased due to the expanded program, Hanger began failing audits more frequently. When Hanger failed an audit, it was required to return the reimbursement it had collected, even though it had already recognized that reimbursement as revenue. Hanger would then pursue recovery of those reimbursements via a lengthy Medicare appeals process.

1 These facts are taken from the Third Amended Complaint, which are taken as true at the motion to dismiss stage. Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322 (2007). 2 Kirk remained on the Board of Directors until 2014.

2 Case: 17-50162 Document: 00514587918 Page: 3 Date Filed: 08/06/2018

No. 17-50162 The Fund contends that, despite these problems, Hanger continued to claim success in its Medicare audits and maintained that it had sufficient internal controls to ensure that it passed audits. Consequently, Hanger did not increase its reserve for disallowed Medicare sales. At the same time, Hanger was implementing a new clinic data management system called Janus. The Fund contends that the defendants told investors that the Janus rollout caused only minimal disruptions when, in reality, clinicians made fewer sales because they had to spend significant time and resources transitioning patient data to the new system. In addition to these documentation troubles, and the related failure to increase its audit reserve, on April 4, 2014, Hanger identified three material weaknesses in its inventory accounting. In its SEC filings, the individual defendants certified that these were the only material weaknesses in Hanger’s internal controls. A. Alleged False and Misleading Statements The Fund identifies ninety-three allegedly false and misleading statements by the defendants related to these issues. It states the speaker, date, and medium (e.g., SEC filing, press release, or conference call) for each statement. The allegedly false statements cover several categories. First, the Fund claims that Hanger reported false financial metrics and falsely depicted Hanger as having strong same-store sales. This resulted in reporting inflated financial results for 2011, 2012, and 2013, and for all quarters from the second quarter of 2011 to the second quarter of 2014. Second, the Fund claims that Hanger falsely stated that its Medicare audits and appeals were more successful than they actually were; that its reserves estimates were adequate; and that the Janus implementation caused minimal disruption. Third, the Fund claims that Hanger falsely assured investors that its internal controls were adequate. Finally, the Fund claims that even after Hanger began disclosing a series of problems—most prominently announcing in February 3 Case: 17-50162 Document: 00514587918 Page: 4 Date Filed: 08/06/2018

No. 17-50162 2015 that it would reissue financial statements for 2012 through the second quarter of 2014—Hanger continued to falsely understate “the size and scope of the restatement.” B. Alleged Corrective Disclosures Since the initial restatement announcement in February 2015, Hanger has issued five updates. 3 It has also continued to announce material weaknesses, ultimately acknowledging eleven. Hanger eventually admitted to overstating its pre-tax income by $87 million. On November 12, 2015, Hanger announced that its Audit Committee would investigate the circumstances which led to the restatement. On February 26, 2016, Hanger disclosed preliminary findings of the investigation in a Form 8-K (“February 8-K”) filed with the SEC, stating that “certain former officers and employees . . . may have engaged in inappropriate activities,” although it did not identify those individuals. The February 8-K revealed that Hanger had overstated its accounts receivable and understated its reserves by approximately $40 million. In June 2016, Hanger released a summary of the final investigation results in another Form 8-K (“June 8-K”). Both Forms 8-K stated that a former employee had fabricated inventory records. The June 8-K also stated that (1) Kirk and McHenry had “set an inappropriate ‘tone at the top’” by emphasizing “achieving certain financial targets,” which “may have” contributed to inappropriate accounting decisions, and (2) McHenry and others had “engaged in inappropriate historical accounting practices” and that “particular adjustments . . . were undertaken for the purpose of enhancing [Hanger’s] reported financial results.”

3 The full financial restatements had not been issued as of the time the district court ruled. 4 Case: 17-50162 Document: 00514587918 Page: 5 Date Filed: 08/06/2018

No. 17-50162 C. Proceedings In February 2015, after the initial complaint was filed in November 2014 (before the first restatement announcement), the district court appointed the Fund as lead plaintiff. 4 The Fund has since amended the complaint three times. The current version, the Third Amended Complaint (“TAC”), was filed in July 2016 and is the first complaint to name Kirk as a defendant and to incorporate allegations based on the Audit Committee’s June 8-K findings.

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