Dr. Jeffrey S. Young, et al. v. Rector & Visitors of the University of Virginia, et al.

CourtDistrict Court, W.D. Virginia
DecidedJune 2, 2026
Docket3:25-cv-00083
StatusUnknown

This text of Dr. Jeffrey S. Young, et al. v. Rector & Visitors of the University of Virginia, et al. (Dr. Jeffrey S. Young, et al. v. Rector & Visitors of the University of Virginia, et al.) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dr. Jeffrey S. Young, et al. v. Rector & Visitors of the University of Virginia, et al., (W.D. Va. 2026).

Opinion

UNITED STATES DISTRICT COURT AT CHARLOTTESVILLE, VA FILED WESTERN DISTRICT OF VIRGINIA June0 2,2026 CHARLOTTESVILLE DIVISION LAURA A. AU STIN, CLERK BY: /s/ Nik Sams DEPUTY CLERK DR. JEFFREY S. YOUNG, ET AL.,

Plaintiffs, CASE NO. 3:25-CV-00083 v.

RECTOR & VISITORS OF THE MEMORANDUM OPINION & ORDER UNIVERSITY OF VIRGINIA, ET AL.,

Defendants. JUDGE NORMAN K. MOON

Drs. Jeffrey Young, Kenan Yount, Mark Roeser, and John Kern (“Physician Plaintiffs”)— who are current and former employees of the University of Virginia (“UVA”), its medical school, and medical center—claim that Dr. Craig Kent (“Dr. Kent”), the former CEO of UVA Health System, and his leadership team demanded that physicians increase the cost of medical procedures through fraudulent billing practices. See Dkt. 80. The Physician Plaintiffs, who are/were veteran surgeons at UVA, fought against these practices, which they believed were illegal and put patient lives at risk. Because of their opposition, the Physician Plaintiffs allegedly suffered harassment, threats of professional retaliation, disciplinary action, and demotion. They assert five causes of action against the Rector and Visitors of UVA, the UVA School of Medicine, the UVA Health System, the UVA Medical Center, UVA Physicians Group (“UPG”), and the cast of characters who led the Medical Center between 2020 and 2025—including, Dr. Kent, Dr. Melina Kibbe, Ms. Wendy Horton, Dr. Allan Tsung, Dr. Ourania Preventza, and Dr. Kim de la Cruz (collectively, “Medical Leaders”). Those causes of action are: (1) a civil violation of the Racketeer Influenced and Corrupt Organizations Act (“RICO”); (2) RICO conspiracy; (3) False Claims Act (“FCA”) retaliation; (4) Virginia Fraud Against Taxpayers Act (“VFATA”) retaliation; and (5) Virginia Fraud and Abuse Whistleblower Protection Act (“VFAWPA”) retaliation. See Am. Compl., Dkt. 80. Defendants move to dismiss these claims. Dkts. 90, 92, 94, 97, 99. The current record consists of the 159-page amended complaint, 1,200 pages of exhibits, and hundreds of pages of briefing. Ordinarily, this amount of material (and correspondent effort

expended by the parties) suggests a complex resolution. However, at this stage, the path forward is comparatively simple. First, the Court will dismiss Counts I and II because the Physician Plaintiffs have failed to allege that they have statutory standing to assert their RICO claims. Second, the Court will dismiss Dr. Roeser’s claims in Counts III and IV because he has not sufficiently alleged that he engaged in protected activity as defined by the FCA and VFATA. Third, the Court will dismiss Drs. Young’s, Yount’s, and Kern’s FCA and VFATA claims against Drs. Kent, Kibbe, Tsung, Preventza, and de la Cruz and Ms. Horton because neither statute permits recovery against supervisors in their individual capacities. And finally, the Court will dismiss Drs. Young’s, Yount’s, Roeser’s, and Kern’s VFAWPA claims against UVA and UPG because said

claims can only be brought against their supervisors in their official capacities. These dismissals are without prejudice. The Physician Plaintiffs shall file a second amended complaint. Defendants will then respond by presumably reiterating and expanding upon their 12(b)(1) and 12(b)(6) arguments.1 The Court will address those additional arguments after receiving sufficient briefing and evidence.

1 Because sovereign immunity is a jurisdictional defense, Defendants may raise it at the motion to dismiss stage. See Jackson Creek Marine, LLC v. Maryland, 153 F.4th 423, 428 (4th Cir. 2025). As the Court already noted, though, Defendants must mount a factual challenge to jurisdiction by coming forward with evidence that: (1) they are legally indistinct from the Commonwealth, and (2) the Commonwealth discharges any legal judgments against them. Dkt. 137 at 2 (citing Galette v. New Jersey Transit Corp., 607 U.S. __, 146 S. Ct. 854, 869–71 (2026)). Because Defendants did not muster this evidence during their first round of briefing or engage I. BACKGROUND Plaintiffs allege that beginning in February 2020 and running through 2025, Dr. Kent and his leadership team directed subordinates at UVA Health “to adopt and expand fraudulent billing and documentation practices,” see Dkt. 80 § 5, with the purpose of “unlawfully increas[ing] revenues . . . and improv[ing] ranking metrics, thereby increasing [the Medical Leaders’ compensation, prestige and career leverage,” id. § 3. Dr. Kent and the other Medical Leaders allegedly enforced their unlawful billing scheme by “retaliat[ing], intimidat[ing], and harass[ing] ... those who objected,” including the Physician Plaintiffs. /d. 5. “The fraudulent billing scheme involved the misuse of Current Procedural Terminology (“CPT”) codes and medical billing modifiers designed to allow the defendants to collect more revenue for the same amount of work.” /d. § 15. The Medical Leaders instructed UVA physicians to: e Overuse CPT code 99291, a “critical care billing code reserved for a very limited list of life-sustaining interventions including mechanical ventilation, septic shock, or severe acidosis,” id. ¥ 15, n. 3; e Overuse the billing modifier -22, which allows “billing for services that . . . require an unusual amount of additional time or effort due to higher levels of complexity, severity, or risk,” id. ¥ 15, n. 4;

e Misuse billing modifier -62, which allows “billing for two co-surgeons, typically from different specialties, who are both required to perform a single procedure on the same patient during the same operative session,” id. J 15, 228; and e Misuse billing modifier -82 to allow two attending physicians to bill for the same surgery by fraudulently certifying that a resident physician was “either not present or lacked the necessary skills for the particular surgery.” /d.

with the legal standard discussed in Galette, the Court will defer consideration of their sovereign immunity arguments until after Defendants respond to the Physician Plaintiffs’ second amended complaint.

The Medical Leaders enforced these fraudulent billing practices through the summary removal (or demotion) of anyone who disagreed with them and by threatening dissenting physicians with being blacklisted in the medical community. Id. ¶¶ 125, 232. The Medical Leaders fired senior leadership at the medical center and removed more than 550 faculty members from the medical school, including 16 of the 21 clinical department chairs, as the scheme depended

upon Dr. Kent installing loyalists in senior leadership positions at UVA regardless of their qualifications. Id. ¶¶ 127–139. According to Plaintiffs, this scheme took a fatal turn on at least two occasions when surgeons— hired because of their willingness to enforce the Medical Leaders’ fraudulent billing scheme rather than their surgical prowess—killed patients because of their gross incompetence. Id. ¶¶ 186–189, 199–214. “When faculty or staff attempted to resist the [Medical Leaders’] fraudulent practices by raising concerns about patient safety or trying to solve for the gross incompetence causing patient safety issues, [the Medical Leaders’] routinely responded with threats, intimidation, and discipline designed to perpetuate the scheme and dissuade clinicians from reporting the fraud.” Id. ¶ 225.

The Physician Plaintiffs opposed the Medical Leaders’ practices, and all of them faced retribution. Id. ¶ 226. For example, Dr. Jeffrey Young, who objected to the Medical Leaders’ billing practices, was removed from his leadership roles and chose to retire rather than continue to work under the Medical Leaders. Id. ¶¶ 226, 257–274. Similarly, Dr.

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Bluebook (online)
Dr. Jeffrey S. Young, et al. v. Rector & Visitors of the University of Virginia, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/dr-jeffrey-s-young-et-al-v-rector-visitors-of-the-university-of-vawd-2026.