Forefront Management, LLC v. Vergilis-Kalner

CourtDistrict Court, S.D. New York
DecidedApril 24, 2025
Docket1:24-cv-08189
StatusUnknown

This text of Forefront Management, LLC v. Vergilis-Kalner (Forefront Management, LLC v. Vergilis-Kalner) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Forefront Management, LLC v. Vergilis-Kalner, (S.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ce ee eee ee ee ee ee et ee ee ee eee ee ee eee HHH HH HX FOREFRONT MANAGEMENT, LLC et al., Plaintiffs, 24-cv-8189 (LAK) -against- IRENE J. VERGILIS-KALNER, et al., USDS SDNY Defendants. DOCUMENT ELECTRONICALLY FILED nn ne ne ee ee eee eee x DOC #: DATE FILED: _ 04/24/2025 MEMORANDUM OPINION Appearances: Andrew P. Shelby Ena M. Allen Kerryann M. Haase Courtney D. Tedrowe MICHAEL BEST & FRIEDRICH LLP Attorneys for Plaintiffs Jacob Laufer JACOB LAUFER, P.C. Richard S. Harrow O’ CONNELL & ARONOWITZ, PC Attorneys for Defendants LEWIS A. KAPLAN, District Judge. This is an action arising from plaintiffs’ purchase of medical clinics and related assets. Plaintiffs allege that, after the purchase, they discovered that defendants had inflated the value of those assets through fraudulent billing practices. Plaintiffs brought this lawsuit alleging violations of the federal Racketeer Influenced and Corrupt Organizations (“RICO”) laws and

2 breaches of contract and fiduciary duties. Defendants move to dismiss the RICO and fiduciary duty- related claims.

Background1

Defendant Irene Vergilis-Kalner (“Vergilis”) is a dermatologist who started and ran Skin Cancer & Aesthetic Surgery, P.C. (“SCAS”), a dermatology practice. Plaintiffs Forefront Management, LLC (“Forefront Management”), Forefront Dermatology – East Professional, LLC (“Forefront East”), and Forefront Physicians Holdings, LLC (“Forefront Holdings”) allege that Vergilis and her husband, defendant Alec Kalner (“Kalner”), ran SCAS as an enterprise to defraud patients, Medicare, and insurance companies through overbilling schemes. For example, plaintiffs allege that Vergilis and Kalner (1) falsely sought reimbursement for multiple procedures when

Vergilis had conducted only one,2 (2) sought reimbursement for duplicative procedures that were not performed or were unnecessary,3 (3) churned patient visits by cycling between alternate diagnoses,4 (4) churned patients via unnecessary follow-up visits and procedures,5 and (5) “upcoded” certain

1 For the purpose of this motion, the Court assumes the truth of plaintiffs’ allegations and draws all inferences favorable to plaintiffs to which the allegations reasonably are susceptible. 2 Dkt 30 (“Am. Compl.”) ¶¶ 97–103. 3 Id. ¶¶ 104–08. 4 Id. ¶¶ 109–20. 5 Id. ¶¶ 121–29. 3 claims in order to obtain larger reimbursements from insurers,6 among other methods to inflate SCAS’s revenues. In November 2022, plaintiffs, certain of their affiliates, Vergilis, and SCAS entered

into an asset purchase agreement pursuant to which Plaintiffs acquired SCAS’s assets in exchange for approximately $25 million.7 Plaintiffs allege that the purchase price was calculated using a multiplier of SCAS’s income — in other words, that they agreed to pay approximately eight times SCAS’s $3.3 million in adjusted net income for the twelve-month period from June 2021 to June 2022.8 After completing the purchase, plaintiffs initiated an audit of the billing and coding procedures at the clinics they had acquired, which uncovered the allegedly fraudulent practices set forth above.9 Plaintiffs allege that, after eliminating the fraudulently obtained revenues, SCAS’s assets “were worth essentially nothing.”10

On October 28, 2024, plaintiffs filed this lawsuit against Vergilis, Kalner, and SCAS. After defendants filed a motion to dismiss, plaintiffs filed the Amended Complaint. The Amended Complaint alleges eight counts: (1) Count I — Violation of 18 U.S.C. § 1962(c) (RICO) against Vergilis and Kalner; (2) Count II — Violation of 18 U.S.C. § 1962(d) (RICO Conspiracy) against Vergilis and Kalner; (3) Count III — Breach Of Contract against SCAS and Vergilis; (4) Count IV

6 Id. ¶¶ 130–48. 7 Id. ¶¶ 524–26. 8 Id. ¶ 521. 9 Id. ¶¶ 561–64. 10 Id. ¶ 609. 4 — Breach Of Contract against Vergilis; (5) Count V — Breach of Fiduciary Duty againt Vergilis; (6) Count VI — Breach of Fiduciary Duty against Kalner; (7) Count VII — Civil Conspiracy against Vergilis and Kalner; and (8) Count VIII — Declaratory Judgment against Vergilis and SCAS.11

Discussion I. RICO Claims A. Legal Standard Section 1962(c) of the RICO statute provides that it is “unlawful for any person employed by or associated with any enterprise engaged in . . . interstate or foreign commerce[] to conduct or participate, directly or indirectly, in the conduct of such enterprise's affairs through a pattern of racketeering activity . . . .”12 To state a RICO claim , a plaintiff therefore must allege: “(1)

that the defendant (2) through the commission of two or more acts (3) constituting a ‘pattern’ (4) of ‘racketeering activity’ (5) directly or indirectly invests in, or maintains an interest in, or participates in (6) an ‘enterprise’ (7) the activities of which affect interstate or foreign commerce.”13 In addition, to state a RICO cause of action, “a plaintiff must plead, at a minimum, ‘(1) the defendant’s violation of [§ ]1962, (2) an injury to the plaintiff's business or property, and (3) causation of the injury by the defendant's violation. This third requirement is satisfied if the

11 Id. ¶¶ 645–92. 12 18 U.S.C. § 1962(c). 13 Moss v. Morgan Stanley, Inc., 719 F.2d 5, 17 (2d Cir.1983). 5 defendant's injurious conduct is both the factual and the proximate cause of the injury alleged.’”14 The Second Circuit has held that “it is inappropriate to apply a zone-of-interests test independent of [the] proximate cause analysis.”15

B. Causation 1. Legal Standard “When a court evaluates a RICO claim for proximate causation, the central question it must ask is whether the alleged violation led directly to the plaintiff's injuries.”16 “[A] plaintiff who complained of harm flowing merely from the misfortunes visited upon a third person by the defendant’s acts was generally said to stand at too remote a distance to recover.”17 “A ‘plaintiff must prove only . . . an injury directly resulting from some or all of the activities comprising the violation,’

however, and need not prove that every predicate act constituting the pattern injured the plaintiff in some way.”18 Furthermore, a RICO cause of action “extends to all directly injured parties, not just

14 Baisch v. Gallina, 346 F.3d 366, 372 (2d Cir. 2003) (alteration in original) (quoting Lerner v. Fleet Bank, N.A., 318 F.3d 113, 120 (2d Cir. 2003)). 15 Id. at 373; cf. Newton v. Tyson Foods, Inc., 207 F.3d 444, 447 (8th Cir.2000) (applying separate zone of interests test); Israel Travel Advisory Serv., Inc. v. Israel Identity Tours, Inc., 61 F.3d 1250, 1258 (7th Cir.1995) (same). 16 Anza v. Ideal Steel Supply Corp., 547 U.S. 451, 461 (2006). 17 Holmes v. Sec. Investor Prot. Corp., 503 U.S. 258, 268–69 (1992). 18 Chevron Corp. v. Donziger, 974 F. Supp. 2d 362, 601 (S.D.N.Y. 2014) (alteration in original) (quoting Marshall & Ilsley Trust Co. v. Pate, 819 F.2d 806, 809 (7th Cir. 1987)).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Hemi Group, LLC v. City of New York
559 U.S. 1 (Supreme Court, 2010)
Sedima, S. P. R. L. v. Imrex Co.
473 U.S. 479 (Supreme Court, 1985)
Beck v. Prupis
529 U.S. 494 (Supreme Court, 2000)
Anza v. Ideal Steel Supply Corp.
547 U.S. 451 (Supreme Court, 2006)
Bridge v. Phoenix Bond & Indemnity Co.
553 U.S. 639 (Supreme Court, 2008)
Revak v. SEC Realty Corp.
18 F.3d 81 (Second Circuit, 1994)
Wayne Newton v. Tyson Foods, Inc.
207 F.3d 444 (Eighth Circuit, 2000)
CARCO GROUP, Inc. v. Maconachy
718 F.3d 72 (Second Circuit, 2013)
Endico v. Fonte
485 F. Supp. 2d 411 (S.D. New York, 2007)
Nasik Breeding & Research Farm Ltd. v. Merck & Co.
165 F. Supp. 2d 514 (S.D. New York, 2001)
Lexmark Int'l, Inc. v. Static Control Components, Inc.
134 S. Ct. 1377 (Supreme Court, 2014)
Board of Mgrs. of Brightwater Towers Condominium v. FirstService Residential N.Y., Inc.
2021 NY Slip Op 02128 (Appellate Division of the Supreme Court of New York, 2021)

Cite This Page — Counsel Stack

Bluebook (online)
Forefront Management, LLC v. Vergilis-Kalner, Counsel Stack Legal Research, https://law.counselstack.com/opinion/forefront-management-llc-v-vergilis-kalner-nysd-2025.