In re CVS Health Corporation Securities Litigation

CourtSupreme Court of Rhode Island
DecidedJanuary 14, 2025
Docket2023-0115-Appeal. and 2023-0143-Appeal.
StatusPublished

This text of In re CVS Health Corporation Securities Litigation (In re CVS Health Corporation Securities Litigation) is published on Counsel Stack Legal Research, covering Supreme Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re CVS Health Corporation Securities Litigation, (R.I. 2025).

Opinion

Supreme Court

No. 2023-115-Appeal. (PC 19-5658) No. 2023-143-Appeal. (PC 19-6685)

In re CVS Health Corporation : Securities Litigation.

NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Telephone (401) 222-3258 or Email opinionanalyst@courts.ri.gov of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court

No. 2023-115-Appeal. (PC 19-5658) No. 2023-143-Appeal. (PC 19-6685)

Present: Suttell, C.J., Robinson, and Lynch Prata, JJ.

OPINION Justice Lynch Prata, for the Court. In this consolidated action, the

plaintiffs, City of Warren Police and Fire Retirement System (the City) and David

Freundlich (collectively, plaintiffs1), appeal from a judgment of the Superior Court

dismissing the entirety of plaintiffs’ Revised Amended Consolidated Complaint

(RACC). The RACC alleged violations of §§ 11, 12(a)(2), and 15 of the Securities

Act of 1933 (the Securities Act). For the reasons set forth herein, we affirm the

judgment of the Superior Court.

1 Pursuant to an order issued on May 31, 2023, the Court consolidated the appeals of the City and Mr. Freundlich. -1- Facts and Travel

We derive the following facts from plaintiffs’ RACC, which, for the purposes

of a motion to dismiss, are assumed to be true. EDC Investment, LLC v. UTGR, Inc.,

275 A.3d 537, 542 (R.I. 2022). This is a consolidated securities action brought on

behalf of persons who acquired CVS Health Corporation (CVS) common stock

issued after CVS’s 2018 merger with Aetna (the merger). Both plaintiffs acquired

CVS common stock via the merger. The plaintiffs aver that the registration

statement, prospectus, and all other documents (the offering documents) relating to

the merger violate §§ 11, 12, and 15 of the Securities Act because they contained

misstatements of fact and omitted certain information.

CVS is a Delaware-incorporated company with its principal place of business

in Woonsocket, Rhode Island. 2 CVS has over 9,800 retail locations, with more than

1,100 walk-in clinics, and manages over 94 million pharmacy plans. Its business is

2 The additional named defendants are Larry J. Merlo (President, Chief Executive Officer, and Director), David M. Denton (Executive Vice President and Chief Financial Officer), Eva C. Boratto (Executive Vice President, Controller, and Chief Accounting Officer), David W. Dorman (Chairman of the CVS Board of Directors), Richard M. Bracken (Director on CVS Board of Directors), C. David Brown II (Director on CVS Board of Directors), Alecia A. DeCoudreaux (Director on CVS Board of Directors), Nancy-Ann M. DeParle (Director on CVS Board of Directors), Anne M. Finucane (Director on CVS Board of Directors), Jean-Pierre Millon (Director on CVS Board of Directors), Mary L. Schapiro (Director on CVS Board of Directors), Richard J. Swift (Director on CVS Board of Directors), William C. Weldon (Director on CVS Board of Directors), and Tony L. White (Director on CVS Board of Directors). They are collectively referred to as “defendants” or CVS. -2- broken into three segments: Corporate (Corporate), Pharmacy Services (Pharmacy),

and Retail/Long Term Care (LTC). The Retail/LTC segment sells merchandise and

prescription drugs.

In connection with the November 18, 2018 merger, CVS issued about 274.4

million shares of its common stock to former Aetna shareholders. The plaintiffs

submit that “[e]ach former share of Aetna common stock issued and outstanding

immediately before the [m]erger was converted into the right to receive 0.8378

shares of newly issued CVS common stock and $145 per share in cash.” CVS’s

stock price on November 28, 2018, closed at $80.27 per share. The plaintiffs’

complaint alleges that the offering documents contained materially false and

misleading statements concerning the health of CVS’s LTC business after its

purchase of Omnicare, Inc. (Omnicare), a provider of pharmaceuticals, consulting,

and other healthcare services, on August 18, 2015 (the acquisition). The plaintiffs

also take issue with CVS’s compliance with generally accepted accounting

principles (GAAP).

Omnicare primarily served skilled nursing facilities (SNFs)—which are in-

patient rehabilitation and medical treatment centers—and assisted living facilities

(ALFs)—which assist elderly adults who are “substantially unable” to live

independently. Except for its specialty pharmacy business, Omnicare’s operations

became part of CVS’s Retail/LTC segment. After the acquisition, CVS provided

-3- that its “goodwill” 3 was about $9.1 billion, with $8.7 billion of that amount attributed

to the Retail/LTC operating segment. Of the $8.7 billion amount, $6.5 billion was

allotted to CVS’s LTC reporting unit.

CVS touted that Omnicare’s goodwill “represent[ed] future economic benefits

expected to arise from the Company’s expanded presence in the pharmaceutical care

market, the assembled workforce acquired, expected purchasing and revenue

synergies, as well as operating efficiencies and cost savings.” The plaintiffs posit

that GAAP requires at least an annual determination of goodwill impairment.

CVS’s optimism about the acquisition rapidly faded, however, as it realized

that Omnicare was “a business rife with problems that was quickly deteriorating.”

Omnicare had scaled back its operations prior to the acquisition to improve

short-term profitability, and CVS continued that practice post-purchase. CVS

purportedly ran Omnicare like its Retail segment and struggled to adapt to the

“customer-focused” LTC business.

Customer service became the flash point during CVS’s operation of

Omnicare. Understaffing and budget shortfalls affected CVS’s LTC segment.

Resulting delays of prescription deliveries from CVS’s underfunding angered its

3 Black’s Law Dictionary defines “goodwill” as “[a] business’s reputation, patronage, and other intangible assets that are considered when appraising the business, esp[ecially] for purchase * * *.” Black’s Law Dictionary 834 (12th ed. 2024). -4- consumers, who purchased prescriptions from competitors with higher quality

customer service. Several customers abandoned CVS for competitors. ALFs felt

the greatest negative effects because residents were not obligated to use CVS’s

business at their facility. Penetration rates—or the rate of customers using in-house

pharmacies versus unaffiliated providers—were “disturbingly low.”

Competition was rampant for CVS in the LTC industry. Overworked

managers struggled to adequately serve Omnicare’s facilities and caused CVS’s

LTC customer service to continue to plummet. “[M]om and pop” pharmacies bested

CVS with better customer service, and larger competitors provided faster

prescription deliveries.

While CVS had problems of its own making, the LTC sector in general was

plagued by low occupancy at nursing homes, sparse bed census, and customer

reimbursement pressures, even prior to the acquisition. Low reimbursement rates

for patients on Medicaid netted LTC facilities only eighty-nine cents for every dollar

of cost, on average. Occupancy rates declined beginning in 2015 due to shifting

patient preferences and increased ability for ALFs to accept typical SNF patients.

Between CVS’s mismanagement of Omnicare and the downward trend in the

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