In re Dura Medic Holdings, Inc. Consolidation Litigation

Court of Chancery of Delaware·Decided February 20, 2025·No. C.A. No. 2019-0474-JTL·Published

Opinion

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE

IN RE DURA MEDIC HOLDINGS, INC. ) Cons. C.A. No. 2019-0474-JTL CONSOLIDATED LITIGATION )

POST-TRIAL OPINION ADDRESSING CONTRACT CLAIMS

Date Submitted: December 19, 2024 Date Decided: February 20, 2025

Raymond J. DiCamillo, Robert L. Burns, Matthew W. Murphy, Kyle H. Lachmund, Sandy Xu, Alfred P. Dillione, RICHARDS, LAYTON & FINGER, P.A., Wilmington, Delaware; David L. Barrack, WINSLETT STUDNICKY MCCORMICK & BOMSER LLP, New York, New York; Counsel for Greg Bailey; Karen Lee Bryant; Gary Lee Campbell; Selle D’Shanna Campbell; Robert Chicoine; Crown Predator Holdings 1, LLC; DM Seller Representative LLC; James T. Doody; Grant Eckberg; Tim Einwechter; Jessica Evans; Deborah Fedorak; Rick Ferreira; Fisher Holdings LLC; G&D Progressive Services, Inc.; Kevin J. Harrington; Sherrie Horton; Becki Jaynes; KLBK Investments, LLC; Lewin Investments, LLC; Marc Mazur; Steven Mintz; Steve E. Nelson; Don Newton; Mark Newton; Stephen J. Nicholas, MD; George Shelton Ochsner; Stephen Ochsner; Jason Pauletto; Richard A. Danzig Profit Sharing Plan & Trust; Martin J. Rucidlo; Kim Sauber; Gavin Scotti; Morton Stayton; Steve E. Nelson Trust; Symcox Family Limited Partnership; Jay Symcox; Ellen Walsh; WIU Foundation; and Edward J. Zecchini.

David S. Eagle, KLEHR HARRISON HARVEY BRANZBURG LLP, Wilmington, Delaware; Stuart Singer, Carl Goldfarb, BOIES SCHILLER FLEXNER LLP, Fort Lauderdale, Florida; Counsel for Jonathan Black; Maneesh Chawla; Comvest Investment Partners Holdings, LLC; Dura Medic Holdings, Inc.; Dura Medic, Inc.; Dura Medic Parent Holdings, LLC; and Roger Marrero.

Steven L. Caponi, Megan E. Hunt, K&L GATES LLP, Wilmington, Delaware; Counsel for AdaptHealth, LLC, and DM Acquisition Sub LLC.

LASTER, V.C.

A private equity firm acquired a privately held company through a reverse triangular merger. The acquired company performed terribly.

The private equity buyer brought contract claims against the selling stockholders. The buyer alleges the sellers breached three representations in the merger agreement. The first addressed the company’s collection rate and earnings. The second represented that the company had not received notice that any material customers were terminating or limiting their accounts, except as disclosed on a related schedule. The third represented that the company was not subject to any audits, again except as disclosed on a related schedule.

At trial, the buyer failed to prove the first claim. The sellers did not make any representations about the company’s collection rate and earnings except to state that particular figures were used when preparing the company’s financial statements. The sellers made good-faith estimates of both figures and used them when preparing the financial statements. The buyer did not obtain a representation about a future collection rate or level of earnings.

The buyer succeeded in proving that the sellers failed to disclose the imminent loss of two significant customers. The buyer proved that the breach caused $2,847,890 in damages.

The buyer also succeeded in proving a failure to disclose audits. The buyer proved that the breach caused $100,000 in damages.

The sellers counterclaimed for breach of the merger agreement. The sellers contend that the buyer intentionally withheld billings and depressed the company’s

earnings to gin up a claim for breach of a representation and avoid paying a note that was part of the merger consideration. At trial, the sellers failed to prove their claim. The buyer withheld bills as part of a good-faith effort to meet federal requirements for invoices, not to depress the earnings of the company or avoid paying the note.

Judgment will be entered for the buyer.1 I. FACTUAL BACKGROUND

The facts are drawn from the post-trial record. Having evaluated the credibility of witnesses and weighed the evidence, the court makes the following findings.2 A. The Company In 2004, Mark Newton co-founded Dura Medic, Inc. (“Dura Medic” or the “Company”). As its name implies, the Company supplied durable medical equipment (“DME”), such as crutches, splints, and braces.

The Company conducted business using a stock-and-bill model. That means the Company entered into contracts with hospitals to stock a supply closet with DME.

1 This decision addresses a subset of the claims in this consolidated case. One

of the sellers, a co-founder who rolled over his equity into an upstream parent of the post-merger company, asserted derivative claims challenging the private equity firm’s management of the company and its later asset sale to a strategic buyer. The sellers also alleged the asset sale was a fraudulent transfer. The court addressed those claims in its first post-trial decision, In re Dura Medic Holdings, Inc. Consolidated Litigation (Dura Medic I), 2025 WL 323796 (Del. Ch. Jan. 29, 2025).

2 The parties agreed to stipulations of fact in the pre-trial order, cited as “PTO

¶ __.” Citations in the form “[Name] Tr. __” refer to witness testimony from the trial transcript. Citations in the form “[Name] Dep. __” refer to witness testimony from a deposition transcript. Citations in the form “JX __ at __” refer to trial exhibits. When more convenient, references to trial exhibits use internal paragraphs or sections.

The hospital did not pay the Company for this service. Instead, when a physician prescribed an item of DME, the hospital would take the item from the supply closet and provide it to the patient. The hospital would notify the Company, and the Company would bill a third-party payor, typically a private insurer or a government health insurance program like Medicare or Medicaid. Before the merger, Medicare claims made up about 20% of the Company’s gross billings. Sometimes—but rarely— the Company billed the patients. The Company also sometimes negotiated with a hospital to pay cost for any item of DME where the Company otherwise would go unpaid.

The Company did not expect to collect on every claim, but it could operate profitably if it charged sufficiently high prices and collected on enough claims. From 2015 through the first half of 2017, the Company generally billed at 200% of the standard Medicare fee schedule. At that rate, the Company could generate profits even if it collected on a relatively small percentage of claims.

The Company’s financial statements distinguished between the gross amount billed, known as “Gross Patient Revenue,” and the net amount the Company collected, known as “Net Patient Revenue.” The Company recognized Gross Patient Revenue when billed. To derive Net Patient Revenue, the Company started with Gross Patient Revenue and deducted a “Net Revenue Adjustment,” representing amounts that the Company likely would not or in fact did not collect.

The Company calculated Net Revenue Adjustment by adding together “Contractual Adjustments,” “Bad Debt Expense,” and “Adjustments to Patient

Revenue.” The Contractual Adjustments estimated the amount of Gross Patient Revenue that the Company would not collect based on historical averages. The Company applied the Contractual Adjustment when it billed the payor. As of June 2017, the Company used a Contractual Adjustment of 70%, meaning the Company estimated that it would only collect 30% of Gross Patient Revenue.

The Bad Debt Expense reflected amounts the Company no longer expected to collect. The Company based the Bad Debt Expense on the actual accounts receivable in the billing system that management wrote off as uncollectable.

The Adjustments to Patient Revenue represented amounts that the Company billed directly to patients but could not collect. Because billing patients directly involved high collection risk, the Company often negotiated with hospitals to bill them at cost for unpaid patient claims.

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In re Dura Medic Holdings, Inc. Consolidation Litigation, (Del. Ct. App. 2025).

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