Kapila v. Warburg Pincus, LLC

CourtDistrict Court, M.D. Florida
DecidedSeptember 23, 2022
Docket8:21-cv-02362
StatusUnknown

This text of Kapila v. Warburg Pincus, LLC (Kapila v. Warburg Pincus, LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kapila v. Warburg Pincus, LLC, (M.D. Fla. 2022).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

SONEET KAPILA,

Plaintiff,

v. Case No: 8:21-cv-2362-CEH

WARBURG PINCUS, LLC, WARBURG PINCUS EQUITY FUND IX, L.P. and ALLEN WISE,

Defendants. ___________________________________/ ORDER This matter comes before the Court on the following Daubert motions filed pursuant to Rules 403 and 702, Federal Rules of Evidence, by Defendants Warburg Pincus, LLC; Warburg Pincus Equity Fund IX, L.P., and Allen Wise (collectively Defendants): Defendants’ Motion to Exclude the Unqualified, Unreliable, and Speculative Opinions and Testimony of Plaintiff’s Expert Peter R. Kongstvedt, M.D. (Doc. 30); Defendants’ Motion to Exclude the Opinions and Testimony of Plaintiff’s Expert, Attorney Stuart Cohn (Doc. 31); and Defendants’ Motion to Limit and Exclude the Unreliable Opinions and Testimony of Plaintiff’s Damages Expert Stanley Murphy (Doc. 38). Plaintiff, Soneet Kapila (“Plaintiff”), filed responses in opposition (Docs. 50–52), and Defendants replied (Docs. 59–61). The Court, having considered the motions and being fully advised in the premises, will grant-in-part and deny-in-part Defendants’ motions to exclude Plaintiff’s experts, Dr. Kongstvedt, Stuart Cohn, and Stanley Murphy. I. BACKGROUND

This is an action for avoidance and recovery of alleged fraudulent transfers that was initiated as an adversary proceeding in Universal Health Care Group, Inc.’s (“Universal”) bankruptcy. Debtor Universal provided health insurance and managed care products and services through the following wholly owned, operating

subsidiaries: Universal Health Care, Inc. (“UHC”); Universal Health Care Insurance Company (“UHCIC”); and American Managed Care, LLC (“AMC”) (collectively the “Regulated Subsidiaries”). Dr. Akshay M. Desai, M.D. was the chief executive officer, chairman of the board of directors, and majority shareholder of Universal. Doc. 2-253 at 3–4.

UHC was a health maintenance organization (“HMO”) that had contracts with the Department of Health and Human Services (“DHS”) and the Centers for Medicare and Medicaid Services (“CMS”) to provide health care services to Medicare enrollees in various counties in Florida. Id. at 3. UHCIC operated Medicare private fee for service (“PFFS”) plans and contracted with CMS to provide health care services to

Medicare enrollees in twenty-three states and the District of Columbia. Id. AMC was a third-party administrator licensed to provide customer service, utilization management, provider service and credentialing, claims, enrollment and billing, accounting and management information services to UHC. AMC also provided its third-party administrator services to UHCIC. Id. at 3–4. The primary focus of Universal and the Regulated Subsidiaries was the marketing, sale, and operation of Medicare Advantage (“MA”) plans and Medicaid plans, which are health insurance plans offered by private companies that are regulated

by the federal and state governments, which reimburse the provider companies for part or all of the costs of providing such insurance. Id. at 4. MA plans and the companies offering such plans are dependent on federal regulations, state-imposed cash reserve requirements, and funding levels for Medicare programs, and therefore are susceptible to fluctuations based on changing regulations and reimbursement rates authorized by

CMS. Id. To comply with regulatory requirements regarding cash reserves for the Regulated Subsidiaries, Universal required a certain level of working capital. To satisfy its working capital needs, Universal sought and obtained funding from outside investors, including Defendants. Id.

On May 26, 2006, Warburg Pincus Equity Fund IX (“Warburg Equity IX”), Allen Wise (“Wise”), and Universal entered into a securities purchase agreement (the “Stock Purchase Agreement”) whereby Warburg Equity IX and Wise agreed to purchase shares of Series A Convertible Preferred Stock (the “Preferred Stock”) of Universal. Id. at 6. Warburg Equity IX agreed to pay Universal $29,000,000 for

11,143,871 shares of Preferred Stock, and Wise agreed to pay $1,000,000 for 384,271 shares of Preferred Stock. Id. at 6–7. About the same time, Warburg Equity IX and Universal entered into a loan and security agreement (the “Loan Agreement”) whereby Warburg Equity IX agreed to loan up to $11,000,000 to Universal until the purchase of the Preferred Stock was consummated. Id. at 7. In between May and August 2006, Warburg Equity IX loaned $6,200,000 to Universal pursuant to the Loan Agreement. Id. On August 17, 2006, the stockholders of Universal executed a stockholders’ agreement (the “Stockholders Agreement”) and Universal filed an

Amended and Restated Certificate of Incorporation (“COI”). Id. at 8. The Stockholders’ Agreement and the COI detailed the powers, rights, and preferences of Warburg Equity IX and Wise as holders of the Preferred Stock. Id. at 8–11. On August 18, 2006, Warburg Equity IX paid Universal $22,660,471, which along with the prior

loan and accrued interest represented total paid in capital by Warburg Equity IX of $29,000,000, in return for 11,143,871 shares of Preferred Stock. Id. at 8. On or about the same date, Wise paid $1,000,000 to Universal in return for 384,271 shares of Preferred Stock. Id. The Stockholders’ Agreement provided Warburg Equity IX the right to have at

least two of the seven members of the Universal Board of Directors (“the Board”) appointed by Warburg Equity IX. Id. at 9. Joel Ackerman (a principal at Warburg) and Wise were initially appointed board members. Id. The Stockholders’ Agreement required Board approval for various key actions, including, among other activities: selling, leasing or disposing of assets in excess of one million dollars; incurring

indebtedness for borrowed money in excess of one million dollars; and capital expenditures in excess of two hundred fifty thousand dollars. Id. Additionally, under the COI, Warburg Equity IX and Wise, as the only holders of Preferred Stock, had a first claim to any equity value of Universal, a right to control whether others could own Preferred Stock, a right to receive quarterly dividends, and an optional right to elect a redemption obligation for Universal to repurchase the Preferred Stock on or after August 17, 2011, subject to Delaware law and contingent upon Universal having sufficient capital reserves to fund the requested redemption. Id. at 10. The COI

specified the formula for calculating the redemption price of the Preferred Stock.1 Id. at 11. In March 2007 Wise resigned from the Board, and two months later in May 2007, Ackerman resigned from the Board. Id. at 14. Plaintiff alleges that Dr. Desai

accused Warburg of violating its fiduciary duties in resigning from the Board because it hampered Universal’s ability to run the company. Id. Plaintiff alleges that in 2007, Warburg perceived significant problems with Universal and its operations. Id. at 15. As of September 2007, Warburg Equity IX internally valued its $29 million investment in Universal at $10 million. Id. at 16. By 2008 Warburg purportedly perceived

Universal’s performance to be highly unpredictable. Id. at 15. According to Plaintiff, in early 2008, Warburg advanced its goal to exit its investment in Universal, regardless of the impact on Universal. Id. at 14. Plaintiff alleges that by the end of 2008, Warburg’s confidence in Universal’s ability to raise capital was extremely low. Id. at 15. Warburg designated Tenno Tsai (“Tsai”) as a representative on the Universal

Board in 2007, and Tsai was replaced by Alok Sanghvi (“Sanghvi”) in 2009. Id. at 15– 16.

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