LIPPAS Representative, LLC v. ATH Holding Company, LLC

CourtCourt of Chancery of Delaware
DecidedJanuary 10, 2022
DocketC.A. No. 2020-0241-KSJM
StatusPublished

This text of LIPPAS Representative, LLC v. ATH Holding Company, LLC (LIPPAS Representative, LLC v. ATH Holding Company, LLC) is published on Counsel Stack Legal Research, covering Court of Chancery of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
LIPPAS Representative, LLC v. ATH Holding Company, LLC, (Del. Ct. App. 2022).

Opinion

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE

LPPAS REPRESENTATIVE, LLC, in ) its capacity as authorized agent and ) representative of Luis Perez, Gerardo ) Necuze, and Manuel Enriquez, ) ) Plaintiff, ) ) v. ) C.A. No. 2020-0241-KSJM ) ATH HOLDING COMPANY, LLC, ) and HIGHLAND ACQUISITION ) HOLDINGS, LLC, ) ) Defendants. )

ORDER RESOLVING CLAIM FOR FEE SHIFTING

1. As described more fully in the Memorandum Opinion dated December 29,

2020, the defendant-buyers sought indemnification for alleged breaches of the plaintiff-

sellers’ representations and warranties contained in a merger agreement.1 The buyer’s

indemnification claims were secured by an escrow fund that was designed to diminish

annually through four automatic distributions, excepting from these distributions pending

indemnification claims that reached a certain materiality threshold. The buyer’s parent

instructed the escrow agent not to release the third distribution, asserting that it had pending

indemnification claims that exceeded the materiality threshold when aggregated. The

sellers disputed this assertion and filed two actions to compel the defendants to instruct the

escrow agent to release the funds. The defendants eventually chose to release the disputed

1 See LPPAS Representative, LLC v. ATH Hldg. Co., 2020 WL 7706937, at *1 (Del. Ch. Dec. 29, 2020). Capitalized terms not defined herein shall have the meaning ascribed to them in the Memorandum Opinion. funds. The plaintiffs continued to press their claim for contractual fee shifting, and this

Order resolves that claim.

2. The transactional background is that, in November 2016, Defendant

Highland Acquisition Holdings, LLC (“Highland”) acquired two groups of Florida-based

entities, the Pasteur Entities and HealthSun Entities (collectively, the “Entities”), from their

respective sellers pursuant to the Purchase Agreement. The Entities operate as an

integrated health plan, medical center network, and pharmacy. Defendant ATH Holding

Company, LLC (“Anthem”) acquired Highland in 2017 and now owns the Entities.

3. Under the Purchase Agreement, the sellers agreed to indemnify the buyers

for losses arising from breaches or inaccuracies in the sellers’ representations or warranties.

The representations and warranties at issue are classified in the Purchase Agreement as

“Specified Health Care Representations and Warranties,” under which the sellers

represented that the Entities had complied in all material respects with certain healthcare

laws.2 As security for and a cap on these indemnification obligations, the sellers deposited

$100 million into an escrow fund, which was governed by the Escrow Agreement.3 The

Purchase Agreement incorporates the Escrow Agreement by reference.4

2 C.A. No. 2020-0241-KSJM (“Pasteur Action”) Docket (“Dkt.”) 9, Transmittal Aff. of Kelly L Freund, Esq. in Supp. of Pl.’s Mot. for Summ. J. (“Freund Aff.”) Ex. A. (Purchase Agreement) § 10.2(a). 3 Freund Aff. Ex. B (Escrow Agreement) § 2(a). 4 See Purchase Agreement Recitals at 3 (stating that the Purchase Agreement is contingent on the parties entering into the Escrow Agreement); id. § 11.16 (incorporating the recitals as material provisions); id. § 11.13 (incorporating all schedules and exhibits by reference); id. at A-19 (adopting the Escrow Agreement as a Related Agreement).

2 4. The Purchase Agreement and Escrow Agreement created a complex

contractual scheme governing indemnification and the availability of the escrow fund.

Section 10.2(a) of the Purchase Agreement established limits on indemnification and a

materiality standard. The section provided, with respect to the Specified Representations,

that “if and after the cumulative amount of Losses sustained, . . . equals or exceeds

$14,675,000 in the aggregate, then . . . all such Losses shall be deemed to have satisfied . .

. the terms ‘material,’ . . . and similar words set forth in any [Specified Representations].”5

The third sentence of Section 10.2(a) provided that “for purposes of determining whether

there has been a breach or inaccuracy” of the Specified Representations, the materiality

standard applies.6

5. Section 6 of the Escrow Agreement provided that the escrowed funds were

to be released in four tranches, one annually for four years.7 Thus, the amount of security

available for indemnifiable losses gradually decreases over time. Section 10.5 of the

Purchase Agreement provided for notice of claims for indemnification. The section

instructed that “[a]fter becoming aware of a claim for indemnification,” a party seeking

indemnification “may give notice . . . of such claim and, if known, the amount the

Indemnified Person believes it is entitled to receive.”8

5 Purchase Agreement § 10.2(a). 6 Id. 7 Escrow Agreement § 6. 8 Purchase Agreement § 10.5.

3 6. Section 4 of the Escrow Agreement required the escrow agent to hold back

any disputed amounts upon the buyer’s timely service of a properly noticed escrow claim.9

To alert the escrow agent, the buyer was empowered to deliver written notices

stating that it has made a claim for indemnification pursuant to . . . Section 10.3 of the Purchase Agreement . . . and specifying the amount of the Loss if known, and, if not known, Buyer's reasonable good faith estimate of the amount of the Loss . . . and stating in reasonable detail the nature of, and basis for, any such Claim.10

Section 10.3 of the Purchase Agreement provided that it was “[s]ubject to the provisions

set forth in this Article 10,” which included the limitations of Section 10.2(a).11

7. Anthem noticed three indemnification claims prior to the 2019 release of

funds, which were scheduled to be in the amount of up to $13 million minus pending

indemnification claims (the “Disputed Funds”).12 The first two claims were for $5.8

million in the aggregate.13 The third was for losses in connection with a DOJ investigation

for an unspecified amount, which Anthem concluded “could well exceed the materiality

standard ($14,675,000).”14 The escrow agent withheld the Disputed Funds.

9 Escrow Agreement § 4. 10 Id. 11 Purchase Agreement § 10.3 (emphasis added). 12 Escrow Agreement § 6(c). 13 See C.A. No. 2020-0443-KSJM (“HealthSun Action”) Dkt. 18, Answer ¶ 119. 14 Pasteur Action Dkt. 28, Transmittal Decl. of Sara Toscano Pursuant to 10 Del. C. § 3927 in Supp. of Defs.’ Opp’n Br. to Pl.’s Mot. for Partial Summ J. (“Toscano Decl.”) Ex. 19 (Third Indemnification Notice).

4 8. On March 26, 2020, the DOJ filed a complaint against Anthem based on its

investigation, but the complaint did not name the Entities as parties. 15 Thus, the basis for

Anthem’s third indemnification claim was eliminated, as it recognized.16

9. A representative of the Pasteur sellers (the “Pasteur Plaintiff”) filed suit

against Defendants on March 31, 2020, claiming that Defendants breached the Agreements

by withholding the Disputed Funds and seeking specific performance, declaratory relief,

and attorneys’ fees.17

10. On April 16, 2020, Anthem sent the sellers notice of a fourth indemnification

claim, which Anthem contended related back to the first indemnification claim in 2019 and

could likewise be used to block the 2019 release.18

11. A representative for the HealthSun sellers (the “HealthSun Plaintiff”) filed

its own complaint on June 5, 2020, also alleging breach of contract for refusal to release

the Disputed Funds and seeking contractual fee shifting.19

12.

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LIPPAS Representative, LLC v. ATH Holding Company, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lippas-representative-llc-v-ath-holding-company-llc-delch-2022.