# DELAWARE COUNTY EMPLOYEES RETIREMENT SYSTEM v. ADAPTHEALTH CORP. F/K/A DFB HEALTHCARE ACQUISITIONS CORP.

> District Court, E.D. Pennsylvania · June 9, 2022

URL: https://www.frixlaw.com/law-library/cases/10403470

## Case

- **Court:** District Court, E.D. Pennsylvania
- **Decided:** June 9, 2022
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

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## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA

DELAWARE COUNTY EMPLOYEES : CIVIL ACTION
RETIREMENT SYSTEM, et al. :
:
v. :
:
ADAPTHEALTH CORP. f/k/a DFB : NO. 21-3382
HEALTHCARE ACQUISITIONS CORP., :
et al. :

MEMORANDUM

Bartle, J. June 9, 2022

Plaintiffs Delaware County Employees Retirement System
and Bucks County Employees’ Retirement System bring this
putative class action against defendant AdaptHealth Corp. and
its individual corporate defendants1 pursuant to the Securities
Act of 1933, 15 U.S.C. §§ 77a, et seq. (“Securities Act”), and
the Securities Exchange Act of 1934, 15 U.S.C. §§ 78a, et seq.
(“Exchange Act”). This action was filed on behalf of all
persons who purchased or acquired AdaptHealth securities between
the proposed class period of November 8, 2019 and July 16, 2021.
Before the court is the motion of defendants to
dismiss the amended complaint pursuant to Rules 8, 9(b), and
12(b)(6) of the Federal Rules of Civil Procedure as well as

1. The individual defendants named in the amended complaint
are Luke McGee, Stephen P. Griggs, Jason Clemens, Frank J.
Mullen, Richard Barasch, Joshua Parnes, Alan Quasha, Terence
Connors, Dr. Susan Weaver, Dale Wolf, Bradley Coppens, and David
S. Williams III.
under the Private Securities Litigation Reform Act (“PSLRA”),
15 U.S.C. § 78u-4.
I
When considering a motion to dismiss for failure to
state a claim under Rule 12(b)(6), the court must accept as true
all well-pleaded factual allegations in the complaint and draw

all reasonable inferences in the light most favorable to the
plaintiffs. See Phillips v. Cty. of Allegheny, 515 F.3d 224,
233 (3d Cir. 2008); Umland v. PLANCO Fin. Servs., Inc., 542 F.3d
59, 64 (3d Cir. 2008).
On a motion to dismiss under Rule 12(b)(6), the court
may consider “allegations contained in the complaint, exhibits
attached to the complaint and matters of public record.”
Pension Benefit Guar. Corp. v. White Consol. Indus., Inc.,
998 F.2d 1192, 1196 (3d Cir. 1993) (citing 5A Charles Allen
Wright & Arthur R. Miller, Federal Practice and Procedure § 1357
(2d ed. 1990)). The court may also consider “matters

incorporated by reference or integral to the claim, items
subject to judicial notice, matters of public record, orders,
[and] items appearing in the record of the case.” Buck v.
Hampton Twp. Sch. Dist., 452 F.3d 256, 260 (3d Cir. 2006)
(citing 5B Charles Allen Wright & Arthur R. Miller, Federal
Practice and Procedure § 1357 (3d ed. 2004)).
Rule 8 requires that a pleading contain “a short and
plain statement of the claim showing that the pleader is
entitled to relief.” Fed. R. Civ. P. 8(a)(2). As the Supreme
Court has explained, a complaint need not include “detailed
factual allegations,” but it must state “more than labels and
conclusions” and must provide factual allegations “enough to

raise a right to belief above the speculative level.” Bell
Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007). Plaintiffs
must “nudge[] their claims across the line from conceivable to
plausible.” Id. at 570.
A plaintiff in a securities fraud action must satisfy
the heightened pleading standards of the PSLRA, 15 U.S.C.
§ 78u-4. The plaintiff must “specify each statement alleged to
have been misleading, the reason or reasons why the statement is
misleading, and, if an allegation . . . is made on information
and belief . . . state with particularity all facts on which
that belief is formed.” 15 U.S.C. § 78u-4(b)(1). The complaint

must also “state with particularity facts giving rise to a
strong inference that the defendant acted with the required
state of mind.” 15 U.S.C. § 78u-4(b)(2)(A). These provisions
require particularity similar to Rule 9 of the Federal Rules of
Civil Procedure for claims based on fraud or mistake. As with
Rule 9, for those allegations made on information and belief,
“the complaint must not only state the allegations with factual
particularity, but must also describe the sources of information
with particularity, providing the who, what, when, where and how
of the sources, as well as the who, what, when, where and how of
the information those sources convey.” Institutional Inv’rs
Grp. v. Avaya, Inc., 564 F.3d 242, 253 (3d Cir. 2009).
To do so, the court must examine the complaint as well

as any other documents incorporated by reference of which the
court can take judicial notice. City of Edinburgh Council v.
Pfizer, Inc., 754 F.3d 159, 166 (3d Cir. 2014).
II
For present purposes, the court accepts as true the
following allegations set forth in the amended complaint.
AdaptHealth is a home medical equipment business. Plaintiffs
acquired AdaptHealth shares during the proposed class period of
November 8, 2019 through July 16, 2021. Plaintiffs claim they
acquired these shares at artificially inflated prices, including
in a secondary offering in January 2021, due to the violations

by defendants of federal securities laws.
Defendant Luke McGee was the Chief Executive Officer
(“CEO”) and later co-CEO of AdapthHealth until he was removed
from office in June 2021. Defendant Stephen Griggs served as
co-CEO from February 2021 through June 2021 and now serves as
the sole CEO subsequent to McGee’s removal. Defendant Jason
Clemens has been Chief Financial Officer (“CFO”) since August
2020. Defendant Frank Mullen was the Chief Accounting Officer
(“CAO”) in December 2020. Defendant Richard Barasch was
Chairman and member of the Board of Directors in December 2020
while defendant Joshua Parnes was President and a member of the
Board of Directors in December 2020. Defendants Alan Quasha,
Terence Connors, Dr. Susan Weaver, Dale Wolf, Bradley Coppens,

and David S. Williams III were also Directors in 2020.
On July 8, 2019, DFB Healthcare Acquisitions Corp.
(“DFB”) announced that it had entered into an agreement to merge
with AdaptHealth.2 Following its merger with DFB, AdaptHealth
began publicly trading on November 8, 2019.
Prior to its merger, AdaptHealth had acquired at least
fifty-nine businesses between 2012 and 2019 under the direction
of defendant Luke McGee, its CEO. In the three years prior to
its merger with DFB, AdaptHealth had increased its revenue 200%,
although projected revenue from organic growth was 6% to 8% each
year. Organic growth relates to revenue growth from the

company’s existing businesses rather than revenue gained from
acquiring new businesses.

2. DFB, according to the Securities Exchange Commission, is a
“special purpose acquisition company” (“SPAC”) to acquire a
healthcare business. SPACs do not go public through a
traditional public offering but instead rely on a management
team to acquire or combine with an operating company, otherwise
known as an “initial business combination.” The combined
company is then publicly traded.
In a press release announcing the merger, DFB
highlighted AdaptHealth’s impressive organic growth revenue as
the key driver for the merger along with AdaptHealth’s “seasoned
team of industry and financial professionals, including . . .
McGee” as well as the president and CFO. The press release went
on to state that AdaptHealth “believes it can add approximately

$100 million of acquired revenue each year” and specifically
credited McGee with building “one of the industry’s leading
[home medical equipment] providers” through capital deployment,
customer engagement, and an effective operating model. It also
explained that following the merger, AdaptHealth would “continue
to focus on increasing net revenue and profitability, both
organically and via accretive acquisitions.”
In addition, on its Forms 10-Q filed with the
Securities Exchange Commission (“SEC”) throughout 2020,
AdaptHealth stated that its “ability to successfully operate our
business is largely dependent upon the efforts of certain key

personnel of AdaptHealth, including the key personnel of
AdaptHealth who have stayed with us following the Business
Combination. The loss of such key personnel would negatively
impact our operations and financial results.”
Plaintiffs in their amended complaint allege two
grounds for violations of federal securities law by AdaptHealth
and its officers and Directors. One is based on the undisclosed
fact that McGee was the subject of criminal investigations and
civil lawsuits. The other relates to how AdaptHealth reported
its revenue and growth to investors.
A. McGee Investigations
At the time that AdaptHealth was merging with DFB,
McGee was under investigation by the Danish authorities for a

major tax scheme that defrauded Denmark and other European
countries of billions of dollars. The scheme involved pension
funds that submitted fraudulent applications for tax refunds to
the Danish SKAT, the equivalent of the United States Internal
Revenue Service. McGee owned North Channel Bank, a German
entity, which agreed to pay a criminal fine of 110 million
Danish Kroner in September 2019 for faking trades in exchange
for tax reimbursements. Earlier, in May 2019, McGee had
personally agreed to a settlement with the Danish authorities to
repay 1.55 billion Danish Kroner in proceeds that he and two
others had received from the tax scheme.

Then on November 19, 2019, the Kingdom of Denmark
filed suit in the United States District Court for the Southern
District of New York against hundreds of entities including
2321 Capital Pension Plan (“2321 Capital”) and Lion Advisory
Inc. Pension Plan (“Lion Advisory”), both of which are owned and
controlled by McGee. This suit sought recovery of $120 million,
close to $20 million of which was tied to 2321 Capital and Lion
Advisory. While McGee was not personally named in this action,
2321 Capital was identified as involving a “sole participant”
with a listed address in New York associated in public records
with McGee. Lion Advisory was also listed with an address in
New York associated in public records with McGee. In addition,
on a Form 8-K that AdaptHealth filed with the SEC on November

14, 2019, 2321 Capital is identified as the entity through which
McGee held shares of AdaptHealth. McGee signed the Form 8-K on
behalf of 2321 Capital.
Meanwhile, in December 2020, the Board of Directors of
AdaptHealth agreed to acquire AeroCare, its largest acquisition
yet. On January 5, 2021, AdaptHealth conducted a secondary
offering and issued 7.25 million shares to the public at $33 a
share. As part of that offering, the prospectus dated
January 4, 2021 touted the management experience at the company
as a “meaningful differentiator relative to our competitors.”
The prospectus also announced that at the close of the AeroCare

acquisition AeroCare’s CEO, Stephen Griggs, a defendant here,
would join McGee as co-CEO of AdaptHealth. This acquisition was
completed on February 1, 2021 after which McGee and Griggs
became co-CEOs of AdaptHealth.
On April 13, 2021, AdaptHealth announced in a press
release that it had put McGee on unpaid leave as co-CEO and a
Director of AdaptHealth after learning that “authorities in
Denmark have formally charged Co-Chief Executive Officer Luke
McGee with alleged tax fraud arising from certain past private
activity.” It stated that the personal conduct occurred between
March 2014 and August 2015 and that this conduct “had no
connection to AdaptHealth’s business.”
That day AdaptHealth’s stock dropped 19.7%, or about

$7.30 per share. Various analysts expressed concern, including
Deutsche Bank which viewed the combination of McGee as CEO and
Parnes as President as “one of the best parts about
[AdaptHealth].” Deutsche Bank described McGee as the “face of
[AdaptHealth]” and a “visionary” with Parnes as the one who
“executes the vision.”
On June 22, 2021, McGee sold 17% of his holdings in
AdaptHealth back to the company for $21.4 million in cash. This
was in addition to the 25.4% of his holdings he sold back to
AdaptHealth in December 2020 for $38.5 million in cash.
B. Growth Revenue Reporting

During the class period beginning on November 8, 2019
through the fourth quarter of 2020, AdaptHealth had reported its
revenue growth by distinguishing between revenue from recent
acquisitions and “organic revenue growth.” This organic revenue
growth was tied to AdaptHealth’s existing businesses and
excluded revenue growth from recent acquisitions.
AdaptHealth continuously promoted its successful
strategy of growing “organically and through accretive
acquisitions.” However, it described organic growth as the most
important metric. At a presentation to investors in August
2020, McGee, speaking on behalf of AdaptHealth, credited
AdaptHealth’s impressive acquisition revenue but stated that “we

all know that organic growth is more valuable.”
AdaptHealth consistently differentiated between
internal, that is organic growth, and external, that is
inorganic growth from recent acquisitions, on quarterly calls to
investors, including at the 2019 fourth quarter call in February
2020 and the 2020 first quarter call in July 2020. This changed
for the 2020 fourth quarter earnings. In the March 4, 2021
release of its earnings report, AdaptHealth used what it called
“pro forma net revenue growth.” According to AdaptHealth, it
measured revenue growth “as if acquired companies were owned by
the Company” in the prior year. This metric incorporated

revenue from newly acquired businesses rather than separating
that revenue out from organic growth.
In the AdaptHealth presentation accompanying the 2020
fourth quarter call with investors, there was a slide entitled
“Consistent Strength in Year-on-Year Organic Revenue Growth.”
Included on that slide was the “Year-on-Year Pro Forma Growth”
and “2020 Pro Forma Growth by Quarter.” An asterisk in small
print on this slide included the calculation for “pro forma”
which it explained as: “current period net revenue plus current
period acquisition revenue divided by prior period net revenue
plus prior period acquisition revenue.” AdaptHealth did not
explain that this was a change from its prior revenue reporting.
Instead, on the call defendant Clemens, the CFO, expressed faith

in the company’s organic growth, specifically that they “feel
rock-solid about our organic growth” and cited statistics of
that growth compared to the same quarter in 2019.
In this slide presentation on the 2020 fourth quarter
call with investors, AdaptHealth retroactively also changed its
prior organic revenue growth figures which resulted in increased
growth for each quarter compared to what had been reported on
earlier quarterly calls. AdaptHealth continued to use this new
pro forma net revenue growth formula without further
explanation. Investors could not verify revenue growth that was
organic compared to growth that was acquired.

For instance, on the 2021 first quarter earnings call
on May 6, 2021, defendant Griggs, the co-CEO, stated that
“[d]espite the ongoing effects of the pandemic on certain
product lines, we’re very pleased with our organic growth rate
of 11.5%” and that the company “feel[s] confident that the
balance of 2021 will meet our organic growth expectations.” The
slides accompanying the call included year-on-year pro forma
growth and pro forma growth by quarter with a tiny asterisk
noting the formula for calculating this organic growth which
included acquisition revenue.
On July 19, 2021, Jehoshaphat Research released a
report claiming that AdaptHealth’s true organic growth was
negative for the first six months of 2021 contrary to what the

company had disclosed. Instead, the report claimed that
AdaptHealth was experiencing double-digit organic decline.
Following the report, the stock price fell another 5.93% by
$1.51 per share to close the day at $23.96 a share.
On the 2021 second quarter earnings call with
investors on August 5, 2021, AdaptHealth acknowledged that it
has now increased its disclosures with public filings, including
a Form 10-Q with the SEC in which it revealed that organic
revenue growth as previously calculated was negative for the
first six months of 2021 and that its increase in revenue was
primarily driven by acquisition revenue. It then reverted to

its previous way of reporting organic growth in its filings with
the SEC. In the slides released accompanying the 2021 third
quarter investor call, AdaptHealth once again broke out
acquisition revenue from its overall revenue.
III
Plaintiffs first bring a claim under § 10(b) of the
Exchange Act, 15 U.S.C. § 78j, against AdaptHealth and its
officers. That statute provides:
It shall be unlawful for any person,
directly or indirectly . . . (b) To use or
employ, in connection with the purchase or
sale of any security registered on a
national securities exchange or any security
not so registered . . . any manipulative or
deceptive device or contrivance in
contravention of such rules and regulations
as the Commission may prescribe as necessary
or appropriate in the public interest or for
the protection of investors.

15 U.S.C. § 78j.
Rule 10b-5 of the SEC implements this provision by
making it unlawful “[t]o make any untrue statement of a material
fact or to omit to state a material fact necessary in order to
make the statements made, in the light of the circumstances
under which they were made, not misleading.” 17 C.F.R.
§ 240.10b-5(b); see City of Edinburgh, 754 F.3d at 167.
Our Court of Appeals has explained that to state a
claim for securities fraud, “plaintiffs must allege (1) a
material misrepresentation or omission, (2) scienter, (3) a
connection between the misrepresentation or omission and the
purchase or sale of a security, (4) reliance upon the
misrepresentation or omission, (5) economic loss, and (6) loss
causation.” City of Edinburgh, 754 F.3d at 167. As previously
stated, these allegations must be pleaded with particularity to
satisfy the PSLRA. See 15 U.S.C. § 78u-4.
A. McGee Investigations
Plaintiffs first claim that defendant made a material
misstatement or omission by not disclosing to investors or the
SEC from the time the press release announced the merger between

DFB and AdaptHealth on November 8, 2019 through the press
release announcing that McGee was being place on leave on April
13, 2021 that McGee was the subject of a criminal investigation
by the Danish authorities and was implicated in a civil suit in
the Southern District of New York relating to a
multi-billion-dollar tax fraud scheme. To hold defendants
liable for this omission, defendants must have had a duty to
disclose the omitted information. “A duty to disclose under
federal securities laws may arise when a statute requires
disclosure, insider trading occurs, or there is an inaccurate,
incomplete, or misleading prior disclosure.” City of Edinburgh,

754 F.3d at 173-74.
Section 10(b), as well as the accompanying SEC Rule
10b-5, does not create an affirmative duty to disclose all
relevant information. See id. at 174. Defendants therefore
need only disclose omitted information if necessary “to make
. . . statements made, in the light of the circumstances under
which they were made, not misleading.” Id. (quoting 17 C.F.R.
§ 240.10b-5). “Silence, absent a duty to disclose, is not
misleading under Rule 10b-5.” Id. (quoting Basic Inc. v.
Levinson, 485 U.S. 224, 239 n.17 (1988)).
When AdaptHealth and DFB merged, the accompanying
press release specifically named McGee as one of the reasons for
the merger and as part of the “seasoned team of industry and

financial professionals.” The press release also credited McGee
with building one of the industry’s leading providers.
AdaptHealth consistently filed its Forms 10-Q with the SEC
citing its successful operations as being “largely dependent
upon the efforts of certain key personnel of AdaptHealth” and
explaining that “the loss of such key personnel would negatively
impact our operations and financial results.”
As part of its secondary offering in January 2021,
AdaptHealth cited its experienced management, led by McGee, as a
“meaningful differentiator.” Other references highlighted McGee
as the key to the company’s success. These laudatory statements

about McGee triggered a duty to disclose any fact which would
make them not misleading. See e.g., Teamsters Local 456 Pension
Fund v. Universal Health Servs., 396 F. Supp. 3d 413, 456-58
(E.D. Pa. 2019); see also Noto v. 22nd Century Grp., Inc., __ F.
4th __, 2022 WL 1633827, at *6 (2d Cir. May 24, 2022).
McGee was under investigation by the Danish
authorities as early as spring 2019 when he agreed to repay 1.55
billion Danish Kroner. His company, 2321 Capital, through which
he owned shares in AdaptHealth, was sued in a civil lawsuit in
the Southern District of New York in November 2019. Yet it was
not until April 2021 that AdaptHealth announced McGee’s
involvement in these actions and investigations to investors.
McGee’s ties to a major tax fraud scheme and his potential

criminal and civil liability made AdaptHealth’s previous
statements about how integral he was to the company misleading
as they did not disclose that his future at the company was in
jeopardy.
The omissions, to be actionable, must be material.
“Materiality may be found when certain information, if
disclosed, ‘would have been viewed by the reasonable investor as
having significantly altered the total mix of information
available to that investor.’” Fan v. StoneMor Partners LP, 927
F.3d 710, 716 (3d Cir. 2019). An omission is material if there
“is a substantial likelihood that a reasonable shareholder would

consider [an omitted fact] important in deciding how to
proceed.” Weiner v. Quaker Oats Co., 129 F.3d 310, 316 (3d Cir.
1997).
The question of materiality typically relates to a
mixed question of law and fact which makes it “peculiarly for
the trier of fact.” Id. at 317. Our Court of Appeals has
cautioned that “only if the alleged misrepresentations or
omissions are so obviously unimportant to an investor that
reasonable minds cannot differ on the question of materiality is
it appropriate for the district court to rule that the
allegations are inactionable as a matter of law.” Id.
This court cannot say as a matter of law that McGee’s
alleged criminal and civil involvement in tax fraud would be

obviously unimportant to a reasonable investor. While the court
acknowledges that the investigation involved McGee personally
and entities which he controlled rather than AdaptHealth itself,
it did involve a key officer of AdaptHealth and allegedly
fraudulent conduct. The investigation and litigation are
closely enough related to AdaptHealth that a jury could
reasonably determine that a reasonable investor would want to
know this information. The question of materiality must
therefore be left to the jury as the trier of fact.
Plaintiffs must also plead facts that show defendants
made a material misstatement or omission with scienter. See

Institutional Inv’rs Grp., 564 F.3d at 251. “Scienter is a
‘mental state embracing intent to deceive, manipulate, or
defraud,’ . . . and requires a knowing or reckless state of
mind.” Id. at 252. As noted above, the complaint must “state
with particularity facts giving rise to a strong inference that
the defendant acted with the required state of mind.” Id. at
253 (quoting 15 U.S.C. § 78u-4(b)(2)).
It is not enough for a corporation and its officers to
have a financial interest in the transaction to raise an
inference of scienter. Globis Capital Partners, LP v. Stonepath
Grp., Inc., 241 F. App’x 832, 836 (3d Cir. 2007). Scienter,
however, “may be established by showing that the defendant
intended to mislead investors or that the defendant acted

recklessly in the face of a danger of misleading investors.”
Teamsters Local 456, 396 F. Supp. 3d at 465. In determining
whether there is a strong inference of scienter, the court on a
motion to dismiss is obliged to look to the totality of the
circumstances and “weigh the ‘plausible nonculpable explanations
for the defendant’s conduct’ against the ‘inferences favoring
the plaintiff.’” Institutional Inv’rs Grp., 564 F.3d at 267.
Plaintiffs have pleaded that McGee knew of the
criminal investigation into his companies and the civil suits
against him. Plaintiffs allege McGee was personally involved in
an agreement in May 2019 to pay back 1.55 billion Danish Kroner

to Danish tax authorities as well as a criminal fine of
110 million Danish Kroner against his bank, North Channel Bank,
in the fall of 2019. As early as February 2020, McGee would
have known of the civil suit in the Southern District of New
York against his companies, 2321 Capital and Lion Advisory, when
he was served with the complaint.
Furthermore, during this time AdaptHealth had a
secondary offering in January 2021. In the prospectus for this
secondary offering, it described its experienced management, led
by McGee as CEO, as a “meaningful differentiator relative to
[their] competitors.” Thus, AdaptHealth continued to sell stock
to investors touting McGee’s experience without disclosing until

April 2021 that he was involved in an allegedly fraudulent
scheme. The complaint pleads sufficient facts to allow a jury
to decide whether defendants knowingly intended to mislead
investors or recklessly failed to inform investors about the
claims against McGee.
Defendants do not argue that plaintiffs have failed to
plead “a connection between the misrepresentation or omission
and the purchase or sale of a security” or that they have failed
to plead their “reliance upon the misrepresentation or
omission.” See City of Edinburgh Council, 754 F.3d at 167. Nor
do they argue that plaintiffs have failed to plead economic

loss. Id.
Defendants do assert, however, that plaintiffs have
failed adequately to plead loss causation and seek dismissal of
the complaint accordingly. As the Supreme Court has explained,
“[a] private plaintiff who claims securities fraud must prove
that the defendant’s fraud caused an economic loss.” Dura
Pharm., Inc. v. Broudo, 544 U.S. 336, 338 (2005). The alleged
misrepresentations must be the proximate cause of the economic
loss. Id. at 346. As the PSLRA made clear, Congress intended
to permit private securities fraud actions “where, but only
where, plaintiffs adequately allege and prove the traditional
elements of causation and loss.” Id.
Plaintiffs need not plead loss causation with

particularity. Id. A short and plain statement showing that
they are entitled to relief that will satisfy Rule 8 standards
will suffice. Id. While the burden on plaintiffs to plead loss
causation is not great, plaintiffs still must plead “some
indication of the loss and the causal connection” to put
defendants on notice of such loss. Id. at 347.
Our Court of Appeals has explained that “where the
claimed loss involves the purchase of a security at a price that
is inflated due to an alleged misrepresentation, there is a
sufficient causal nexus between the loss and the alleged
misrepresentation to satisfy the loss causation requirement.”

Semerenko v. Cendent Corp., 223 F.3d 165, 184 (3d Cir. 2000).
There must be an actual decline in the value of the security as
a result of the alleged misrepresentation. Id. at 185.
“Whether the plaintiff has proven causation is usually reserved
for the trier of fact.” EP Medsystems, Inc. v. EchoCath, Inc.,
235 F.3d 865, 884 (3d Cir. 2000).
Plaintiffs plead that the day AdaptHealth issued its
press release on April 13, 2021 stating that it was putting
McGee on unpaid leave as co-CEO and Director of AdaptHealth due
to charges brought by the Danish authorities for tax fraud the
stock of AdaptHealth dropped by 19.7%, or about $7.30 per share.
Plaintiffs further allege that this drop in stock price caused

them substantial damage. The drop in stock price came on the
same day that defendants corrected their previous omission in
not disclosing McGee’s involvement in the scheme. This is
sufficient to aver loss causation.
Defendants in addition argue that the action should be
dismissed because they are protected by the PSLRA’s safe harbor
provision. The PSLRA “immunizes from liability any
forward-looking statement, provided that: the statement is
identified as such and accompanied by meaningful cautionary
language; or is immaterial; or the plaintiff fails to show the
statement was made with actual knowledge or falsehood.”

Institutional Inv’rs Grp., 564 F.3d at 254; see also 15 U.S.C.
§ 78u-5(c). This cautionary language must be extensive and
specific, not vague boilerplate language. Id. at 256.
“Forward-looking statements” include statements projecting
amounts such as revenue, income, earnings, and dividends.
15 U.S.C. § 78u-5(i)(1)(A). These statements also include
“plans and objectives of management for future operations” and
statements “of future economic performance.” 15 U.S.C.
§ 78u-5(i)(1)(B)-(C).
There is no safe harbor protection for mixed present
and future statements for the portion of the statement that is
about the present. Id. at 255. In addition, “[a] statement or
omission must have been misleading when it was made.” SEB Inv.

Mgmt. AB v. Endo Int’l, PLC, 351 F. Supp. 3d 874, 894 (E.D. Pa.
2018). “[A]llegations of misrepresentation or omissions cannot
be based on hindsight or subsequent events.” Id. “However,
once a company has chosen to speak on an issue, even one it had
no independent obligation to discuss, it cannot omit material
facts related to that issue.” Id. at 897.
Plaintiffs bring this securities fraud action based,
in part, on AdaptHealth’s omission that McGee was being sued and
criminally investigated for a major tax fraud scheme all while
touting McGee’s experience and key role in the company as a
reason for the company’s success. For example, AdaptHealth’s

statements that its success is “largely dependent upon the
efforts of key personnel,” that McGee built the company into an
industry-leader, and that his experience is a “meaningful
differentiator” from AdaptHealth’s competitors are not
forward-looking statements. These statements therefore do not
qualify for safe harbor protection under the PSLRA.
B. Growth Revenue Reporting
Plaintiffs also allege that defendants made a material
misrepresentation when they changed the way it reported its
growth revenue without making that change clear to investors.
Prior to the fourth quarter of 2020, AdaptHealth reported its
revenue from acquisitions as distinct from its “organic revenue

growth.” Investors, therefore, knew how much revenue was being
driven by organic growth and how much revenue was based on
acquisitions the company had made.
For the fourth quarter 2020 earnings which AdaptHealth
released in a report and discussed on a call with investors with
accompanying slides, AdaptHealth stated its “pro forma net
revenue growth.” In small print at the bottom of the slide
presentation, AdaptHealth defined “pro forma net revenue growth”
as “current period net revenue plus current period acquisition
revenue divided by prior period net revenue plus prior period
acquisition revenue.” It did not break out the growth from

acquisitions from the organic growth in the slides or report.
Plaintiffs claim that this was a material
misrepresentation and omission because it misled investors on
the actual organic growth trend by reporting growth in a new way
without making that change clear to investors, all while organic
revenue growth, that is revenue not from acquisitions, was
declining. This change also provided no way for investors to
evaluate growth that was not based on revenue from acquisitions,
since those values were no longer broken out in the report or on
the slides.
As previously stated, Rule 10b-5 makes it unlawful to
omit a material fact necessary to make statements not
misleading. 17 C.F.R. § 240.10b-5. Plaintiffs must plead the

material misstatement or omission with particularity. In
addition, defendants must have a duty to disclose the omitted
information which can derive from a statutory duty or from an
“inaccurate, incomplete, or misleading prior disclosure.” City
of Edinburgh, 754 F.3d at 173-74.
Plaintiffs have extensively pleaded with particularity
its allegations regarding defendants’ misleading omissions and
misrepresentations. Plaintiffs include quotations from officers
of AdaptHealth discussing growth revenue on calls and at
presentations to investors. They point to what percentage of
growth was reported and how it was reported prior to the fourth

quarter of 2020, what changed for the fourth quarter of 2020,
and what changed again after the Jehoshaphat Report was released
in mid-2021. Plaintiffs describe how this was misleading to
investors and the ways it obscured evaluations of growth that
was not tied to acquisitions. They have sufficiently alleged
the “who, what, where and how of the sources, as well as the
who, what, when, where and how of the information those sources
convey.” Institutional Inv’rs Grp., 564 F.3d at 253.
Plaintiffs have sufficiently pleaded that defendants
made misleading disclosures when they reported growth as “pro
forma net revenue growth” for the 2020 fourth quarter without
breaking the growth out by organic growth as compared to

acquisition growth. They therefore had a duty to disclose the
omitted information. Defendants counter that they disclosed the
calculation for “pro forma net revenue growth” on the investor
presentation slides accompanying the 2020 fourth quarter
earnings call. The use of an asterisk to the growth reporting
and written in small font at the bottom of the slide did not
fulfill defendants’ duty as a matter of law to disclose omitted
information to make its disclosures not misleading.
Plaintiffs must also allege that the
misrepresentations or omissions were material so that a
reasonable investor would view the information as “having

significantly altered the total mix of information available to
that investor.” Fan, 927 F.3d at 716. Plaintiffs assert that
defendants themselves touted the strong organic growth of the
country to investors. At a presentation to investors in August
2020, McGee stated that, while AdaptHealth had impressive
acquisition revenue, “we all know that organic growth is more
valuable.” On the 2020 fourth quarter call with investors on
March 4, 2021, Clemens, the CFO, stated that he feels
“rock-solid” about AdaptHealth’s organic growth and compared the
current organic growth to previous organic growth metrics.
Clearly organic growth as distinct from acquisition revenue was
an important metric to the company.
There is nothing so obviously unimportant about

omissions pertaining to how the company was growing and derived
its revenue that this court can determine as a matter of law
that a reasonable investor would not want to know that
information. See Weiner, 129 F.3d at 317. The court will
therefore leave to the jury to determine whether this
information was material.
Plaintiffs must also have sufficiently pleaded with
particularity “facts giving rise to a strong inference that
defendant acted with the required state of mind” to plead the
element of scienter. See Institutional Inv’rs Grp., 564 F.3d at
253. Scienter requires either a knowing or reckless state of

mind. Id. at 252.
Plaintiffs have alleged that defendants reported
revenue from acquisitions as distinct from organic growth in its
reports to investors and disclosures to the SEC prior to the
2020 fourth quarter. It then reported what it called “pro forma
net revenue growth” which failed to break out the amount of
revenue from acquisition growth as compared to non-acquisition
growth. Moreover, the formula to calculate this growth, again
without separating out acquisition revenue, was in small print
at the bottom of the slide presentation. Investors had no way
to evaluate the company’s organic growth, something McGee
himself had noted was “more valuable” than growth from
acquisitions. On an earnings call for the 2020 fourth quarter,

Clemens stated that the company feels “rock-solid” about its
organic growth.
Meanwhile, plaintiffs plead that the company’s actual
organic growth was negative for the beginning of 2021. It was
not until an outsider report released in July 2021 reported that
the company’s organic growth had actually been declining did
AdaptHealth revert to breaking out acquisition revenue in the
2021 third quarter.
In summary, plaintiffs have sufficiently pleaded with
particularity facts showing that defendants either intended to
mislead investors by changing how it reported its growth and

only reporting it in small print in a footnote or that
defendants acted recklessly by doing so in the face of danger of
misleading investors.
Defendants again do not challenge the connection
between this misrepresentation to the purchase of a security or
plaintiffs’ reliance or economic loss. Defendants do argue that
plaintiffs have failed adequately to plead loss causation.
Plaintiffs state in the amended complaint that on the
day that the Jehoshaphat Research report was released stating
that AdaptHealth’s organic growth was in decline over the first
six months of 2021 the stock price fell 5.93%. This reported
decline was in contrast to the revenue growth that AdaptHealth
had been reporting for the first two quarters of 2021 when it

did not break out revenue growth from acquisitions as compared
to organic growth. The disclosure of the organic growth
information occurred on the same day that the stock price
dropped by 5.93%. Plaintiffs have satisfied their burden to
plead loss causation pursuant to Rule 8. They do not have a
heightened pleading standard here. See Broudo, 544 U.S. at 346.
Defendants’ statements with respect to its organic
growth are also not protected by the safe harbor provision of
the PSLRA because they are present, not forward-looking,
statements. The statements which form the basis of plaintiffs’
claim of a material misrepresentation or omission concern the

reporting of revenue to investors and the SEC for the 2020
fourth quarter and first two quarters of 2021 and the way that
revenue was reported. These reports were on revenue for past
quarters, not projections for the future.
In support of plaintiffs’ claim, they cite McGee’s
assertion that “we all know that organic growth is more
valuable.” This is not forward-looking. They also cite
Clemens’s claim that he feels “rock-solid” about the company’s
organic growth that it reported as compared to previous years’
organic growth. This reflects his opinion on the current state
of growth as compared to past growth and is again not
forward-looking. Thus, the safe harbor provision does not
apply.

Plaintiffs have therefore sufficiently pleaded the
elements to state a claim for securities fraud pursuant to
§ 10(b) of the Exchange Act, 15 U.S.C. § 78j(b). The motion of
defendants to dismiss Count I of the amended complaint will be
denied.
IV
Plaintiffs bring Count II against the officer
defendants under § 20(a) of the Exchange Act, 15 U.S.C. § 78t.
This section provides:
Every person who, directly or indirectly,
controls any person liable under any
provision of this chapter or of any rule or
regulation thereunder shall also be liable
jointly and severally with and to the same
extent as such controlled person to any
person to whom such controlled person is
liable . . . unless the controlling person
acted in good faith and did not directly or
indirectly induce the act or acts
constituting the violation or cause of
action.

15 U.S.C. § 78t(a). A “controlled person” includes a
corporation. City of Edinburgh, 754 F.3d at 177. Plaintiffs in
a private security fraud action must first allege a predicate
violation before bringing a claim for joint and several
liability against individuals who exercise control over the
corporation pursuant to § 20(a). Id. Our Court of Appeals has
explained that in enacting § 20(a), “Congress intended liability
to be based on something besides control. That something is

culpable participation.” Rochez Bros., Inc. v. Rhodes, 527 F.2d
880, 885 (3d Cir. 1975).
As plaintiffs have sufficiently pleaded a claim for
relief under § 10(b) against AdaptHealth, and § 20(a) is a
derivative claim of § 10(b), plaintiffs have sufficiently
pleaded a claim for joint and several liability under § 20(a)
against the officer defendants who control the corporation.
Plaintiffs bring this claim against the officer defendants who
managed AdaptHealth and were responsible for disseminating the
company’s financial information to investors but in doing so
left out critical information about the change in growth formula

and allegations of major tax fraud against McGee. This is
enough to plead culpable participation at this stage. The
motion of defendants to dismiss Count II will be denied.
V
Plaintiffs next bring Count III against AdaptHealth
and the Director defendants for violation of § 11 of the
Securities Act, 15 U.S.C. § 77k. This statute permits a private
cause of action against “every person who signed the
registration statement” if “any part of the registration
statement, when such part became effective, contained an untrue
statement of a material fact or omitted to state a material fact
required to be stated therein or necessary to make the
statements therein not misleading.” 15 U.S.C. § 77k(a). The

Securities Act “protects investors by ensuring that companies
issuing securities . . . make a ‘full and fair disclosure of
information’ relevant to a public offering’” including by filing
a registration statement with the SEC. Omnicare, Inc. v.
Laborers Dist. Council Constr. Indus. Pension Fund, 575 U.S.
175, 178 (2015). The Supreme Court has explained that § 11
“creates two ways to hold issuers liable for the contents of a
registration statement – one focusing on what the statement says
and the other on what it leaves out. Either way, the buyer need
not prove . . . that the defendant acted with any intent to
deceive or defraud.” Id. at 179.

There must also be a “duty to disclose the material
fact such that its omission made the statement misleading.” In
re Adams Golf, Inc. Sec. Litig., 381 F.3d 267, 277 (3d Cir.
2004). “[W]hether a statement is ‘misleading’ depends on the
perspective of a reasonable investor: The inquiry (like the one
into materiality) is objective.” Omnicare, 575 U.S. at 186-87.
To determine whether the issuer of a security gave an opinion
that is misleading because it omitted facts depends on the
context. Id. at 190. “The reasonable investor understands a
statement of opinion in its full context, and § 11 creates
liability only for the omission of material facts that cannot be
squared with such a fair reading.” Id. at 190-91.
The Supreme Court pointed out that “Congress adopted

§ 11 to ensure that issuers ‘tell[] the whole truth’ to
investors” so that they do not say one thing and hold back
another. Id. at 192. Plaintiffs cannot simply plead that an
issuer’s opinion was wrong. They must also identify particular
facts that were omitted from the registration statement and that
made the statement misleading or that would “call into question
the issuer’s basis for offering the opinion.” Id. at 194-95.
In addition, unlike an action brought under the
Exchange Act, plaintiffs in an action brought pursuant to the
Securities Act “do not bear the burden of proving causation.”
In re Adams Golf, 381 F.3d at 277.

Plaintiffs allege that the registration statement
filed with the SEC in preparation for the secondary offering was
misleading because it omitted material facts about McGee’s
involvement with both a criminal investigation and civil lawsuit
regarding an alleged major tax fraud scheme. As previously
discussed, defendants omitted crucial details about the CEO of
the company being under criminal investigation for a
multi-billion-dollar tax fraud scheme and a civil lawsuit
against two companies he owns, one of which is the entity
through which he owns shares in AdaptHealth. This omission is
sufficient for a jury to find that AdaptHealth made materially
misleading statements touting the company’s leadership and
experience as crucial to its success.

Plaintiffs did not just plead that the registration
was wrong. They provided ample facts as to what the
registration statement left out regarding McGee’s alleged
financial fraud. They therefore have stated sufficient facts to
support a claim under § 11 of the Securities Act. The motion of
defendants to dismiss Count III will be denied.
VI
Plaintiffs also bring Count IV against AdaptHealth
under § 12 of the Securities Act, 15 U.S.C. § 77l. This statute
permits a person purchasing a security to hold liable those who
offer or sell a security “by means of a prospectus or oral

communication, which includes an untrue statement of a material
fact or omits to state a material fact necessary in order to
make the statements, in the light of the circumstances under
which they were made, not misleading.” 15 U.S.C. § 77l(a)(2).
This section is similar to § 11 except that it is concerned with
misstatements or omissions in the prospectus rather than
registration statement. As with actions under § 11, the
plaintiff need not prove causation. In re Adams Golf, 381 F.3d
at 277.
Defendants filed a prospectus along with a
registration statement in preparation for its secondary offering
in January 2021. This prospectus promoted the experience of its
leadership, while McGee was CEO, but failed to state that McGee

was being investigated and sued for tax fraud. Plaintiffs
provide ample facts in their amended complaint as to these
investigations and McGee’s involvement to show not just that
defendants omitted facts but what facts in particular they
omitted. Plaintiffs have sufficiently pleaded facts to support
a finding that this omission in the prospectus was material and
misleading under § 12. The motion of defendants to dismiss
Count IV will therefore be dismissed.
VII
Finally, plaintiffs bring Count V against the Director
defendants under § 15 of the Securities Act, 15 U.S.C. § 77o.

Similar to § 20 of the Exchange Act, § 15 provides for joint and
several liability for “[e]very person who, by or through stock
ownership, agency, or otherwise . . . controls any person liable
under sections 77k or 77l of this title . . . unless the
controlling person had no knowledge of or reasonable ground to
believe in the existence of the facts.” 15 U.S.C. § 77o(a). As
the court finds that plaintiffs have sufficiently alleged
violations by defendants of 15 U.S.C. § 77k and 15 U.S.C. § 77l,
plaintiffs’ claim against the Director defendants who controlled
the corporation may proceed. Defendants’ motion to dismiss will
therefore be denied as to Count V as well.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10403470. Public record. Not legal advice.