- within Law Department Performance, Insolvency/Bankruptcy/Re-Structuring and Criminal Law topic(s)
On August 31, 2023, Judge Charles R. Breyer of the United States
District Court for the Northern District of California granted a
motion to dismiss a putative securities class action alleging that
a hearing aid company (the "Company"), its officers,
directors and underwriters, violated Sections 11, 12(a)(2) and 15
of the Securities Act of 1933 (the "Securities Act") and
Sections 10(b) and 20(a) of the Securities Exchange Act of 1934
(the "Exchange Act"). In re Eargo, Inc. Sec.
Litig., No. 21-cv-08597 (N.D. Cal. Aug. 31, 2023). Plaintiffs
alleged that the Company misrepresented the Company's revenue
and growth opportunities in its offering materials and allegedly
downplayed an audit that allegedly led to a Department of Justice
investigation in later SEC filings and public statements. We previously covered the Court's
decision dismissing the first amended complaint (the
"FAC") because plaintiffs failed to sufficiently plead
falsity and scienter. The Court held that plaintiffs' second
amended complaint (the "SAC") "suffer[ed] from the
same pitfalls identified in the Court's prior order" and
dismissed the SAC without prejudice.
The Company, which manufactures and sells hearing aids, launched an
IPO in October 2020. Whereas hearing aids traditionally require
customers to make in-person visits to hearing aid professionals who
perform audiological tests, the Company developed a telehealth
model that allegedly did not require testing for hearing aids to be
prescribed. According to plaintiffs, the Company at first sold its
products primarily to customers who paid out-of-pocket but then
began servicing customers enrolled in a federal employee health
benefits program (the "Federal Program") that provided
health benefits through a third-party insurance carrier (the
"Insurance Carrier"). According to plaintiffs, the
Company's revenue more than doubled after soliciting Federal
Program beneficiaries, and, by the end of 2020, insured customers
were approximately 45% of the Company's total customer
base.
Between March 15 and April 7, 2021, the Company allegedly was
notified that it was being audited by the Insurance Carrier and
that the Company would be required to supply supporting
documentation for all claims submitted, including diagnosis codes
based on audiological testing. On May 12, 2021, the Company said
that it was "currently subject to a routine audit."
According to the SAC, the Company subsequently disclosed on August
12, 2021, that "claims submitted since March 1, 2021 have not
been paid." The Company also disclosed that
"[r]eimbursement claims submitted to [the Insurance Carrier]
are also currently undergoing an audit, and ... it is possible that
they may seek recoupments of previous claims paid and deny any
future claims." The Company warned that "an unfavorable
outcome of the ongoing audits could have a material adverse effect
on [its] future financial results[.]" On an August 12, 2021
earnings call, the Company's CFO allegedly stated that
"[t]hese kind of audits are—on claims are pretty common,
particularly given the growth in our business."
The Court held that plaintiffs "fail[ed] to plead
scienter." First, although plaintiffs alleged in the SAC that
two of the Company's executives sold stock during the class
period, the Court noted that "these sales appear
non-discretionary—that is, they were made either to cover tax
obligations or under a Rule 10b5-1 trading plan." The Court
also noted that these same two executives increased their holdings
in the Company's stock during the class period, which
"further negate[d] any inference that they sought to avoid
losing money before a price decline resulting from the insurance
audits."
Second, the Court rejected as insufficient purported statements
from a former employee of the Company who stated that the
Company's online hearing tool "should have never been used
for insurance purposes." According to the Court, "it is
not enough, for purpose of pleading a securities fraud claim, that
different people have different interpretations of what [an]
insurance policy covers." The Court further found that a
September 2020 PowerPoint slide labeled "Insurance Risks"
created by a senior director at the Company simply identified risks
"generally applicable to any entity submitting insurance
claims." Similarly, the Court held that alleged communications
between the Company's chief legal officer and counsel for the
Insurance Carrier concerning the Company's telecare model
"simply show[ed] both entities' effort to align [the
Company]'s telecare business model with the [Insurance
Carrier's] policy requirements." Because plaintiffs failed
to plead facts sufficient to give rise to a strong inference of
scienter, the Court dismissed the Exchange Act claims.
With respect to plaintiffs' Securities Act claims, the Court
held that new allegations regarding an August 2020 email and the
September 2020 PowerPoint slide did not establish that the
Company's statements in its offering materials about its
revenue and growth opportunities were false or misleading.
According to plaintiffs, statements in the offering materials were
false or misleading because the Company allegedly did not believe
that they would receive reimbursement under the Federal Program.
The Court held that an alleged August 2020 email from the
Company's CFO allegedly asking another employee to "come
ready to answer" questions about revenue recognition did not
support this claim because it concerned accounting for hearing aids
returned by customers at the end of a trial period rather than
whether products were eligible for insurance reimbursements. With
respect to the PowerPoint slide, the Court again noted that the
"slide highlights only general risks with accepting
insurance" and did "not establish that those risks, as of
September 2020, already materialized insofar that it would render
statements in the IPO Offering Documents materially false or
misleading." The Court therefore dismissed plaintiffs'
Securities Act claims.
Originally published October 11, 2023.
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