City of Miami Fire Fighters & Police Ofcs Ret Tr v. CVS Health Corporation ( 2022 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 21-1479
    CITY OF MIAMI FIRE FIGHTERS' AND POLICE OFFICERS' RETIREMENT
    TRUST, individually and on behalf of all other persons similarly
    situated; INTERNATIONAL UNION OF OPERATING ENGINEERS PENSION
    FUND OF EASTERN PENNSYLVANIA AND DELAWARE, individually and on
    behalf of all other persons similarly situated,
    Plaintiffs, Appellants,
    v.
    CVS HEALTH CORPORATION; LARRY J. MERLO; DAVID M. DENTON;
    JONATHAN C. ROBERTS; ROBERT O. KRAFT; EVA C. BORATTO,
    Defendants, Appellees.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF RHODE ISLAND
    [Hon. Mary S. McElroy, U.S. District Judge]
    Before
    Lynch, Kayatta, and Gelpí,
    Circuit Judges.
    Jeremy A. Lieberman, with whom Brian Calandra, Patrick V.
    Dahlstrom, Pomerantz LLP, James E. Miller, Eric L. Young, Jayne A.
    Goldstein, Miller Shah LLP, Robert D. Klausner, Stuart Kaufman,
    Klausner, Kaufman, Jensen & Levinson, Stephen Cypen, and Cypen &
    Cypen were on brief, for appellants.
    Steven M. Farina, with whom George A. Borden, Amanda M.
    MacDonald, Michael J. Mestitz, Elizabeth A. Wilson, Williams &
    Connolly LLP, Robert C. Corrente, and Whelan Corrente & Flanders
    LLP were on brief, for appellees.
    August 18, 2022
    KAYATTA, Circuit Judge.          Two retirement funds brought
    this putative securities fraud class action against CVS Health
    Corporation arising out of difficulties CVS Health experienced in
    the wake of its acquisition of Omnicare, Inc., a company that
    provides    pharmacy     services       to   long-term     care      facilities.
    Plaintiffs allege that executives of CVS Health and its newly
    acquired    subsidiary    employed      false   statements    and    misleading
    nondisclosures to conceal from investors for more than three years
    the disintegration of Omnicare's customer base that eventually led
    to a series of write-offs totaling more than $8 billion.                      The
    district court dismissed plaintiffs' complaint because it failed
    to allege any actionable false statements or misleading omissions.
    On careful de novo review, we find that the district court's
    assessment was on the mark.       We therefore affirm the dismissal and
    the   subsequent   denial   of    plaintiffs'      attempt    to    revisit   the
    judgment.    Our reasoning follows.
    I.
    As this case comes to us on a motion to dismiss, we draw
    the facts from the operative Amended Class Action Complaint ("the
    complaint") and certain of CVS Health's public filings with the
    Securities Exchange Commission (SEC).            See Fire & Police Pension
    Ass'n of Colo. v. Abiomed, Inc., 
    778 F.3d 228
    , 232 n.2 (1st Cir.
    2015)   (considering     public   SEC    filings   among     other    undisputed
    records at the motion-to-dismiss stage); Watterson v. Page, 987
    - 3 -
    F.2d 1, 3 (1st Cir. 1993) (noting "narrow exceptions" to the
    traditional rule barring consideration of materials outside the
    complaint,     including   for   documents    whose   authenticity    is   not
    disputed).
    A.
    Headquartered in Woonsocket, Rhode Island, CVS Health is
    a   publicly   traded   company    that    provides   integrated     pharmacy
    healthcare services and operates thousands of retail stores and
    clinics across the United States.            In 2015, CVS Health acquired
    Omnicare, then the leading provider of pharmaceutical services to
    long-term care (LTC) facilities.1 Plaintiffs allege that the newly
    acquired LTC business subsequently "hemorrhaged" customers due to
    CVS Health's mismanagement, including its decision to centralize
    and standardize a number of operations that Omnicare had previously
    tailored to each customer.       According to the complaint, CVS Health
    misleadingly concealed these customer losses and their causes so
    as not to threaten CVS Health's ability to acquire financing for
    another large acquisition planned for 2018.            The purported class
    period spans from allegedly misleading statements made in February
    1 CVS Health's subsidiary, CVS Pharmacy, Inc., entered the
    agreement to acquire Omnicare in May 2015, with the acquisition
    closing that August.   For ease of discussion, we refer to this
    acquisition throughout our opinion as the action of the parent
    reporting entity, CVS Health.
    - 4 -
    2016       through   the   ultimate   disclosure   of   the    full   extent   of
    Omnicare's lost value in February 2019.
    B.
    In    gauging   whether   plaintiffs     have    pleaded   facts
    sufficient to proceed with their claim that CVS Health misled
    investors about the difficulties encountered with the acquired
    Omnicare LTC business, we begin the fact that between 2016 and
    2019 CVS Health repeatedly and publicly wrote off chunks of the
    $8.6 billion in goodwill2 originally assigned to the Omnicare
    acquisition.         The first negative disclosure concerning the LTC
    business came on November 8, 2016, when, in the third-quarter Form
    10-Q filing,3 CVS Health reported a reduced goodwill balance of
    2"Goodwill" is an accounting term that refers to the value
    of anticipated future financial results of an asset, as initially
    measured by the difference between the price paid for the asset
    and its fair value.        Under Generally Accepted Accounting
    Principles, the acquiring company must test its goodwill
    allocation at least annually, as well as in response to events or
    circumstances that would likely impair the asset's goodwill. See
    City of Dearborn Heights Act 345 Police & Fire Ret. Sys. v. Align
    Tech., Inc., 
    856 F.3d 605
    , 611 (9th Cir. 2017) (citing Financial
    Accounting Standards Board Accounting Standards Codification
    (ASC), Topic 350: Intangibles—Goodwill and Other, ASC 350-20-35-
    28)). "Impairment is the condition that exists when the carrying
    amount of goodwill exceeds its implied fair value." 
    Id.
     (quoting
    ASC 350-20-25-30).
    3The SEC requires public companies to file a comprehensive
    report about their financial performance, called a Form 10-Q, at
    the end of the first three quarters of each fiscal year. 
    17 C.F.R. § 249
    .308a.   Full-year financials are reported annually in the
    Form 10-K, shortly after the fourth quarter concludes. See 
    id.
    § 249.310.
    - 5 -
    only $6.3 billion for the acquired LTC business. The filing stated
    that while some reporting units "exceed[ed] their carrying values
    by significant margins," the LTC business exceeded its carrying
    value by just 7%.   During a presentation to investors and analysts
    the following month, CVS Health's then-Chief Financial Officer
    (CFO) David Denton warned that "[a]s for the retail Long-Term Care
    segment, it will be a challenging year. Revenue growth is expected
    to be flat to down 1.5%."
    This downward reporting trend continued.   The following
    year, on November 6, 2017, CVS Health disclosed that the fair value
    of the LTC business now exceeded its carrying value by only
    "approximately 1%."    In the same 10-Q filing, CVS Health also
    explained that its cash-flow projections for the LTC unit had
    declined because of "customer reimbursement pressures, industry
    trends such as lower occupancy rates in skilled nursing facilities,
    and client retention rates."   Finally, it cautioned that:
    If we do not achieve our forecasts, given the
    small excess of fair value over the related
    carrying value, as well as current market
    conditions in the healthcare industry, it is
    reasonably   possible  that . . .   the   LTC
    reporting unit could be deemed to be impaired
    by a material amount.
    Six months later, on May 2, 2018, CVS Health issued
    similar warnings about the challenges facing the LTC business --
    including client retention -- and the possibility of an impairment.
    Then, in the second-quarter 10-Q issued on August 8, 2018, the
    - 6 -
    company reported that it had conducted an interim goodwill test
    resulting in the impairment of the LTC unit's goodwill to the tune
    of $3.9 billion.        Even with this write-down, CVS Health warned
    that, due to client retention rates and other specified challenges,
    "it is reasonably possible in the near term that the goodwill of
    the LTC reporting unit could be deemed to be impaired again by a
    material amount."
    As predicted, the bad news continued.          In February 2019,
    CVS   Health   recognized     a   further    impairment   of     $2.2 billion
    assessed in the fourth quarter of 2018.          In so doing, the company
    identified "client retention rates" as one of several factors that
    contributed to the declining value of the business.                    In this
    manner, the goodwill value of the LTC business shrank from the
    initial value of $8.6 billion in May 2015 to just $431 million at
    the end of 2018.
    C.
    Plaintiffs claim that this escalating disclosure of
    difficulties with the LTC business and write-downs of goodwill
    came too late.        They also point to numerous statements by senior
    management     that    plaintiffs   say     misled   investors    by    either
    affirmatively misrepresenting or omitting material facts.                   We
    group these alleged statements into five buckets for ease of
    discussion.
    - 7 -
    The      first    group     concerns     representations         about   the
    condition and financial performance of the LTC business.                           For
    example, the fiscal year 2015 Form 10-K filed in February 2016
    stated that CVS Health's "segments benefited from the Omnicare
    acquisition"       and   that    an   increase     in   net    revenues     for    the
    Retail/LTC Segment -- a business reporting unit containing both
    the LTC business and CVS Health's much larger preexisting retail
    business -- "was primarily driven by the acquisition of Omnicare."
    The quarterly and annual filings for 2016 then echoed these
    sentiments    in    substantially        similar   language.        The    complaint
    asserts generally that this category of statements was "materially
    false and misleading," though it does not allege any revenue
    information    contrary      to    the    statements.         The   most    specific
    descriptions       of    these    statements     instead      allege   that    these
    statements were misleading because they gave a positive impression
    of the business without disclosing that Omnicare LTC customers
    were fleeing.
    Second, in December 2016, Denton allegedly claimed at an
    annual investor conference that CVS Health had "a leadership
    position in long-term care with Omnicare." Chief Executive Officer
    (CEO) Larry Merlo then reiterated during a second-quarter 2017
    analyst call that "Omnicare remains the leader in the market."
    The complaint generally alleges that these statements were "false
    - 8 -
    and misleading" because they omitted information about customer
    exodus.
    Third, plaintiffs take issue with statements that they
    contend   overstated    CVS   Health's   understanding     of   its    LTC
    customers. The company in multiple 2017 filings said that pharmacy
    revenue in the umbrella reporting unit containing both its LTC and
    larger retail businesses "continued to benefit from [CVS Health's]
    ability to attract and retain managed care customers."             It also
    reiterated in nearly all quarterly and annual filings throughout
    the class period a general "Overview of Our Business" section that
    touted CVS Health's "deep understanding of [consumers', payors',
    and   providers']   diverse   needs   through   [CVS   Health's]    unique
    integrated model."     More specifically to the LTC business, Merlo
    on investor calls in August 2016 and August 2017 stated that the
    company was "[w]orking with our LTC clients to address currently
    unmet needs of their residents," and that it had "invested the
    time and capital . . . to get the right technology and processes
    in place in order to differentiate our offering to make it more
    compelling for our clients as well as the residents at these
    facilities."   The complaint alleges that these statements were
    false and misleading because defendants did not in fact understand
    their LTC customers' needs and many of these customers were fleeing
    CVS Health due to poor customer service.
    - 9 -
    Fourth, plaintiffs call out a series of statements about
    CVS   Health's         realization    of    "synergies"    between      its    existing
    retail pharmacy business and its new LTC business.                      For example,
    at the outset of the class period in February 2016, Merlo reported
    on an earnings call with analysts and investors that "Omnicare
    performed well and in line with our expectations as we began to
    realize some of the anticipated synergies."                Merlo then reiterated
    in a May 2016 earnings call that the LTC business "benefited from
    some of the anticipated costs and sourcing synergies."                              The
    complaint alleges that these statements touting "synergies" were
    false and misleading because it was in fact the                             "synergies"
    implemented by CVS Health that caused LTC customers to leave.
    Fifth,     the     complaint    alleges    that       the     company's
    "boilerplate" statements of risks facing the LTC business, as
    repeated in SEC filings throughout the class period, misleadingly
    purported to alert investors to only future risks that were, in
    fact,      "already      occurring."         These   statements       cautioned,    for
    example, that "[t]here can be no assurance that we will be able to
    win new business or secure renewal business on terms as favorable
    to    us   as    the     present    terms"    and    observed   that    "[p]otential
    difficulties        that     may    be     encountered    in    the    [acquisition]
    - 10 -
    integration process include . . . [r]etaining existing customers
    and attracting new customers."4
    D.
    To support their theory that the goodwill write-downs
    were too late and the foregoing statements from the company duped
    the investing public, plaintiffs rely on evidence proffered by
    their nineteen confidential witnesses (CWs), comprised of former
    CVS Health or Omnicare employees.      The CWs offer a broad array of
    anecdotes concerning legacy Omnicare customers that CVS failed to
    retain in the years following the acquisition.     An example conveys
    the nature of these allegations:
    [Confidential Witness 4 (CW4)] both saw
    personally and learned from contacts in the
    LTC industry that Omnicare LTC divisions in
    Illinois and Missouri, and particularly the
    St. Louis region, lost at least 50% of their
    business from 2015 to 2019. CW4 said that the
    customers who left CVS Health were largely
    poached by former Omnicare and CVS Health
    employees.
    4  The complaint also identified as a separate category of
    misrepresentations certain executive defendants' certifications
    that each SEC filing was complete, accurate, and compliant with
    applicable law, which plaintiffs allege were false and misleading
    because the filings in fact contained false information and did
    not therefore comply with applicable law. But these certification
    statements are only alleged to be false or misleading to the extent
    the other alleged statements within those filings were, so we need
    not discuss the certifications as a distinct category of
    misrepresentations.
    - 11 -
    II.
    In February 2019, plaintiffs commenced this lawsuit
    against CVS Health, its CEO Merlo, and its former CFO Denton.
    Shortly thereafter, the parties agreed that those defendants need
    not    respond       to   the   original    complaint.    Rather,    after      the
    appointment of a lead plaintiff and lead counsel, counsel served
    an amended complaint on those and several additional CVS Health
    defendants in late July 2019.5 That Amended Class Action Complaint
    is now the operative complaint.
    The    complaint       includes   claims   for   violations      of
    section 10(b) of the Securities Exchange Act of 1934 ("the Exchange
    Act"), codified at 15 U.S.C. § 78j(b), and its implementing SEC
    Rule       10b-5,    codified    at   
    17 C.F.R. § 240
    .10b-5,    as   well    as
    section 20(a) of the Exchange Act, codified at 15 U.S.C. § 78t(a).
    Defendants moved to dismiss the complaint for failure to state a
    claim, pursuant to Federal Rule of Civil Procedure 12(b)(6).                     In
    plaintiffs' opposition to the motion to dismiss, they wrote:                    "If
    the Court grants any portion of the Motion, Plaintiffs respectfully
    request an opportunity to move for leave to amend pursuant to
    [Federal] Rule [of Civil Procedure] 15(a)(2)."             The district court
    5The other individual defendants include Jonathan Roberts
    (Executive Vice President (EVP) and Chief Operating Officer of CVS
    Health, starting in March 2017), Robert Kraft (former EVP of CVS
    Health and President of Omnicare from August 2015 to October 2017),
    and Eva Boratto (EVP and CFO of CVS Health starting in November
    2018).
    - 12 -
    heard argument on the motion on September 16, 2020 and ultimately
    granted the motion in full on February 11, 2021, dismissing the
    amended complaint with prejudice after finding that it failed to
    allege any materially false or misleading statements.                        City of
    Mia. Fire Fighters' & Police Officers' Ret. Tr. v. CVS Health
    Corp., 
    519 F. Supp. 3d 80
    , 87–90, 94, 97–98 & n.21 (D.R.I. 2021).
    The district court did not reach defendants' alternative argument
    that the complaint failed to adequately plead the element of
    scienter.    
    Id.
     at 28 n.21.
    Four    weeks   later,    plaintiffs      moved       the    court   under
    Rule 59(e) to reconsider its ruling so as to permit plaintiffs to
    amend the complaint for a second time.                With this motion, they
    included     a   Proposed    Second     Amended      Class    Action       Complaint
    containing additional allegations.                Unpersuaded,          the district
    court denied the motion to reconsider and the request for further
    amendment.       Plaintiffs then appealed that ruling along with the
    grant of the motion to dismiss.
    III.
    A.
    Having described the course of proceedings and the gist
    of   plaintiffs'     allegations,      we     turn   now     to    the    merits   of
    plaintiffs' appeal.         We begin with plaintiffs' challenge to the
    district court's order granting defendants' motion to dismiss.                     We
    review this challenge de novo, "accept[ing] well-pleaded factual
    - 13 -
    allegations in the complaint as true and . . . view[ing] all
    reasonable inferences in the plaintiff[s'] favor."                  Constr. Indus.
    & Laborers Joint Pension Tr. v. Carbonite, Inc., 
    22 F.4th 1
    , 6
    (1st Cir. 2021).
    1.
    At the outset, we note that the viability of plaintiffs'
    section 20(a) claim for control-person liability is contingent on
    their section 10(b) claim, and no party argues here that one claim
    ought    stand     should      the    other    fall.      See    Mehta    v.    Ocular
    Therapeutix, Inc., 
    955 F.3d 194
    , 211 (1st Cir. 2020) ("A claim
    brought    under       section 20(a)      is . . .     derivative    of    a        claim
    alleging an underlying securities law violation.").                            We thus
    proceed to consider the viability of the section 10(b) claim as
    dispositive of the whole complaint.
    Section 10(b) of the Exchange Act prohibits the use, "in
    connection with the purchase or sale of any security[,] . . . [of]
    any     manipulative        or     deceptive     device     or    contrivance         in
    contravention of such rules and regulations as the [SEC] may
    prescribe as necessary or appropriate in the public interest or
    for the protection of investors."                  15 U.S.C. § 78j(b).                SEC
    Rule 10b-5       is     such      a   rule,     implementing      section 10(b)'s
    prohibition by making it unlawful to "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
    - 14 -
    circumstances under which they were made, not misleading."                               
    17 C.F.R. § 240
    .10b–5(b).
    Stating        a     claim       under       section 10(b)    and     Rule 10b-5
    requires     the        pleading        of        six    elements:      "(1) a     material
    misrepresentation or omission; (2) scienter; (3) a connection with
    the purchase or sale of a security; (4) reliance; (5) economic
    loss; and (6) loss causation."                    Carbonite, 22 F.4th at 6 (quoting
    In re Biogen Inc. Sec. Litig., 
    857 F.3d 34
    , 41 (1st Cir. 2017)).
    Additionally,       Federal          Rule    of     Civil    Procedure 9(b)       requires
    plaintiffs    claiming          fraud        to    "state    with    particularity      the
    circumstances constituting fraud."                      Complaints alleging securities
    fraud specifically are also subject to the heightened pleading
    requirements       of    the    Private       Securities       Litigation      Reform   Act
    (PSLRA),   including           the    mandate       that    plaintiffs    "specify      each
    statement alleged to have been misleading, [and] the reason or
    reasons why the statement is misleading." 15 U.S.C. § 78u-4(b)(1).
    Against the backdrop of these heightened pleading requirements,
    our analysis begins and ends with the first of the section 10(b)
    elements, as we agree with the district court that the complaint
    fails to allege a material misrepresentation or omission.
    For allegedly false statements to support a claim of
    securities fraud, they must be "false when made."                         Gross v. Summa
    Four, Inc., 
    93 F.3d 987
    , 994 (1st Cir. 1996); see also Karth v.
    Keryx Biopharms., Inc., 
    6 F.4th 123
    , 135 (1st Cir. 2021) ("[A
    - 15 -
    plaintiff] may not plead 'fraud by hindsight'; i.e., a complaint
    'may not simply contrast a defendant's past optimism with less
    favorable actual results' in support of a claim of securities
    fraud." (quoting ACA Fin. Guar. Corp. v. Advest, Inc., 
    512 F.3d 46
    ,   62      (1st   Cir.   2008))).      Moreover,      "[section] 10(b)      and
    Rule 10b-5(b) do not create an affirmative duty to disclose any
    and all material information.           Disclosure is required under these
    provisions only when necessary 'to make . . . statements made, in
    light    of    the   circumstances     under    which    they   were   made,   not
    misleading.'"        Matrixx Initiatives, Inc. v. Siracusano, 
    563 U.S. 27
    , 44 (2011) (omission in original) (quoting 
    17 C.F.R. § 240
    .10b-
    5(b)).     Thus, a theory of securities fraud liability premised on
    nondisclosure or omission must also rest on some statement that,
    absent disclosure, misleads as to a contemporaneous material fact.
    2.
    Close review of the complaint reveals that, despite its
    length, it fails to allege sufficiently specific facts about the
    state of the LTC business at particular points in time to enable
    us to conclude that any of the goodwill write-downs were too late
    or that any of defendants' alleged misstatements contradicted the
    state of that business as it then stood.                Plaintiffs thus fail to
    allege that defendants made statements of fact that were false
    when made or misleadingly incomplete in light of contemporaneous
    circumstances.
    - 16 -
    We start with the parties' point of agreement: the
    condition of the LTC business at either end of the class period.
    Between the May 2015 acquisition and the end of the class period
    in   February     2019,   the   Omnicare     business    suffered     a   material
    reduction in value on the order of $8 billion. The dispute centers
    therefore on whether the complaint alleges facts demonstrating --
    "with particularity," Fed. R. Civ. P. 9(b) -- that defendants
    misrepresented the existence, extent, nature, or pace of that
    reduction as it occurred.          But the complaint provides us with no
    meaningful way to compare defendants' disclosures and statements
    about the LTC business with the contemporaneous state of the
    business.       The district court was especially critical of the
    complaint's failure to juxtapose the proffered reports of lost
    customers with what CVS was disclosing at the time of those losses.
    See CVS Health, 519 F. Supp. 3d at 88–89, 97.              In the wake of that
    criticism,      one   would     have    expected    perhaps   a     timeline    in
    plaintiffs' brief on appeal.            One would have been disappointed.
    We   have    nevertheless        reviewed   the   complaint's       forty-six
    paragraphs alleging customer losses and have identified just six
    that attempt to place losses within specific periods of time --
    and even then, only in highly general terms.                      The following
    summarized allegations from the complaint contain references to
    the timing of a customer loss:
    - 17 -
    1. One CW, who worked for a former "Omnicare LTC customer
    with four campuses and approximately 850 to 900 beds,"
    fired CVS Health as its LTC provider and moved to a
    competitor "in 2016."
    2. Omnicare competitor Remedi SeniorCare "had been taking
    Omnicare customers who were leaving or had left CVS
    Health since 2015."
    3. "Omnicare LTC divisions in Illinois and Missouri, and
    particularly [in] the St. Louis region, lost at least
    50% of their business from 2015 to 2019." This included
    one client operating "a large number of nursing homes
    in Missouri" that withdrew its business from CVS Health
    "in 2016."
    4. Omnicare competitor Polaris Pharmacy Services "took 30%
    of the Omnicare LTC business in South Florida in 2016."
    5. "In 2015," Omnicare competitor Modern Health Pharmacy
    "took 10% to 15% of Omnicare's business in California."
    6. An Omnicare affiliate in New York called MedWorld lost
    75% of its 22,000 beds "almost immediately after the
    [Omnicare]   Acquisition"   with   "another   15%   of   the
    beds . . . lost thereafter," such that, "only 18 months
    - 18 -
    after the Acquisition, the MedWorld location where CW13
    worked closed."
    Two of these allegations cover such broad swaths of time
    that they effectively provide no date limitation.                   The second
    describes    a   particular      competitor     who   had    been   pulling   an
    unspecified number of CVS customers "since 2015."               The third notes
    that a regional division of Omnicare suffered customer losses "from
    2015 to 2019."         For all we can discern from these capacious
    timeframes, these two losses may not have come anywhere close to
    their ultimate scale until shortly before the complaint was filed.
    And   we   certainly   have     no   basis   for   finding   that   CVS   Health
    experienced these losses before it took an appropriate write-down
    or made an inconsistent statement -- indeed, that some losses of
    customers occurred "since 2015" or "from 2015 to 2019" is entirely
    consistent with CVS Health's reporting.
    As to the other four allegations that are tethered to
    some more precise timeframe, the complaint paints with only a
    slightly finer brush.         It alleges customers left CVS only within
    particular    years;    i.e.,    one    competitor    poached    customers    "in
    2015," two others did so "in 2016,"                and an Omnicare affiliate
    pharmacy in New York lost most of its customers "immediately after
    - 19 -
    the Acquisition" such that a particular site of that affiliate
    closed "18 months after the Acquisition."6
    Of these four losses of customers, only the first ("in
    2015") definitively occurred prior to the first disclosed goodwill
    write-down (in November 2016).      But the complaint provides us with
    no reason to think that that 2015 loss by itself was both material
    and not offset by new business.      Nor does the complaint offer any
    reason to regard the alleged loss of some customers in 2016 as
    anything but consistent with the general negative trend of CVS
    Health's goodwill write-offs beginning in 2016 and its statement
    in 2017 that issues with "client retention rates" contributed to
    declining   revenues   in   the   prior    year.   Cf.   Ponsa-Rabell   v.
    Santander Sec. LLC, 
    35 F.4th 26
    , 35 (1st Cir. 2022) ("[I]t is not
    a material omission to fail to point out information of which the
    market is already aware." (quoting Baron v. Smith, 
    380 F.3d 49
    , 57
    (1st Cir. 2004))).
    6  Plaintiffs' appellate brief did not facilitate our attempt
    to locate in time the complaint's allegations of customer loss, as
    the brief attributes to several alleged losses more specific time
    periods than actually pleaded. The brief claims that two specified
    sets of lost customers -- one comprising several skilled nursing
    facilities in upstate New York and a second set comprising
    customers poached by competitor Remedi -- occurred "by the end of
    2015." In fact, the complaint alleges that the New York customers
    were lost "in the aftermath of the acquisition" and that Remedi
    had been poaching customers "since 2015." Elsewhere, the brief
    claims that two specified losses (in California and New York) were
    suffered "shortly after the Acquisition" when only one of these
    was alleged as such in the complaint.
    - 20 -
    Plaintiffs'        concession          that    they    "do    not     dispute
    anything about Defendants' accounting," which necessarily includes
    the figures included in the company's goodwill reports throughout
    the class period, reinforces the gap in their pleading.                               For
    accurate figures to mislead, plaintiffs would need to point us to
    some more concrete and inaccurate conclusions that those figures
    would invite, not just pockets of customer loss that may very well
    have   been      entirely      consistent       with       the    reported      goodwill
    diminution.        Nor can we simply infer that because CVS Health
    eventually       wrote   off   the    goodwill        assigned     to     the   Omnicare
    acquisition that it should have done so sooner.                                See In re
    Cabletron      Sys.,     Inc.,      
    311 F.3d 11
    ,    37     (1st    Cir.     2002)
    ("[P]laintiffs may not simply seize upon disclosures made later
    and allege that they should have been made earlier." (alteration
    in original) (quoting Berliner v. Lotus Dev. Corp., 
    783 F. Supp. 708
    , 710 (D. Mass. 1992))).
    Plaintiffs' failure to establish a                      reasonably      clear
    timeline    of    customer     losses       inconsistent         with    the    company's
    goodwill      disclosures      is    representative          of     the    complaint's
    overarching failure to allege material facts inconsistent with
    defendants' public statements.               To start, plaintiffs allege that
    CVS Health misled investors in December 2016 and in the second
    quarter of 2017 by publicly invoking Omnicare's position as a
    "leader" in the LTC market.               But the complaint never alleges that
    - 21 -
    Omnicare was in fact not the market leader -- even by the end of
    the   class   period,     long    after    these    statements   were   made.7
    Similarly, plaintiffs point to repeated statements in filings
    starting   shortly      after    the    acquisition   indicating    that   the
    Retail/LTC Segment's revenue gains were primarily driven by the
    Omnicare acquisition.           But, again, they do not challenge any
    reported accounting metrics and do not allege that the Omnicare
    acquisition in fact failed to contribute substantial revenue.
    Plaintiffs     also allege that CVS Health misleadingly
    touted its understanding of LTC customers, but they marshal a
    series of statements that do no such thing.                   Most of these
    statements refer not to customers of the LTC business but to a
    much broader universe of customers              -- those of the umbrella
    Retail/LTC    Segment    or     the   "consumers,   payors,   and   providers"
    serviced by the entirety of CVS Health.8            Several other statements
    7 Plaintiffs claim that several district court cases support
    their argument that "[s]tatements characterizing a business as a
    leader [are] misleading when the business is materially
    declining." But none of these cases even suggest, much less hold,
    that a claim of leadership is false or misleading merely because
    the size of the lead has materially shrunk. See Ark. Pub. Emp.
    Ret. Sys. v. GT Solar Int'l, Inc., No. 08-cv-312, 
    2009 WL 3255225
    ,
    at *7–11 (D.N.H. Oct. 7, 2009); Scritchfield v. Paolo, 
    274 F. Supp. 2d 163
    , 175 (D.R.I. 2003); In re Lucent Techs., Inc. Sec. Litig.,
    
    217 F. Supp. 2d 529
    , 546, 557 (D.N.J. 2002).
    8 Plaintiffs' brief on appeal recasts one of these alleged
    statements concerning customer needs to make it appear as if the
    statement referred specifically to the LTC business. The complaint
    alleges that all of the class-period SEC filings stated CVS Health
    was:
    - 22 -
    discuss efforts taken to improve the experience of LTC customers,
    but the complaint never alleges that CVS Health failed to take
    these efforts.   For example, plaintiffs point to Merlo's statement
    in August 2017 that "[w]e have invested the time and capital over
    the past two years to get the right technology and processes in
    place in order to differentiate our offering."         Rather than
    alleging that the company in fact did not invest in technology and
    processes to "differentiate [its] offering," plaintiffs contend
    only that some customers chose to leave CVS Health in part because
    of new technologies and processes.      That outcome plainly is not
    inconsistent with Merlo's statement that the company invested in
    those operations with different aims in mind.
    the only integrated pharmacy health care
    company with the ability to impact consumers,
    payors,   and  providers    with   innovative,
    channel-agnostic    solutions    to    complex
    challenges managing costs and care. We have
    a deep understanding of their diverse needs
    through our unique integrated model . . . .
    This statement appears in the CVS Health filings in a section
    headed "Overview of Our Business," which summarizes the business
    of the entire CVS Health Corporation, including its "9,800 retail
    locations, more than 1,100 retail health care clinics, [and, among
    other services,] leading pharmacy benefits manager." Plaintiffs'
    brief, however, inserts a bracketed revision when quoting from the
    above statement such that it purportedly refers to "the LTC
    business's 'deep understanding of [our LTC customers'] diverse
    needs.'" The full quote above makes plain that the phrase "their
    diverse needs" refers in context to the needs of "consumers,
    payors, and providers" -- for the entire CVS Health enterprise --
    rather than plaintiffs' preferred recasting.
    - 23 -
    As to the fifth category of alleged misrepresentations,
    plaintiffs'    briefing    castigates        defendants'   general    public
    references    to   anticipated    and   realized    "synergies"    from   the
    Omnicare acquisition.     But while their CWs identify several of CVS
    Health's business operations decisions that allegedly alienated
    LTC   customers    by   providing     less    personalized   service,     the
    complaint points to no specific instance where a defendant claimed
    -- contrary to then-existing facts -- that a particular business
    operation    was   succeeding.9      Moreover,     defendants'    statements
    frequently paired the realization of synergies with cost savings,
    a potential benefit of centralized business operations as to which
    the complaint is totally silent.10
    9 We note that Merlo's February 2016 "synergies" statement
    also refers positively to corporate performance:          "Omnicare
    performed well and in line with our expectations as we began to
    realize some of the anticipated synergies."         To the extent
    plaintiffs' concerns are with this statement's representation
    about performance (i.e., "Omnicare performed well") rather than
    its characterization of "synergies," we have already explained why
    the complaint provides us with no basis for deeming such statements
    false or misleading when made.
    10 In addition to the complaint's failure to allege facts
    contrary to this category of statements, we are also skeptical
    that statements touting anticipated or realized "synergies" from
    a corporate merger, untethered to some objective indicator, would
    be specific enough to constitute a statement of material fact.
    Such statements may fairly be characterized as "loosely optimistic
    statements that are so vague [or] so lacking in specificity . . .
    that no reasonable investor could find them important to the total
    mix of information available." Shaw v. Digit. Equip. Corp., 
    82 F.3d 1194
    , 1217 (1st Cir. 1996).
    - 24 -
    To be sure, statements need not be literally false to
    give rise to liability under section 10(b).               Statements that are
    literally   true     may    nonetheless     omit    information    necessary   to
    prevent     them     from      steering     investors     toward      inaccurate
    conclusions.       See SEC v. Johnston, 
    986 F.3d 63
    , 72 (1st Cir. 2021)
    ("[Statements] can also be misleading if they are half-truths,
    painting a materially false picture in what they say because of
    what they omit.").         But those conclusions must still be inaccurate
    as   of   the    time    the   statements    were    made.    See     
    17 C.F.R. § 240
    .10b-5(b) (prohibiting the omission of facts necessary to
    prevent statements from being misleading "in the light of the
    circumstances under which the[] [statements] were made"); Ganem v.
    InVivo Therapeutics Holdings Corp., 
    845 F.3d 447
    , 455–56 (1st Cir.
    2017) (finding plaintiff's omission theory insufficient where the
    complaint       failed   to    allege     facts    "necessary . . .    for     the
    statements to have been misleading when made").              While plaintiffs
    generally allege in the alternative that all of the alleged
    misrepresentations discussed above also omitted material facts
    concerning LTC customer loss, we simply cannot infer from this
    complaint that any of the alleged statements were misleadingly
    incomplete for largely the same reasons we cannot infer their
    falsity -- the complaint provides too little basis for comparing
    any material conclusions implied by the statements against the
    contemporaneous state of the LTC business.
    - 25 -
    This observation also captures the final category of
    statements, which are only alleged as misleadingly incomplete,
    rather    than       directly    false:   CVS    Health's         "boilerplate    risk
    factors" that warned of the possibility that the company would not
    realize benefits from its acquisitions because of, among other
    risks, difficulties with retaining customers.                     We have recognized
    that warnings or disclosures in the securities context that frame
    risks as merely hypothetical may be misleading when they resemble
    the "Grand Canyon" metaphor, in that "one cannot tell a hiker that
    a mere ditch lies up ahead, if the speaker knows the hiker is
    actually approaching the precipice of the Grand Canyon."                         Karth,
    6 F.4th at 137.          However, we have also clarified that, in the
    context    of    a    section 10(b)       claim,      a    speaker    warning    of    a
    hypothetical risk only acquires a duty to disclose further known
    information about the extent of that risk when "the alleged risk
    had a 'near certainty' of causing 'financial disaster' to the
    company"   or    where     the    warned-of     risk       "had   already    begun    to
    materialize."        Id. at 137–38 (quoting Hill v. Gozani, 
    638 F.3d 40
    ,
    59–60 (1st Cir. 2011)).
    Plaintiffs      assert    that      the       LTC   business's   loss     of
    goodwill value due to customer flight was just such a "near
    certainty" -- throughout the entire class period -- because these
    losses had already begun to materialize as of the first such risk
    statement made in the February 2016 Form 10-K that kicked off the
    - 26 -
    class period.   But, again, and as we recently noted in another
    case rejecting a Grand Canyon comparison, "[w]hether or not this
    assertion is true we cannot determine because the . . . plaintiffs
    simply do not plead sufficient allegations allowing us to do so."
    Ponsa-Rabell, 35 F.4th at 36.     As we have already explained, the
    complaint fails to provide the information necessary to infer that
    there was any material net loss of customers that was not timely
    reflected in the 2016 write-off.     A fortiori, it hardly suffices
    to allege in conclusory terms that the failure of the acquisition
    was a "near certainty."     Our caselaw on this variety of omission
    theory "does not require a company to be omniscient, even if the
    company looks foolish in hindsight for not properly predicting
    whatever harm befell it."    Karth, 6 F.4th at 138.
    In sum, as it is plaintiffs' burden to plead specific
    facts "showing that the statements presented to the public were
    false or misleading at the time they were made," Suna v. Bailey
    Corp., 
    107 F.3d 64
    , 69 (1st Cir. 1997), their failure to do so
    means they have failed to allege the necessary element of a
    misrepresentation or omission of material fact.        See Gross, 
    93 F.3d at 993
     ("Though Gross adamantly contends that the statement
    is false, the amended complaint provides little in the way of
    specific facts to support this contention.").         Accordingly, we
    agree with the district court that the complaint fails to allege
    a violation of section 10(b) or Rule 10b-5.
    - 27 -
    B.
    We turn our attention, finally, to plaintiffs' efforts
    to be allowed a third bite of the apple in the form of a second
    amended complaint.     By the time defendants filed their motion to
    dismiss, plaintiffs had once amended their complaint already, so
    they no longer had a right to amend the pleading again without the
    agreement of defendants or leave of the court.             See Fed. R. Civ.
    P. 15(a)(1).     Such leave, though, would have been "freely given"
    had plaintiffs asked and "justice so require[d]."             
    Id.
        In short,
    when plaintiffs received the motion to dismiss spelling out what
    defendants claimed to be gaps in the amended complaint, plaintiffs
    could have sought leave to amend their pleading yet again. Whether
    the court would have allowed the motion, we do not know, because
    plaintiffs never filed it.
    Instead,    plaintiffs    simply    included     in   their    memorandum
    opposing   the   motion   to   dismiss    a   brief   note    asking    for   a
    conditional opportunity to move for leave to amend, "if the Court
    grants any portion of the [m]otion [to dismiss]."              No motion or
    argument was advanced in support of this request.                  Nor was any
    proposed   amendment   filed.     The    district     court    treated    this
    "contingent" request as holding "no legal significance."               City of
    Mia. Fire Fighters' & Police Officers' Ret. Tr. v. CVS Health
    Corp., 
    541 F. Supp. 3d 231
    , 233 (D.R.I. 2021).             We see no reason
    to treat it otherwise.     See Abiomed, 778 F.3d at 247 ("No proper
    - 28 -
    request [to amend] was made to the district court, only a mention
    in a footnote in their opposition to dismissal."); Fisher v.
    Kadant, Inc., 
    589 F.3d 505
    , 509 (1st Cir. 2009) (reiterating that
    a   contingent   request   to   amend   a   complaint    contained   in    an
    opposition to a motion to dismiss "does not constitute a motion to
    amend a complaint" (quoting Gray v. Evercore Restructuring L.L.C.,
    
    544 F.3d 320
    , 327 (1st Cir. 2008))).            It therefore stands to
    reason, a fortiori, that plaintiffs' conditional request cannot
    "transmogrify [a] post-judgment motion for reconsideration into a
    Rule 15(a) motion."    Fisher, 589 F.3d at 511.
    When the district court then dismissed the first amended
    complaint, it did so with prejudice.        That approach is disfavored,
    at least when dealing with a complaint that has not been previously
    amended, but is nevertheless allowed within the discretion of the
    district court.   See In re Genzyme Corp. Sec. Litig., 
    754 F.3d 31
    ,
    47 (1st Cir. 2014).
    Once judgment was entered, Rule 15 was no longer on the
    table.   Rather, plaintiffs first needed to get the judgment set
    aside.    See id.   at 46.       Toward that end, they filed their
    unsuccessful Rule 59(e) motion to reconsider the court's order
    dismissing their complaint.       A district court may grant such a
    motion "where the movant shows a manifest error of law," "newly
    discovered   evidence,"    or    "an    error   not     of   reasoning    but
    apprehension."    Ruiz Rivera v. Pfizer Pharms., LLC, 
    521 F.3d 76
    ,
    - 29 -
    81 (1st Cir. 2008) (first quoting Kansky v. Coca-Cola Bottling Co.
    of New England, 
    492 F.3d 54
    , 60 (1st Cir. 2007), and then quoting
    Sandoval Diaz v. Sandoval Orozco, No. 01-1022, 
    2005 WL 1501672
    , at
    *2   (D.P.R.   June 24,   2005)).      "The   granting    of   a   motion   for
    reconsideration is 'an extraordinary remedy which should be used
    sparingly.'"     Palmer v. Champion Mortg., 
    465 F.3d 24
    , 30 (1st Cir.
    2006) (quoting 11 Charles Alan Wright et al., Federal Practice and
    Procedure § 2810.1 (2d ed. 1995)).            We review challenges to the
    denial of a Rule 59(e) motion for manifest abuse of discretion.
    Ruiz Rivera, 
    521 F.3d at 81
    .
    Plaintiffs rely on a claim of newly discovered evidence.
    A party asking a court to reconsider its judgment on this basis
    must show "that [it] could not in the exercise of reasonable
    diligence have obtained [the] new evidence earlier." In re Biogen,
    857 F.3d at 46.    So, we focus on what plaintiffs knew or reasonably
    could have learned "before the district court entered its order of
    dismissal."    Id.; see also Advest, 
    512 F.3d at 57
     ("The plaintiffs
    argue . . . they were entitled to wait and see if their amended
    complaint was rejected by the district court before being put to
    the costs of filing a second amended complaint. . . . Plaintiffs
    have it exactly backwards.").
    The    Proposed   Second   Amended     Class   Action    Complaint
    (PSAC) plaintiffs included with their Rule 59(e) motion identified
    twenty-five new CWs, seventeen of whom were drawn entirely from
    - 30 -
    another complaint against CVS Health filed in September 2020, and
    eight of whom were identified by plaintiffs' investigators.           The
    district court did not clearly err in finding that the allegations
    that were lifted directly from the September complaint were easily
    discoverable through due diligence well before the dismissal order
    the following February.      As to the remaining set of eight new CWs,
    plaintiffs point to only two in arguing that this evidence could
    not have been discovered before the dismissal.       Those two CWs were
    still employed by CVS Health "when Plaintiffs were preparing the
    Complaint," with one employed there until October 2020, "after
    motion to dismiss briefing and oral argument were completed."
    Thus,   even   plaintiffs'   presumptively    best   examples   of   late-
    discovered evidence were nonetheless available to them at least
    three months before the court dismissed their complaint.               Of
    course, plaintiffs in suits of this type may have good grounds for
    seeking a reasonable period of time within which to gather and
    synthesize newly available information.        But in that event, they
    should notify the court of their supplemental investigation so
    that the court can consider delaying its ruling in anticipation of
    the filing of an amended complaint.       See In re Biogen, 857 F.3d at
    46 ("[T]he plaintiffs could have alerted the court to their
    intentions earlier, but did not.").       Plaintiffs here gave no such
    notice, so the "argument that the district court abused its
    discretion by failing to account for the time the plaintiffs needed
    - 31 -
    to vet the evidence . . . has no force."           Id.     As the district
    court below noted:
    Even if they did not at that time know of the
    full extent of the testimony they could obtain
    from these eight confidential witnesses, they
    could have moved to amend and requested leave
    for an extension of time in which to submit
    the proposed amended complaint. Instead, for
    five months, they simply waited and hoped for
    a favorable decision.
    CVS Health, 541 F. Supp. 3d at 234.
    Finally, plaintiffs argue that the combined effects of
    our precedent as applied by the district court lead to a "manifest
    injustice" to the detriment of meritorious claimants.           Of course,
    the same could be said when any significant deadline or procedural
    rule is enforced.    Moreover, whether the proposed amendment would
    have itself withstood a motion to dismiss is hardly clear.               Even
    in plaintiffs' briefs on appeal, they point to no new allegations
    in the PSAC that would connect defendants' public statements with
    contradictory contemporaneous facts or would demonstrate that the
    further anecdotal losses described by the new CWs materially
    exceeded   the   losses   recognized   by   CVS   Health   itself   in    the
    pertinent time frames.     So this is not a case in which a manifestly
    meritorious claim has been lost due to any delay by counsel.
    There are also off-setting, prudential considerations.
    As we have previously noted, "allowing plaintiffs to hedge their
    bets by adding a cursory contingent request in an opposition to a
    - 32 -
    motion to dismiss would encourage plaintiffs to test the mettle of
    successive complaints and freely amend under Rule 15(a) if their
    original strategic choices prove inadvisable."             Fisher, 589 F.3d
    at 510; see also Advest, 
    512 F.3d at 57
     (explaining that honoring
    this combination of conditional and post-judgment requests "would
    lead to delays, inefficiencies, and wasted work").             Thus, entirely
    apart from any leniency in granting proper motions to amend a
    complaint under Rule 15, "[p]laintiffs may not, having the needed
    information, deliberately wait in the wings . . . with another
    amendment to a complaint should the court hold the first amended
    complaint was insufficient."        Advest, 
    512 F.3d at 57
    .
    For largely the same reasons, plaintiffs miss the mark
    in their last-ditch argument that the district court's denial of
    leave to amend here would permit dismissing PSLRA complaints with
    prejudice and without leave to amend in every case.             First, we do
    not know how the district court would have treated a properly filed
    motion to amend here because plaintiffs did not file one.             See CVS
    Health,   541   F.    Supp.   3d   at   233   (noting,   for   example,    that
    plaintiffs here failed to attach an amended complaint to their
    conditional request for leave to amend, as required by local rule).
    Second, there is no basis for contending that in this case the
    grounds   for   the   dismissal    were   somehow   a    surprise.    To   the
    contrary, they were the focus of defendants' briefing.                      See
    Abiomed, 778 F.3d at 247 ("[P]laintiffs were put on notice of the
    - 33 -
    deficiencies in the complaint by the motion to dismiss.         If they
    had something relevant to add, they should have moved to add it
    then. . . . We wish to discourage this practice of seeking leave
    to amend after the case has been dismissed."). Third, we reiterate
    that plaintiffs' basis for seeking leave to amend was an ongoing
    investigation about which, prior to dismissal, they never informed
    the court.   Fourth, the dismissal came twenty-four months after
    plaintiffs   commenced   this   action   and   seventeen   months   after
    defendants filed their motion to dismiss explaining why they
    contended that the complaint was deficient -- certainly long enough
    to allow the district court to assume that the table was set for
    a final disposition.     Accordingly, our ruling today does nothing
    to discourage district courts in their discretion from staying
    rulings to allow for reasonable due diligence, from temporarily
    postponing the entry of judgment after granting a Rule 12(b)(6)
    motion, see 1 Steven S. Gensler & Lumen N. Mulligan, Federal Rules
    of Civil Procedure, Rules and Commentary, Rule 15 ("[l]eave to
    amend after dismissal of complaint but before final judgment"), or
    from granting motions to reconsider dismissal when due diligence
    uncovers new evidence that was previously unavailable.
    In sum, the district court did not abuse its discretion
    or commit a legal error when it denied plaintiffs' Rule 59(e)
    motion.
    - 34 -
    IV.
    For the foregoing reasons, the district court's orders
    dismissing   plaintiffs'   complaint    and   denying   the   motion   to
    reconsider are affirmed.
    - 35 -