Millennium Health to settle referral lawsuit
Lab-testing company said to be preparing for bankruptcy
NEW YORK — Millennium Health LLC has agreed to pay $256 million to resolve claims it misrepresented the need for procedures and offered gifts to doctors in exchange for referrals.
The biggest US lab-testing company plans to file for bankruptcy protection by Nov. 10, enabling it to turn over control of the company to its lenders, according to a person with knowledge of the matter.
The company has given the restructuring proposal to holders of its $1.9 billion term loan and sent a copy to lawyers at the Department of Justice who are handling the settlement of the government’s case, said the person, who asked not to be named because the information isn’t public. Millennium will need to file its Chapter 11 petition with a bankruptcy court by Nov. 10, according to copies of resolved cases against the company that were unsealed Monday.
The payment will resolve allegations that it violated the False Claims Act by having doctors order unnecessary urine, drug, and genetic testing, according to a Department of Justice statement on Monday. The government accuses Millennium of misrepresenting to doctors the necessity of an $1,800 genetic test for pain management patients.
“We will not tolerate practices such as the ordering of excessive, non-patient-specific tests and the provision of inducements to physicians that lead to unnecessary costs being imposed upon our nation’s health care programs,” Benjamin C. Mizer, head of the Justice Department’s Civil Division, said in a statement.
The case against Millennium, which involved billing to the Centers for Medicare & Medicaid Services, was filed last year by the United States, 29 states, and the District of Columbia and was unsealed Monday by a federal judge in Boston. Omni Healthcare Inc. also was named as a plaintiff in the case.
Terry Fahn, a spokesman for San Diego-based Millennium at Sitrick & Co., and Marcia O’Carroll, a spokeswoman for TA Associates, the private-equity firm that partially controls Millennium, declined to comment.
Millennium’s shareholders, including founder James Slattery and TA Associates of Boston, must guarantee an initial payment of $50 million toward the full settlement, according to the resolved cases unsealed by the court. They will guarantee pieces of the payment based on the proportion of equity in the company they own, the documents show.
TA Associates holds 45 percent of the company’s shares, while Slattery has 55 percent in 14 trusts, some of which were set up for his family members, according to the documents.
The settlement on the False Claims Act cases requires Millennium to file a Chapter 11 petition by Nov. 10 if it decides to restructure its debt, according to the documents. The company must provide a copy of the bankruptcy plan to the Justice Department by Monday.
Creditors must vote to accept what would be a pre-arranged bankruptcy plan by Nov. 8, according to the agreement. The accord calls for a bankruptcy judge to confirm Millennium’s bankruptcy plan by Dec. 21 and pay the government settlement by Dec. 30.
Millennium, which said Friday that it has been embroiled in the federal investigation for four years, has been negotiating with lenders to hand over ownership of the company at the same time it’s been finalizing the Justice Department probe. Lenders had been fighting over how much to extract from the company’s shareholders in order to agree to a restructuring, sources said earlier this month.