In Re Boston Scientific Corp. Securities Litigation , 686 F.3d 21 ( 2012 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 11-2250
    IN RE: BOSTON SCIENTIFIC CORPORATION SECURITIES LITIGATION.
    __________
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Douglas P. Woodlock, U.S. District Judge]
    Before
    Torruella, Boudin and Thompson,
    Circuit Judges.
    William H. Narwold with whom Gregg S. Levin, James M. Hughes,
    William S. Norton, J. Brandon Walker, Motley Rice LLC, Sherrie R.
    Savett, Barbara A. Podell, Phyllis M. Parker, Berger & Montague,
    P.C., Leslie R. Stern and Berman DeValerio were on brief for
    appellants Steelworkers Pension Trust and KBC Asset Management NV.
    Robert J. Kaler with whom David Himelfarb, Edward W. Little,
    Jr. and McCarter & English LLP were on brief for appellees Boston
    Scientific Corporation, J. Raymond Elliott, Samuel R. Leno,
    Fredericus A. Colen, and James R. Tobin.
    July 12, 2012
    BOUDIN, Circuit Judge.        This case charging securities
    fraud was brought in the district court as a class action on behalf
    of   a   proposed   class   of    shareholders   of   Boston   Scientific
    Corporation ("Boston Scientific").         Boston Scientific is a large
    publicly traded company that makes and sells medical devices; it
    produces numerous products across a range of medical fields,
    operates in multiple countries and employs over 25,000 people. The
    charges made, now common when a company's stock price declines
    suddenly, rest on the following allegations and background facts.
    A substantial portion of Boston Scientific's sales in
    late 2008 and early 2009--around 30 percent--were of cardiac rhythm
    management ("CRM") devices handled by a group within the company
    devoted to such products. CRM devices are implantable devices that
    use electric pulses to treat a patient's cardiac condition; they
    include pacemakers and implantable cardioverter defibrillators
    ("ICDs").    The devices are typically marketed and sold directly to
    physicians by Boston Scientific's CRM sales staff, which in the
    period with which the suit is concerned consisted of about 1,100
    employees.
    In August 2009, Boston Scientific began an audit of CRM
    sales expense reports from recent trips of sales representatives
    who accompanied physician customers on tours of Boston Scientific
    manufacturing facilities.        Twenty one sales reps were questioned
    about whether food and entertainment provided exceeded permissible
    -2-
    limits; and in September Boston Scientific received a subpoena from
    the   U.S.    Department   of   Health    and   Human   Services   ("HHS"),
    requesting information about contributions made by CRM to charities
    with ties to physicians or their families.         Neither the audit nor
    the subpoena were initially disclosed to the public.
    On October 20, 2009, the first day of the class period
    stated in the later-filed complaint, Boston Scientific announced
    its results for the third quarter of 2009, and issued a press
    release noting that although CRM product sales had increased by
    eight percent during the quarter, the CRM group's level of growth
    was disappointing. During a conference with investors and analysts
    that day, Raymond Elliott (President and CEO of Boston Scientific)
    and Samuel Leno (Executive Vice President and President of the CRM
    group) made encouraging statements about CRM sales prospects.
    Specifically, the men said that current growth was slower
    than expected because they had underestimated the time it would
    take to bring 150 newly hired sales representatives up to normal
    productivity levels; that the prospect of increased market share
    existed as the new hires completed training over nine to twelve
    months; that "[w]e have solid growth in our CRM business, and we
    have also added a number of people on the sales force on a global
    basis," and that "the outlook is still positive but mixed as it
    relates to market growth expectations."
    -3-
    On November 6, 2009, Boston Scientific publicly disclosed
    the HHS subpoena (a month-and-a-half after receiving it) in a
    quarterly report filed with the SEC (see note 2, below), noting
    that "[w]e are currently working with the government to understand
    the scope of the subpoena."       In this same SEC report, the company
    reiterated the gist of the October remarks of the two officers,
    predicting   that   "additional    [CRM]   sales   representatives   will
    generate incremental net sales in future periods."
    In either late November or early December 2009, Boston
    Scientific began to fire some of the twenty-one audited CRM sales
    representatives.    On December 1, Elliott was asked by a moderator
    during a healthcare conference call what had surprised him so far
    in his first six months as CEO.      He responded,
    I think, Tim, because I've been there a bit as
    a director, there probably wasn't as many
    surprises really.    But I think the market
    change probably downward a bit on the ICD side
    affected sort of our viewpoint in CRM as a bit
    of a downside.
    On December 9 and 10, 2009, an unspecified number of CRM
    sales representatives were fired.          Also on December 10, Boston
    Scientific filed a registration statement and prospectus with the
    SEC, announcing a public offering of $2 billion in senior notes.
    Both the prospectus and a supplement filed on the closing date of
    the offering, December 14, listed as one of fifty-one factors that
    could cause actual results to differ materially from forward-
    -4-
    looking statements Boston Scientific's "ability to retain key
    members of our CRM sales force and other key personnel."
    Days   earlier,   on   December   11   or   12,   2009,   Boston
    Scientific fired a Divisional Vice President of Sales of CRM
    devices, who managed one of three sales regions in the United
    States and according to the complaint "played a key role in
    crafting and implementing pricing, sales, marketing, strategy, and
    other key policies for [Boston Scientific's] CRM devices."             The
    complaint alleged that in all, ten members of the CRM sales force
    were fired for their "repeated[]" breaches of Boston Scientific's
    internal code of ethics.
    On January 12, 2010, Elliott participated in another
    healthcare conference call. Although not focusing on the CRM group
    in particular, Elliott touted Boston Scientific's "stable, large,
    experienced" and "very successful" sales force. He stated that the
    "sales execution that we talked about building in the last five or
    six months is now going out into play" and that "[w]e've already
    done a ton of work in the last six months to get rid of unnecessary
    distractions and litigation that goes beyond the norm."
    However, about a week before, on January 4, 2010, the
    Boston Scientific's previously discharged Divisional Vice President
    had been hired by one of Boston Scientific's competitors, St. Jude
    Medical.   The complaint also stated that "many" of the other nine
    fired CRM sales group members were also hired by St. Jude Medical.
    -5-
    On February 11, when Boston Scientific announced its fourth quarter
    2009 results, it revealed the firing and St. Jude's subsequent
    hiring of the CRM sales representatives.         Elliott said:
    [W]e didn't like the response of St. Jude
    Medical to the disciplinary actions we took
    during December. We exited from our Company
    several sales representatives and Managers who
    among other things repeatedly breached our
    healthcare professional Code of Conduct. St.
    Jude has chosen to quickly hire many of our
    departed staff . . . . We cannot control what
    others do. . . . In the short haul, we will
    for certain lose sales, but I believe in the
    long haul we will be held in high regard by
    those that count for our efforts in the
    healthcare professionals arena.
    On the same day as these remarks, the price of Boston
    Scientific common stock dropped from $8.29, the closing price on
    the previous day, to a low of $7.39, and closed down about 10
    percent, which the complaint alleged was a "direct and proximate
    result of the February 11, 2010 pre-opening announcements."
    Several months later, Boston Scientific said that the disciplinary
    actions   and   an    unrelated   product   advisory     related   to   unsafe
    outcomes in certain CRM devices had led to $16 million globally in
    lost sales for the first quarter of 2010--a period in which the CRM
    sales revenue was $538 million.
    In May 2010, Boston Scientific responded to a number of
    inquiries from the SEC regarding Boston Scientific's filing for the
    first   quarter      of   2010.   One   such   inquiry    was   whether   the
    -6-
    disciplinary actions had impacted the decline in CRM sales in the
    fourth quarter of 2009.        Boston Scientific stated:
    [T]he aforementioned terminations of 10 sales
    personnel represented less than one percent of
    our U.S. CRM sales force and had an immaterial
    impact on our net sales during the fourth
    quarter of 2009. We expect we will experience
    the impact of these terminations during 2010;
    however, our intent is to replace these
    positions throughout 2010 and recapture lost
    revenue in 2011 and beyond.         In future
    filings,   to   the  extent   our   businesses
    experience significant changes in revenues
    from period to period, we will discuss all
    material   factors   contributing   to   these
    changes.
    On April 9, 2010, plaintiffs--a union pension trust and
    an investment management company--filed the present suit in the
    district court against Boston Scientific, Elliott, Leno and a third
    officer on behalf of a putative class of those who had purchased
    the company's stock during the "class period" of October 20, 2009,
    to February 10, 2010.         The complaint charged securities fraud in
    violation of sections 10(b) and 20(a) of the Securities Exchange
    Act,       15   U.S.C.   §§   78j(b),    78t(a)   (2006),   and   associated
    regulations, 
    17 C.F.R. § 240
    .10b-5 (2010).
    The heart of the complaint was that the already-recounted
    statements--made on October 20, November 6, December 1, 10 and 14,
    2009, and on January 12, 2010--violated the anti-fraud provisions
    of section 10(b).1        After further proceedings, the district court
    1
    The complaint's claim under second section 20(a) is
    derivative of the section 10(b) claim and needs no separate
    -7-
    granted the defendant's motion to dismiss, In re Bos. Scientific
    Corp. Sec. Litig., No. 10-10593, 
    2011 WL 4381889
                (D. Mass. Sept.
    19, 2011), holding that the 2009 statements were not materially
    false or misleading, while the allegations of scienter as to the
    January 2010 statement were inadequate.
    The named plaintiffs now appeal.         Our review of the
    dismissal is de novo and we assume as true the raw facts as alleged
    in the complaint and draw reasonable inferences in favor of the
    side opposing dismissal.         García-Monagas v. De Arellano, 
    674 F.3d 45
    , 47 (1st Cir. 2012).          That solicitude does not extend to the
    legal conclusions or characterizations, Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678 (2009); Bell Atlantic Corp. v. Twombly, 
    550 U.S. 544
    , 555
    (2007), or avoid the statutory requirement that "the complaint
    shall . . . 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).
    Section 10(b) Obligations.         To state a section 10(b)
    claim,   a    plaintiff   must    sufficiently    allege   "(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."        Miss. Pub. Employees' Ret. Sys. v.
    Bos. Scientific Corp., 
    523 F.3d 75
    , 85 (1st Cir. 2008).                    The
    discussion. ACA Fin. Guar. Corp. v. Advest, Inc., 
    512 F.3d 46
    , 67-
    68 (1st Cir. 2008).
    -8-
    district court, as already noted, found that the challenged 2009
    statements failed the first requirement and we begin our discussion
    with them.
    Section 10(b) "do[es] not create an affirmative duty to
    disclose any and all material information."             Matrixx Initiatives,
    Inc. v. Siracusano, 
    131 S. Ct. 1309
    , 1321 (2011); accord Hill v.
    Gozani, 
    638 F.3d 40
    , 57 (1st Cir. 2011).           Instead, it extends to
    omissions only where affirmative statements are made and the
    speaker fails to "reveal [] those facts that are needed so that
    what was revealed would not be so incomplete as to mislead."            Hill,
    
    638 F.3d at 57
     (1st Cir. 2011) (emphasis and internal quotation
    mark omitted).    And the distortion must be "material."           
    17 C.F.R. § 240
    .10b-5.
    Omitted information is considered material if there is a
    "substantial likelihood that the disclosure of the omitted fact
    would have     been   viewed   by   the    reasonable   investor   as   having
    significantly altered the total mix of information made available."
    Basic Inc. v. Levinson, 
    485 U.S. 224
    , 231-32 (1988) (internal
    quotation marks omitted).           When information merely creates a
    possibility that an event affecting the company will later occur,
    materiality
    "will depend at any given time upon a
    balancing of both the indicated probability
    that the event will occur and the anticipated
    magnitude of the event in light of the
    totality of the company activity."
    -9-
    
    Id. at 238
     (quoting SEC v. Tex. Gulf Sulphur Co., 
    401 F.2d 833
    , 849
    (2d Cir. 1968) (en banc), cert. denied, 
    394 U.S. 976
     (1969)).
    Why companies do not have to disclose immediately all
    information that might conceivably affect stock prices is apparent:
    the burden and risks to management of an unlimited and general
    obligation    would   be     extreme     and    could    easily      disadvantage
    shareholders in numerous ways (e.g., if a new invention were
    prematurely disclosed to competitors or a take-over plan to the
    target company). So the securities laws forbid false or misleading
    statements    in   general     but     impose    more    specific      disclosure
    obligations only in particular circumstances.2
    The October 20, 2009, statements.           Given the materiality
    threshold, the October 20, 2009, statements, which predicted a
    "positive    but   mixed"    outlook    in     CRM   sales   while    noting   the
    continuing training of the 150 new sales representatives, were not
    false or misleading.        The shareholders argue that the statements
    were misleading because they failed to inform investors that the
    future outlook was further "mixed" because of the "imminent"
    firings of the audited personnel.
    2
    Pertinently, under statutory authority, 15 U.S.C. § 78m(a),
    the SEC requires annual and quarterly reports providing specified
    information, including financial statements and risk factors, Form
    10-K; Form 10-Q, and disclosure of especially important events
    whenever they occur, Form 8-K; notably, this last form does not
    require disclosure of personnel changes other than ones involving
    a director or principal officer. Form 8-K, Item 5.02.
    -10-
    But the firings were over a month away, and the complaint
    itself states that the internal investigation (which began in
    August) was still "ongoing."          Not only was the outcome uncertain--
    eventually only 10 sales representative were removed while 150 new
    ones   were     being    hired--but   the     total   number     of   those    being
    interrogated represented only about two percent of the CRM sales
    force,   and     CRM    sales   themselves    were    only   a   portion      of   the
    company's business.
    The November 6, 2009, statement.         This statement, after
    disclosing the HHS subpoena and harking back to the hiring of 150
    new    sales    representatives,      repeated    the    company's     view        that
    "additional [CRM] sales representatives will generate incremental
    net sales in future periods." Although the audit and investigation
    had been completed, there is no indication that the company had at
    this time decided to fire anyone, let alone enough individuals to
    dent the prospects of more revenues down the line from 150 new
    hires.
    Also insufficient is the challenge to the other November
    6, 2009, statement alleged to be materially                  misleading, namely,
    that "[w]e are currently working with the government to understand
    the scope of the [HHS] subpoena."             The plaintiffs make no attempt
    to explain why this bland statement is misleading; and it surely is
    not rendered incomplete or a "half-truth," Backman v. Polaroid
    Corp., 
    910 F.2d 10
    , 16 (1st. Cir. 1990), by the failure to mention
    -11-
    the internal audit based on the company's internal ethics code and
    pertaining to a different set of sales practices.
    December 1, 2009, statement.          The next statement alleged
    to be materially misleading was Elliott's December 1, 2009, answer
    to a moderator's question that there had not been that many
    "downside surprises" since he had become a CEO other than reduced
    revenues of certain CRM devices.            Even if a limited number of
    firings had now occurred, Elliott was not asked to disclose every
    possible negative in recent history but merely asked what had
    surprised him.
    So   while   the   audit    process    was   further   along,   the
    connection between the general affirmative statement and the
    specific audit is much weaker.              And anyway, the possible or
    imminent discharge of a tiny fraction of sales personnel for a
    single line of products remains of minimal expected consequence for
    a company with global operations and 25,000 employees. This is not
    even close to the level at which other cases have found omissions
    to be material.3
    3
    E.g., Matrixx Initiatives, Inc. v. Siracusano, 
    131 S. Ct. 1309
    , 1313-14 (2011) (finding material evidence of a link between
    a drug company's leading product and loss of smell); In re
    Cabletron Sys., Inc., 
    311 F.3d 11
    , 36 (1st Cir. 2002) (finding
    material failing to reveal major delays in a company's important
    new product after creating impression that the product was already
    available); Aldridge v. A.T. Cross Corp., 
    284 F.3d 72
    , 79-80 (1st
    Cir. 2002) (finding material to revenue figures the failure to
    reveal policy requiring refunds to previous buyers in the event of
    a price cut--which the company had already planned to institute).
    -12-
    December 10 and 14, 2009, statements.                   Both at the
    beginning and end of a public offering period, on December 10 and
    14, 2009,   Boston Scientific listed as one of over 50 factors that
    could     cause      actual     results       to     differ   materially     from
    forward-looking statements the company's "ability to retain key
    members   of   our    CRM     sales   force    and    other   key   personnel."
    Plaintiffs say that this was misleading because it omitted to say
    that by this time about ten CRM sales personnel had been fired,
    including one in a relatively senior position.
    That ten representatives out of 1,100 had been fired
    while 150 new ones were being trained does not amount to material
    information; but it is a closer call whether this is so of the loss
    of one of three of the CRM group's Divisional Sales VPs.                   Yet it
    was the personal relationship between sales personnel and doctors
    that created the main risk that those fired would take business
    with them and the number of discharged representatives was still
    surpassingly small.
    That the Divisional Vice President would defect to a
    competitor and take other discharged salesmen with him was not
    plainly foreseeable.          Those discharged for violating the company's
    ethics codes could well have been regarded as tainted; and that a
    cadre would reappear at a competitor, recruited in part by the
    fired Divisional Vice President, came as a surprise to Elliott
    -13-
    himself, as his February 11, 2010, statement made clear.                   Nor is
    the eventual impact of the discharges clear even today.
    The    plaintiffs    make    much   of    the fact   that    Boston
    Scientific predicted lost sales of $100 million in its February 11,
    2010, conference call and $100 million sounds like a large number,
    but, in that same conference call, Boston Scientific projected 2010
    revenues of $8.1 billion to $8.5 billion, making the projected loss
    just over one percent of revenues and not necessarily a permanent
    loss of business.        Also, Boston Scientific attributed the $100
    million both to the lost salespeople and an unrelated product
    advisory.
    The product advisory, issued December 1, 2009, informed
    physicians that several patients had suffered unsafe outcomes (such
    as shocks) from certain CRM devices implanted subpectorally.
    Although the company did not reveal how much of the $100 million
    was attributable to the product advisory, this advisory surely
    caused   a   portion    of   the   expected     losses.     In   any     case,    an
    undisclosed speculative chance of an event that affects only a very
    small proportion of revenues is not material.
    Scienter Requirements.        Section 10(b) is a fraud statute
    whose scienter element is satisfied if the speaker acted with
    fraudulent     intent   or    knowing      or   reckless   disregard      of     his
    obligation    to    disclose.      Auto.    Indus.     Pension   Trust    Fund    v.
    Textron, Inc.,      No. 11-2106, 
    2012 WL 2038098
    , at *4 (1st Cir. June
    -14-
    7, 2012).       And claims of scienter are subject to the heightened
    pleading requirements of the Private Securities Litigation Reform
    Act   ("PSLRA"),          enacted    "to     curb      frivolous,    lawyer-driven
    litigation, while preserving investors' ability to recover on
    meritorious claims." Tellabs, Inc. v. Makor Issues & Rights, Ltd.,
    
    551 U.S. 308
    , 322 (2007).
    One reason why securities class actions "pose a special
    risk of vexatious litigation,"               Merrill Lynch, Pierce, Fenner &
    Smith Inc. v. Dabit, 
    547 U.S. 71
    , 86 (2006),                    is that the cost of
    defending, coupled with potentially enormous liability, may make it
    advisable for the defendant to settle even unlikely or frivolous
    claims.    S.    Rep.     No.    104-98,    at    9   (1995),   reprinted   in   1995
    U.S.C.C.A.N. 679, 688; see also Bohn & Choi, Fraud in the New-
    Issues Market: Empirical Evidence in Securities Class Actions, 
    144 U. Pa. L. Rev. 903
    , 979 (1996).
    Further,       the    normal     recovery     for    class   members   is
    extremely       modest,    see    Coffee,    Reforming     the    Securities     Class
    Action: An Essay on Deterrence and Its Implementation, 
    106 Colum. L. Rev. 1534
    , 1545-46 (2006), and the costs of both the company's
    defense and what it pays in large legal fees to plaintiffs' counsel
    is usually borne indirectly by the stockholders of the defendant
    company.    What Congress discerned among the abuses was
    the routine filing of lawsuits . . . whenever
    there is a significant change in an issuer's
    stock price, without regard to any underlying
    culpability of the issuer, and . . . the abuse
    -15-
    of the discovery process to impose costs so
    burdensome that it is often economical for the
    victimized party [i.e. the defendant] to
    settle.
    H.R. Rep. No. 104-369, at 31 (1995), reprinted in 1995 U.S.C.C.A.N.
    730, 730 (Conf. Rep.).          And in response Congress adopted in the
    PSLRA   two    pleading       requirements     aimed       at    permitting   early
    termination--before          discovery--of     such      "routine      filings"    of
    unpromising cases.
    First,     the    PSLRA     requires     a     plaintiff    alleging    a
    misleading statement or omission to "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).           Second, the
    plaintiff must "state with particularity facts giving rise to a
    strong inference that the defendant acted with the required state
    of mind."     
    Id.
     78u-4(b)(2) (emphasis added).                 Taken together, the
    requirements make it easier to identify the issues and to dismiss
    flawed complaints at the complaint stage.
    The January 2010 Statements.                 As earlier described,
    Elliott made several statements at the January 2010 healthcare
    conference call favorable to the company's sales, including a claim
    that it had a "stable, large, experienced" and "very successful"
    sales force.    Plaintiffs argue that by this time not only were the
    firings complete, but at least one, and perhaps more, of the fired
    employees     had    been    re-hired     by   one    of     Boston    Scientific's
    competitors.     Yet no mention was made of these facts.
    -16-
    Neither this nor the other statements supporting the
    company's sale force focused on CRM sales personnel; but the next
    month, February 2010, when Boston Scientific finally announced the
    firings and subsequent hirings of some of the reps by St. Jude, it
    predicted lost sales as a result.                  The district court found
    material the failure to disclose the threat in January 2010 (which
    we will assume to be correct), but also found the statement non-
    actionable for lack of adequate allegations of scienter.
    The      PSLRA    requirement     that   a    "strong   inference"    of
    scienter be pled requires the complaint to set forth facts making
    the inference of scienter "cogent and at least as compelling as any
    opposing inference         one   could    draw   from   the facts     alleged."
    Tellabs, 
    551 U.S. at 324
    .           Thus, when Elliott spoke blandly but
    favorably in January 2010 of the strength of the company's sales
    force, the facts pled had to provide a clear indication that he was
    either dishonest or reckless in not mentioning the defection of up
    to ten salespeople to a competitor.
    In cases where we have found the pleading standard
    satisfied,   the    complaint      often    contains     clear    allegations   of
    admissions, internal records or witnessed discussions suggesting
    that at the time they made the statements claimed to be misleading,
    the defendant officers were aware that they were withholding vital
    -17-
    information or at least were warned by others that this was so.4
    No such direct evidence is pled in the complaint here.                             The
    plaintiffs do not identify any other basis for imputing such
    wrongful intent, nor was the omitted information of such powerful
    importance that wrongful intent can reasonably be inferred.
    The ten salespeople fired were less than one percent of
    Boston Scientific's U.S. CRM sales force and an even smaller
    percentage of the overall sales force of which Elliott was speaking
    in January 2010.         Although a month later the company predicted
    losses from the firings, the estimation was just over one percent
    of the company's total projected revenues, and (as explained above)
    represented the combined effect of both the firings and a negative
    product advisory.
    The delay is consistent with the fact that at the time of
    the   January    12,   2010,   statements,       some   or   all    of    the    fired
    employees had only very recently been hired by St. Jude, and how
    much business they might take with them surely required some period
    to assess.      Cf. Higginbotham v. Baxter Int'l, Inc., 
    495 F.3d 753
    ,
    761 (7th Cir. 2007) ("Taking the time necessary to get things right
    is    both   proper    and   lawful.").     As    we    stated     in    New    Jersey
    Carpenters Pension & Annuity Funds v. Biogen IDEC Inc., a company
    4
    For example, in In re Cabletron, the plaintiffs alleged that
    the company booked entirely fictitious sales, and employees stored
    the unsold goods at their homes "at the behest of" the company's
    chairman. 311 F.3d at 25.
    -18-
    may behave "irresponsibly" if it issues an ominous warning about an
    uncertain risk that "had not yet been adequately investigated." 
    537 F.3d 35
    , 58 (1st Cir. 2008).
    In fact, the complaint does not even squarely allege that
    the individual defendants knew on January 12, 2010, that St. Jude
    had hired some Boston Scientific salespeople, and that cannot be
    merely assumed. Maldonado v. Dominguez, 
    137 F.3d 1
    , 9-10 (1st Cir.
    1998).   Recently, where a company omitted mention of its weakened
    backlog, scienter was found lacking because "[n]othing in the
    complaint suggest[ed] that any of the named officers believed, or
    was recklessly unaware" of the problems.     Textron, No. 11-2106,
    
    2012 WL 2038098
    , at *4.
    In all events, even if Elliott knew of the St. Jude
    hirings, this was at best marginally material for reasons already
    indicated, and its marginal materiality not only defeats any
    independent inference of deliberate withholding but also makes the
    pled facts insufficient for a fact finder to find the "extreme
    recklessness in not disclosing the fact" that is the least that is
    required to establish scienter.    City of Dearborn Heights Act 345
    Police & Fire Ret. Sys. v. Waters Corp., 
    632 F.3d 751
    , 757 (1st
    Cir. 2011).
    The plaintiffs argue that the district court erred by
    failing to consider their arguments for scienter "holistically," as
    Tellabs suggests is proper.    
    551 U.S. at 326
    .   True, allegations
    -19-
    that are individually insufficient can sometimes combine together
    to make the necessary showing.     To take the simplest example, one
    known episode of an adverse drug reaction might be meaningless; an
    undisclosed collection of repeated and serious adverse reactions
    might permit an inference of conscious wrongdoing or recklessness
    because the adverse implication is so obvious.
    But in this case, a single central risk existed--that
    sales personnel might leave and perhaps take some of their business
    with them.    This risk became greater with succeeding events to the
    point that, by January 2010, it was (in the district judge's
    plausible view) sufficient that the failure to mention it was a
    material omission.      But, even so, it was a single risk with a
    single potential consequence, namely, real (but quite possibly
    temporary) losses while new Boston Scientific salespeople pursued
    the same doctors.
    If the likely magnitude of the loss was great in relation
    to company revenues, and had been so understood by defendants, a
    basis would likely exist for concluding that they were dishonest or
    at least reckless in failing to mention it.       Because the losses,
    thereafter identified to the SEC, were extremely modest in relation
    to revenues and partly attributable to a different cause, no such
    inference exists.     Thus, the January 2010 statements do not pass
    the PLSRA's heightened pleading standard for scienter.
    -20-
    Inherent in the PLSRA is the risk that dismissal on the
    complaint will leave without remedy some wrongs that discovery or
    trial   might   have   disclosed,    albeit   a   risk   Congress   thought
    necessary. Confining ourselves to the pleadings, as we must, there
    is clearly insufficient basis to find materiality as to all but the
    last of the statements or infer scienter as to the last.
    Affirmed.
    -21-