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No-Fault Lost Earnings Claims: Top Ten Issues Related to Covid-19

Wednesday, January 27th
12PM to 1PM

At FAZ, we are engaged by automobile carriers to analyze lost earnings claims for self-employed claimants who are injured in automobile accidents.  The pandemic has presented many challenges over the past year related to self-employment lost earnings claims. During this Webinar we will discuss some of the issues that have affected no-fault lost earnings claims, as well as the future impact on claims for lost self-employment earnings.

The Webinar will be hosted by Charles Amodio of FAZ Insurance Claims Services. To register, click here.
Forum, Webinar

2020 FAZ Insurance Forum: Property/Casualty Section

The 2020 FAZ Insurance Forum will be held virtually this year and will consist of a series of webinars on property/casualty insurance.  The property/casualty section is being on held on Wednesday, October 28th.

Property/Casualty Section
Wednesday, October 28, 2020 – 9:00AM to 12:20PM

  • 9:00AM – Welcome
  • 9:05AM to 9:50AM – Scott Storm, Mura & Storm, PLLC – “A Super Fun Review of Litigation Trends and Recently Decided 1st-Party Property Cases”
  • 9:55AM to 10:40AM – Matt Sherman, Fort Orange Claims Services – “Storm Season, Navigating a Large Residential Tree Loss”
  • 10:45AM to 11:30AM – Marco Cercone, Rupp Baase, Pfalzgraf & Cunningham LLC – “Get Your Ducks in a Row: Taking, Recording & Effectively Using Witness Statements. What every claims professional should know”
  • 11:35AM to 12:20PM – Charles Amodio, CPA, FAZ Forensics – “Inventory Claims, a Forensic Accountant’s Perspective

If you have any questions, please contact Charles Amodio at camodio@fazforensics.com

No Fault Auto Claim

2020 FAZ Insurance Forum: No Fault Auto

The 2020 FAZ Insurance Forum will be held virtually this year and will consist of a series of webinars on property/casualty insurance and no-fault auto claims. The No-Fault Auto Section is being held on Wednesday, November 4th.

No-Fault Auto Claims
Wednesday, November 4, 2020 – 9:00AM to 12:20PM

  • 9:00AM – Welcome
  • 9:05AM to 9:50AM – Jerry Marti, Mura & Storm, PLLC – “Material Misrepresentation, EUO No-Shows, and Intentionally Staged Accidents”
  • 9:55AM to 10:40AM – Mike Skiba (Dr. Fraud) – “The Psychology of Fraud”
  • 10:45AM to 11:30AM – Brienna Christiano, Barclay Damon – “2020 No-Fault Law Update”
  • 11:35AM to 12:20PM – Ryan Mura, Mura & Storm, PLLC – “Fee schedule issues and supporting affidavits; Biomechanical injury causation analysis reports; and Spotting issues with peer review/IME reports”

If you have any questions, please contact Charles Amodio at camodio@fazforensics.com.

Personal Injury Claims

Forensic Accountants are often asked to assist attorneys and insurance companies in the quantification of economic losses resulting from personal injury, wrongful death or lost employment.   Individuals are assets that can generate a stream of current and future earnings and factors like age, education/training, geographic location, gender, race, occupation, industry, union membership, and health can impact this future stream.

Whether you’re dealing with a personal injury, wrongful death or lost employment, the positive impact of an accomplished forensic accountant can be significant.  Individual damage cases will often benefit from the services and skills of an experienced forensic accountant, which include: accounting, tax, general business and financial consulting, strong analytical and research skills, as well as legal knowledge. Forensic accountants also bring intellectual curiosity, professional skepticism, attention to detail, persistence and the ability to think creatively and communicate effectively.

At FAZ, we specialize in projecting lost earnings related to personal injury, wrongful death and lost employment.  If you would like to refer a case, please download the FAZ PI Claim Questionnaire.

Download Now

New Cases can be uploaded to our secure portal.  Please include the FAZ PI Claim Questionnaire, along with any relevant financial records for the Plaintiff.  To upload these documents, click the link below.

Upload Documents

A Message from FAZ Forensics on COVID-19

At FAZ Forensics, we are taking proactive measures to protect our staff, client’s and community, due to the impact of COVID-19 coronavirus, while also ensuring that we continue to meet the financial and forensic needs of our clients.

We continue to monitor the news on COVID-19 and adherence to the recommendations of the Center for Disease Control, as well as directives from State and Local Government.   We will continue to reassess our plan as the medical and professional recommendations are updated.

We have developed a plan to minimize the risk of transmission of COVID-19 related to firm business, specifically our use of technology to work remotely.   Regardless of the measures we have put in place, we remain open for business and are fully available to answer your calls and respond to emails.

Please be advised, due to the current climate, we are requesting, if possible, to please send documents to the respective team member via electronic mail or Efax (888-456-2049). If you have any questions or concerns, please call 518-288-2142 to discuss other options.

Thank You.

FAZ Forensics
Noah Van Zandt

Noah Van Zandt Joins FAZ

Noah Van Zandt has joined FAZ Forensics as an Analyst.  Noah works with cases pertaining to business valuations, fraud and forensic analysis, and claims for lost earnings.

Prior to joining FAZ Forensics, Noah was an intern for a nonprofit economic research and educational organization. This provided Noah with an understanding of economic research and data analysis.

Noah recently earned a Bachelor of Arts in Economics with a concentration in Finance from the State University of New York at Geneseo. He is currently working towards his CPA designation.

Corporate auditor calculating budget with calculator on his office desk. Dedicated accountant professional of accounting business company analyzing financial document to forecast income. Insight

Breach of Fiduciary Duty and the Forensic CPA

Corporate auditor calculating budget with calculator on his office desk. Dedicated accountant professional of accounting business company analyzing financial document to forecast income. Insight

Where a fiduciary does not act in the best interests of the beneficiary a forensic CPA can play a critical role in analyzing and quantifying economic damages, as well as determining the parties responsible for the breach.

Types of Fiduciary Duty

When one party has an obligation to act in the best interest of another party it is referred to as a fiduciary duty. If the party acts contrary to that duty, it is called a breach of fiduciary duty and can give rise to legal action in civil court. Examples of relationships involving fiduciary duty include:

  • Trustee/Beneficiary
  • Principal/Agent
  • Controlling Stockholder/Company
  • Guardian/Ward
  • Attorney/Client

Breach of fiduciary duty as a business tort (a cause of action for a civil lawsuit) is discussed below, including elements of the tort and common remedies.

An Overview of a Fiduciary Relationship

At its most basic level, a fiduciary relationship may exist when a party places confidence and trust in another party with that party’s full knowledge. The party who owes a duty to the other party in such a relationship is called a fiduciary. For instance, attorneys are the fiduciaries of their clients. But in order for this duty to be legally enforceable, the relationship must have been created either under the law (statutes, legal proceedings, or contracts) or through the factual circumstances of the relationship (often based on established case law).

Fiduciary duties governed by statute include, for example, those owed by a business partner to his or her other partners or the duty of board members to represent the interests of the shareholders. If the fiduciary relationship isn’t implied through statute, then it may be stated explicitly through a contract…along with the specific duties owed.

What Does it Mean to Breach One’s Fiduciary Duty?

There are several ways a fiduciary can breach his or her duty, but it basically comes down to the following factors:

  • A fiduciary relationship existed at the time of the dispute.
  • The scope of the relationship and duties of the fiduciary is defined.
  • The duties were breached within the defined scope of the relationship.

A breach could be actions that are contrary to the interests of a client, actions done out of the fiduciary’s own self-interest, or failure to disclose pertinent information (such as a conflict of interest). For example, a company’s CEO orchestrates a deal to acquire a struggling company owned by his best friend. Assuming the acquisition was not in the best interests of the acquirer and actually hurts its bottom line (and share price), the shareholders may pursue a breach of fiduciary duty lawsuit to recover losses.

Elements of a Breach of Fiduciary Duty Claim

In order to prevail in a claim for this tort, the Plaintiff must be able to prove the following elements:

  • Duty – The defendant had a duty or duties to the plaintiff, such as the duty of good faith and fair dealing, the duty of full disclosure, or the duty of loyalty (the exact nature of the duty or duties will depend on the facts of the particular case).
  • Breach – The defendant breached this duty in some way, such as by failing to disclose certain information, misappropriation of funds, misuse of influential position, neglect of responsibilities, or misrepresentation with regard to a statement of fact.
  • Damages – The plaintiff must have suffered damages, for which the breach was the proximate cause; a breach without damages is not actionable.
Remedies for Breach of Fiduciary Duty

A plaintiff who prevails in a breach of fiduciary duty lawsuit typically will recover the  actual damages incurred, but also may recover punitive damages if the breach can be proven to have been committed out of malice or fraud. But calculating the exact amount of damages caused by the breach…or even proving that a poorly executed business action was in fact a breach…can be quite difficult.

Role of the Forensic CPA

In a breach of fiduciary duty matter, the forensic CPA should first conduct a discovery phase. They typically will know what information to look for and the right people to interview to collect relevant and helpful data. Next, they will combine their accounting and investigative skills to analyze all information and create written reports of their findings…with supporting financial analyses. Within this step, they will trace assets by looking through financial statements and banking documents to determine if there was any asset misappropriation. Importantly, an experienced forensic CPA can effectively serve as an expert witness in support of their opinions during depositions or trial.

The reports and final analyses provided by the forensic CPA can play a key role in the outcome of breach of fiduciary duty action. Their ability to identify, investigate, analyze, test and interpret financial data is a significant value-add to parties involved in these cases. You should select a firm that is dedicated to the forensic accounting field, which provides for ample experience managing a diverse caseload of litigation matters requiring forensic investigation. They also can tap into best practices daily to ensure their clients receive efficient and quality service.

Types of Fraud

Genesis of a Fraud Investigation and Major Types of Fraud

Types of Fraud
Detecting Fraud

Most fraud or forensic investigations begin with a suspicion of wrongdoing. The suspicion may be the result of a tip provided through a fraud reporting portal, an unexpected financial occurrence, a person internal to the Company (such as an owner, director or manager), or the result of an external audit. Steps will normally be taken to conduct a preliminary internal investigation. The purpose of the investigation is to determine whether there are fact patterns that indicate there may have been wrongdoing in the area(s) suspected, determine the possible method(s) employed, and attempt to quantify the questionable amounts involved.  It is shortly after the point of the preliminary internal investigation that we are typically called in for assistance. We are engaged to help prove a fraud for prosecutorial and recovery purposes, as well as to help defend an alleged fraud to eliminate or mitigate the monetary implications of any fraudulent activity.

Although many of the fact-finding steps performed are somewhat similar, it is important to differentiate the various types of frauds. The three major types of frauds, described below, are: (1) asset misappropriation, (2) financial statement misrepresentation, and (3) corruption or other illegal acts. Please keep in mind that one single fraud scheme may include all three major types of fraud.

Asset Misappropriation

Asset misappropriation refers to theft, embezzlement, or wrongful use of assets. Typically, it involves vendors and other third parties, as well as management and other employees entrusted to manage Company assets who abuse their position to steal through one or more fraudulent schemes.

In many cases, asset misappropriation is accounted for appropriately in the financial statements and does not result in financial statement misrepresentation. For example, inventory theft would likely be caught during variances identified during inventory counts. The inventory balance would be adjusted accordingly, and the financial statements would not be misstated. To the extent that the misappropriation becomes material, and remains unaccounted for in the accounting records, misappropriation may cause the financial statements not to be fairly presented in conformity with generally accepted accounting principles (GAAP).

Some of the more common types of fraud schemes involving asset misappropriation we have investigated include the following:

  • Embezzlement (skimming, larceny, vendor fraud, investor fraud, ghost employees, kickback arrangements, employee expense reimbursements)
  • Ponzi schemes
  • Corruption or bribery schemes
Financial Statement Misrepresentation

Another area in which we may provide forensic accounting services is in the investigation of alleged financial statement misrepresentations. Different from other fraud schemes in which assets are suspected to have been misappropriated, financial statement misrepresentations may not have resulted in the loss of company assets or the addition of company liabilities. The losses generally associated with financial statement misrepresentations are those that may be claimed by lenders, creditors, investors, or shareholders who placed assets or loans with a company based on misrepresentations in the financial statements (or disclosure omissions). Another common damage related to financial statement misrepresentations may be in the form of additional compensation (bonuses) paid to executives because of meeting certain performance metrics that are ultimately found not to have been met.

Most of financial statement misrepresentation matters involve companies with financial statements that had been audited by an external independent audit firm. Many involve public companies, whose financial statements are required to be filed with the U.S. Securities and Exchange Commission (SEC).  Many investigations regarding claimed financial statement misrepresentation are initiated through inquiries or investigations (or both) conducted by the SEC or Department of Justice. Regardless of the initiation of the investigation, we may be retained by one or more parties to assist with the fact finding, data gathering and investigative analysis. Frequently, the external auditors will deploy a group to participate in the investigation in a “shadow” role. The shadow role exists so that the audit team receives satisfactory information about the investigation process and results to enable reliance as part of audit evidence. The external auditor does not typically lead the investigation due to the potential impairment of independence.

Generally, the misrepresentations are claimed in one or more of the four areas described as follows, although they may affect multiple areas:

  • Income statement (misstated revenue, expenses, net income).
  • Balance sheet (asset valuation, misstated liabilities, fictitious assets).
  • Cash flow statement (misclassified finance versus operating cash flows).
  • Notes to the financial statements, contingent liabilities, pending litigation, variable-interest entities, related party transactions).
Corruption and Other Illegal Acts

Corruption and other illegal acts include all other violations of laws or governmental regulations not covered in asset misappropriation or financial statement misrepresentation. There has been a new focus on corporate governance and enforcement of enacted legislation including the Foreign Corrupt Practices Act (FCPA), the Dodd-Frank Act, and the UK Bribery Act to cite a few. As forensic accountants we may serve several roles related to the prevention, monitoring, or investigation of claims related to corruption and bribery.

Some illegal acts may have a direct and material effect on the determination of financial amounts, such as payments of bribes to foreign officials in violation of the FCPA. Such payments may be mischaracterized in a company’s books and records as “consulting fees” or “”commissions” to conceal their illegal nature. Companies may also improperly deduct bribe payments for tax purposes in violation of US or foreign tax laws, resulting in the understatement of tax provisions and overstatement of reported net income. Failure to disclose material effects of bribe payments on a company’s revenues and profits may also violate other securities laws. Other illegal acts may be far removed from the books and records supporting the financial statements, such as violations of antitrust law. Such illegal acts could result in enforcement proceedings that prevent an organization from doing business in a market, region or service line. Although this type of enforcement action is further removed from the financial statements, it may represent a serious threat to the continued profitability and projected result of the business.

Proving Fraud

Our work in a forensic engagement does not include making a legal conclusion as to the existence of fraud or determining the liability for fraud. While we understand the legal elements, our work is based on an objective evaluation of evidence gathered. That evidence is presented to the client, insurance company or a trier-of- fact who may make legal conclusions as to the existence of fraud.

In proving fraud, the following primary elements must exist:

  • Misrepresentation of a material fact,
  • Knowledge that a statement is false,
  • An act done with the intent to deceive,
  • Reliance was placed on the false representation, and
  • Damage was sustained as a result.
Preventing Fraud

There are many roles and services that we may provide in matters related to fraud prevention and corporate governance. Because of our specialized skills, experience, education, and training, we can provide valuable consulting services in this arena.  Corporate governance-related services include consulting related to the following:

  • Fraud risk assessments.
  • Fraud prevention through enhancements to the systems of internal controls.
  • Development of anti-fraud programs.
  • Monitoring and enhancing established compliance programs.
  • Implementation of fraud reporting portals and other reporting systems.

TBC & FAZ Announce Strategic Alliance

Teal, Becker & Chiaramonte, CPAs, P.C. (TBC), a top accounting and advisory firm and Ferraro, Amodio & Zarecki, CPAs (FAZ Forensics), a leading boutique forensic accounting firm have announced a strategic alliance designed to provide their respective Capital Region clients and contacts with expanded service offerings. TBC and FAZ will remain independent organizations as they pursue a set of agreed upon objectives to ensure a successful relationship.

Fraud prevention button, concept about cybersecurity, credit card and identity protection against cyberattack and online thieves, phishing scam, mobile phone hacker, bank account threat and fraud.

Fraud, Economic Damages & Forensic Accounting

This article is the first in a series by FAZ Forensics intended to provide education on fraud prevention and detection, financial investigations,  critical aspects in the quantification of economic damages, as well as the effective use of forensic accounting methods and techniques.

Fraudulent activity and financial disputes are already widespread in our society and vastly increasing in their frequency. The Association of Certified Fraud Examiners (ACFE) produces an annual Report to the Nation about their global study related to occupational fraud. Occupational fraud includes cases of asset misappropriation, financial statement fraud and business corruption. The 2018 ACFE report cited 2,690 cases of occupational fraud worldwide that were reported and investigated between January 2016 and October 2017. In just the United States, during this period, the reported losses associated with occupational fraud totaled over $7 billion.

Elements of Fraud

Fraud represents a clear intersection between law and accounting…fraud is commonly understood as dishonesty calculated for advantage. A person who is dishonest may also be called a fraudster. In the US legal system, fraud is a specific offense with certain required features. Fraud must be proved by showing that the defendant’s actions involved five separate elements:

  • A false statement of a material fact.
  • Knowledge on the part of the defendant that the statement is untrue.
  • Intent on the part of the defendant to deceive the alleged victim.
  • Justifiable reliance by the alleged victim on the statement.
  • Injury to the alleged victim as a result.
Fraud Theory

Fraud is a crime that is costlier than most people realize. Certain factors must be present to allow most individuals to commit these crimes. There a several theories that explain the factors that lead to fraud and other unethical behavior. Following are two of the more common of those theories. Together, the theories say that an individual’s personality traits and capability have a direct impact on the probability of fraud.

The Fraud Triangle – Developed in the 1950’s by American criminologist Donald Cressey, the fraud triangle is a three-pronged theory of fraud, whereby three factors need to be present for fraud to occur; specifically, pressure (incentive), together with rationalization and opportunity:

  • Pressure (Incentive) Usually a financial need, is often cited as the reason for committing a fraud. Depending on the context, pressures can be either personal or company based. Personal pressure may come from an individual spending beyond their means, a spouse losing a job, or gambling or drug issues. Personal pressures lead to the individual committing embezzlement or other asset misappropriation schemes. Company pressures may be the result of having to meet earnings expectations or the need for management to meet certain goals to receive compensation. These results could be achieved through financial statement fraud, such as improper revenue recognition, earnings management and other schemes.
  • Rationalization – To justify their actions, the person committing fraud will rationalize such actions. These rationalizations may include: “I only borrowed the money and was intending to pay it back” or “They are a big company and won’t miss the funds” or “I’m not being paid enough in my job.” Entity-based rationalization may include: “The company won’t survive if we miss earnings again” or “We won’t get the loan if our assets don’t exceed $X.
  • Opportunity – If internal controls are weak, the perpetrator may believe no one will notice if funds are taken. In many cases, the system may be tested with small amounts; and larger amounts as the expectation of getting caught becomes lower.

The Fraud Diamond – In the December 2004 New York State Society of CPA’s CPA Journal, David T. Wolfe and Dana R. Hermanson discussed the “fraud diamond.” The authors, added a fourth factor of capability to the Fraud Triangle, and discussed the fraudster’s thought process as follows:

  • Incentive – I want to, or have a need to, commit fraud.
  • Opportunity – There is a weakness in the system that the right person could exploit. Fraud is possible.
  • Rationalization – I have convinced myself that fraudulent behavior is worth the risks.
  • Capability – I have the necessary traits and abilities to be the right person to pull it off. I have recognized this fraud opportunity and can turn it into reality.
Areas of Fraud

In addition to the defense and examination of occupational fraud, forensic accountants are involved in cases pertaining to healthcare fraud, fiduciary fraud, the fraudulent activity of third party administrators, bankruptcy fraud, computer fraud, vendor fraud, procurement fraud, the Racketeer Influenced and Corrupt Organization Statute (RICO), bank fraud, tax fraud, financial fraud, and foreign corrupt practices.

In the healthcare fraud arena, many cases are triggered by the False Claims Act (FCA), the Stark Law, the Anti-Kickback Statute (AKS) and the Criminal health care fraud statute. Additionally, Sarbanes Oxley Corporate and Auditing Accountability and Responsibility Act (SOX) the Dodd Frank Wall Street Reform and Consumer Protection Act (Dodd Frank) are relevant pieces of legislation that cause forensic accountants to be involved to help defend and investigate financial fraud.

Economic Damages and the Forensic Accountant

Some forensic accountants quantify or value the financial impact a dispute or incident may have on a business and/or individual. They help insurance adjusters and representatives understand the true economic value of submitted claims.  In addition, law firms often engage forensic accountants to bring their expert knowledge to bear on difficult cases where economic damages are in dispute.

Forensic accountants work on contractual disputes, shareholder and partner disputes, intellectual property infringement matters, securities and antitrust cases, business interruption losses, subrogation actions, self-employed lost earnings calculations, and economic damages in wrongful death and personal injury, as well as wrongful termination.

In quantifying a disputed amount or a financial loss, a qualified forensic accountant will question the underlying assumptions, identify the relevant issues and thoroughly examine the detail. The measure of damages follows generally accepted methodologies. The skilled forensic accountant prepares recognized financial models to provide an estimate of the economic damages experienced resulting directly or indirectly from the wrongful act or incident. The depth and breadth of their industry knowledge and their financial acumen enable forensic accountants to really understand whether the numbers make sense and will stand up under the toughest scrutiny.

To prove economic damages in a litigation setting the experienced forensic accountant will successfully address and abide by the following legal principles:

  • Proximate Cause: The recovery of damages for lost profits is subject to the general principle that damages must be proximately caused by the wrongful act or incident. This requirement is expressed in numerous cases and governs the recovery of all compensatory damages.
  • Reasonable Certainty: A second requirement for the recovery of damages for lost profits is that the damages be proven with reasonable certainty. It requires that damages be capable of measurement based upon reliable factors without undue speculation. Again, this principle is expressed in many cases and is unquestionable.
  • Foreseeability: There is a key question presented by cases looking for recovery of damages for lost profits on contract claims. The question is whether those damages were reasonably foreseeable as the expected and likely result of a breach of the contract at the time the contract was made.

These governing legal principles, which have been well established and reinforced by case law, should be woven into the financial analysis by the forensic accountant in a manner that shows their applicability to the case at hand. Specific supporting case law and practical approaches to demonstrate the relevance to financial models will be addressed in a future article.

Engaging the Forensic Accountant

Whether you’re dealing with fraudulent activity or a financial dispute, the positive impact of an accomplished forensic accountant can be significant. Fraud investigations and dispute resolution will often benefit from the services and skills of an experienced forensic accountant, which include: accounting, tax, general business and financial consulting, strong analytical and research skills, as well as legal knowledge. Forensic accountants also bring intellectual curiosity, professional skepticism, the attention to detail, persistence and the ability to think creatively and communicate effectively.

In addition to having the required skill set to help defend and investigate fraud and quantify financial disputes, many forensic accounting firms have developed the requisite knowledge, systems and procedures to deal efficiently and effectively in the resolution of fraud investigations and financial disputes. This will be covered in detail in future articles and will include the following areas:

  • Effective Use of the Forensic Accountant
  • Prevention and Detection of Occupational Fraud
  • Asset Misappropriation Fraud Schemes
  • Financial Statement Fraud Schemes
  • Specifics and Benefits of Computer Forensics
  • Criteria for Selecting a Financial Damages Expert
  • Overview of Commercial Damages
  • Overview of Individual Damages
  • Legal Principles in Economic Damage Cases
  • Mitigation of Damages Doctrine
  • Anatomy of a Business Interruption Loss
  • Business Divorce: Basics in Shareholder and Partner Disputes
  • Fiduciary Duty and the Exposure for Fraudulent Activity
  • Forensic Engagements: Acceptance and Scope of Services
  • Forensic Accountant: Serving as a Consultant and/or Expert Witness
  • Framework of a Forensic Accounting Investigation
  • Art of the Forensic Accounting Interview Process
  • Forensic Analysis of Financial Transactions
  • Effective Use of Other Forensic Specialists
  • Proper Communication of Forensic Accounting Findings
  • Successful Expert Testimony at Deposition and Trial
  • Case Studies in Forensic Accounting

PRESS RELEASE – TBC and FAZ Forensics Announce Alliance

ALBANY and SARATOGA SPRINGS (November 7, 2018) – Teal, Becker & Chiaramonte, CPAs, P.C. (TBC), a top accounting and advisory firm and Ferraro, Amodio & Zarecki, CPAs (FAZ Forensics), a leading boutique forensic accounting firm have announced a strategic alliance designed to provide their respective Capital Region clients and contacts with expanded service offerings. TBC and FAZ will remain independent organizations as they pursue a set of agreed upon objectives to ensure a successful relationship.

“We are excited to join forces with FAZ to bring premier forensic accounting and fraud prevention services to our clients, COIs and referral sources,” TBC Managing Partner Jim Drislane said. “For decades, the FAZ team members have served as valued consultants and forensic experts for attorneys, insurance companies, corporate clients, not-for-profits and governmental entities. They have built a strong reputation specializing in forensics. Working with a well-established player like FAZ will only enhance our ability to serve clients.”

“Aligning with TBC gives us a wider platform, expanded resources and proven expertise in many industries for enhanced performance on our forensic accounting engagements,” FAZ partner Stephen Ferraro said. “TBC has a stellar 50-year standing as the premiere accounting and advisory firm in the Capital Region. They take every opportunity to go beyond what is expected of an established CPA firm to deliver superior and expanded services to clients. Their integrity, outstanding culture and well-earned reputation as a great place to work provides us with considerable confidence that our alliance will be successful on many levels.”

About TBC

TBC is a full-service CPA firm committed to the Capital Region. Client satisfaction motivates them to provide quality services while maintaining the highest level of integrity. With over 50 CPAs, TBC is ranked as the largest firm in the Capital Region. Headquartered in Albany, TBC is an independent member of CPAmerica International.  CPAmerica, as a member of Crowe Horwath International, is one of the largest associations of independently owned and managed CPA and consulting firms in the world, based on annual revenue of member firms. Together, the combined annual revenue of CPAmerica and Crowe Horwath International firms is $3.1 billion.

About FAZ

FAZ is a boutique forensic accounting firm committed to helping attorneys, claims professionals, business owners and others. They help resolve financial disputes, conduct fraud and financial investigations, quantify economic damages and calculate business value. Headquartered in Saratoga Springs, FAZ also has a presence in Boston and New York City. They are uniquely qualified to help their clients because they work exclusively on forensic accounting matters. In addition, they bring many years of technical knowledge and supporting expertise in areas such as legal principles, deposition assistance, litigation, expert testimony, auditing, tax and property and casualty insurance.

Injury Lawsuit

The Mitigation of Damages Doctrine

Injury Lawsuit

The use of reasonable care and diligence to minimize or avoid damages or injury. Under the mitigation of damages doctrine, a person or business who has suffered an injury or loss should take reasonable action, where possible, to avoid additional injury or loss. The failure of a plaintiff to take protective steps after suffering an injury or loss can reduce the amount of the plaintiff’s recovery. The mitigation of damages doctrine is sometimes called minimization of damages or the doctrine of Avoidable Consequences.

Expectation to Mitigate

The Plaintiff in an economic damages case is expected to mitigate losses by making reasonable efforts to offset losses when possible.  But what is reasonable?  It means the injured party must do what a reasonable person under the same circumstances would do, taking all relevant information into consideration.  For instance, a person who injures his back is not required to seek medical treatment from the world’s most renowned back specialist. However, they would be reasonably expected to visit a local board-certified physician shortly after sustaining the injury.   The obligation to mitigate damages simply means that you must do what you can within reason to keep your damages at a minimum.  You are not permitted to allow your damages to pile up excessively.  In both contracts cases and personal injury cases, the purpose of the mitigation of damages rule is to recognize that injured people (whether injured physically or financially) have a responsibility to take care of themselves, and their responsibility to themselves does not evaporate merely because another person is responsible for injuring them in the first place.  In Hamilton v. McPherson, 28 N Y 72, 77, the law, for wise reasons, imposes upon a party subjected to injury from a breach of contract the active duty to make reasonable exertions to render the injury as light as possible.

Mitigation of Damages as an Affirmative Defense

Is mitigation of damages an affirmative defense?  Along these lines, the law recognized that a claim for failure to mitigate damages is an affirmative defense.  What this means is that the Plaintiff does not have to prove that he or she took reasonable steps to mitigate his or her damage, but rather Defendant must prove that Plaintiff did not take those steps.

In Williams v. Bright, 632 N.Y.S.2d 760, the issue raised in this case is the extent of the duty to mitigate damages when a proposed course of treatment would violate a plaintiff’s deeply held religious beliefs. The law is clear that with respect to damages, a plaintiff has a duty to mitigate so as not to unduly penalize a defendant. Normally, that obligation is to do what a reasonable person would have done to alleviate or cure the condition. The key to a successful defense is often proof that plaintiff failed to mitigate damages.  Plaintiff is required to act reasonably to mitigate damage, but failure to do so must be proved by Defendant.

Offsetting Damages

In Brandon and Tibbs v. George Gavorkian Accountancy Corp., an action for damages for breach of a joint venture agreement to establish an accounting practice, the Defendant was found to have wrongfully excluded Plaintiff from the Practice in violation of the agreement.  To mitigate his damages, Plaintiff opened a competing office nearby, but lost money for three years before beginning to earn a profit.  The Court held the reasonableness of the Plaintiff’s mitigation effort was a question of fact, resolved favorably for the Plaintiff at trial. The finding that Plaintiff starting a new business was a reasonable effort at mitigation was affirmed.  Plaintiff was therefore entitled to recover costs of mitigation, but as Plaintiff had recovered 5 years of lost profits, the results of 5 years of mitigation efforts should be offset against those damages.  At trial, only the 3 years of losses had been considered.  The Court concluded that Plaintiff was required to compute costs of mitigation over 5 years, offsetting the first 3 years of losses by the next 2 years of profits, parallel to the 5 years of lost profits damages allowed at trial.  Either net amount of mitigation loss only was recoverable, or Plaintiff would be required to offset net mitigation profit against his damages.

With respect to profits not offset, the distinction made in determining whether other profits must be offset often depends on whether the breach calls for personal services.  For example, if an employee is wrongfully discharged, it is generally understood that other income is to be offset against the employee’s damages.  The employee would not have been free to earn the other income but for the discharge.  Other income earned by a business will not necessarily be offset, as a business may have been able to earn the other income in addition to the income lost.

Factors Affecting the Plaintiff’s Ability to Mitigate

The responsibility of an injured party to make reasonable, good faith efforts to mitigate its losses is the subject of much legal debate. While the burden of proof to prove damages falls on the plaintiff, it is the defendant or party alleged to have harmed the plaintiff that must demonstrate with some level of specificity the injured party’s failure to mitigate damages. In examining a defendant’s claims and/or a plaintiff’s failure to mitigate, the courts consider several factors, including plaintiff’s costs, financial abilities, risk of additional losses, market barriers, supply barriers, timing issues, good faith efforts to minimize losses, as well as the availability of reasonable substitutes to replace lost resources and profits.

  • Mitigating damages typically requires a plaintiff to incur some costs, including out-of-pocket expenses to repair harm allegedly caused by the defendant and the costs of time and effort to replace lost goods, parts, customers or suppliers with comparable substitutes. The courts attempt to differentiate between reasonable and excessive costs by freeing a plaintiff from making “substantial expenditures of his own funds or incur substantial risk to avoid the consequences of the defendant’s conduct.” Should a plaintiff choose to incur and claim as damages excessive expenses to mitigate future losses, he or she must be prepared to justify the reasonableness of such expenditures.
  • The Plaintiff’s Financial Ability. There are times when financial constraints may hinder a plaintiff’s ability to mitigate damages. This can occur when the plaintiff lacks funding required to take mitigating action, or when mitigation costs exceed the economic damages the plaintiff incurred due to the defendant’s alleged action. The courts have divided opinions in these cases. In some instances, the courts accepted plaintiffs’ lack of funding as sufficient cause for failure to mitigate. In others, the courts ruled that plaintiffs’ financial limitations were not a satisfactory defense when other, less costly options, such as selling the property in dispute, reducing sales staff or non-essential expenses, were available to them.
  • Risk of Additional Losses. Like the costs that a plaintiff would incur to mitigate damages, the courts also consider the risk of additional losses when evaluating a plaintiff’s reasonable efforts. Plaintiffs are under no obligation to take on undue risk, which the courts have interpreted broadly as follows:
    • Almost any risk of considerable loss to the injured person if he attempts to mitigate damages should be considered undue. (Franconia Assocs. v. United States, 61 Fed. Cl. 718)
    • While reasonable cost-avoiding steps include affirmative efforts to make substitute arrangements compensating for the lack of contract performance, such arrangements need not be entered if they would expose the party to undue risk or significantly compromise its interests. (Brazos Electric Power Coop., Inc. v. United States, 52 Fed. Cl. 121, 129)
    • The injured party is not obligated to exalt the interests of the defaulter to his own probable detriment. (In re Kellett Aircraft Corp., 186 F.2d 197)

What constitutes undue risk is ultimately based upon the specific facts and circumstances of any given case. The more costly and extraordinary the actions required of the plaintiff, the more likely the undue risk. Conversely, in circumstances in which a defendant can prove that a plaintiff had the ability to take simple steps to avoid exposure to future losses, the more likely the courts will rule that such actions fall within the plaintiffs’ obligations to mitigate damages.

  • Good Faith Efforts. Plaintiffs claiming that they were unable to mitigate damages should still demonstrate that they engaged in good faith efforts to minimize future losses, rather than allowing those losses to increase. For example, in Campbell v. Louisiana Intrastate Gas Corp. (528 So.2d 626), the plaintiff prohibited the defendant, a private utility company, from entering his property to restore drainage from underground gas pipes on the plaintiff’s farm. As a result, the property owner incurred additional losses in crop productivity. The courts, considering the plaintiff’s lack of good faith in dealing with the defendant to mitigate losses, reduced the plaintiff’s damage award resulting in an 80 percent decrease in the damage award.
  • Market Barriers. The plaintiff’s marketing capabilities, considering its reputation, product quality, and product features, may have been affected by defendant’s breach and affect its ability to mitigate damages.
  • Supply Barriers. The defendant’s breach may also have affected the plaintiff’s ability to obtain goods and services from its suppliers necessary for production to mitigate its losses.
  • Timing Issues. The plaintiff’s knowledge of the event causing economic harm and the time required to implement a mitigation strategy may also affect mitigation.
  • Reasonable Substitutes. One way in which injured parties may minimize future losses is to replace lost goods, parts, services, customers or suppliers with comparable substitutes from alternative sources. However, in most cases, plaintiff and defendant will almost certainly differ in their interpretations of what each considers to be reasonable substitutes. Common wisdom presumes that the more generic or commodity-like the product or service, the easier it presumably would be to find a replacement. However, the fact is that a reasonable replacement may be limited by the type of product being sold, the demand for the product, the intensity of competition from other manufacturers and other factors. Moreover, plaintiffs should be aware that they may unwittingly limit their claims to any damages if defendants can prove the existence of a replacement product at a lower cost.
Personal Injury

When a Plaintiff is unable to work because of an accident, he or she may be able to recover any income that was lost, but the duty to mitigate still applies when it comes to financial losses.  For instance, an injured Plaintiff cannot just sit idly by allowing his or her lost income damages to accumulate without attempting to find alternative employment.  While the Plaintiff may not be able to work in his or her usual occupation, if they can find work doing something else, they have an obligation to mitigate their lost wages by working at another job.  Other experts, such as vocational rehabilitation experts may provide mitigation factors and an offset would generally apply for amounts the plaintiff earned, will earn, or could have earned during the loss period.  The testimony of a vocational expert along with that of a medical expert is often needed to help a Plaintiff figure out what he or she can truly expect to be able to do after an injury and how much money he or she can expect to earn doing it.

The failure to mitigate damages will negatively affect the amount of damages awarded to the Plaintiff.  At a personal injury trial, if the Defendant can successfully demonstrate that the Plaintiff failed to act reasonably in minimizing their losses after an accident, the amount a Plaintiff can receive, even if the Defendant is found liable, will almost certainly be reduced.  An injured Plaintiff is entitled to recover claimed damages that are caused by and attributable to the underlying accident, not claimed damages that result directly from the Plaintiff’s failure to mitigate.

Under New York law, the failure to use a seat belt cannot be introduced into evidence regarding the issue of liability but rather as an element in mitigating damages. In the typical personal injury case in New York, the accepted rule has been that the injured party cannot recover damages for personal injuries he would not have sustained had he used an available seat belt. The failure to use a seat belt is an affirmative defense that must be properly pleaded and proved by the defendant. If sufficient expert testimony is presented by the defense, the jury must determine whether failure to use a seat belt resulted in greater injury, and thus warrants a reduction of the damages awarded based on a failure to mitigate.

Real Estate Damages

In Center Line Investors Company v. Tri Co Industries Inc., a tenant breached its lease for space in a building and vacated the premises.  By agreement, the landlord moved a tenant occupying a different space into the vacant space at a higher rent than the defaulting tenant had been paying.  The landlord sought to recover his damages, the lost rent from the space now vacated by the tenant that had agreed to move.  Citing a scattering of authority that was said to have supported his position, the Court held that the landlord could not recover any damages at all, as damages for the lost rents on the space that was vacated by the tenant that had moved would not have been within contemplation of the parties to the original lease.  This result seems to be wrong.  A landlord that’s penalized for making an economically rational decision that reduces damages and is now left with no recovery at all.  The reduced damages have still been suffered.

There seems to be confusion about whether, under New York law, a residential landlord has a duty to mitigate its damages after the tenant’s breach of the lease.  In other words, does a residential landlord have an obligation to try to re-let the space after a tenant abandons a lease to minimize its damages of lost rents?  The answer currently in New York is no.

Prior to 1995, the consensus of the Courts was that although commercial landlords were under no such duty, residential landlords had a duty to mitigate their damages.  In 1995, however, the Court of Appeals issued a decision in Holy Properties Limited v. Canada Cole Production holding generally that landlords do not have to mitigate their damages.  The Holy Properties case involves a dispute concerning a commercial lease that the Court of Appeals did not make any distinction between commercial and residential leases and this decision did not carve out any exception for residential leases.

Conclusion

Mitigation of damages is discussed in surprisingly few lost profits damages cases.  Maybe the Defendants do not investigate the facts and raise the issue in all circumstances where it may be appropriate.  A Defendant confronted with a claim for damages for lost profits should determine by discovery what other profits Plaintiffs made that could not have been made but for the wrong alleged.  These are part of the Defendants case at trial and could well reduce the Plaintiff’s ultimate recovery, if Plaintiff prevails.  When trying lost profits cases, attorneys must address the defendant’s responsibility to prove or disprove a plaintiff’s efforts to mitigate losses while understanding the limitations plaintiffs may face in doing so. In these instances, damages experts may benefit from supporting testimony from industry experts and fact witnesses who may be better suited to address the rationale behind a plaintiff’s failure to mitigate.

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