United States, ex rel. Sanborn v. Athenahealth, Inc. ( 2022 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 22-1245
    UNITED STATES, ex rel. CHERYL LOVELL and WILLIAM MCKUSICK,
    Plaintiffs, Appellants,
    UNITED STATES, ex rel. GEORDIE SANBORN; STATE OF VERMONT, STATE
    OF CALIFORNIA, STATE OF COLORADO, STATE OF DELAWARE, STATE OF
    FLORIDA, STATE OF GEORGIA, STATE OF HAWAII, STATE OF ILLINOIS,
    STATE OF INDIANA, STATE OF IOWA, STATE OF MARYLAND, COMMONWEALTH
    OF MASSACHUSETTS, STATE OF MICHIGAN, STATE OF MINNESOTA, STATE
    OF MONTANA, STATE OF NEVADA, STATE OF NEW JERSEY, STATE OF NEW
    YORK, STATE OF NORTH CAROLINA, STATE OF OKLAHOMA, STATE OF RHODE
    ISLAND, STATE OF TEXAS, STATE OF WISCONSIN, DISTRICT OF
    COLUMBIA, COMMONWEALTH OF VIRGINIA, STATE OF NEW MEXICO, STATE
    OF TENNESSEE, STATE OF WASHINGTON, STATE OF CONNECTICUT, STATE
    OF LOUISIANA, ex rel. CHERYL LOVELL AND WILLIAM MCKUSICK,
    Plaintiffs,
    v.
    ATHENAHEALTH, INC.,
    Defendant, Appellee,
    JOHN DOES 1-10,
    Defendants.
    No. 22-1246
    UNITED STATES, ex rel. GEORDIE SANBORN,
    Plaintiff, Appellant,
    UNITED STATES, ex rel. CHERYL LOVELL and WILLIAM MCKUSICK; STATE
    OF VERMONT, STATE OF CALIFORNIA, STATE OF COLORADO, STATE OF
    DELAWARE, STATE OF FLORIDA, STATE OF GEORGIA, STATE OF HAWAII,
    STATE OF ILLINOIS, STATE OF INDIANA, STATE OF IOWA, STATE OF
    MARYLAND, COMMONWEALTH OF MASSACHUSETTS, STATE OF MICHIGAN,
    STATE OF MINNESOTA, STATE OF MONTANA, STATE OF NEVADA, STATE OF
    NEW JERSEY, STATE OF NEW YORK, STATE OF NORTH CAROLINA, STATE OF
    OKLAHOMA, STATE OF RHODE ISLAND, STATE OF TEXAS, STATE OF
    WISCONSIN, DISTRICT OF COLUMBIA, COMMONWEALTH OF VIRGINIA, STATE
    OF NEW MEXICO, STATE OF TENNESSEE, STATE OF WASHINGTON, STATE OF
    CONNECTICUT, STATE OF LOUISIANA, ex rel. CHERYL LOVELL AND
    WILLIAM MCKUSICK,
    Plaintiffs,
    v.
    ATHENAHEALTH, INC.,
    Defendant, Appellee,
    JOHN DOES 1-10,
    Defendants.
    APPEALS FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Nathaniel M. Gorton, U.S. District Judge]
    Before
    Barron, Chief Judge,
    Lynch and Gelpí, Circuit Judges.
    Hyland Hunt, with whom Ruthanne M. Deutsch, Deutsch Hunt PLLC,
    Suzanne E. Durrell, and Whistleblower Law Collaborative LLC were
    on brief, for appellants Lovell and McKusick.
    Andrew D. Schlichter, with whom Joel D. Rohlf and Schlichter
    Bogard & Denton, LLP were on brief, for appellant Sanborn.
    Sarah E. Walters, with whom Mark W. Pearlstein, Natasha L.
    Dobrott, and McDermott Will & Emery LLP were on brief, for
    appellee.
    December 21, 2022
    LYNCH, Circuit Judge.      In these two different qui tam
    cases in which the United States executed a settlement agreement
    with     defendant   AthenaHealth,    Inc.   ("Athena")   and    multiple
    relators, relators Cheryl Lovell and William McKusick appeal from
    the district court's denial of their entire claim for attorneys'
    fees under the False Claims Act ("FCA"), 
    31 U.S.C. § 3729
     et seq.
    The district court did so on the basis that such fees were
    available only to first-to-file relators and Lovell and McKusick
    were not first-to-file relators.        United States v. AthenaHealth,
    Inc., No. 17-cv-12125, 
    2022 WL 658654
    , at *4-5 (D. Mass. Mar. 3,
    2022).
    The first-to-file relator, Geordie Sanborn, appeals from
    the omission of certain claimed fees from his award of attorneys'
    fees.    Both appeals present questions of first impression for this
    court.
    We affirm as to Lovell and McKusick on narrow reasoning,
    confined to the facts concerning the provisions of the government's
    settlement agreement.     We conclude that Lovell and McKusick did
    not receive a relator's share and so are not entitled to attorneys'
    fees.    We leave for another day the issue of whether such fees are
    restricted to first-to-file relators.          We also do not address
    different    factual   situations    where   the   settlement   agreement
    reached by the United States provides for payment of relator's
    shares to multiple relators.        We affirm as to Sanborn, rejecting
    - 4 -
    his argument under the text of 
    31 U.S.C. § 3730
    (d)(1) that he may
    be allowed fees associated with his claim in which the government
    did not intervene.
    I.
    A.
    The False Claims Act imposes liability on any person
    who, inter alia, "knowingly presents, or causes to be presented,
    a false or fraudulent claim for payment or approval," 
    31 U.S.C. § 3729
    (a)(1)(A), "to an officer, employee, or agent of the United
    States," 
    id.
     § 3729(b)(2)(A)(i).   The statute authorizes two types
    of actions.    The government can bring a civil action against the
    alleged false claimant.   Id. § 3730(a).   Alternatively, a private
    person (a "relator") can bring a qui tam civil action in the
    government's name    "for the person and for the United States
    Government."   Id. § 3730(b).   Qui tam plaintiffs must file their
    complaints under seal and serve a copy of the complaint, along
    with all material evidence, on the government.    Id. § 3730(b)(2).
    The government may then decide to intervene, "in which case the
    action shall be conducted by the Government." Id. § 3730(b)(4)(A).
    If the government does not intervene, the qui tam plaintiff "shall
    have the right to conduct the action."     Id. § 3730(b)(4)(B).   A
    plaintiff's complaint may remain sealed for an extended period
    while the government investigates the allegations prior to making
    its intervention decision.   See id. § 3730(b)(2)-(3).
    - 5 -
    B.
    We recite only the necessary undisputed facts.                   Athena
    is a medical software company that sells health record services
    and other cloud-based products.         Relator Sanborn works in business
    development and sales for one of Athena's competitors.                     Relators
    Lovell and McKusick operate a home-healthcare service that was one
    of Athena's clients.
    On October 30, 2017, Sanborn filed a sealed qui tam
    complaint against Athena.        The complaint alleged that Athena had
    operated    incentive      programs   to     induce     purchases    of    Athena's
    services in violation of the Anti-Kickback Statute, 42 U.S.C.
    § 1320a-7b(b) (the "Kickback Claim").                 Sanborn's complaint also
    alleged    that   Athena     marketed        its     electronic   health    record
    technology with a false guarantee of compliance with federal
    certification requirements (the "EHR Compliance Claim").
    Roughly two months later, on December 21, 2017, Lovell
    and McKusick filed a separate qui tam complaint against Athena.
    They amended that complaint on April 18, 2018.                      Like Sanborn,
    Lovell    and   McKusick    alleged    that        Athena's   incentive    programs
    violated the Anti-Kickback Statute (again, the "Kickback Claim").
    They also alleged that Athena's billing software submitted false
    claims for services (the "Billing Claim").
    The government conducted an investigation over the next
    three years.      On September 22, 2020, the government reached an
    - 6 -
    agreement in principle with Athena to settle all the claims.             At
    some point in December 2020, both sets of relators reached an
    agreement between themselves as to how to allocate any relator's
    share from the anticipated settlement. The terms of this agreement
    are not in the record.         On January 22, 2021, the government filed
    a notice in court that it was electing to intervene in part in
    both       Sanborn's   case   and   Lovell   and   McKusick's   case.   The
    government's complaint in intervention, filed on January 25, 2021,
    intervened as to the relators' Kickback Claims.              The government
    did not intervene in Sanborn's EHR Compliance Claim or in Lovell
    and McKusick's Billing Claim.
    On January 27, 2021, the government, the relators, and
    Athena entered into a settlement agreement, which settled both the
    Kickback Claims in which the government had intervened and the
    relators' remaining claims.1         Athena agreed to pay the government
    (not the relators) over $18,250,000.               The settlement agreement
    stated that "[i]t is understood by all the Parties that Relator
    Sanborn and Relators Lovell and McKusick have reached their own
    agreement regarding their respective shares of any funds paid by
    the United States to Relator Sanborn."             The settlement agreement
    1  The settlement agreement did not release Athena from
    potential liability to the government for claims other than the
    Kickback Claims.
    - 7 -
    also reserved the relators' ability to seek, and Athena's ability
    to contest, payment of attorneys' fees pursuant to § 3730(d).
    In   February    2021,   the     government   and   the    relators
    executed a separate agreement.       The parties agree that, pursuant
    to this agreement, the government paid an agreed amount to Sanborn
    on March 15, 2021.    Under the terms of the private agreement among
    the relators, not involving the government or Athena, Sanborn paid
    to Lovell and McKusick a sum purporting to be part of the payment
    he received from the government.      The sum paid is not in evidence.
    C.
    Both sets of relators sought an award of attorneys' fees
    from the district court under § 3730(d).          Sanborn sought roughly
    $762,000 in attorneys' fees and $15,000 in expenses; Lovell and
    McKusick sought roughly $1,079,000 in fees and $4,000 in expenses.2
    The district court denied Lovell and McKusick's motion
    for   attorneys'   fees   and   denied      Sanborn's   motion      in   part.
    AthenaHealth, 
    2022 WL 658654
    , at *8.          As to Lovell and McKusick,
    the court held that they were barred from recovering fees for their
    Kickback Claim under § 3730(d)(1) because they were not the first-
    to-file relator.     Id. at *4-5 (citing 
    31 U.S.C. § 3730
    (b)(5)).           As
    2   After briefing on the fee motions had concluded, Sanborn
    filed a supplemental declaration seeking roughly $84,000 in
    additional fees and costs incurred during the fee request
    proceeding itself. The district court did not expressly rule on
    that additional request.
    - 8 -
    to Sanborn, the court held that he was entitled to fees under
    § 3730(d)(1) for his Kickback Claim but not his EHR Compliance
    Claim, because the government did not intervene in the latter
    claim.   Id. at *5-6.   The court also held that Sanborn had waived
    any alternative argument for fees under § 3730(d)(2) by failing to
    brief the issue.    Id. at *6.     The court thus reduced the fee
    lodestar it had calculated for Sanborn by 50 percent to reflect
    the exclusion of the EHR Compliance Claim3 and awarded Sanborn
    roughly $391,000 in fees and expenses.    See id. at *6-8.
    These timely appeals followed.    The government has not
    taken a position in either appeal.
    II.
    We review questions of statutory interpretation de novo.
    See Baker v. Smith & Wesson, Inc., 
    40 F.4th 43
    , 47 (1st Cir. 2022).
    These consolidated appeals turn on relators' entitlement
    to attorneys' fees under the text of 
    31 U.S.C. § 3730
    (d).      This
    was the ground on which the settlement agreement provided for a
    potential award.
    3    The   district  court   applied   an  across-the-board
    percentage reduction (based on the court's assessment of the
    relative complexity of the two claims and potential synergies in
    their prosecution) because counsel had not distinguished between
    time spent on each claim. See AthenaHealth, 
    2022 WL 658654
    , at
    *6-7. The court did not directly address Lovell and McKusick's
    claim to fees for their non-intervened Billing Claim, but
    implicitly rejected this claim on the same basis that it reduced
    Sanborn's fee award. See 
    id. at *6
    .
    - 9 -
    A.
    We begin with Lovell and McKusick's claim to attorneys'
    fees for their Kickback Claim under § 3730(d)(1).     Athena defends
    the district court's denial of fees on two independent bases: (1)
    that the FCA's first-to-file bar, 
    31 U.S.C. § 3730
    (b)(5), precludes
    Lovell and McKusick, who filed their complaint after Sanborn, from
    recovering attorneys' fees on this claim and (2) that receipt of
    a relator's share is a precondition for recovery of fees under
    § 3730(d)(1) and that the payment Lovell and McKusick received
    from Sanborn via a private sharing agreement was not a relator's
    share.   We reach only the second argument.4
    "As always in matters of statutory interpretation, we
    start with the text."   United States v. Millennium Lab'ys, Inc.,
    
    923 F.3d 240
    , 250 (1st Cir. 2019).     Reasonable attorneys' fees may
    be awarded pursuant to § 3730(d)(1) of the FCA, which provides:
    If the Government proceeds with an action
    brought by a person under subsection (b), such
    person shall, subject to the second sentence
    of this paragraph, receive at least 15 percent
    but not more than 25 percent of the proceeds
    of the action or settlement of the claim,
    depending upon the extent to which the person
    substantially contributed to the prosecution
    of the action. Where the action is one which
    the court finds to be based primarily on
    disclosures of specific information (other
    than information provided by the person
    bringing the action) relating to allegations
    4    Because we do not reach the first-to-file issue, there
    is no need to discuss our prior decision in United States v.
    Millennium Laboratories, Inc., 
    923 F.3d 240
     (1st Cir. 2019).
    - 10 -
    or transactions in a criminal, civil, or
    administrative hearing, in a congressional,
    administrative,   or   Government   Accounting
    Office    report,     hearing,    audit,    or
    investigation, or from the news media, the
    court may award such sums as it considers
    appropriate, but in no case more than 10
    percent of the proceeds, taking into account
    the significance of the information and the
    role of the person bringing the action in
    advancing the case to litigation. Any payment
    to a person under the first or second sentence
    of this paragraph shall be made from the
    proceeds. Any such person shall also receive
    an amount for reasonable expenses which the
    court finds to have been necessarily incurred,
    plus reasonable attorneys’ fees and costs.
    All such expenses, fees, and costs shall be
    awarded against the defendant.
    
    31 U.S.C. § 3730
    (d)(1).5
    The next-to-last sentence        provides that "[a]ny       such
    person shall also receive . . . reasonable attorneys' fees."                  
    Id.
    (emphasis added). "Such" normally refers to the nearest reasonable
    antecedent. See, e.g., Barnhart v. Thomas, 
    540 U.S. 20
    , 26 (2003);
    Littlefield v. Mashpee Wampanoag Indian Tribe, 
    951 F.3d 30
    , 37
    (1st       Cir.    2020);   A.   Scalia   &   B.   Garner,   Reading   Law:   The
    Interpretation of Legal Texts 144 (2012).              Here, that is "person"
    in the preceding sentence, which states that "[a]ny payment to a
    person under the first or second sentence of this paragraph shall
    be made from the proceeds."          
    31 U.S.C. § 3730
    (d)(1).      So the "such
    person" entitled to reasonable attorneys' fees is one who receives
    5  The second sentence of § 3730(d)(1) is not relevant to
    the present appeals.
    - 11 -
    a payment "under the first or second sentence" of § 3730(d)(1) --
    i.e., a person who receives a statutory relator's share.                 This
    reading draws further support from the fact that a person entitled
    to attorneys' fees is one who "shall also" receive these fees.
    Id.   "Also" presupposes the receipt of something -- a relator's
    share -- in addition to the fees.       See United States ex rel. Bryant
    v. Cmty. Health Sys., Inc., 
    24 F.4th 1024
    , 1032 (6th Cir. 2022).
    There are two conditions for receipt of a relator's share
    within the meaning of the statute that are stated in the first
    sentence of § 3730(d)(1).        First, the relator must have brought an
    "action"   in   which    the     government   intervenes.6         
    31 U.S.C. § 3730
    (d)(1).   Second, the relator must receive a payment of "at
    least 15 percent but not more than 25 percent of the proceeds of
    the action or settlement of the claim."            
    Id.
       The "such person"
    who is entitled to reasonable attorneys' fees is defined as one
    who meets these requirements and receives a relator's share.               See
    also Bryant, 24 F.4th at 1032 ("The plain meaning of the statute
    thus provides that only persons who receive a relator's share may
    recover attorney fees.").
    By   its     terms,    §   3730(d)(1)    does     not    authorize
    "recei[pt]" of a relator's share via a private sharing agreement
    between relators.       A relator's share is defined as "at least 15
    6    We address the meaning of "action" infra.
    - 12 -
    percent but not more than 25 percent of the proceeds."                        Id.
    § 3730(d)(1) (emphasis added).        A relator -- even one who received
    the maximum 25 percent relator's share -- could not share the
    statutory minimum of 15 percent of the proceeds with another
    relator via private agreement while still retaining at least 15
    percent for herself.      The focus must thus be on the receipt of a
    relator's share payment from the government.
    Other courts have agreed that relators do not receive a
    statutory relator's share when they receive funds via a private
    sharing agreement.      See, e.g., United States ex rel. McNeil v.
    Jolly, 
    451 F. Supp. 3d 657
    , 668-69 (E.D. La. 2020); United States
    v. NextCare, Inc., No. 11-cv-141, 
    2013 WL 431828
    , at *2-3 (W.D.N.C.
    Feb. 4, 2013).
    This   conclusion    is   supported    by     the     FCA's   overall
    statutory scheme.      The FCA affords the government broad authority
    and contemplates that the government will serve a gatekeeping
    function.    See, e.g., 
    31 U.S.C. § 3730
    (b)(4) (the government may
    "proceed with the action" or "decline[] to take over the action");
    
    id.
       §   3730(c)(1)    (the    government      "shall     have    the    primary
    responsibility for prosecuting" intervened actions).                This reading
    of § 3730(d)(1) puts the government in the driver's seat and
    accords with the FCA's goal of achieving a "golden mean" between
    providing    sufficient    incentives      to   qui      tam    plaintiffs    and
    discouraging opportunism.       United States ex rel. Ven-A-Care of the
    - 13 -
    Fla. Keys, Inc. v. Baxter Healthcare Corp., 
    772 F.3d 932
    , 944 (1st
    Cir. 2014) (quoting Graham Cnty. Soil & Water Conservation Dist.
    v. United States ex rel. Wilson, 
    559 U.S. 280
    , 294 (2010)).     As
    Athena notes, a contrary construction might permit relators to
    generate an entitlement to fees by making even minor payments
    amongst themselves pursuant to a private agreement.
    Relators do not receive a relator's share within the
    meaning of the statute, see 
    31 U.S.C. § 3730
    (d)(1), when the
    payment they receive is pursuant to a private agreement under which
    they receive payment from a relator who has received a relator's
    share.   Lovell and McKusick did not receive a relator's share
    within the meaning of § 3730(d)(1) and thus are not entitled to
    fees under that provision.7
    B.
    We next consider Sanborn's claim to attorneys' fees for
    work on his EHR Compliance Claim, in which the government did not
    7    Lovell and McKusick argue that the government's
    acknowledgement in the settlement agreement that the relators had
    reached a private sharing agreement regarding the allocation "of
    any funds paid by the United States to Relator Sanborn" evinces an
    intent by the government that all relators should receive fees.
    This argument does not bear on whether Lovell and McKusick received
    a statutory relator's share under § 3730(d)(1).      It also seems
    misplaced.    If anything, the separate agreement the relators
    subsequently executed with the government concerning payment of
    the relator's share -- an agreement that is not in the record and
    whose terms are not known to Athena or to the court, but pursuant
    to which the government paid a relator's share only to Sanborn --
    would be more probative of this question than the settlement
    agreement.
    - 14 -
    intervene.8   In the district court, Sanborn moved for fees solely
    pursuant to § 3730(d)(1). We conclude that Sanborn is not entitled
    to fees associated with his EHR Compliance Claim under the text of
    § 3730(d)(1) and that he has waived any entitlement to fees under
    § 3730(d)(2).9
    The relevant language in § 3730(d)(1) is the first
    clause: "If the Government proceeds with an action . . . ."     
    31 U.S.C. § 3730
    (d)(1) (emphasis added).     The question is whether
    "action" refers to a case as a whole or to individual claims.    We
    conclude that the latter reading is the better construction of the
    statute.
    As then-Judge Alito recognized in United States ex rel.
    Merena v. SmithKline Beecham Corp., 
    205 F.3d 97
     (3d Cir. 2000),
    one "quirk[]" of the FCA is that "the statute is based on the model
    of a single-claim complaint" even though many qui tam actions
    involve multiple claims.    
    Id. at 101
    .   For example, a qui tam
    plaintiff is authorized to "bring a civil action for a violation
    of section 3729."   
    31 U.S.C. § 3730
    (b)(1) (emphasis added).    The
    8    We leave it to the district court to determine whether
    it wishes to address, as it has not done explicitly, Sanborn's
    claim for additional fees incurred during the fee proceedings.
    9    Lovell and McKusick incorporate Sanborn's arguments by
    reference with respect to their non-intervened Billing Claim.
    Lovell and McKusick are not entitled to fees for this claim both
    because they did not receive a relator's share and for the same
    reasons Sanborn is not entitled to fees for his EHR Compliance
    Claim.
    - 15 -
    government may then either "proceed with the action" or "decline[]
    to take over the action."    
    Id.
     § 3730(b)(2), (4) (emphasis added).
    Having intervened, the government has the option to "dismiss the
    action" or "settle the action."       Id. § 3730(c)(2)(A)-(B) (emphasis
    added).   Merena concluded that these provisions should be read to
    apply on a claim-by-claim basis.          See Merena, 
    205 F.3d at 102
    .
    Merena then went on to apply this logic to § 3730(e)(4), the FCA's
    public disclosure bar.      See id.     The Supreme Court subsequently
    adopted Merena's reading of the public disclosure bar in Rockwell
    International Corp. v. United States, 
    549 U.S. 457
    , 476 (2007).
    In the years since Rockwell, the weight of authority,
    including in our circuit, has continued to utilize a claim-by-
    claim analysis in applying the FCA's qui tam provisions.              See,
    e.g., Millennium, 923 F.3d at 253 (proceeding claim-by-claim in
    conducting   a   first-to-file   analysis);    United   States   ex   rel.
    Schumann v. Astrazeneca Pharms. L.P., 
    769 F.3d 837
    , 846 (3d Cir.
    2014) ("[The] FCA's reference to 'action' may reasonably be read
    to mean 'claim' because the statute envisions a single-claim
    complaint." (citing Merena, 
    205 F.3d at 101-02
    )); United States ex
    rel. Rauch v. Oaktree Med. Ctr., P.C., No. 15-cv-01589, 
    2020 WL 1065955
    , at *9 (D.S.C. Mar. 5, 2020) (noting this "well-established
    interpretation of the FCA").
    - 16 -
    We apply this construction here and hold that government
    intervention    in    an   "action"   under   the   first   sentence    of
    § 3730(d)(1) means government intervention in an individual claim.
    We are not swayed by Sanborn's arguments to the contrary.
    Sanborn points       out that § 3730(d)(1) uses both "action" and
    "claim": "If the Government proceeds with an action brought by a
    person under subsection (b), such person shall . . . receive . . .
    proceeds of the action or settlement of the claim . . . ."               
    31 U.S.C. § 3730
    (d)(1) (emphasis added).          He argues that reading
    "action" to mean "claim" would render the use of the former term
    superfluous.
    But the canon against surplusage is not an absolute rule,
    and may not be "a particularly useful guide to a fair construction
    of [a] statute" where the statute at issue reflects "inartful
    drafting."     King v. Burwell, 
    576 U.S. 473
    , 491 (2015).        Such is
    the case here.       One of the FCA's unusual features is its use of
    "claim" and "action" interchangeably to refer to a case.               See,
    e.g., United States ex rel. Garbe v. Kmart Corp., 
    824 F.3d 632
    ,
    641 (7th Cir. 2016) (recognizing "Congress's free use of 'claim'
    (along with 'action') to mean 'civil action' throughout the FCA");
    United States ex rel. Int'l Bhd. of Elec. Workers Loc. Union No.
    98 v. Farfield Co., 
    5 F.4th 315
    , 331 (3d Cir. 2021) (similar);
    Sanders v. Allison Engine Co., 
    703 F.3d 930
    , 939 (6th Cir. 2012)
    (similar); cf. Kellogg Brown & Root Servs., Inc. v. United States
    - 17 -
    ex   rel.   Carter,    
    575 U.S. 650
    ,    664   (2015)   (noting     the    "many
    interpretive     challenges"         presented     by   the     FCA's    qui     tam
    provisions).     In context, § 3730(d)(1)'s reference to "the claim"
    contemplates a singular claim in keeping with the FCA's model of
    a single-claim complaint.10           It does not contemplate individual
    claims so as to generate an inference that the use of "action" in
    the same sentence cannot bear this meaning.
    Sanborn    also     argues     that   Merena     and   Rockwell     are
    distinguishable        because      they    interpreted     § 3730(e)(4),        not
    § 3730(d)(1), and because Congress amended the former provision in
    2010 to specify "action or claim" but did not similarly modify
    § 3730(d)(1).     See Patient Protection and Affordable Care Act,
    
    Pub. L. No. 111-148, 124
     Stat. 119 (2010).                     As to the first
    argument,     while    Merena's      holding     involved     the   FCA's     public
    disclosure bar, its logic clearly extended to other provisions of
    the law.      See Merena, 
    205 F.3d at 102
    .              Subsequent cases have
    interpreted these other provisions to apply on a claim-by-claim
    basis.      See, e.g., Millennium, 923 F.3d at 253; Rauch, 
    2020 WL 1065955
    , at *9.         As to the second argument, "'[c]ongressional
    10  Section 3730 does not define the term "claim." Section
    3729 defines "claim" as "any request or demand . . . for money or
    property" -- in other words, the improper "claims" with which the
    False Claims Act is concerned. 
    31 U.S.C. § 3729
    (b)(2)(A). This
    definition is limited to § 3729, see id. § 3729(b), and would also
    not make sense as applied here, see, e.g., Farfield Co., 5 F.4th
    at 331 (rejecting rigid application of § 3729's definition because
    "'claim' eschews the presumption of uniform usage").
    - 18 -
    inaction lacks persuasive significance' in most circumstances."
    Star Athletica, L.L.C. v. Varsity Brands, Inc., 
    137 S. Ct. 1002
    ,
    1015 (2017) (alteration in original) (quoting Pension Benefit
    Guar. Corp. v. LTV Corp., 
    496 U.S. 633
    , 650 (1990)).   Because the
    government did not intervene in Sanborn's EHR Compliance Claim, he
    is not entitled under § 3730(d)(1) to attorneys' fees for that
    claim.11
    We reject Sanborn's argument that he is entitled to
    recover all fees associated with his EHR Compliance Claim for the
    independent reason that work on that claim was useful and necessary
    to the settlement of the Kickback Claim.       The district court
    considered both claims and concluded that the EHR Compliance Claim
    was "substantially more complex than the [Kickback Claim] and
    comprised the majority of [Sanborn's] complaint," that the claims
    were "not substantially interconnected," and that the claims'
    "operative legal theories were distinct."    AthenaHealth, 
    2022 WL 658654
    , at *7.    Even so, the district court recognized some
    potential synergies between the claims and thus reduced Sanborn's
    11   Sanborn cites cases where relators received attorneys'
    fees even for non-intervened claims, but none of these cases engage
    in much textual analysis of § 3730(d)(1). To the extent that these
    cases awarded fees for both intervened and non-intervened claims,
    they can be read as assuming an entitlement to fees under both
    § 3730(d)(1) and (d)(2). See, e.g., United States ex rel. Fallon
    v. Accudyne Corp., 
    97 F.3d 937
    , 938 (7th Cir. 1996) (noting that
    both provisions were at play).      These cases do not alter our
    reading of § 3730(d)(1).
    - 19 -
    lodestar by 50 percent rather than the 70 percent proposed by
    Athena.    See id.     This was not an abuse of discretion.           See
    Pérez-Sosa v. Garland, 
    22 F.4th 312
    , 320 (1st Cir. 2022).
    Sanborn argues in the alternative that he is entitled to
    fees under § 3730(d)(2), pursuant to which a qui tam plaintiff may
    recover fees for a settled "action" in which the government did
    not intervene.    Sanborn did not make this argument to the district
    court, and the district court found it waived.      AthenaHealth, 
    2022 WL 658654
    , at *6.       We agree that this alternative theory was
    waived.   See Mancini v. City of Providence ex rel. Lombardi, 
    909 F.3d 32
    , 46 (1st Cir. 2018) (noting that parties are expected "to
    spell out their legal theories face-up and squarely in the trial
    court" and that "if a claim is merely insinuated rather than
    actually articulated, that claim ordinarily is deemed unpreserved
    for   purposes   of   appellate   review"   (internal   quotation   marks
    omitted) (quoting Iverson v. City Of Boston, 
    452 F.3d 94
    , 102 (1st
    Cir. 2006))).
    III.
    For the foregoing reasons, we affirm the district court.
    - 20 -