Opinion

United States of America v. Steward Health Care System LLC

Court
District Court, D. Massachusetts
Filed
Oct 11, 2023
Cited by
0 cases
Authority
More cited than 22.9%

The opinion

UNITED STATES DISTRICT COURT

DISTRICT OF MASSACHUSETTS

CIVIL ACTION NO. 18-12125-RGS

THE UNITED STATES OF AMERICA,

THE COMMONWEALTH OF MASSACHUSETTS,

ex. rel. STEPHEN ZAPPALA, M.D.,

OLIVIA LANNA, M.D., and ERIC WOJCIK

v.

STEWARD HEALTHCARE SYSTEM LLC, et al.

MEMORANDUM AND ORDER ON

PLAINTIFF-RELATORS’ PETITION FOR

ATTORNEYS’ FEES, COSTS, AND EXPENSES

October 11, 2023

STEARNS, D.J.

Plaintiff-relators Stephen Zappala, M.D., Olivia Lanna, M.D., and Eric

Wojcik (collectively, Relators) brought this action against defendant Steward

Health Care System LLC and its related entities (collectively, Steward) for

alleged violations of the False Claims Act (FCA), 31 U.S.C. §§ 3729 et seq.,

and its Massachusetts analogs. The United States of America and the

Commonwealth of Massachusetts (collectively, the Government) intervened

as a matter of right and subsequently settled one of the eight claims asserted

in the Relators’ Complaint.1 Relators now move to recover attorneys’ fees,

costs, and expenses pursuant to 31 U.S.C. § 3730(d)(1).2

“Steward does not dispute that Relators are entitled to receive a portion

of their attorneys’ fees and costs arising from the settlement of this action.”

Opp’n to Pet. for Attorneys’ Fees, Costs, and Expenses (Opp’n) [Dkt # 74] at

1. Steward does, however, oppose Relators’ request to recover all their

attorneys’ fees, costs, and expenses. Steward contends that Relators should,

at most, recover 12.5% — or one eighth – of the fees, costs, and expenses

currently submitted to the court.3

1 Relators released the remaining seven claims in the parties’

Settlement Agreement. The Government, however, did not. See Settlement

Agreement [Dkt # 72-3] ¶¶ 5, 6, 9 (only releasing claims for “Covered

Conduct”).

2 Relators released any claim for attorneys’ fees, costs, or expenses

pursuant to 31 U.S.C. § 3730(d)(2). See Settlement Agreement ¶ 7 (“Relators

. . . release Steward . . . from any and all liability, claims, allegations,

demands, actions and causes of action whatsoever in law or equity, that

Relators have or could have asserted against Steward in No. 18-cv-12125 . . .

except that Relators’ claims for reasonable attorney’s fees, costs, and

expenses pursuant to 31 U.S.C. § 3730(d)(1) and/or its state analogs are not

released.”) (emphasis added).

3 Although the court shares Steward’s concerns regarding the

reasonableness of these sums based on the submitted billing records, see Ex.

B to Pet. for Attorneys’ Fees, Costs, and Expenses [Dkt # 72-4] – Relators,

for example, have not offered any evidence to substantiate the assertion that

they have preemptively reduced all Cohen Milstein hourly billing by 25%;

Relators also appear to have billed inconsistent amounts for the same events

– because Steward appears to accept the requested amounts if an across-the-

board 87.5% reduction is applied, see Opp’n at 13; Surreply [Dkt # 77] at 2,

For the following reasons, the court agrees with Steward and will award

Relators 12.5% of their submitted fees, costs, and expenses.

DISCUSSION

In United States ex rel. Lovell v. AthenaHealth, Inc., 56 F.4th 152 (1st

Cir. 2022), the First Circuit expressly rejected the proposition that a relator

is entitled to recover attorneys’ fees and costs incurred for claims upon which

the Government did not intervene. Id. at 161 (“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.”). Relators nonetheless ask the

court to award them the full sum of their attorneys’ fees and costs,4 asserting

that the intervened and declined claims “are inextricably interwoven” and

the court will not delve further into the seeming inconsistencies in the billing

records.

4 Relators repeatedly reference having obtained “some degree of

success on the merits.” See Mem. in Supp. of Pet. for Attorneys’ Fees, Costs,

and Expenses (Mem.) [Dkt # 72-1] at 5, quoting Ruckelshaus v. Sierra Club,

463 U.S. 680, 694 (1983); see also id. at 7. But as they recognize elsewhere,

see Mem. at 1, 4, 6, this is not the test prescribed by the FCA. Under 31 U.S.C.

§ 3730(d)(1), a relator may only recoup fees and costs for claims upon which

the government has intervened and for which the relator has received an

award. See Athena, 56 F.4th at 160-161.

That Relators settled the declined claims matters naught. Because the

Government only “settled with the Defendants as to certain conduct,” Mem.

at 3, Steward’s payment to the Government – the source of Relators’

monetary award – could, as a matter of logic, only relate to that specific

conduct.

that Athena, in fact, “expand[ed] a defendant’s liability to pay fees, costs, and

expenses for attorney work” on interrelated declined claims. Mem. at 6, 10.

Relators appear to misunderstand the holding in Athena. The First

Circuit did not hold that “fees from interrelated work on” intervened and

declined claims are compensable under 31 U.S.C. § 3730(d)(1). Mem. at 10.

Instead, it merely determined that, where relator’s counsel did not

differentiate between time spent on the intervened and declined claims, the

district court did not abuse its discretion by applying a 50% reduction (based

on its own “assessment of the relative complexity of the two claims” and their

potential overlap) to reflect the exclusion of the declined claim. Athena, 56

F.4th at 157 n.3; see also id. at 161.

Here, in the absence of any indication from Relators’ counsel as to

which hours were spent on which claims, the court agrees with Steward that

one eighth of fees and costs, representing the one intervened claim of the

eight claims asserted, is a fair proxy for the exclusion of the declined claims.

First, contrary to Relators’ cursory assertion otherwise (unsupported by any

citation to case law or even to a comparison of their own billing records),

there is no evidence that the intervened claim involved “significantly more

intricate and complex facts, and more legal research” than the declined

claims. Mem. at 12. Indeed, by Relators’ own account, the declined claims

were more fact intensive than the intervened claim, which would seemingly

indicate greater factual complexity. Second, the court sees only minimal

overlap between the claims. Relators themselves admit that “[t]he case’s

intervened and declined claims had different legal theories,” which

undercuts any assertion of legal overlap. Mem. at 11. But see Mem. at 12 (in

a baffling about-turn, arguing that the claims “are also based on interrelated

legal theories”). And factually, even assuming that the claims are all, at their

core, “based upon Steward’s ACO system and actions to improve ACO

metrics through pressure to self-refer,” Reply [Dkt # 75] at 2, it is not clear

how any evidence relevant to the intervened claim – that Steward paid

Brockton Urology for non-existent services – would meaningfully bear on the

merits of the declined claims, which hinge on whether “services were

performed but were not of a sufficient standard as to provide adequate

medical care.” Mem. at 12.

ORDER

For the foregoing reasons, the motion is ALLOWED IN PART. Steward

shall pay 12.5% of Relators’ currently requested fees, costs, and expenses.

SO ORDERED.

/s/ Richard G. Stearns___ _____

UNITED STATES DISTRICT JUDGE

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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