# North Brevard County Hospital District v. C.R. Bard

> Court of Appeals for the Tenth Circuit · December 31, 2025

URL: https://www.frixlaw.com/law-library/cases/11234184

## Case

- **Court:** Court of Appeals for the Tenth Circuit
- **Decided:** December 31, 2025
- **Precedential status:** Published
- **Opinion:** Opinion
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/11234184

## How later opinions describe it (automated extraction)

- acknowledging that more than antitrust injury is required in order to establish antitrust standing even for injunctive relief

## Opinion text

Appellate Case: 24-4039 Document: 90-1 Date Filed: 12/31/2025 Page: 1
FILED
United States Court of Appeals
Tenth Circuit
PUBLISH
December 31, 2025
UNITED STATES COURT OF APPEALS
Christopher M. Wolpert
FOR THE TENTH CIRCUIT Clerk of Court
_________________________________

NORTH BREVARD COUNTY
HOSPITAL DISTRICT, d/b/a Parrish
Medical Center,

Plaintiff - Appellant,

v. No. 24-4039

C.R. BARD, INC.; BARD ACCESS
SYSTEMS, INC.,

Defendants - Appellees.
_________________________________

Appeal from the United States District Court
for the District of Utah
(D.C. No. 2:22-CV-00144-RJS)
_________________________________

R. Stephen Berry of Berry Law PLLC, Washington, D.C. (Brent O. Hatch of
Hatch Law Group PC, Salt Lake City, Utah; Velvel Freedman, Edward
Normand, and Richard Cipolla of Freedman Normand Friedland LLP, New
York, New York, with him on the briefs), for Plaintiff-Appellant.

Brian P. Quinn of O’Melveny & Myers LLP, Washington, D.C. (Andrew J.
Frackman and Colleen Powers, New York, New York; Sergei Zaslavsky and
Emily Murphy of O’Melveny & Myers LLP, Washington, D.C.; Andrew G. Deiss
and Corey D. Riley of Deiss Law PC, Salt Lake City, Utah, with him on the
briefs), for Defendants-Appellees.
_________________________________

Before HARTZ, EID, and FEDERICO, Circuit Judges.
_________________________________
Appellate Case: 24-4039 Document: 90-1 Date Filed: 12/31/2025 Page: 2

FEDERICO, Circuit Judge.
_________________________________

North Brevard County Hospital, doing business as Parrish Medical

Center, filed an antitrust class action complaint against C.R. Bard, a

medical device manufacturer. 1 Parrish alleged that Bard engaged in

unlawful tying of products and monopolization in violation of the Sherman

Act and the Clayton Act. The district court dismissed Parrish’s tying claim

for lack of antitrust standing and denied class certification for Parrish’s

monopolization claim. Exercising jurisdiction under 28 U.S.C. § 1291, we

affirm the dismissal of Parrish’s tying claim and dismiss Parrish’s appeal

from the denial of class certification.

I

Bard produces a range of medical devices, including a type of catheter

known as a peripherally inserted central catheter (PICC). PICCs are used

to administer fluids into the bloodstream by passing through a patient’s

arm vein and into a vein near the heart. It is important that a PICC be

precisely placed within the patient’s body. Traditionally, this was done

using separate chest x-rays and fluoroscopy. Today, doctors generally use a

1 According to the complaint, Bard Access Systems, the other named

Defendant-Appellee, is a subsidiary and division of C.R. Bard. We therefore
refer to the Defendants-Appellees as one entity “Bard” for the purposes of
this opinion, just as the parties do.

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tip-location system (TLS) that automatically reports the PICC’s location

through a combination of ultra-sound, magnetic tracking, and

electrocardiography.

Parrish alleges that Bard is a leader in the TLS market and controls

70 percent market share. It also alleges that Bard has used its commanding

position in the TLS market to manipulate the PICC market. Bard PICCs

are sold with a proprietary tool known as a stylet that is required to

integrate the PICC with a Bard TLS. If a hospital wanted to use another

brand of PICC, it could not use a Bard TLS to determine the PICC’s location

unless the hospital also purchased a Bard PICC to use the stylet.

In simple terms, Parrish alleges that using one Bard product

effectively forces hospitals to buy the other. This is known as “tying,” and,

under certain circumstances, it may be a violation of federal antitrust law.

While Parrish did not buy Bard’s TLS (the alleged tying product), it claims

that Bard’s practices have allowed it to monopolize the PICC market (the

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alleged tied product), 2 suppressing competition and harming all buyers

whether or not they purchase PICCs in conjunction with TLSs. As a result

of this purported tying between PICCs and TLSs, Parrish alleges that

hospitals pay 9.7 to 34.5 percent higher prices for PICCs than they would

in a competitive market.

II

In March 2020, Parrish filed suit against Bard. 3 Parrish’s complaint

contained two claims: illegal per se tying of separate products under Section

1 of the Sherman Act and illegal monopolization under Section 2 of the

Sherman Act. See 15 U.S.C. §§ 1, 2. Parrish sought to certify a class

2 This opinion will repeatedly distinguish between tying products and

tied products. As a simple illustration to help keep them straight in mind,
think of a balloon tied to a birthday cake. The buyer really wants the cake,
which is the best in town. But the baker will only sell cakes on the condition
that the buyer also buys her balloons, which are a separate cost. So, the
balloon tags along, tied to the cake. The cake is the tying product – the
product that the consumer really wants. The balloon is the tied product –
the product that the consumer doesn’t want but must buy to access the cake.
This arrangement raises the overall cost to the buyer.

Sometimes, the tie-in is explicit, like a contract that includes a term
requiring the purchase of the tied product. Other times, it is more subtle,
as alleged here, when the seller requires the purchase of one product in
order to use and operate another product. See Daniel A. Crane, Tying Law
for the Digital Age, 99 Notre Dame L. Rev. 821, 847, 851–56 (2024)
(providing historic examples of tying arrangements).
3 Parrish originally filed in the District Court for the Northern
District of New York. In February 2022, its case was transferred to the
District of Utah, where Bard’s PICC business is headquartered.

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comprised of hospitals, hospital systems, and clinics that had purchased

Bard PICCs, and requested damages and injunctive relief for this class

under the remedial provisions of the Clayton Act. See 15 U.S.C. §§ 15, 26.

Parrish filed a motion for class certification, while Bard filed a motion

for judgment on the pleadings. In November 2022, after hearing oral

argument, the district court granted Bard’s motion with respect to Parrish’s

tying claim. The district court found that Parrish did not have antitrust

standing to bring its claim for illegal tying because Parrish did not allege

that it also purchased Bard’s TLS (the alleged tying product), and so Parrish

did not show that it was forced to buy Bard’s PICCs (the alleged tied

product).

The district court allowed Parrish’s monopolization claim to proceed.

In response, Parrish filed a renewed motion for class certification. The

district court, however, denied this motion. It found that Parrish’s proposed

class failed to meet the required elements for class certification, and that

its pleadings were insufficient to establish a basis for either a damages class

or an injunctive class.

Parrish petitioned for permission from this court to appeal the district

court’s order denying class certification. See Fed. R. Civ. P. 23(f) (“A court

of appeals may permit an appeal from an order granting or denying class-

action certification[.]”) This petition was denied. As a result, Parrish then

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moved for the district court to dismiss its monopolization claim with

prejudice so that Parrish could appeal the entry of final judgment, which

the district court granted. Parrish then appealed. On appeal, Bard filed a

motion to dismiss the appeal from the district court’s class certification

order, arguing that Parrish’s voluntary dismissal of the underlying

monopolization claim forecloses our jurisdiction over the class certification

order. 4

III

We review a Rule 12(c) judgment on the pleadings just as we would a

Rule 12(b)(6) motion to dismiss. Corder v. Lewis Palmer Sch. Dist. No. 38,

566 F.3d 1219, 1223 (10th Cir. 2009) (citation omitted). That is, we review

de novo whether a plaintiff fails to plead facts that state a plausible claim.

Id. at 1223–24. In doing so, we take all facts in the complaint as true and

draw all reasonable inferences in favor of the plaintiff. Martin Marietta

Materials, Inc. v. Kan. Dep’t of Transp., 810 F.3d 1161, 1171 (10th Cir. 2016)

(citation omitted). Likewise, “[w]e review questions of our appellate

jurisdiction de novo.” City of Albuquerque v. Soto Enters., Inc., 864 F.3d

1089, 1091 (10th Cir. 2017).

4 Bard also seeks an order that Parrish pay fees and costs associated

with this motion, alleging that Parrish knowingly filed an appeal that is
contrary to controlling law from the Supreme Court and the Tenth Circuit.

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Our disposition of this appeal begins with a general overview of

substantive antitrust law before proceeding to whether Parrish has

antitrust standing to pursue its tying claim against Bard. After describing

the antitrust standing doctrine in broad strokes and the parties’ arguments,

we hold that Parrish does not have antitrust standing to pursue its tying

claim against Bard because it is not an efficient enforcer of the antitrust

laws in this context.

We turn next to Parrish’s class certification appeal and hold that we

do not have jurisdiction to review the district court’s denial of class

certification because Parrish voluntarily dismissed the underlying

substantive claim below. We therefore grant Bard’s motion to dismiss this

part of the appeal. At this stage, however, we deny Bard’s request for

sanctions.

A

The Sherman Act of 1890 sets out the major substantive rules of

antitrust law. The Clayton Act of 1914 followed and, inter alia, provides private

parties with relief for the violation of these rules. We begin this section by

briefly describing the substantive antitrust rule that Parrish accuses Bard of

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violating before turning to the Clayton Act and whether it provides a cause of

action for Parrish to pursue its claim against Bard.

The Sherman Act prohibits “[e]very contract, combination in the form of

trust or otherwise, or conspiracy, in restraint of trade[.]” 15 U.S.C. § 1.

Sometimes, a tying arrangement may fall within this prohibition. “A tying

arrangement is ‘an agreement by a party to sell one product but only on the

condition that the buyer also purchases a different (or tied) product, or least

agrees that he will not purchase that product from any other supplier.’”

Eastman Kodak Co. v. Image Technical Services, Inc., 504 U.S. 451, 461 (1992)

(quoting Northern Pac. Ry. Co. v. United States, 356 U.S. 1, 5–6 (1958)). For

example, when a grocer sells sugar only on the condition that a buyer also

purchases flour, the grocer has tied the purchase of flour to the purchase of

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sugar and made a tying arrangement. Where a tying arrangement satisfies

certain additional requirements, it may violate the Sherman Act. 5

Under the Clayton Act, private parties may sue alleged antitrust

violators and obtain treble damages or an injunction. Clayton Act, ch. 323, §§

4 (damages), 16 (injunction), 38 Stat. 730, 731, 737 (1914) (current version at

15 U.S.C. § 15, 26). 6 But although the Clayton Act authorizes broad access to

relief, “the mere fact that the claim is literally encompassed by the Clayton Act

does not end the inquiry.” Associated General Contractors of California, Inc. v.

California State Council of Carpenters, 459 U.S. 519, 537 (1983) (hereinafter

AGC).

A claimed injury “must be analyzed to determine whether it is of the type

that the antitrust statute was intended to forestall.” Id. at 540. “An additional

factor is the directness or indirectness of the asserted injury.” Id. Relatedly,

5 The Supreme Court requires proof of other elements to ensure that

antitrust enforcement is focused on conduct that is anticompetitive: the
seller of the products must have “appreciable economic power” in the tying
market, and the tying arrangement must affect a “substantial volume of
commerce” in the tied market. Eastman Kodak, 504 U.S. 451, 462 (1992).
Northern Pac. Ry. Co., 356 U.S. 1, 7 (1958) (“[I]f one of a dozen food stores
in a community were to refuse to sell flour unless the buyer also took sugar
it would hardly tend to restrain competition in sugar if its competitors were
ready and able to sell flour by itself.”).
6 The remainder of this opinion, like most antitrust cases, will cite to

the Clayton Act using the section numbers found in the session law, not the
United States Code.

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“[t]he existence of an identifiable class of persons whose self-interest would

normally motivate them to vindicate the public interest in antitrust

enforcement diminishes the justification for allowing a more remote party” to

sue. Id. at 542. These principles, along with others not relevant here, together

describe the doctrine known as antitrust standing, which a plaintiff must

satisfy to obtain relief under the Clayton Act. 7

This court has distilled the Supreme Court’s caselaw into the

following rule for antitrust standing: “a plaintiff must show (1) an ‘antitrust

injury;’ and (2) a direct causal connection between that injury and a

defendant’s violation of the antitrust laws.” Sports Racing Services, Inc. v.

7 The Supreme Court has explained that the term “standing” can be

misleading when used to refer to statutory or “prudential” standing.
Lexmark Intern., Inc. v. Static Control Components, Inc., 572 U.S. 118, 125,
128 n.4 (2014). Whereas constitutional standing is jurisdictional, statutory
standing really refers not to the jurisdiction of the court, but rather to
“whether a legislatively conferred cause of action encompasses a particular
plaintiff’s claim.” Id. at 127. Antitrust standing is a breed of statutory
standing. Id. at 126. The phrase “antitrust standing” could be similarly
misleading, but since our cases and the parties uniformly use this phrase,
we will do the same.

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Sports Car Club of America, Inc., 131 F.3d 874, 882 (10th Cir. 1997). 8 We

explained that with respect to the first element, “the standing analysis must

take into account the type of antitrust claim being asserted.” Id. Where the

plaintiff asserts an antitrust injury based on a tying claim, “two types of

parties may have standing . . . the purchasers who are forced to buy the tied

product to obtain the tying product (the prototypical tying plaintiff), and

the competitor who is restrained from entering the market for the tied

product.” Id. at 887.

In Abraham v. Intermountain Health Care Inc., this court

rearticulated the second element of the antitrust standing analysis: the

causal connection between the antitrust injury and the defendant’s

8 Sports Racing is a Clayton Act § 4 case – that is, it described the rule

of antitrust standing with respect to compensatory damages, not injunctive
relief. Our cases, however, have not made a distinction between § 4
(damages) and § 16 (injunctions) cases with respect to these two elements
of antitrust standing analysis. See, e.g., B-S Steel of Kansas, Inc. v. Texas
Industries, Inc., 439 F.3d 653, 667 (10th Cir. 2006) (acknowledging that
more than antitrust injury is required in order to establish antitrust
standing even for injunctive relief); Roman v. Cessna Aircraft Co., 55 F.3d
542, 543 (10th Cir. 1995) (enumerating factors relevant to second element
of antitrust standing analysis without distinguishing the relief sought).
Even if it were otherwise, however, Parrish has not argued that there is any
material difference between antitrust standing for damages and injunctive
relief. As Bard correctly points out, then, the matter is waived. United
States v. Walker, 918 F.3d 1134, 1151 (10th Cir. 2019). We therefore assume
for the purposes of this case that Sports Racing applies regardless of the
relief sought.

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unlawful conduct must be direct enough to demonstrate that the plaintiff

“is an efficient enforcer of the antitrust laws.” 461 F.3d 1249, 1268 (10th

Cir. 2006). “Factors to be considered in this analysis include the directness

or remoteness of the injury suffered by the plaintiff, which, in turn, depends

on the existence of other more directly-injured possible plaintiffs.” Id.

(citing, inter alia, AGC, 459 U.S. at 542). We held that the existence of other

parties who “would be more directly harmed by” the anticompetitive

conduct will ordinarily defeat a plaintiff’s antitrust standing. Id.

Our cases therefore establish the following framework: to obtain a

private antitrust remedy under the Clayton Act, plaintiffs must establish

an “injury of the type the antitrust laws were intended to prevent and that

flows from that which makes defendants’ acts unlawful[.]” Black v.

Occidental Petro. Corp., 69 F.4th 1161, 1175 (10th Cir. 2023) (citation

omitted). An antitrust plaintiff “must also demonstrate that it is an efficient

enforcer of the antitrust laws.” Abraham, 461 F.3d at 1268. These two

requirements faithfully apply the overarching principle: only plaintiffs who

best vindicate “the central interest in protecting the economic freedom of

participants in the relevant market” have a right to sue under the Clayton

Act. AGC, 459 U.S. at 538; see also Cargill, Inc. v. Monfort of Colorado, Inc.,

479 U.S. 104, 109 (1986); Atlantic Richfield Co. v. USA Petroleum Co., 495

U.S. 328, 334 (1990).

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The district court in this case held that Parrish lacked antitrust

standing under the first element of our test, antitrust injury. The district

court read our precedent – specifically Sports Racing – as setting out an

exhaustive list of potential plaintiffs who have an antitrust injury sufficient

to challenge tying arrangements: “the purchasers who were forced to buy

the tied product to obtain the tying product, and the competitor who is

restrained from entering the market for the tied products.” Aplt. App. I at

202–03. In other words, Sports Racing, as interpreted by the district court,

establishes a categorical rule excluding plaintiffs who bought only the tied

product, and not the tying product. Because Parrish purchased only the tied

product here, the district court relied on Sports Racing to reject Parrish’s

antitrust standing.

Parrish disputes this reading of our cases. It argues that because

tying arrangements allow the seller to compel purchases of the tied product,

direct purchasers of the tied product are forced to pay higher prices in the

market and that alone suffices to demonstrate an antitrust injury. Sports

Racing neither considered nor decided this argument, according to Parrish,

so that case should not be read to control this case. And Parrish argues

Sports Racing did not purport to set forth a categorical list of plaintiffs,

excluding all others, who have the right to challenge tying arrangements

under the Clayton Act.

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Bard responds by agreeing with the district court that Sports Racing

dictates the outcome here. According to Bard, Sports Racing announced a

“rule” that two types of plaintiffs have antitrust standing: tying product

purchasers and competitors. Additionally, Bard argues that Sports Racing’s

rule was necessary to its outcome: without a rule excluding tied product

purchasers, Sports Racing would not have needed to relax the direct

purchaser requirement so that the tying product purchaser in that case

could proceed.

Taking these arguments into account, we instead resolve this case on

an alternative ground. The district court did not analyze the second element

of the antitrust standing analysis, efficient enforcer, because it granted

Bard’s Rule 12(c) motion based on the first element. Nor did Parrish address

the second element in its opening brief. That said, we are free to affirm on

any basis supported by the record, even if it was not reached by the district

court or addressed by the parties before us. Richison v. Ernest Group, Inc.,

634 F.3d 1123, 1130 (10th Cir. 2011). Indeed, we commonly and properly do

so, for as we said in Richison, the courts of appeals stand “ready to affirm

whenever the record allows.” Id. For several reasons, we reach and decide

this appeal based upon the efficient enforcer element.

First, the parties did brief the second element, after Bard raised it as

an alternative basis to affirm in its response brief. Second, because we have

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enough information before us to decide the issue, reaching it now would

prevent this case “from needlessly bouncing back and forth between” us and

the district court. Walton v. Powell, 821 F.3d 1204, 1212 (10th Cir. 2016).

And third, as mentioned above, our application of the second element of

antitrust standing is closely related to our interpretation of the first

element. We therefore discuss the efficient enforcer element of our antitrust

precedent, hold that Parrish is not an efficient enforcer, and affirm the

district court’s Rule 12(c) order on that basis.

B

As we have recounted, Sports Racing held that in addition to antitrust

injury, a plaintiff must show “a direct causal connection between that injury

and a defendant’s violation of the antitrust laws.” 131 F.3d at 882. “The

existence of an identifiable class of persons whose self-interest would

normally motivate them to vindicate the public interest in antitrust

enforcement diminishes the justification for allowing a more remote party

. . . to perform the office of a private attorney general.” AGC, 459 U.S. at

542. In other words, we infer from the existence of more directly injured

parties that the plaintiff before us is indirectly, or at least less directly,

injured. This inference is consequential because antitrust standing is not

merely a question of whether we have before us a proper plaintiff, but rather

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whether we have an “effective” plaintiff. B-S Steel of Kansas, Inc. v. Texas

Industries, Inc., 439 F.3d 653, 667 (10th Cir. 2006). 9

The rationale for this procedural requirement is rooted in substantive

antitrust law. Generally, antitrust laws “were enacted for ‘the protection of

competition, not competitors[.]’” Brunswick Corp. v. Pueblo Bowl-O-Mat,

Inc., 429 U.S. 477, 488 (1977) (quoting Brown Shoe Co. v. United States, 370

U.S. 294, 320 (1962)). Put differently, the substantive prohibitions on

anticompetitive conduct are concerned not with “its effect upon any

individual in the marketplace, but rather [] its effect generally upon

competition in a particular market.” Daniel C. Richman, Note, Antitrust

Standing, Antitrust Injury, and the Per Se Standard, 93 Yale L.J. 1309,

1310 (1984). Thus, we “have required the plaintiff . . . to relate his private

injury to a more public wrong – a threat to competition in his own market.”

9 The efficient enforcer element of the antitrust standing inquiry is

necessarily comparative. But we caution that district courts should not end
a plaintiff’s suit solely because it is not the best, most effective, or most
efficient plaintiff. The Clayton Act’s promise of “justice to every man,
whenever he may be injured by those who violate the antitrust laws,” would
hardly be vindicated if only one plaintiff in the world had antitrust standing
to sue. Brunswick Corp. v. Pueblo Bowl-O-Mat, Inc., 429 U.S. 477, 486 n.10
(1977). The efficient enforcer element does not require a plaintiff to exclude
all others to then seek relief. There will be instances (maybe many) where
even a “second-best” or third-best plaintiff is an efficient enforcer of the
antitrust laws. SAS of Puerto Rico, Inc., 48 F.3d at 44. Even so, the efficient
enforcer element is more exacting than the antitrust injury element.
Antitrust injury alone is insufficient to state a cause of action.

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Id. at 1312. The “broad principle of compensation” under the Clayton Act is

therefore qualified by a second element of antitrust standing. Id.

We held in Abraham that the second prong of the antitrust standing

inquiry requires a plaintiff to show “that it is an efficient enforcer of the

antitrust laws.” 461 F.3d at 1268. “Factors to be considered in this analysis

include the directness or remoteness of the injury suffered by the plaintiff,

which, in turn, depends on the existence of other more directly-injured

possible plaintiffs.” Id. Other factors that may bear on the question include

the defendants’ motivations, “the speculative nature of the damages

sought,” and “the risk of duplicative recoveries or complex damages

apportionment.” Sharp, 967 F.2d at 406–07.

Bard argues that Parrish’s alleged antitrust injury is too distantly

removed from the alleged antitrust violation. Relying on Sports Racing,

Bard points out that it is the tying product purchasers who are the “targeted

victims of an illegal tying arrangement.” Resp. Br. at 34 (quoting Sports

Racing, 131 F.3d at 889 n.15). Parrish, by contrast, does not experience

market restraint to the same extent as victims who purchase both the tied

and tying product because only those victims experience the “lack of choice”

that tying arrangements induce. Id. Parrish responds that the causal

connection between its antitrust injury and the alleged antitrust violation

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is straightforward: because of the tying arrangement, Parrish must pay

supracompetitive prices for the tied product.

On this point, we agree with Bard. Sports Racing held that in the

usual case, “tying product purchasers . . . are in the best position to identify

an illegal tie and have the most incentive to bring an action to enforce the

prohibition against tying.” 131 F.3d at 889 n.15 (emphasis added). Although

both the tied-product purchaser and the tying-product purchaser may

experience an anticompetitive harm, Parrish does not contest that the

tying-product purchaser experiences the harm to a greater extent. Thus,

ordinarily it is the tying product purchaser whose self-interest is best

aligned with the public interest, and therefore best positioned “to perform

the office of a private attorney general.” AGC, 459 U.S. at 542.

Parrish fails to persuade us that this is the rare case where tied-

product purchasers are the efficient enforcer plaintiff as opposed to tying-

product purchasers or competitors. Parrish claims that “the standard for

antitrust causation is low,” citing out of circuit precedent. Reply Br. at 10–

11. While that may well be true with respect to the antitrust injury element,

Parrish’s claim is irreconcilable with the efficient enforcer element. Parrish

further argues that our task is “only to determine whether Parrish has

adequate standing.” Id. at 12. But we foreclosed this argument in B-S Steel,

439 F.3d at 667, as did the Supreme Court in AGC, 459 U.S. at 542. Finally,

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we are aware of at least one case where a competitor did sue Bard and

litigated its claims all the way through trial. AngioDynamics, Inc. v. C.R.

Bard, Inc., 537 F. Supp. 3d 273 (N.D.N.Y. May 5, 2021), (denying cross-

motions for summary judgment); Judgment in a Civil Case, AngioDynamics,

Inc. v. C.R. Bard, Inc., 2022 WL 18402240 (Oct. 6, 2022) (No. 1:17-cv-00598)

(jury verdict in favor of Bard). The fact that Bard has already faced a

competitor suit diminishes any concern that affirmance would leave an

enforcement gap and underscores that there are other plaintiffs who are

better positioned to enforce the antitrust laws. Parrish points to no other

factor favoring its right to sue.

In a footnote, Parrish claims the district court found that Parrish was

an efficient enforcer with respect to its monopolization claim, and that Bard

conceded that the question of whether Parrish was an efficient enforcer of

the monopoly claim would be the same or overlap with the question of

whether Parrish was an efficient enforcer of the tying claim. But Sports

Racing holds that a plaintiff may be an efficient enforcer for one antitrust

purpose but not another. 131 F.3d at 884–85, 889 n.15. The district court’s

later findings with respect to monopolization (which are not binding on us

in any event) do not prevent us from finding otherwise with respect to the

tying claim. Moreover, we do not understand Bard’s purported concession

to stand for anything more than antitrust standing for a monopolization

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claim is “obviously related to but analytically distinct from the tying claim.”

Id. Monopolization and tying claims are related, but each survives, or not,

on its own terms.

Here, Parrish’s tying claim does not survive. Parrish is not an efficient

enforcer of the antitrust laws and therefore does not have antitrust

standing to sue Bard for its alleged per se violation of Section 1 of the

Sherman Act for the product tying arrangement.

III

In addition to the tying claim, Parrish also alleged a monopolization

claim in the district court under Section 2 of the Sherman Act. After the

district court declined to certify a class for this claim, and we thereafter

declined discretionary interlocutory review, Parrish voluntarily dismissed

with prejudice its monopolization claim to induce an appealable final

judgment. Parrish now seeks our review of the district court’s order denying

class certification. But Supreme Court and Tenth Circuit precedent

foreclose our jurisdiction over the class certification order, so we cannot

consider it.

We have mandatory jurisdiction over “appeals from all final decisions”

of the district court. 28 U.S.C. § 1291. Our jurisdiction over a final judgment

extends to all interlocutory orders that merge into the final judgment.

Edmonds-Radford v. Sw. Airlines Co., 17 F.4th 975, 985 (10th Cir. 2021).

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But not all interlocutory orders merge. Where a plaintiff abandons

remaining substantive claims to obtain immediate review as of right over a

class certification denial, the Supreme Court has held that there is no

jurisdiction over the class certification denial. Microsoft Corp. v. Baker, 582

U.S. 23, 27 (2017). This voluntary dismissal tactic “subverts the final-

judgment rule,” “invites protracted litigation,” and “undercuts Rule 23(f)’s

discretionary regime.” Id. at 37, 39.

Applying Baker, we have held that when a plaintiff voluntarily

dismisses their claims with prejudice and then seeks appellate review of a

class certification denial order, that order does not merge with final

judgment, and our § 1291 jurisdiction therefore does not extend to the order.

Anderson Living Trust v. WPX Energy Production, LLC, 904 F.3d 1135,

1144–45 (10th Cir. 2018). 10 Parrish’s appeal from the district court’s class

certification order falls neatly within the scope of this rule and we therefore

have no jurisdiction to consider it. 11

10 The fact that the plaintiffs in Anderson Living Trust settled their

individual claims before voluntary dismissal was immaterial to this court’s
holding that Baker applies.
11 We also decline to exercise pendent appellate jurisdiction over the

district court’s class certification order because it is neither “inextricably
intertwined with” nor “necessary to ensure meaningful review of” the
district court’s Rule 12(c) order dismissing Parrish’s tying claim. Cummings
v. Dean, 913 F.3d 1227, 1235 (10th Cir. 2019).

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Also pending before us is Bard’s motion to dismiss this portion of the

appeal relating to the class certification denial order. Doc. 23-1; see also

Fed. R. App. P. 27; 10th Cir. R. 27.3(A)(1). Because we dispose of this

argument in a way that provides part of the primary relief Bard requested,

we therefore grant Bard’s motion to dismiss insofar as it seeks dismissal of

the appeal from the district court’s order denying class certification. 10th

Cir. R. 2.1 (we have discretion to overlook technical errors under our local

rules). However, at this point we deny Bard’s request for associated fees

and costs, which must be sought by a “separately filed motion.” Fed. R. App.

P. 38. Our denial of Bard’s request is without prejudice to any renewed

request Bard may make post-judgment in accordance with applicable rules.

IV

Although we diverge from the rationale for the district court’s decision,

we AFFIRM its bottom line. Parrish does not have antitrust standing to pursue

its tying claim against Bard. Parrish’s remaining claims of error are

DISMISSED for lack of appellate jurisdiction.

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No. 24-4039, N. Brevard Cnty. Hosp. Dist. v. C.R. Bard, Inc., et al.
FEDERICO, Circuit Judge, concurring.

Although I join with my colleagues in the opinion of the court, I also

write separately to address and discuss the injury element of antitrust

standing, which was the sole basis for the district court’s decision

dismissing Parrish’s tying claim. The parties’ arguments on this legal

question present a confounding understanding of our antitrust injury

precedent. The district court, relying upon Sports Racing Services, Inc. v.

Sports Car Club of America, Inc., 131 F.3d 874 (10th Cir. 1997), interpreted

our caselaw to strictly exclude parties who purchase only tied products as

tying claim plaintiffs. However, consistent with first principles of antitrust

law, our case law sets forth a broad, flexible rule of antitrust standing.

This court’s failure to reach and decide this critical issue is not an

exercise of prudence. I first address our need to clarify this important

element of antitrust law – if not in this case, then in a future one. I then

explain why the district court’s decision, though understandable, was

erroneous. Neither Sports Racing nor any subsequent case sets forth the

kind of categorical rule excluding plaintiffs who purchase only the tied

product from the antitrust laws’ remedial protections. In my view, district

courts should read our antitrust cases contextually and in harmony with

the general corpus of antitrust law, not against it.
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I

The existential purpose of appellate courts is the duty to correct legal

errors made by the district court. As an incident to this error-correcting

duty, appellate courts also serve “the institutional function of announcing,

clarifying, and harmonizing the rules of decision employed by the legal

system in which they serve.” Matter of McLinn, 739 F.2d 1395, 1401 (9th

Cir. 1984). We do not perform these functions in the abstract. The appellate

judge is not a “knight-errant,” tasked to sally forth and correct errors and

announce rules at will. Benjamin N. Cardozo, The Nature of the Judicial

Process 141 (1921). But where, as here, such errors are properly brought

before us, we should rightly correct them and expound our reasons for doing

so.

Parrish argues that the district court committed an error, which was

the sole basis for the decision on antitrust standing that we were tasked to

review. On appeal, this claimed error was fully briefed by all parties. It is

within our jurisdiction to consider whether the district court erred here.

And having properly invoked our jurisdiction to address this issue, Parrish

has also triggered our “virtually unflagging” duty to say what the law is.

Colorado River Water Conservation District v. United States, 424 U.S. 800,

817 (1976). The court’s decision to resolve this appeal on alternative

grounds certainly does not deprive us of the authority to address the error

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that Parrish complains of. If this court has the discretion to affirm on any

basis supported by the record, we also have the discretion to decide the issue

that was reached by the district court, is fully briefed by the parties, and is

thereby central to the appeal before us. In my view, that was the correct

way to proceed in deciding this appeal.

First, the parties’ arguments set out opposite interpretations of the

rule in Sports Racing (one of which aligned with the district court’s

reasoning), which illustrates there is uncertainty or confusion concerning

how that decision applies in other market contexts. By looking the other

way, we now add to the uncertainty and confusion that has been directly

brought to our attention.

That uncertainty and confusion is particularly intolerable with

respect to antitrust law. Antitrust law relies on highly simplified, common-

law-esque rules of decision and decentralized enforcement. That is why

courts applying antitrust principles must articulate clearly the law’s

expectations as to regulated parties. See A. Douglas Melamed, Antitrust

Law and Its Critics, 83 Antitrust L.J. 269, 271–74 (2020) (observing that

antitrust “principles and rules are largely made by judges.”). This case

smacks of confusion about our precedent, so there is a compelling need to

address it.

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Second, our application of the second element of antitrust standing

(efficient enforcer) is closely related to our interpretation of the first

element (antitrust injury). Indeed, before Sports Racing, the Supreme Court

articulated efficient enforcement as merely one factor in a holistic inquiry,

rather than a two-step test. Associated General Contractors of California,

Inc. v. California State Council of Carpenters, 459 U.S. 519, 536–45 (1983).

Thus, it makes good sense in this case to also consider antitrust injury so

that we may properly analyze whether Parrish has standing as an efficient

enforcer. But in failing to address the antitrust injury element, the court’s

opinion leaves regulated entities and district courts to speculate as to our

antitrust injury rules, which will collaterally affect the efficient

enforcement analysis, given the strong ties between these doctrines.

Although I join and respect my colleagues’ decision to travel down

another, narrower path of decision, I am concerned that by doing so we have

also needlessly added to the uncertainty regarding the antitrust injury

element. Our decision should address the properly presented, fully briefed,

and central issue of whether the district court erred in its interpretation of

our antitrust injury precedent. Our failure to do so leaves the parties, the

district court, and this court in impoverished circumstances. I write

separately with the goal to narrow the gap between uncertainty and clarity

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and turn now to the antitrust injury element that we should have

addressed.

II

Because the parties’ arguments turn so heavily on our language and

reasoning in Sports Racing, I will first examine that case in more detail. I will

then turn to the parties’ arguments and conclude that Parrish has the better

read of our cases.

Before diving into Sports Racing, it is worth observing that “the language

of an opinion is not always to be parsed as though we were dealing with

language of a statute.” Reiter v. Sonotone Corp., 442 U.S. 330, 341 (1979). That

is especially true in the antitrust context, where common law-type adjudication

prevails. Leegin Creative Leather Products, Inc. v. PSKS, Inc., 551 U.S. 877,

899 (2007).

A

Sports Racing involved a unique set-up. The Sports Car Club of

America required all racers who wished to participate in its car races to

purchase specialty cars and car parts from an authorized third-party

distributor. Sports Racing, 131 F.3d at 878. The third-party distributor, in

turn, purchased the specialty cars and parts from the Club itself. Id. By

tying participation in car races to the purchase of cars and parts, the Club

was able to charge higher prices for cars and parts and establish a monopoly

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in that market. Id. at 879. Two plaintiffs – a car racer and a distributor –

sued the Club for antitrust violations. 1 Id at 878–79. As to the tying claim,

we held that both plaintiffs had antitrust standing.

The distributor had antitrust standing because it was a “potential

competitor,” or at least, at the summary judgment stage, had raised a

genuine dispute as to whether it was a “potential competitor.” Id. at 887.

The car racer had bought both the tied and the tying product and so had to

pay higher prices. Id. Thus, we said: “[r]elevant to plaintiffs’ claim, two

types of parties may have standing to challenge illegal tying arrangements

– the purchasers who are forced to buy the tied product to obtain the tying

product (the prototypical tying plaintiff), and the competitor who is

restrained from entering the market for the tied product . . . Both types of

plaintiffs are present here[.]” Id.

But the racer-plaintiff had a problem. Longstanding precedent

restricted antitrust suits to plaintiffs who purchase the relevant product

directly from the defendant. Illinois Brick Company v. Illinois, 431 U.S. 720,

729–36 (1977); Apple, Inc. v. Pepper, 587 U.S. 273, 277 (2019). The racer

bought access to the races (tying product) directly from the Club, but

The racer (Freeman) was also the sole owner of the distribution
1

company (SRS). Sports Racing, 131 F.3d at 878.

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because the Club required all racers to buy their cars and parts (tied

product) from an authorized third-party distributor, the racer did not

directly purchase the tied product from the Club – indeed, no racer ever

could. Sports Racing, 131 F.3d at 889. There was thus no direct purchaser

of both the tying and the tied product.

We relaxed the direct purchaser rule and held that it was sufficient

that the Club had a “direct economic interest” in the sale of the tied product

to the racer, even though it did not directly sell the product to him. Id. at

888–89. Our analysis was driven in large part by the fact that the “only

other possible” direct purchaser of the tied product was the distributor

aligned with the Club. Id. at 889 n.15. But that distributor was neither tied

nor injured by the tie. Id. We said: “[b]ecause the tying product purchasers

(here, the purchasers of racing services) are the targeted victims of an

illegal tying arrangement, these purchasers are in the best position to

identify an illegal tie and have the most incentive to bring an action to

enforce the prohibition against tying.” Id.

B

With the context and key aspects of Sports Racing now in view, I turn

to the task of discerning whether, as Bard argues, Sports Racing

categorically forecloses the suit brought by Parrish. Even if Parrish is

correct that the district court misinterpreted Sports Racing’s language, I

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am sympathetic to the district court’s dilemma. There is certainly language

in Sports Racing that leans in Bard’s favor.

First, there is the list, where we appeared to suggest that only

purchasers of both the tied and the tying product and competitors have

antitrust standing to challenge tying arrangements. Id. at 887. Second,

there is footnote 15 in the opinion, where we expressly rejected the

possibility that the tied product purchaser could challenge the tying

arrangement. Id. at 889 n.15. But I am persuaded that our precedent does

not set forth a categorical rule that automatically excludes tied product

purchasers from the list of potential plaintiffs who have suffered an

antitrust injury.

To begin with, the “list” of potential antitrust plaintiffs does not

enumerate an exclusive set of entities who may challenge tying

arrangements. As Parrish correctly points out, context points the other way.

We qualified the pertinent statement in Sports Racing by acknowledging

that the list was only as “[r]elevant to plaintiffs’ claim.” Id. at 887.

Restricting our discussion of antitrust standing to those archetypes

“relevant to plaintiffs’ claims” signaled two things: 1) the unique market

arrangement in Sports Racing implicated those two types of possible

plaintiffs, and only those two types; and 2) we did not intend to approve or

disapprove other types of potential plaintiffs because those other types, not

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present in the case, were not relevant to plaintiffs’ claims. I therefore do not

read this language in Sports Racing to consider or decide the question of

whether a plaintiff who buys only the tied product has suffered an antitrust

injury sufficient to confer standing to challenge a tying arrangement in all

cases.

Bard asks us to adopt a maximalist reading of footnote 15 to exclude

all tied product purchasers from Clayton Act suits, but again, I conclude

that context demands a narrower interpretation of the rule from that case.

The tying arrangement in Sports Racing, by the court’s own terms, was “not

a typical tying situation.” Id. at 887. The structural role of third-party

distributors in the tying arrangement made it a unique market, and Sports

Racing merely recognized this fact. Because the distributor was not,

practically speaking, a true consumer of the tied product, it was not the

truly injured party. Id. at 889 n.15; see also Serpa Corp. v. McWane, Inc.,

199 F.3d 6, 11 (1st Cir. 1999) (“[A] commercial intermediary, such as a

distributor or sales representative, generally lacks standing because its

antitrust injury is too remote.”). But this determination was made without

distinction between tied and tying product purchasers.

Moreover, the last sentence of footnote 15 strongly suggests that it is

foreshadowing the efficient enforcer element of the antitrust standing

analysis, not opining on the antitrust injury element. Recall that we said:

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“Because the tying product purchasers (here, the purchasers of racing

services) are the targeted victims of an illegal tying arrangement, these

purchasers are in the best position to identify an illegal tie and have the

most incentive to bring an action to enforce the prohibition against tying.”

Sports Racing, 131 F.3d at 889 n.15 (emphasis added). The court’s focus on

the best positioned party with the most incentive to sue for an antitrust

violation fits neatly with the efficient enforcer requirement we described in

Abraham v. Intermountain Health Care Inc., as part of the second element

in the antitrust standing analysis. 461 F.3d 1249, 1268 (10th Cir. 2006). So,

although there is some ambiguity in footnote 15’s analysis, I read it to

address the second element of antitrust standing concerning efficient

enforcement.

Additionally, the district court relied on footnote 10 of Abraham,

where without further reasoning we quoted Sports Racing to reject the

antitrust standing of the plaintiffs there. 461 F.3d 1249, 1266 n.10 (10th

Cir. 2006)) But in Abraham, the plaintiffs did not buy any products at all –

they were competitors. 461 F.3d at 1266 n.10. Indeed, Abraham actually

supports Parrish’s reading of the caselaw, because it suggests that had the

Abraham plaintiff purchased the tied product, the result might have been

different. Id. (“As the Plaintiffs neither purchase nor provide SEC [the tied

product], they lack standing to assert this claim.”). Also, by tucking this

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language in a footnote only, the Abraham court treated this principle of law

as an aside. The language is at minimum ambivalent about antitrust injury

and at most supports the view that purchasers of tied products alone can

have antitrust standing in the appropriate circumstances. That perhaps

explains why Bard did not respond to Parrish’s arguments about Abraham

in its response brief.

In all, I do not read Sports Racing or any of our other cases to set forth

a categorical rule excluding plaintiffs who purchase only the tied product

from challenging a tying arrangement. My interpretation of Sports Racing

is consistent with the Supreme Court’s repeated rejection of “formalistic

distinctions” in the interpretation and implementation of the antitrust

laws. E.g., Eastman Kodak Co., 504 U.S. at 466–67. We have also

acknowledged that “the Supreme Court has avoided black-letter rules about

antitrust standing.” Sharp v. United Airlines, Inc., 967 F.2d 404, 406 (10th

Cir. 1992). Bard’s position requires us to assume that we silently but

sharply departed from this norm in Sports Racing. Bard offers no

explanation for why we would have inexplicably abandoned this norm, and

I think that assumption is implausible.

My interpretation of Sports Racing also minimizes any divergence

from our sister circuits. In Ware v. Trailer Mart, Inc., the Sixth Circuit

rejected the argument that because a plaintiff declined to participate in the

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tying arrangement, he lacked antitrust standing to challenge a tying

arrangement. 623 F.2d 1150, 1153 (6th Cir. 1980). It explained “that this

argument begs the question. [Plaintiff] has alleged a wrongful deprivation

of money[.] He incurred this loss because of [Defendant’s] anticompetitive

conduct[.]” The Sixth Circuit “therefore [found] that [Plaintiff] has properly

claimed an injury under Section 4 and may, accordingly, sue to recover

damages for the alleged violations of Section 1 of the Sherman Act.” Id.

Whatever the factual distinctions between Ware and this case, the rule of

antitrust injury that the Sixth Circuit applied is certainly more capacious

than the one Bard asks us to adopt via Sports Racing.

Additionally, in Novell, Inc. v. Microsoft Corp., the Fourth Circuit

rejected a rule of antitrust injury that would have turned on the plaintiff’s

status instead of a more holistic, fact-bound inquiry. 505 F.3d 302, 310–14

(4th Cir. 2007). Relying on circuit precedent like Bard does here, Microsoft

asked the court “to adopt a bright-line rule that only consumers or

competitors in the relevant market have antitrust standing.” Id. at 311.

Such a rule would have excluded Novell, which was neither. Id. at 308. But

the Fourth Circuit declined Microsoft’s invitation to potentially bring circuit

precedent into conflict with the Supreme Court. Id. at 311–14. Although

Novell did not involve a tying claim, it set forth a general holding with

respect to antitrust standing that would encompass tying claims and

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foreclose Bard’s argument. My rejection of Bard’s categorical interpretation

of our caselaw is therefore in harmony with at least the Fourth and Sixth

Circuit. I am aware of no precedent to the contrary. 2

In sum, I do not read Sports Racing as setting forth a brightline,

categorical rule of antitrust injury that constructs a permanent wall

between tying and tied product purchasers. Direct purchasers of only tied

products may sometimes have an antitrust injury and therefore satisfy the

first element of our antitrust standing inquiry. Any language in Sports

2 Although the argument that Parrish raises does not appear to be
directly resolved by other courts, nearly all the circuits caution against black
letter or brightline rules for antitrust standing. See, e.g., SAS of Puerto Rico,
Inc. v. Puerto Rico Telephone Co., 48 F.3d 39, 43–44 (1st Cir. 1995); Crimpers
Promotions Inc. v. Home Box Office, Inc., 724 F.2d 290 (2d Cir. 1983); City of
Pittsburgh v. West Penn Power Co., 147 F.3d 256, 264–65 (3d Cir. 1998); Los
Angeles Memorial Coliseum Com’n v. National Football League, 791 F.2d 1356,
1363 (9th Cir. 1986) (no “mechanical tests”); Todorov v. DCH Healthcare
Authority, 921 F.2d 1438, 1450–51 (11th Cir. 1991). So too have district courts
declined to apply hard and fast rules for antitrust standing, sometimes in cases
analogous to this one. See, e.g., Warner Management Consultants, Inc. v. Data
General Corp., 545 F. Supp. 956, 967 (N.D. Ill. 1982); Heartland Payment
Systems, Inc. v. MICROS Systems, Inc., 2008 WL 4510260, at *11 (D.N.J. Sept.
29, 2008). I am therefore satisfied that Bard’s position is contrary to the
majority position of the circuit courts. Were I firmly convinced that Bard is
nonetheless correct about the law or the state of our precedent, this court would
be duty-bound to depart from our sister circuits. But the consensus of our sister
circuits (even at a high level of generality) is good evidence of the correct
interpretation of the law, and here, we are offered little more than a strained
interpretation of one of our cases as a basis to break from that consensus – too
thin a reed to bear the weight of a possible circuit split. United States v.
Thomas, 939 F.3d 1121, 1130–31 (10th Cir. 2019).

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Racing to the contrary is best read as addressing antitrust standing’s

second element, the efficient enforcer requirement. 3

III

Almost four decades ago, the Seventh Circuit observed that the “issue of

antitrust standing has become somewhat confused.” Local Beauty Supply, Inc.

v. Lamaur Inc., 787 F.2d 1197, 1201 (7th Cir. 1986). To the extent that

confusion persists about our precedents, which seems obvious given how this

case was presented and the district court’s decision that we are reviewing in

this appeal, we should not side-step our obligation to attempt to provide clarity.

I would hold that Sports Racing does not categorically foreclose antitrust

challenges to tying arrangements that are brought by plaintiffs who have

purchased only the tied product. Instead, our law establishes a broad, flexible,

and fact-bound standard for antitrust standing: the plaintiff must show that

1) they bear an antitrust injury; and 2) they are an efficient enforcer of the

antitrust laws. Sports Racing does not establish any brightline rule under

either of these elements, but with respect to the latter, Sports Racing and other

3 The panel opinion is correct to hold that Parrish fails to demonstrate

that it is an efficient enforcer of the antitrust laws in this context. But since
I would have held that tied product purchasers can, in some instances, have
an antitrust injury sufficient to challenge a tying arrangement, my
concurrence should not be construed to foreclose the possibility that, in a
future case, a tied product purchaser could have an antitrust injury and
also be an efficient enforcer of antitrust law.

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precedent requires that tied-product purchasers show why they are efficient

enforcers against tying arrangements, when tying-product purchasers and

competitors are usually more directly injured. Here, Parrish has not met this

burden. I respectfully concur in the opinion of the court and the affirmance of

the district court’s judgment.

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24-4039, N. Brevard Cnty. Hosp. Dist. v. C.R. Bard, Inc., et al.
HARTZ, J., concurring

I join the opinion of Judge Federico for the court. As for his concurring opinion, I

would be inclined to agree with his reading of Sports Racing, but I think we are bound by

footnote 10 in Abraham, which I view as rejecting that reading.

1

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/11234184. Public record. Not legal advice.
