United States of America ex v. Keypoint Government Solutions
Opinion
The False Claims Act (or the "Act") allows for the recovery of civil penalties
*736
and treble damages from anyone who defrauds the government by submitting fraudulent claims for payment.
Julie Reed sued her former employer, KeyPoint Government Solutions, LLC ("KeyPoint"), for violating the False Claims Act. Her qui tam claims alleged that KeyPoint violated the Act by knowingly and fraudulently billing the government for work that was inadequately or improperly completed. Ms. Reed also claimed that KeyPoint fired her in retaliation for her efforts to stop KeyPoint's fraud.
This case presents two overarching questions. First, did the district court err in granting summary judgment in KeyPoint's favor on Ms. Reed's qui tam claims? Second, did the district court err in dismissing Ms. Reed's retaliation claim under Federal Rule of Civil Procedure ("Rule") 12(b)(6) ?
Exercising jurisdiction under
I
This is a whistleblower case. The relevant background has three parts: (1) the statutory background, (2) the underlying (alleged) bad acts, and (3) the whistleblowing and ensuing procedural history. We recount each part below.
A
The False Claims Act "covers all fraudulent attempts to cause the government to pay out sums of money."
United States ex rel. Conner v. Salina Reg'l Health Ctr., Inc.
,
The Act's proscriptions may be effectuated in two ways. "First, the Government itself may" sue "the alleged false claimant" to remedy the fraud.
Vt. Agency of Nat. Res. v. United States ex rel. Stevens
,
But there are limits to a relator's right to bring a
qui tam
suit. One such limit is "known as the public disclosure
*737
bar."
And because insiders might be reluctant to use these
qui tam
provisions due to fear of employer backlash, the False Claims Act protects whistleblowers from employer retaliation.
See
Potts v. Ctr. for Excellence in Higher Educ., Inc.
,
B
1
KeyPoint is a private company that conducts background investigations for the federal government-specifically, the Office of Personnel Management ("OPM"). OPM uses KeyPoint to investigate prospective federal employees. The depth of KeyPoint's investigations varies according to the level of security clearance involved. Most investigations, though, entail running background checks, interviewing the subject of the investigation, gathering testimony from the subject's neighbors and coworkers, and then compiling the information in a report. Government agencies rely on these reports in making employment decisions and deciding whether to issue (or reject) security clearances.
OPM's contract with KeyPoint rewards timeliness. If KeyPoint finishes its investigations on time, OPM pays KeyPoint a premium. But KeyPoint's pay decreases for each day an investigation runs past the deadline.
The contract also includes safeguards to ensure that KeyPoint's investigations are complete and accurate. For example, KeyPoint must do thorough case reviews of each investigation and reinterview a percentage of all sources. Another safeguard is the Telephone Testimony Program ("TTP"); KeyPoint developed such a program at OPM's request, and OPM endorsed KeyPoint's program. Ordinarily, investigators must conduct in-person interviews. But they may do telephone interviews under some circumstances, so long as they keep their total number of *739 telephone interviews below a certain percentage threshold. Under the TTP, each month OPM sends KeyPoint a list of investigators who exceeded their allotted number of telephone interviews during the last month. KeyPoint then must send OPM "corrective action report[s]" explaining each infraction and what it is doing to remedy the problem. Aplt.'s App. at 31, ¶ 54 (Second Am. Compl., filed Dec. 5, 2016). The contract and OPM's Investigator's Handbook, which the contract incorporates, spell out these and other quality-control measures.
2
Along with KeyPoint, the background-investigation industry has two other main players-U.S. Investigations Services ("USIS") and CACI International, Inc. ("CACI"). This insular industry has had its share of troubles. From 2008 to 2010, the government prosecuted several individual investigators, including a former KeyPoint employee, for rushing investigations and falsifying information in reports to OPM. And a 2010 report summarizing an OPM audit concluded that KeyPoint's and its competitors' "quality assurance process" needed improvement.
The year 2013 was a particularly turbulent one for the industry. That year two federal government contractors-Edward Snowden and Aaron Alexis-committed high-profile crimes after having received security clearances. These embarrassing episodes put the industry under intense scrutiny.
With scrutiny came unflattering news reports. A June 2013 article reporting on allegations against USIS noted that the "concerns about background checks [were] not limited to USIS" and later named KeyPoint and CACI as USIS's "two main competitors."
The allegations in the press worried Congress and OPM. Those worries led to several congressional hearings to probe the industry's alleged practice of using "false, incomplete, or rushed information gathering" in its background investigations.
Exacerbating the industry's woes, a federal court unsealed a complaint against USIS in October 2013.
See
United States ex rel. Percival v. U.S. Investigations Servs., LLC
, No. 2:11-cv-00527-WKW-WC,
*740 (complaint reproduced in Aplt.'s Reply Br., Addendum A). That complaint leveled three accusations against USIS: first, that USIS "failed to provide accurate and complete investigations prior to Cases being submitted to the government," Aplt.'s Reply Br., Addendum A, at 10; second, that USIS "knowingly submitted Cases to OPM for payment that [it] knew had not been reviewed," id. at 6; and third, that USIS exploited "the Blue Zone software .... to submit Cases to OPM under the false pretense that the Cases had been complete[d] and accurately and properly reviewed," id. at 12. This USIS suit and the government's intervention into it incited more press accounts of the industry's shoddy investigations.
3
Ms. Reed worked for KeyPoint during this turbulent period. As a Senior Quality Control Analyst, she reviewed investigators' work and documented incomplete investigations in monthly reports. Ms. Reed also ran KeyPoint's TTP by performing a "regular monthly audit of KeyPoint investigators who violated" the program. Aplt.'s App. at 34, ¶ 81. Along with her "regular duties," Ms. Reed "was occasionally tasked with extra audits of investigators," id. at 61, ¶ 165, or assigned "to determine the nature of ... chronic infractions," id. at 84, ¶ 228. The precise scope of Ms. Reed's responsibilities as a Senior Quality Control Analyst and where she fell in the KeyPoint hierarchy, however, are not specified in the operative complaint.
Nevertheless, that complaint does clearly aver that, in discharging her duties, Ms. Reed observed what she described as "KeyPoint's systemic violations" of its contract with OPM and persistent submission of fraudulent claims for payment to the government based on incomplete or improperly completed investigations. Id. at 29, ¶ 34. Ms. Reed's position allowed her to see investigators falsely reporting applicants' backgrounds as "clean" and omitting information showing otherwise, completing fewer than the required number of interviews, and generally cutting corners. Ms. Reed also believed that she witnessed rampant violations of the TTP and a scheme by KeyPoint management to hide the violations by submitting knowingly false corrective action reports to OPM.
According to Ms. Reed, KeyPoint's management not only knew of the foregoing systemic violations but also encouraged them by pressuring investigators to rush investigations to maximize revenue. Alarmed by the abuses, Ms. Reed voiced her concerns within the company. Periodically, Ms. Reed and her staff uncovered and reported violations. Ms. Reed also "regularly reported [certain] infractions to her supervisor ... by submitting and discussing a monthly spreadsheet." Id. at 62, ¶ 171. Along with these monthly reports, Ms. Reed repeatedly shared her concerns with her supervisor. She also discussed the problems with other individuals at KeyPoint, such as the Director of Training, the OPM Contract Director, Regional Managers, and certain Field Managers. But Ms. Reed's efforts to curb the violations failed. In fact, she alleges that the problems multiplied over time.
Eventually, KeyPoint fired Ms. Reed in October 2013. About a month later, Ms. Reed and her counsel contacted the Department of Justice ("DOJ"). She told DOJ about the abuses she claimed to have witnessed while at KeyPoint. To back up her allegations, Ms. Reed provided a pre-disclosure statement and a presentation detailing KeyPoint's alleged violations.
C
At the government's urging, Ms. Reed sued KeyPoint in January 2014. Her operative *741 complaint raised three qui tam claims and a retaliation claim. 3 The qui tam claims alleged that KeyPoint violated the False Claims Act by: (1) falsely certifying that it performed complete and accurate investigations, (2) falsely certifying that it did proper case reviews and quality-control checks, and (3) falsifying corrective action reports. Ms. Reed's retaliation claim alleged that KeyPoint fired her for trying to stop it from violating the False Claims Act.
After the government declined to intervene in the case, KeyPoint moved to dismiss the suit. The district court then informed the parties that it intended to convert the portion of KeyPoint's motion concerning the qui tam claims into a summary-judgment motion; the court did not perform a similar conversion on KeyPoint's motion to dismiss the retaliation claim. At the court's invitation, Ms. Reed filed additional evidence to defend her qui tam claims from summary judgment.
In September 2017, the district court entered judgment for KeyPoint on all counts. Regarding the qui tam claims, the court declined to consider some of the supplemental materials that Ms. Reed had proffered to oppose KeyPoint's summary-judgment motion. And, on the merits, the court determined that the allegations in Ms. Reed's qui tam claims were "substantially the same" as those that had been publicly disclosed in (1) the criminal investigations of individual investigators, (2) the unflattering news reports about the background-investigation industry, (3) the congressional hearings and OPM audits, and (4) the USIS suit. Id. at 411. And, because the court also concluded that Ms. Reed did not qualify as "an 'original source,' " it dismissed her qui tam claims under the public disclosure bar. Id. at 414. As for Ms. Reed's retaliation claim, the district court granted KeyPoint's Rule 12(b)(6) motion to dismiss after determining that she had inadequately pleaded that KeyPoint was on notice that she was engaging in protected activity.
Ms. Reed now appeals from the district court's order entering judgment for KeyPoint. Her appeal presents two questions. First, did the district court err in granting KeyPoint summary judgment on the qui tam claims under the public disclosure bar? And second, did the district court err in granting KeyPoint's Rule 12(b)(6) motion to dismiss the retaliation claim? For the reasons explicated below, we answer the first question in the affirmative and the second in the negative.
II
We start with the first question. The public disclosure bar compels courts to dismiss
qui tam
claims if (1) "substantially the same allegations ... were publicly disclosed,"
unless
(2) the relator is "an original source of the information."
We review that conclusion de novo and apply the same legal standard that the district court used.
See
United States ex rel. Smith v. Boeing Co.
,
Ms. Reed argues that the district court erred twice en route to dismissing her qui tam claims under the public disclosure bar. 4 Its first error, she says, was concluding that the allegations in her complaint were substantially the same as those aired in earlier public disclosures. Compounding that error, in her view, the district court then wrongly determined that she did not fall under the "original source" exception to the public disclosure bar.
Put differently, the fate of Ms. Reed's qui tam claims hangs on two questions. First, are the allegations in those claims substantially the same as those in earlier public disclosures? And second, if so, is Ms. Reed an "original source" of the information in her claims? Our answer to the first question does not favor Ms. Reed, but our answer to the second one does. 5
*743 Specifically, we hold that Ms. Reed's complaint averments are substantially the same as the allegations in the available public disclosures, but the district court erred in finding that Ms. Reed's averments do not materially add to those disclosures' allegations, such that she does not qualify as an original source. But this holding does not fully resolve the original-source question. Consequently, we vacate the district court's summary-judgment order and remand for further proceedings regarding whether Ms. Reed qualifies as an original source.
A
We agree with the district court that Ms. Reed's allegations undergirding her qui tam claims are "substantially the same" as the allegations in the public disclosures. We explain this conclusion in three steps. First, we discuss the applicable legal standard that guides our substantially-the-same inquiry. Second, we compare the allegations in Ms. Reed's qui tam claims with those in the public disclosures. And third, we close by concluding that the allegations in the qui tam claims are "substantially the same" as the publicly disclosed allegations.
1
Congress amended the False Claims Act in 2010.
See
Pub. L. No. 111-148, § 10104(j)(2),
Our court has yet to opine on the degree of similarity necessary to satisfy this new substantially-the-same standard. That said, even before 2010, our circuit read the unamended provision's "based upon" language to mean that the public disclosure bar applied when "the allegations in the complaint were substantially the same as allegations in the public disclosures."
Fine
,
In her reply brief, Ms. Reed argues for the first time that the 2010 amendment nullifies our earlier cases.
See
Aplt.'s Reply Br. at 8. In her view, the amendment "made clear" Congress's "desire to narrow the impact of the public disclosure bar."
Ms. Reed's argument is too little too late. For starters, by waiting until her reply brief to argue that the 2010 amendment narrowed the public disclosure bar's sweep and undermined our earlier cases, Ms. Reed waived that argument.
See, e.g.
,
White v. Chafin
,
We ordinarily derive Congress's intent "from the text, not from extrinsic sources." Antonin Scalia & Bryan A. Garner, READING LAW: THE INTERPRETATION OF LEGAL TEXTS 56 (2012). The amended text says that the public disclosure bar applies when substantially the same allegations had been publicly disclosed; that is how our circuit (and most others) applied the public disclosure bar pre-amendment,
see
Fine
,
Those cases teach that the operative question is whether the public disclosures were sufficient to set the government "on the trail of the alleged fraud without [the relator's] assistance."
7
Fine
,
In summary, the public disclosure bar applies to
qui tam
claims "if substantially the same allegations ... were publicly disclosed."
2
Having settled on the proper standard governing the substantially-the-same inquiry, *746 we now must compare Ms. Reed's allegations with those in the public disclosures.
Ms. Reed's Allegations . At a high level of generality, Ms. Reed's qui tam claims allege that KeyPoint "was engaging in systemic fraud." Aplt.'s Opening Br. at 1. This fraud grew from KeyPoint's "focus[ ] on meeting ... deadlines" and winning bonuses "at the expense of the quality, completeness, and accuracy" of its investigations, Ms. Reed says. Aplt.'s App. at 29, ¶ 38. For instance, Ms. Reed accuses KeyPoint of pressuring investigators to rush investigations to maximize revenue. This pressure led, generally, to rampant violations of KeyPoint's contract with OPM and, in particular, of the TTP. Notably, as to the TTP, the pressure led to the submission of knowingly false corrective action reports designed to hide the violations. At bottom, Ms. Reed alleges that KeyPoint knowingly defrauded the government to "enrich itself and its executives at the expense of national security." Aplt.'s Opening Br. at 6.
Zooming in on the details, Ms. Reed claims that KeyPoint's fraud manifested itself in three main ways. First, she says that KeyPoint falsely certified to OPM that it had performed complete and accurate investigations. To support this charge, Ms. Reed points to specific instances in which investigators failed to do mandatory interviews of sources. She also details how individual investigators uncovered derogatory information about subjects but failed to report that information in their reports to OPM. Piling on, Ms. Reed lists over 100 instances in which investigators cut interviews short and then lied about it to OPM. She adds to this by exposing scores of violations of the TTP.
Ms. Reed contends that the second manifestation of KeyPoint's fraud entailed falsely representing to OPM that it had done proper case reviews and quality-control checks. For instance, she documents at least five times that, "despite ... readily apparent violations," KeyPoint reviewers violated OPM requirements by failing to reopen cases. Aplt.'s App. at 88, ¶ 248. And to circumvent the TTP, "quality control staff failed to perform the proper number of re-interviews." Id. at 89, ¶ 252.
The third (related) strain of fraud Ms. Reed identifies is KeyPoint's submission of falsified corrective action reports. Recall that these reports "are supposed to detail the specific actions taken by KeyPoint management to address" violations of OPM rules and programs-most notably, the TTP. Id. at 89, ¶ 255. To hide its rampant violations and institutional acquiescence to those violations, Ms. Reed alleges that "KeyPoint falsified corrective action reports to OPM" to give the appearance that it "was actively addressing [violations], when it was not." Id. at 89, ¶ 256. To Ms. Reed's knowledge, KeyPoint falsified dozens of reports to hide malfeasance by at least four individual investigators.
Publicly Disclosed Allegations . There are four categories of relevant public disclosures: (1) criminal investigations of individual investigators, (2) the news reports, (3) congressional hearings and OPM audits, and (4) the previously mentioned USIS suit.
Criminal Investigations. Between 2007 and 2013, the government prosecuted individual investigators for allegedly falsifying information in their reports. At least one of these "criminal cases involve[d] ... a former Key[P]oint employee who 'raced through investigations to get more work' and lied about conducting thorough background checks when they were incomplete and rushed." Id. at 410.
News Reports. In 2013, a slew of news reports chronicled the suspected fraud and *747 widespread sloppiness in the background-investigation industry. One article in September 2013 reported that the government was " 'pursuing suspected fraud in the granting of security clearances,' including '19 private and government investigators for submitting fabricated reports.' " Id. (quoting id. at 307-09 (NBC Article, dated Sept. 18, 2013)). Another article in June 2013 relayed that OPM had found problems "with procedures and safeguards used by all three private contractors-USIS, KeyPoint ... and CACI." Id. at 303. This article added that "[a]ll three companies have had investigators who were found to have done substandard work in background checks." Id. Another June 2013 article reporting on allegations against USIS noted that "concerns about background checks [were] not limited to USIS." Id. at 159.
Congressional Hearings & OPM Audits . In 2013, Congress twice held hearings to investigate the background-investigation industry's practice of using "false, incomplete, or rushed information gathering" in its background investigations. Id. at 411 & n.3. OPM reacted by commissioning an audit of KeyPoint's and its competitors' practices. This audit determined that OPM "need[ed] to strengthen its controls over its Contractors and the background investigation review process." Id. at 164. Back in 2010, OPM had completed a report on another audit of the background-investigation industry. This earlier report concluded that KeyPoint's and its competitors' "quality assurance process" needed improvement. Id. at 273. The 2010 report also revealed that KeyPoint sometimes "did not conduct the required amount of re-contacts" in its investigations, id. at 289, and that there were "falsification and[ ] integrity issues" with investigations done by USIS, KeyPoint, and CACI, id. at 261.
The USIS Suit. In October 2013-a month before Ms. Reed conveyed her allegations to DOJ and two months before she filed her qui tam suit-a federal court unsealed a complaint against USIS. The complaint included three qui tam claims against USIS. First, it alleged that USIS had a practice of "dumping" cases. That is, USIS allegedly sent cases "to OPM that were represented as Field Finished" when, in truth, they were unreviewed or "had not been investigated at all." Aplt.'s Reply Br., Addendum A, at 5. Second, the complaint claimed that USIS "failed to provide accurate and complete investigations." Id. at 10. Third, USIS supposedly falsely represented to OPM the extent to which it used a software program known as the "Blue Zone." Id. at 12. But the suit neither mentioned KeyPoint nor implied that USIS's fraud extended to its competitors or the industry as a whole.
3
The question now is: Are the allegations in Ms. Reed's qui tam claims substantially the same as those in the publicly disclosed sources? We agree with the district court that the answer to that question is "yes." That is, we conclude that the public disclosures were sufficient to set the government on the trail of KeyPoint's alleged fraud without Ms. Reed's assistance. 11
*748 At their most general, Ms. Reed's qui tam claims allege systemic sloppiness and fraud in the background-investigation industry . 12 But the government and the public knew that much already from the news reports. Those news articles painted a picture of widespread problems with the thoroughness and accuracy of the private contractors' background investigations. And that Congress held hearings to probe the background-investigation industry's alleged practice of using "false, incomplete, or rushed information gathering" underscored the pre-existing public awareness of a strong probability of fraud in the industry. Aplt.'s App. at 411 & n.3. What is more, the criminal prosecutions of individual investigators confirmed that the government knew that investigators in the industry were falsifying information in their reports.
Moving down a rung on the generality ladder to more specific footing, Ms. Reed's claims allege fraud not only in the background-investigation industry generally, but also in KeyPoint's specific background-investigative practices. That information, too, was old news to the government. After all, the government prosecuted a former KeyPoint employee for "rac[ing] through investigations" and lying "about conducting thorough background checks when they were incomplete and rushed."
Id.
at 410. News reports from 2013 added to this knowledge by reporting that OPM had found problems "with procedures and safeguards used by all three private contractors-USIS, KeyPoint ... and CACI."
Id.
at 303. To be sure, the news reports avoided explicitly accusing KeyPoint of defrauding the government. But direct allegations of fraud were unnecessary to put the government on the trail of KeyPoint's fraud.
Cf.
Winkelman
,
At their most specific, Ms. Reed's claims allege that KeyPoint knowingly defrauded the government by submitting fraudulent reports about the completeness and accuracy of its investigations. The government could have inferred as much from the public disclosures. Consider the USIS lawsuit. That suit alleged that USIS failed to review investigations, failed to do adequate investigations, and sent false reports to OPM. Those are the same basic failings Ms. Reed accuses KeyPoint of. Furthermore, the USIS suit alleged that investigators sent cases "to OPM that were represented as Field Finished" when, in truth, they were unreviewed or "had not been investigated at all." Aplt.'s Reply Br., Addendum A, at 5. Ms. Reed's suit similarly asserts that KeyPoint sent OPM false claims "certifying that [its] investigators conducted complete, accurate, and proper investigations." Aplt.'s App. at 104, ¶ 359.
Considering this information from the USIS lawsuit and the other publicly disclosed matters discussed above, we conclude that the public disclosures were sufficient to set the government on the trail of KeyPoint's alleged fraud without Ms. Reed's assistance. Our cases reinforce this conclusion. Take
Fine
, for example. The relator there accused Sandia Corporation of misappropriating nuclear waste funds.
The same reasoning applies here. As in Fine , the public disclosures here identified the problem-fraud in background investigations-and traced that problem to an easily identifiable group of probable offenders (USIS, KeyPoint, and CACI). As in Fine , Congress held hearings to probe the suspected fraud in this limited industry. Moreover, akin to Fine , a government report (here, the 2010 OPM audit report) laid bare the heart of the matter-i.e., the falsification and integrity issues that plagued the background-investigation industry.
*750 But unlike in Fine , some of the public disclosures explicitly linked KeyPoint to the suspected fraud. The OPM audit said that "Contractors" had falsification issues; that defined term meant USIS, KeyPoint, and CACI. And the news reports publicized that OPM had "found problems with procedures and safeguards used by all three private contractors-USIS, KeyPoint ... and CACI." Aplt.'s App. at 303. Thus, although the public disclosures did not say the words "KeyPoint defrauded the government," the link that the disclosures forged between KeyPoint and the fraud was even stronger than the one in Fine , where we held that the substantially-the-same standard was satisfied. It ineluctably follows that this link was sufficient here to satisfy that standard-that is, to have set the government on the trail of KeyPoint's alleged fraud without Ms. Reed's help.
Ms. Reed's attempts to distinguish
Fine
fall short. For starters, Ms. Reed is mistaken in asserting that "no publicly disclosed information prior to [her] lawsuit indicated that KeyPoint was a wrongdoer." Aplt.'s Reply Br. at 10. The news reports linked KeyPoint to the fraud allegations roiling the industry. Even Ms. Reed's statement that "KeyPoint was not investigated for any suspected wrongdoing,"
In re Natural Gas Royalties
further supports our view on the substantially-the-same question. The relator there alleged that certain natural gas companies used fraudulent measurement techniques to underpay federal royalties. The relevant public disclosures included (1) congressional documents revealing problems with measurement techniques in the natural-gas industry, (2) an earlier
qui tam
suit against different gas companies for the same fraudulent practices, and (3) press accounts reporting on the earlier suit and "disclos[ing] the industrywide nature of [the suit's] broad allegations."
Citing
Fine
, we explained in
In re Natural Gas Royalties
that "the public disclosures at issue named a significant percentage of industry participants as wrongdoers and indicated that others in the industry were very likely engaged in the same practices."
So too here. The allegations in the public disclosures identified pervasive fraud in the background-investigation industry. Recall that in the years before Ms. Reed's suit, the government prosecuted individual investigators for allegedly falsifying information in their reports. Furthermore, a 2013 news article reported that the government was "pursuing suspected fraud in the granting of security clearances" by contractors. Aplt.'s App. at 308. And the USIS suit alleged that one of KeyPoint's two main competitors (i.e., USIS) falsely told OPM that it had provided "accurate and complete investigations." Aplt.'s Reply Br., Addendum A, at 10.
As in
In re Natural Gas Royalties
, the public disclosures here obviated the need for the government "to comb through myriad transactions performed by various types of entities in search of potential fraud."
Ms. Reed rejects such a conclusion. She first argues that her allegations "relate to a different entity" than the entities-notably, USIS-accused of wrongdoing in the public disclosures. Aplt.'s Opening Br. at 12. Ms. Reed is quick to point out that the USIS suit made "no allegations against KeyPoint" and that none of the public disclosures expressly accused KeyPoint of defrauding the government.
Id.
at 18. Maybe so. But the substantially-the-same standard does not demand that the disclosures identify the defendant by name as the wrongdoer.
See
In re Nat. Gas Royalties
,
*752
Ms. Reed next argues that her allegations substantially differ from the publicly disclosed allegations because she exposed different schemes. For instance, she maintains that "USIS had a very specific fraudulent scheme that it used to facilitate 'dumping' cases." Aplt.'s Reply Br. at 5. That scheme, Ms. Reed explains, involved representing to OPM that cases were complete when they actually were unfinished or "had not been investigated at all."
Ms. Reed is right that some of the schemes she exposed-especially, the scheme involving the TTP-added to the government's knowledge (more on this subject later), but these additions do not alter our substantially-the-same assessment. For now, the relevant question is only whether the public disclosures set the government on the trail of KeyPoint's fraud. As we have explained, this does not require "
complete
identity of allegations."
Boothe
,
Moreover, it cannot be gainsaid that in significant, material respects Ms. Reed's complaint averments are substantially the same as the complaint averments in the USIS suit. For instance, Ms. Reed's complaint alleges that KeyPoint conducted "improper, incomplete, and inaccurate investigations." Aplt.'s App. at 33, ¶ 74. The USIS complaint likewise alleges that USIS "failed to provide accurate and complete investigations." Aplt.'s Reply Br., Addendum A, at 10. 14 And there are other substantial similarities between the complaints. Compare Aplt.'s App. at 32, ¶ 64 (alleging that KeyPoint "transformed almost every aspect of its investigative processes to maximize profits by hitting deadlines and taking on as much work as possible, without concern for the quality, accuracy, or completeness of its investigations"), with Aplt.'s Reply Br., Addendum A, at 5 (alleging that USIS pressured "Field Investigators to submit a large number of [reports of investigations] in a short amount of time in order to meet the revenue goals"). Therefore, given these substantial similarities, that Ms. Reed's complaint revealed one or more KeyPoint fraudulent schemes that are distinct from those alleged in the USIS lawsuit does not dissuade us from the view that the USIS suit helped put the government on the trail of KeyPoint's alleged fraud.
Finally, Ms. Reed argues that the district court erred by not considering 2014 congressional testimony from a KeyPoint executive, Ms. Ordakowski, in its substantially-the-same analysis. In that testimony, Ms. Ordakowski told Congress that KeyPoint met or exceeded OPM standards and had "never wavered from its focus on quality." Aplt.'s Opening Br. at 21. Ms. Reed reasons that "if the government had some suspicions about the quality of KeyPoint's work," this testimony would have "throw[n] the government off the trail of the type of fraud [that Ms. Reed] alleges."
*753
This argument crumbles upon even brief reflection. First of all, Ms. Ordakowski testified months after Ms. Reed communicated her allegations to DOJ and after she sued KeyPoint. So the substance of Ms. Ordakowski's testimony tells us nothing about whether the government would have picked up the trail of fraud at KeyPoint based on the information it already had when Ms. Reed sued KeyPoint. Leaving aside this space-time-continuum problem, Ms. Reed's argument defies common sense. That Congress called a KeyPoint executive to testify about problems with background investigations strongly suggests that Congress thought there
was
a problem and that KeyPoint potentially was among the culprits.
Cf.
Fine
,
In summary, we agree with the district court that the allegations in Ms. Reed's qui tam claims are substantially the same as those in the public disclosures. Thus, unless Ms. Reed is an "original source" of the information in her claims, the public disclosure bar prevents those claims from proceeding.
B
We now take up the question of whether Ms. Reed is an original source. Recall that the district court concluded that Ms. Reed was not an original source and therefore dismissed her qui tam claims under the public disclosure bar. Ms. Reed argues that in doing so the district court made both a procedural and a substantive error. The court's procedural error, she says, was excluding some of the evidence that she submitted to the court after it converted KeyPoint's motion to dismiss to a summary-judgment motion. As for the alleged substantive error, Ms. Reed contends that the district court erred in concluding that she was not an original source, in particular, because her complaint averments did not materially add to the information in the public disclosures.
As we explain below, Ms. Reed loses the procedural battle but wins the substantive war. That is, we hold that the district court did not err in excluding certain proffered evidence at summary judgment, but we hold that the court did err in concluding that Ms. Reed was not an original source because her complaint averments did not satisfy the materially-adds standard.
1
When a district court relies on material outside the complaint to resolve a Rule 12(b)(6) motion, it ordinarily must convert that motion "into a motion for summary judgment."
Burnham v. Humphrey Hosp. Reit Tr., Inc.
,
We review a district court's choice to exclude evidence at the summary-judgment stage, however, "only for an abuse of discretion."
*754
LifeWise Master Funding v. Telebank
,
The district court converted KeyPoint's Rule 12(b)(6) motion into a summary-judgment motion. Before doing so, it allowed the parties to present relevant material. Ms. Reed asked to present three sets of materials: (1) documents that she had given the government both before and after she filed her qui tam suit, (2) a declaration in which she attested "to the source of her allegations," and (3) more "briefing on the public disclosure and original source issues." Aplt.'s Opening Br. at 30.
After considering Ms. Reed's proffered materials, the district court allowed her to submit only the documents she gave the government in her pre-filing disclosures: specifically, the court excluded any post-filing disclosures to the government, Ms. Reed's declaration, and the additional briefing. Those other materials, the court reasoned, would not add "any material information" helpful to the public-disclosure-bar inquiry because Ms. Reed's complaint made "clear what the source of [her] knowledge was" and because the parties had fully briefed the applicable legal standards. Aplt.'s App. at 404. Thus, under the court's view, the post-filing documents, declaration, and additional briefing "were not 'made pertinent' by the conversion."
To the extent that Ms. Reed argues that the district court erred by refusing "to allow [her]
the opportunity to provide
all material evidence," Aplt.'s Opening Br. at 30 (emphasis added), the record proves otherwise. The court notified the parties of its intention to convert the motion to a summary-judgment motion, and it gave them time to provide pertinent material. Unlike the parties in the cases she cites,
15
Ms. Reed had ample opportunity to provide the court with "material made pertinent by Rule 56."
Nichols
,
And the district court's exclusion of the post-filing disclosures, Ms. Reed's declaration, and the added briefing was well within "the bounds of permissible choice."
LifeWise Master Funding
,
Ms. Reed, however, begs to differ. She says the excluded post-filing disclosure statement and personal declaration were "pertinent" to "establish[ing] her status as an original source." Aplt.'s Opening Br. at 30. These materials, Ms. Reed contends, would have shown "the extent to which [her] allegations materially added to those allegations that had purportedly been publicly disclosed." Id. at 33. The problem for Ms. Reed is that-as she admitted-the allegations in her complaint were "based almost entirely upon the documents that *755 were discussed during the pre-filing meeting with [DOJ]." Aplee.'s Suppl. App., Vol. VII, at 1419 (Ms. Reed's Objs. to R. & R., filed Sept. 12, 2017). And Ms. Reed twice amended her complaint to include the crux of the information from her post-filing disclosures to the government. Ms. Reed's proffered materials, then, would have merely duplicated that existing information in the twice-amended complaint.
In the end, we cannot say that the district court abused its discretion as to this procedural matter. Thus, we leave undisturbed the district court's ruling excluding the post-filing disclosures, Ms. Reed's declaration, and the additional briefing.
2
a
Having resolved the procedural issue, we turn to the substance of the original-source question. The False Claims Act instructs courts to dismiss
qui tam
claims under the public disclosure bar "if substantially the same allegations ... were publicly disclosed"-
unless
the relator is "an original source of the information."
Two types of relators qualify as "original sources." The first type is a relator who, "prior to a public disclosure [within the meaning of the Act] ..., has voluntarily disclosed to the Government the information on which allegations or transactions in a claim are based."
Before the district court, Ms. Reed argued that she was an original source of the second type. The district court agreed that Ms. Reed had in fact given the government her information before she sued KeyPoint. But the court ruled that Ms. Reed's allegations did not "materially add" to the public disclosures. And so, without addressing whether Ms. Reed's knowledge was "independent of" the public disclosures, the district court concluded that Ms. Reed was not an original source.
On appeal, Ms. Reed argues that the district court erred in concluding that her allegations did not "materially add" to the public disclosures. As for the "independent of" portion of the original-source inquiry, Ms. Reed says in a short footnote that she satisfies that criterion, too. See Aplt.'s Opening Br. at 29 n.8. For its part, KeyPoint posits that "regardless of whether her knowledge was 'independent of' the public disclosures," Ms. Reed is not an original source because her allegations "did not materially add to the public disclosures." Aplee.'s Resp. Br. at 34.
Our circuit has yet to expound on the meaning of the "materially adds" language in the original-source exception. Congress added this language in the same 2010 amendment discussed earlier but did not define the term. Since then, however, several other courts of appeals have interpreted the "materially adds" requirement. 16
*756
We are particularly persuaded by the First Circuit's analysis in
Winkelman
. There, the court framed the relevant question for the materially-adds inquiry as "whether the relators' allegedly new information is sufficiently significant or essential so as to fall into the narrow category of information that materially adds to what has already been revealed through public disclosures."
The
Winkelman
definition of "materially adds" finds support in the Act's provisions defining the scope of liability, which state that "the term 'material' means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property."
Winkelman
also offered several helpful guideposts for how to distinguish between new but immaterial information and material additions. It noted that what is "significant" or "essential" depends in part on "the level of detail in [the] public disclosures."
In sum, we find persuasive the materially-adds standard that the First Circuit articulated in
Winkelman
. Under that standard, a relator who discloses new information that is sufficiently significant or important that it would be capable of "influenc[ing] the behavior of the recipient"-i.e., the government-ordinarily will satisfy the materially-adds standard.
We recognize that the Seventh Circuit has taken a different path. For example, in
Cause of Action v. Chicago Transit Authority
,
The plain terms of the original-source exception contemplate that some qui tam claims involving allegations that are substantially the same as publicly disclosed allegations nevertheless will survive the public disclosure bar because they materially add to the publicly disclosed information. Yet, the Seventh Circuit's view runs counter to this idea. And as a logical matter, its view is simply unpersuasive. After all, what good is an exception (i.e., the original-source exception) that does not actually except anything? See Hesch, supra , at 1016 (noting that because the materially-adds condition "is designed to be an exception to the public disclosure bar," it "is not meant to block out relators simply because there had been a qualifying public disclosure that contains similar allegations").
Reflecting this sort of reasoning, one commentator observed:
The addition of the new requirement that the information "materially add" to the publicly disclosed information has caused some confusion. Some courts have required the information to be "qualitatively different" from the publicly disclosed information or not substantially the same as the public disclosure . That approach renders the [materially-adds] requirement the same as the public disclosure question rather than part of an exception to the public disclosure bar. Materially adds connotes the addition of something of significance or import and whether it is substantially the same as the type of information already publicly disclosed should not matter.
Claire M. Sylvia, THE FALSE CLAIMS ACT: FRAUD AGAINST THE GOVERNMENT § 11:68, Westlaw (database updated June 2018) (emphasis added) (footnote omitted);
see also
Hesch,
supra
, at 1017 ("[M]erely because the allegations are substantially the same as a qualifying public disclosure, a
*758
relator still qualifies as an original source if she brings something to the table that adds value."). In sum, we agree with the First Circuit's assessment in
Winkelman
: "[T]he 'materially adds' inquiry must remain conceptually distinct; otherwise, the original source exception would be rendered nugatory."
The path plotted by the Third Circuit in its noteworthy decision,
Moore
, is less clearly defined. However, in fleshing out our approach, we highlight a possible point of distinction with it. In
Moore
, the Third Circuit looked to "Rule 9(b)'s pleading requirement,"
Perhaps
Moore
is amenable to a narrow interpretation.
Cf.
In our view, the materially-adds analysis must be firmly grounded in the facts and circumstances of a particular case. And those facts and circumstances will guide our determination of whether the who, what, when, where, or how actually should be considered sufficiently significant or important to affect the government's actions regarding the fraudulent scheme. For example, as discussed further below, when, as here, the publicly disclosed fraud exists within an industry with only a few players, a relator who identifies a particular industry actor engaged in the fraud (i.e., the "who") is unlikely to materially add to the information that the public disclosures had already given the government.
We are concerned that
Moore
(as interpreted above) could allow the original-source exception to swallow the public disclosure bar. Specifically, one might read the Third Circuit's approach in that case to permit "a relator who merely adds detail or color to previously disclosed elements of an alleged scheme" to qualify as an original source.
Winkelman
,
Thus, we are guided here by materially-adds principles that are generally consistent with those the First Circuit articulated in Winkelman . We believe that these principles are faithful to the balance struck by Congress, in amending the original-source exception in 2010, between "attracting whistleblowers and not paying rewards" to relators who fail to provide information that "materially adds value." Hesch, supra , 1026, 1040.
b
We now turn to the question of whether Ms. Reed satisfies this standard. Although we conclude that most of Ms. Reed's arguments relative to this standard fall short, we are persuaded that her complaint averments regarding the TTP program materially add to the information in the public disclosures. Therefore, she prevails on this component of the original-source inquiry.
Ms. Reed argues that her allegations materially add to the public disclosures in several ways. First, Ms. Reed points out that her complaint identifies "a new defendant" (KeyPoint). Aplt.'s Opening Br. at 25. Second, she reasons that naming individual "investigators who violated OPM requirements" adds to the disclosures. Id. Third, Ms. Reed posits that she materially adds to the disclosures because she did her own investigation into KeyPoint. Fourth, she says that her allegations uncovered "new schemes to defraud the government ( e.g. , the telephone testimony violations)." Id.
To begin, we disagree that naming KeyPoint as a wrongdoer materially adds to the public disclosures. After all, the news reports linked KeyPoint to the suspected fraud in the background-investigation industry. And the 2010 OPM audit report revealed that there were "falsification and[ ] integrity issues" with investigations done by USIS, KeyPoint, and CACI. Aplt.'s App. at 261. Consequently, Ms. Reed is mistaken in suggesting that there was "no information concerning KeyPoint specifically in the public domain." Aplt.'s Opening Br. at 28. To be sure, the disclosures did not "use the word 'fraud' " when discussing KeyPoint.
Advocates for Basic Legal Equal.
,
At bottom, the government already suspected fraud in the background-investigation industry. Counting KeyPoint, that industry only has three main players; and the disclosures linked KeyPoint to the suspected fraud. We cannot see how naming KeyPoint adds information of sufficient significance or importance "to influence the [government's] behavior."
Winkelman
,
Similarly, identifying individual investigators as wrongdoers "merely adds detail or color to previously disclosed elements of an alleged scheme."
Winkelman
,
Ms. Reed also is mistaken that her allegations materially add to the public disclosures because she did her own investigation into KeyPoint. For starters, as KeyPoint rightly points out, "the 'materially adds' requirement ... focuses on the
substance
of the allegations, not the
source
." Aplee.'s Resp. Br. at 37. That Ms. Reed's independent investigation confirmed, as to KeyPoint, some of the allegations floating around the public sphere is arguably relevant to the question of whether her knowledge is independent of the public disclosures, but that question is not presently before us.
See
Kennard
,
All that said, we ultimately conclude that Ms. Reed does satisfy the materially-adds standard. We reach that conclusion because we determine that Ms. Reed's allegations regarding the TTP materially add to the information available in the public disclosures for two related and intertwined reasons. First, Ms. Reed makes specific allegations of both investigator- and management-level fraud in the distinct context of the TTP. Second, many of Ms. Reed's allegations concerning KeyPoint's responses to her reports of possible fraud in the TTP provide direct evidence of KeyPoint's scienter. Neither the allegations of investigator- and management-level fraud in the TTP context nor the allegations of KeyPoint's scienter were available via the public disclosures. Considered together, these allegations reveal a "new scheme[ ] to defraud the government" involving repeated violations of the TTP by KeyPoint investigators and management. Aplt.'s Opening Br. at 25. And they offer "[t]rue evidence of intent or guilty knowledge" by KeyPoint, Hesch,
supra
, at 1026, insofar as they aver Ms. Reed's specific knowledge of KeyPoint managers' efforts to knowingly cover up the TTP violations.
Cf.
United States ex rel. Ambrosecchia v. Paddock Labs., LLC
,
Ms. Reed's allegations of scienter make us especially confident that her allegations regarding KeyPoint's fraudulent TTP practices satisfy the materially-adds standard. False Claims Act "cases often turn on the issue of scienter." Hesch,
supra
, at 1024. Yet, "the government is never in a
*761
good position to have direct evidence of guilty knowledge."
Id.
Thus, Ms. Reed's allegations that KeyPoint's investigators and managers tried to
knowingly
cover up the TTP violations amplify the materiality of the underlying allegations of TTP fraud.
Cf.
Winkelman
,
Now consider those underlying allegations. Recall that investigators were generally required to conduct in-person interviews, but the TTP permitted them to do telephone interviews under some circumstances so long as they kept their total number of telephone interviews below a certain percentage threshold. Each month, OPM would send KeyPoint a list of investigators who exceeded their allotted number of telephone interviews during the last month. KeyPoint then would be obliged to send OPM "corrective action report[s]" explaining each infraction and what it was doing to remedy the problem. Aplt.'s App. at 31, ¶ 54.
Ms. Reed avers that KeyPoint investigators repeatedly violated the TTP and KeyPoint management regularly falsified corrective action reports to cover up the violations. For instance, one corrective action report by a KeyPoint Field Manager justified an investigator's violations by claiming that telephone interviews were "justified due to weather and due 'to the remote and large geographical area [the investigator] work[ed].' " Id. at 90, ¶ 262. When Ms. Reed looked into the matter, she discovered that the report was false; the investigator's sources were actually "located in nearby Colorado, well within the territory he was required to cover in person" Id. at 90, ¶ 264. When Ms. Reed recommended that the investigator be disciplined for violating the TTP, rather than do so and correct the false corrective action report, a KeyPoint Regional Manager "tried to persuade [Ms.] Reed that [the investigator] was covering remote territory in Wyoming." Id. at 90, ¶¶ 265-267.
Similarly, Ms. Reed determined that another investigator was violating the TTP by "not giv[ing] many sources the opportunity for in-person interviews," id. at 95 ¶ 298, and that KeyPoint management had falsely "certified that [the investigator] had not conducted the telephonic testimonies that OPM had indicated," id. at 96, ¶ 300. Ms. Reed specifically informed identified members of KeyPoint management that the investigator was violating the TTP-which meant that KeyPoint's prior certifications to OPM to the contrary were false. See id. But rather than discipline the investigator and correct the false certifications, the investigator's "Field Manager continued to issue Corrective Action Reports to OPM about [the investigator] that claimed geographic distance and source request, when Reed had already shown KeyPoint's management that [the investigator] had conducted phone interviews without attempting to conduct in-person interviews." Id. at 96, ¶ 310.
Furthermore, on more than one occasion, in response to Ms. Reed's efforts to correct problems in the TTP, "KeyPoint management told [her] to stop interfering." Id. at 95, ¶ 292; see also id. at 96, ¶ 308 ("[Ms.] Reed was later told to 'stop interfering.' "). In short, Ms. Reed's complaint offers pages of details describing *762 how KeyPoint managers knowingly schemed to defraud the government by covering up systemic violations of the TTP.
None of the public disclosures accused KeyPoint-or the industry generally-of fraud relating to a TTP. The news reports, for instance, focused generally on problems in the industry with "investigators who were found to have done substandard work in background checks." Id. at 303. The articles do not hint at systemic investigator fraud designed to evade the requirements of a TTP (e.g., its percentage ceiling for conducting telephone interviews), let alone discuss knowing efforts of management personnel to cover up that fraud. Likewise, Congress suspected KeyPoint and its competitors only of using "false, incomplete, or rushed information gathering" in its background investigations but unearthed no evidence that industry management knowingly lied about the circumstances in which they gathered information by telephone. Id. at 411 & n.3. The two OPM audits do not even reference a TTP or fraudulent corrective action reports covering up violations of such a program. And the USIS suit alleged that USIS investigators "dumped" incomplete and unreviewed cases to OPM and abused OPM's "Blue Zone software." Aplt.'s Reply Br., Addendum A, at 6-12. But this suit makes no mention of a TTP, corrective action reports, or a scheme by management to cover up deficiencies under that program.
In short, Ms. Reed's allegations regarding KeyPoint's fraudulent practices related to its TTP added material information to the public disclosures that satisfied the Act's materially-adds standard. These allegations had the effect of "expanding the scope of the fraud" revealed in the public disclosures and introducing "knowledge of scienter that is not specifically contained in a qualifying public disclosure." Hesch,
supra
, at 1023, 1027. This is not a case where the relator's allegations contributed nothing more than personal "knowledge (even if gained early and independently)."
Paulos
,
The soundness of this conclusion is highlighted when one contrasts the materiality of the new fraudulent scheme that Ms. Reed alleges regarding the TTP with the
immateriality
of the added information at issue in
Osheroff
. The relator in
Osheroff
alleged that certain medical clinics were violating the federal anti-kickback law and related government contracts by providing "a variety of free services for patients ..., including transportation, meals, spa and salon services, and entertainment."
*763
And news reports publicized that the defendant-clinics provided " 'free lunch' ... and free transportation."
Ms. Reed's complaint averments relating to KeyPoint's distinct TTP fraud stand in stark contrast to the general background information regarding an existing fraudulent scheme that the relator delivered in Osheroff . Unlike in Osheroff , Ms. Reed's allegations do not add a few more breadcrumbs on an existing trail; they blaze a new trail.
We underscore that we do not rest our holding that Ms. Reed has satisfied the materially-adds standard based solely on either her allegations concerning specific instances of investigator- and management-level fraud in the TTP or her allegations concerning KeyPoint's responses to her reports of possible TTP fraud-notably, to cover up fraud-that evinced KeyPoint's scienter. Instead, we base our holding on the combined , synergistic effect of the allegations of distinct misconduct in the TTP and the related and intertwined allegations detailing KeyPoint's knowing efforts to cover up TTP violations. The combination of these allegations clearly permit Ms. Reed to satisfy the materially-adds standard. We need not-and thus do not-opine on whether either of the two related and intertwined features of Ms. Reed's TTP allegations, standing alone, would be sufficient to satisfy the materially-adds standard.
* * *
In sum, we agree with the district court that the allegations in Ms. Reed's
qui tam
claims are substantially the same as those in the public disclosures. But we disagree with the court's conclusion that Ms. Reed's allegations do not materially add to the public disclosures, such that she did not qualify as an original source. As a consequence, we vacate the district court's summary-judgment order that dismissed Ms. Reed's
qui tam
claims. However, because the district court did not reach the second part of the original-source standard-i.e., whether Ms. Reed's allegations are "independent of" the public disclosures-we remand the case for the district court to resolve that question in the first instance.
17
See
*764
Tabor v.Hilti, Inc.
,
III
We now turn to Ms. Reed's retaliation claim. The False Claims Act protects whistleblowers from retaliation by their employers.
See
Potts
,
Ms. Reed alleges that KeyPoint retaliated against her by firing her for trying to stop it from violating the False Claims Act. The district court granted KeyPoint's Rule 12(b)(6) motion to dismiss this retaliation claim because Ms. Reed had, in the district court's view, inadequately pleaded that KeyPoint was on notice that she was engaging in protected activity.
We review de novo "the district court's dismissal under Rule 12(b)(6)."
United States ex rel. Polukoff v. St. Mark's Hosp.
,
Applying these standards, we affirm the district court's dismissal of Ms. Reed's retaliation claim. At the outset, we are constrained to point out that the district court relied on a legally erroneous view of what constitutes protected activity. But we "can affirm the district court's dismissal on any ground sufficiently supported by the record."
GF Gaming Corp. v. City of Black Hawk
,
A
The False Claims Act protects whistleblowers who engage in "protected activity."
Armstrong
,
Congress resolved this circuit split in 2009. That year, it amended the False Claims Act's whistleblower protections to protect employees who take "lawful" actions "in furtherance of
other efforts to stop 1 or more violations
" of the False Claims Act.
Congress did amend the whistleblower protections again in 2010. As a consequence, the now-effective protections expressly apply to an employee's "lawful" acts "in furtherance of"
either
"an action" under the Act "or other efforts to stop 1 or more violations of" the Act.
The district court, however, failed to acknowledge the expanded universe that the 2009 amendment defined. Instead, it assessed the sufficiency of Ms. Reed's averments under the pre-2009 rubric. In this regard, the court wrongly declared that under the False Claims Act "the activity prompting plaintiff's discharge must have been taken 'in furtherance of' a[ ] [
qui tam
] action." Aplt.'s App. at 417 (quoting
McBride
,
*766
The plain text of the amended whistleblower provisions does not support such a narrow view. Congress added the "other efforts to stop" language for a reason-namely, to stretch the "protected activity" umbrella to cover additional conduct. When "Congress expands the scope of activity protected by a statute, we cannot restrict ourselves to applying a narrower old standard that the expansion ... eschew[ed]."
Grant
,
This error necessarily affected the district court's consideration of whether Ms. Reed adequately pleaded notice. To adequately plead a retaliation claim, a plaintiff must aver that the defendant was on notice of her protected activity.
See
Armstrong
,
But as framed by Ms. Reed's arguments, the right question regarding the notice element of the retaliation claim centers on the language Congress added to the Act in 2009. The district court should have gone beyond its previous inquiry and asked whether Ms. Reed pleaded facts that plausibly show that KeyPoint was on notice that she had tried to stop its alleged False Claims Act violations. The answer to that question determines whether Ms. Reed's retaliation claim stands or falls. Reviewing her complaint de novo, we answer that question in the negative.
B
Specifically, we hold that Ms. Reed has not pleaded sufficient facts to state a claim of retaliation because she has failed to establish the notice element of that claim. We explain that conclusion in two parts. First, we clarify what kind of facts Ms. Reed must plead to show that KeyPoint knew she was trying to stop its violations of the False Claims Act. Second, we determine that Ms. Reed's complaint averments come up short.
1
Our circuit has yet to begin the work of defining the boundaries of what
*767
constitutes protected efforts to stop a violation of the False Claims Act. Naturally, we cannot narrow our consideration to our pre-2009 view that an employee must prove in every instance that the employer knew that she was acting "in furtherance of" a
qui tam
action.
Ramseyer
,
We also agree with KeyPoint that compliance employees typically must do more than other employees to show that their employer knew of the protected activity. Our cases applying the pre-2009 whistleblower provisions explained that an employee "whose job entails the investigation of fraud .... must make clear" that she engaged in protected activity "to overcome the presumption that [she was] merely acting in accordance with [her] employment obligations."
Ramseyer
,
We think this reasoning has survived the 2009 amendment. True, as we have explained above, that amendment expanded the scope of protected activity and thus expanded the universe of conduct that a relator may plead in giving the employer notice of the protected activity. But nothing about the 2009 amendment undercuts the rationale of our precedent addressing compliance officers who are charged by their employer with investigating fraud.
See
United States ex rel. Campie v. Gilead Scis., Inc.
,
In sum, to state a retaliation claim, as relevant here, an employee's complaint must allege facts that show her employer knew of her efforts to stop a False Claims Act violation. The 2009 amendment left intact our precedent requiring compliance employees to do more than other employees to meet the notice element. And so, to adequately plead notice, a compliance employee must allege facts that, viewed in her favor, make clear that her employer had been put on notice that she was trying to stop it from violating the False Claims Act and not merely doing her job.
2
We conclude that Ms. Reed's complaint averments come up short of this standard. To be sure, Ms. Reed is correct that her complaint shows that she voiced objections regarding the alleged fraud "to everyone at KeyPoint who would listen."
*768 Aplt.'s Opening Br. at 41. For instance, the complaint alleges that "she approached KeyPoint's Director of Training" and "raised concerns to her supervisor," the "OPM Contract Director," and "the Regional Managers and certain Field Managers." Aplt.'s App. at 31-32, ¶¶ 59, 65. Indeed, the complaint notes that Ms. Reed brought some of "the most egregious instances" of fraud at the investigator level to the attention of "field managers and ... regional managers." Id. at 62, ¶ 172. Likewise, Ms. Reed allegedly told "her supervisor ... on numerous occasions" about violations of the TTP. Id. at 89, ¶ 253.
However, Ms. Reed was a "Senior Quality Control Analyst"-that is, a compliance officer. Id. at 24, ¶ 3. Thus, under our precedent, we may presume that Ms. Reed-as a compliance officer-was just doing her job in repeatedly reporting fraud internally to employees at KeyPoint. And Ms. Reed's complaint averments do not overcome that presumption-indeed, they tend to underscore the soundness of it. In this regard, Ms. Reed herself links her knowledge of, and efforts to report, the alleged fraud at KeyPoint to her role "as a Senior Quality Control Analyst." 20 Id. at 25, ¶ 4. For instance, the complaint notes that Ms. "Reed and her staff discover[ed]" fraud. Id. at 75, ¶ 201 (emphasis added). And at points, the complaint specifies that Ms. "Reed and her staff reported [certain] violations." Id. at 78, ¶ 207 (emphasis added); see also id. at 76, 80, ¶¶ 203, 210. That her staff was assisting Ms. Reed in fraud detection and reporting activities suggests that such activities fell within the ambit of Ms. Reed's responsibilities as a Senior Quality Control Analyst because one might reasonably infer that Ms. Reed's staff would not be assisting her in off-book operations or matters of personal preference, rather than duty. Even when Ms. Reed acted alone, the complaint suggests that she reported misconduct on a regularized schedule as part of her job-averring that she "regularly reported [certain] infractions to her supervisor ... by submitting and discussing a monthly spreadsheet ." Id. at 62, ¶ 171 (emphasis added); see also id. at 86, ¶ 230. And for investigators who persistently violated policies, Ms. Reed reported them "for disciplinary action by KeyPoint"-which strongly suggests that she had some job-related mandate to do so. Id. at 90, ¶ 265; see also id. at 36, ¶ 99.
In sum, as the district court correctly observed, "[T]he monitoring and reporting activities described in her Complaint were exactly those activities Ms. Reed was required to undertake ... as a Senior Quality Control Analyst." Id. at 418-19. In other words, Ms. Reed's complaint averments do not rebut-and, indeed, tend to highlight the soundness of-the presumption that her conduct was just part of her job.
*769 Ms. Reed tries to rebut this presumption by showing that she went "outside [her] normal chain of command to report fraudulent conduct." Aplt.'s Opening Br. at 37. In this regard, Ms. Reed conclusorily asserts that she complained about the fraud to "people well outside her chain of command." Id. at 41. In particular, Ms. Reed avers that she reported the fraud to "the OPM Contract Director ..., the Regional Managers[,] and certain Field Managers." Aplt.'s App. at 32, ¶ 65. Her complaint also refers to a conversation with "KeyPoint's Director of Training." Id. at 31-32, ¶ 59. By reporting fraud to these individuals, Ms. Reed argues that she "acted beyond the scope of her ordinary duties in attempting to stop KeyPoint's false statements" and that "[t]he KeyPoint employees who decided to fire [her] knew" as much. Id. at 108, ¶¶ 389, 396. Hence, Ms. Reed reasons, KeyPoint knew that her reports of fraud were not part of her job but, instead, efforts to stop False Claims Act violations.
KeyPoint disagrees. It says that Ms. Reed's actions were exactly what she "was required to undertake in fulfillment of her job duties" as a Senior Quality Control Analyst. Aplee.'s Resp. Br. at 53 (quoting
Ramseyer
,
KeyPoint is correct that our court has never expressly held that a compliance employee may put her employer on notice of her efforts to stop False Claims Act violations by reporting fraud internally but outside her chain of command. But other circuits have. The Ninth and D.C. Circuits, for example, each have held that, under certain circumstances, a compliance employee may meet the notice element of retaliation by pleading that her employer knew that she had reported fraud within the company in a manner that violated or went outside the established chain of command.
See, e.g.
,
Campie
, 862 F.3d at 897, 908 (holding that retaliation complaint by a "Senior Director of Global Quality Assurance" adequately pleaded notice because,
inter alia
, the employer knew the employee had "conversations outside of his chain of command regarding his concerns");
United States ex rel. Schweizer v. Oce N.V.
,
We need not definitively opine here, however, on the cogency of this precedent. Even if Ms. Reed could legally overcome the compliance-employee presumption by showing that she went outside of the chain of command to report fraud, her complaint averments do not plausibly establish,
*770
as a factual matter, that she did so. That is, she has not pleaded facts showing that she indeed went outside her ordinary reporting structure as a compliance officer. To be sure, we must "assume the truth of all well-pleaded facts in the complaint[ ] and draw all reasonable inferences" in Ms. Reed's favor.
Leverington v. City of Colorado Springs
,
For example, as a compliance officer, Ms. Reed may have been obliged as part of her job duties to communicate with, and seek remedial action from, those at KeyPoint other than her direct supervisor regarding instances of employee fraud-especially if her supervisor did not adequately respond to her concerns. If so, that Ms. Reed turned to, for example, the Regional Managers or Field Managers to address her fraud concerns could not properly be viewed as an instance of Ms. Reed violating the established communication protocol or chain of command. Ms. Reed's complaint averments shed no appreciable light on whether her job description did in fact contemplate such communications beyond her direct supervisor-much less negate this possibility.
Tellingly, in responding to KeyPoint's similar comments regarding factual gaps in her complaint, the best that Ms. Reed seemingly could muster in her Reply Brief was a plea for merciful forbearance: "With respect to her retaliation claim, [Ms. Reed] is arguing that, at the motion to dismiss stage, she
gets the benefit of the doubt
." Aplt.'s Reply Br. at 22 (emphasis added). But the one case that she cites for support-
Gee v. Pacheco
,
*771
The D.C. Circuit's analysis in
Schweizer
offers a useful contrast. Like Ms. Reed, the relator there was responsible for ensuring "compliance with government contracts."
Measured against the allegations in
Schweizer
, the paucity of the factual content in Ms. Reed's complaint averments is patent. Unlike in
Schweizer
, we have no specifically pleaded facts here indicating that Ms. Reed violated the chain of command in reporting suspected fraud to KeyPoint officials other than her direct supervisor. Whereas the relator in
Schweizer
was ordered to stop investigating the fraud, Ms. Reed was "tasked with extra audits of investigators." Aplt.'s App. at 61, ¶ 165. And while the employer in
Schweizer
fired the relator for "failing to follow orders and the chain of command,"
* * *
In summary, Ms. Reed has the burden of pleading sufficient facts to show that KeyPoint knew of her protected activity.
See
McBride
,
IV
For the reasons stated above, we VACATE the district court's judgment and order insofar as it granted summary judgment on Ms. Reed's qui tam claims. We AFFIRM the district court's order insofar as it dismissed Ms. Reed's retaliation claim. And we REMAND for further proceedings consistent with this opinion. 22
Before Congress amended the False Claims Act in 2010, the public disclosure bar was jurisdictional-that is, if the bar applied, courts lacked subject-matter jurisdiction.
See
Boothe
,
Our circuit has yet to opine on this issue. And we need not do so today. Let us briefly explain the most salient reasons. KeyPoint properly raised the public disclosure bar as a defense in its motion to dismiss before the district court. As a result, we need not determine the jurisdictional status of the public disclosure bar here. If KeyPoint had failed to raise the bar before the district court and had asserted it for the first time on appeal, we would have been obliged to consider the issue only if it was jurisdictional-that is, if it implicated our jurisdiction to hear the merits of Ms. Reed's
qui tam
claims-not if it was merely an affirmative defense. Therefore, under such hypothetical circumstances, the jurisdictional status of the issue would have been an important question that we needed to resolve.
See
Smith v. Cheyenne Ret. Inv'rs L.P.
,
The copy of the audit report included in the record is undated. But a copy of the report that is publicly available via the Internet lists the date the report was published as June 4, 2014. See Office of Pers. Mgmt. , Audit of the Federal Investigative Services' Case Review Process over Background Investigations (2014), https://www.opm.gov/our-inspector-general/publications/reports/2014/audit-of-the-federal-investigative-services-case-review-process-over-background-investigations.pdf.
Ms. Reed also alleged that KeyPoint violated the Americans with Disabilities Act by retaliating against her because of her disability. The district court granted KeyPoint's motion to dismiss that claim. Ms. Reed does not challenge that ruling on appeal.
For the public disclosure bar to apply, two other conditions must be met. First, "the alleged 'public disclosure' " must "contain[ ] allegations ... from one of the listed sources" in the Act.
In re Nat. Gas Royalties
,
We typically answer "only the questions we must, not those we can."
Valley Forge Ins. Co. v. Health Care Mgmt. Partners, Ltd.
,
Admittedly, this precedent instructing courts to reach the original-source question only after answering in the affirmative the substantially-the-same question interpreted the pre-2010 version of the public disclosure bar, which was jurisdictional. That said, we see no reason why the 2010 amendment-irrespective of its jurisdictional import-should change our view that the substantially-the-same "analysis is a threshold inquiry" that we should resolve before "reach[ing] the 'original source' analysis."
United States ex rel. Fine v. MK-Ferguson Co.
,
Accord
United States ex rel. Winkelman v. CVS Caremark Corp.
,
We are aware of scholarly criticism of the on-the-trail-of-fraud standard. See Susan Schneider Thomas & Jonathan Z. DeSantis, Misguided Meanders: The "Trail of Fraud" Under the Public Disclosure Bar of the False Claims Act , 43 Univ. of Dayton L. Rev. 161, 182 (2018) ("[R]ather than using the innately ambiguous assessment of whether the alleged public disclosures ' might have ' ' set ' the government on the ' trail ' of fraud, it would be a far more meaningful analysis to examine, as the plain language of the statute commands, whether the potentially disabling public disclosures in fact disclosed allegations or transactions of fraud, or made actual allegations of fraudulent conduct."). However, Fine and its progeny are binding precedent in this circuit. Moreover, Ms. Reed does not challenge the propriety of this standard in her Opening Brief.
See also
United States ex rel. Lager v. CSL Behring, L.L.C.
,
See also
Lager
, 855 F.3d at 946 (finding substantial similarity when disclosures gave enough information about an industry-scheme to "identify the defendants" without naming them);
cf.
United States ex rel. Jamison v. McKesson Corp.
,
See also
Bellevue
,
Ms. Reed alleges on appeal that the district court "fail[ed] to do a diligent comparison of the putative public disclosures with [her] allegations." Aplt.'s Opening Br. at 3. Not so. Beyond incorporating the magistrate judge's discussion of the relevant allegations,
see
Aplt.'s App. at 409, the district court dutifully recounted Ms. Reed's allegations and the publicly disclosed allegations in turn,
see
id.
at 408-12. From this comparison, the court then concluded that Ms. Reed's allegations were substantially similar to the publicly disclosed allegations. The sufficiency of this analysis cannot be questioned. In any event, our review is de novo, and we have thoroughly compared the averments of Ms. Reed's operative complaint to the identified public disclosures. Accordingly, Ms. Reed's assertion that the district court conducted a faulty analysis of the summary judgment record is ultimately of no moment.
Cf.
Rivera v. City & County of Denver
,
We, like other circuits, would have reservations about keeping our analysis of Ms. Reed's allegations solely at such a high level of generality.
See
Mateski
, 816 F.3d at 578 (agreeing with the "Seventh Circuit's warning against reading
qui tam
complaints at only the 'highest level of generality' " (quoting
Leveski v. ITT Educ. Servs., Inc.
,
See also
Bellevue
,
Compare also Aplt.'s App. at 88, ¶ 244 ("Each case was submitted as though it had been properly completed, reviewed, and checked when none had received the required oversight."), with Aplt.'s Reply Br., Addendum A, at 6 ("USIS knowingly submitted Cases to OPM for payment that they knew had not been reviewed ....").
See
Peterson
,
Although KeyPoint concedes that the meaning of "materially adds" "is a matter of first impression for the Tenth Circuit," Aplee.'s Resp. Br. at 34, it nonetheless relies on pre-2010-amendment cases to argue that Ms. Reed's allegations do not materially add to the public disclosures,
see
id.
at 36-37. Although the 2010 amendment ratified our prior cases by adopting the "substantially the same" language that we already used, the amendment added a new component to the original-source analysis-namely, the materially-adds inquiry. Before the 2010 amendment, our original-source analysis asked whether the relator "had direct and independent knowledge of the information underlying his allegations."
In re Nat. Gas Royalties
,
We likewise decline KeyPoint's invitation to affirm the district court's judgment on alternative bases not ruled on by the district court.
See
Aplee.'s Resp. Br. at 58-60 (arguing that Ms. Reed's FCA claims fail for want of (1) particularity under Rule 9(b), (2) falsity, (3) materiality, and (4) scienter). Although it is true that we may affirm on any basis finding support in the record,
see
Richison v. Ernest Grp., Inc.
,
See also
United States ex rel. Grant v. United Airlines Inc.
,
Although we decided
McBride
in 2012, the conduct at issue there occurred in January 2009-before the 2009 amendment took effect in May of that year.
See
Fraud Enforcement and Recovery Act of 2009, Pub. L. No. 111-21, § 4(f),
See also Aplt.'s App. at 28-29, ¶¶ 29, 33 (noting that KeyPoint put Ms. "Reed in charge of the [TTP]," and through these duties, she "uncovered systemic violations" of the OPM contract); id. at 31, ¶¶ 52, 55 (noting that Ms. "Reed developed and ran" the TTP, and in that role, she "discovered that KeyPoint management repeatedly falsified corrective action reports by fabricating justifications for the violations"); id. at 33, ¶ 78 (explaining that Ms. Reed's job "allowed her to review investigators' work" and "compile[ ] extensive records of [improper] investigations"); id. at 61, ¶ 165 (alleging that when extra compliance work was needed, KeyPoint "occasionally tasked [Ms. Reed] with extra audits of investigators"); id. at 84, ¶ 228 ("Reed was assigned to determine the nature of the chronic infractions."); id. at 86, ¶¶ 231-232 (pointing out that "[i]n the course of her duties, Reed discovered that certain investigators were" circumventing OPM requirements); id. at 90, ¶ 260 ("Reed was tasked with investigating ... each investigator's high frequency of telephone testimonies.").
Putting aside Ms. Reed's failure to demonstrate KeyPoint's notice through a chain-of-command theory, Ms. Reed's complaint averments do not provide sufficient facts from which we could conclude that the content of her communications with the identified KeyPoint officials would have put KeyPoint on notice that she was doing something more than her job. For example, regarding Ms. Reed's conversation with the "OPM Contract Director," we do not know which "concerns" she voiced or whether voicing those unspecified concerns was inconsistent with her job duties. Aplt.'s App. at 32, ¶ 65. It is the same story with Ms. Reed's discussions with "the Regional Managers and certain Field Managers." Id. And, as to the Director of Training, we are especially hard-pressed to see how Ms. Reed's communications with that official would have alerted KeyPoint to the fact that she was seeking to prevent the company from committing a violation the False Claims Act. Specifically, Ms. Reed's complaint speaks of the problems that the Director of Training brought to Ms. Reed's attention-not the other way around. See id. at 32, ¶¶ 60-63. That the Director of Training reported problems to Ms. Reed tells us nothing about whether KeyPoint knew of Ms. Reed's efforts to stop a False Claims Act violation. Therefore, her complaint averments regarding the content of her communications with the identified KeyPoint officials do not aid her argument that KeyPoint was on notice of her protected activity. Moreover, lest there be any doubt, Ms. Reed's averments also cannot support a reasonable inference that her reports of fraud to her direct supervisor were outside her ordinary job duties. In fact, the complaint suggests otherwise. Recall that Ms. Reed often reported violations "to her supervisor ... by submitting and discussing a monthly spreadsheet." Id. at 62, ¶ 171. Ms. Reed's descriptions of these meetings with her direct supervisor strongly suggest that she was just doing her "regular monthly duties." Id. at 38, ¶ 127.
We also
GRANT
KeyPoint's unopposed motion to seal Volumes II through VI of its unredacted supplemental appendix. KeyPoint filed two versions of its seven-volume supplemental appendix, one redacted and one unredacted. KeyPoint moves to seal Volumes II through VI of the unredacted materials, which include OPM's contract with KeyPoint and OPM's Investigator's Handbook. The public has a "right of access to judicial records."
Eugene S. v. Horizon Blue Cross Blue Shield of N.J.
,
Reference
- Full Case Name
- UNITED STATES of America EX REL., Julie REED, Plaintiff - Appellant, v. KEYPOINT GOVERNMENT SOLUTIONS, Defendant - Appellee.
- Cited By
- 79 cases
- Status
- Published