In Re: The Matter Of The Grand v. ( 2015 )


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  •                                     PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    _______________
    No. 15-1264
    _______________
    IN RE: IN THE MATTER OF THE GRAND
    JURY EMPANELED ON MAY 9, 2014
    John Doe; ABC Entity,
    Appellants
    _______________
    On Appeal from the United States District Court
    for the District of New Jersey
    (D.C. Civil No. 2-14-mc-00062)
    District Judge: Hon. Esther Salas
    _______________
    Argued April 21, 2015
    BEFORE: FISHER, CHAGARES AND COWEN, Circuit
    Judges
    (Filed: May 15, 2015)
    _______________
    OPINION
    _______________
    Damian P. Conforti, Esq. (Argued)
    Podvey, Meanor, Catenacci, Hildner,
    Cocoziello & Chattman
    One Riverfront Plaza
    Suite 800
    Newark, NJ 07102
    Nancy A. Del Pizzo, Esq.
    Rivkin Radler
    21 Main Street, Court Plaza South
    First Floor – West Wing, Suite 158
    Hackensack, NJ 07601
    Counsel for Appellants
    Mark E. Coyne, Esq.
    John F. Romano, Esq. (Argued)
    Office of the United States Attorney
    970 Broad Street
    Room 700
    Newark, NJ 07102
    Counsel for Appellee
    COWEN, Circuit Judge.
    John Doe, D.O., a medical doctor, and ABC Entity, (the
    “Corporation”    or     “Medical     Practice”),   (together,
    “Appellants”), appeal the District Court’s order holding the
    Corporation in contempt for noncompliance with a grand jury
    2
    subpoena directing its custodian of records to produce certain
    documents.       Doe claims that despite serving as the
    Corporation’s custodian, as the sole owner and employee, he is
    entitled to refuse to comply with the subpoena in accordance
    with his Fifth Amendment privilege against self-incrimination.
    Appellants also argue that compliance is unnecessary because
    the subpoena is impermissibly overbroad and should be
    quashed. For the reasons discussed below, we will affirm the
    District Court’s order.
    I.
    In 1973, Doe, the only medical practitioner in his
    practice, organized his medical practice as ABC Entity, a
    “professional association,” which is a type of corporation
    doctors are permitted to form under New Jersey law. Since its
    creation, Doe has operated his practice through that corporate
    entity. As of October 2011, the Corporation employed a staff
    of six.
    The original target entity (the “OTE”) was a clinical
    blood laboratory in New Jersey. From 2006 through 2013,
    this entity used various methods to bribe numerous physicians
    to refer their patients to it for blood testing. The Government
    alleges that Doe entered into an illicit agreement with the
    OTE, whereby it paid him monetary bribes in exchange for
    referring his patients to it for blood testing.
    In April 2013, a grand jury subpoena was served on the
    custodian of records for the Corporation, directing it to turn
    over various documents, including records of patients referred
    3
    to the OTE, lease and consulting agreements, checks received
    by it for reasons other than patient treatment, correspondence
    regarding its use of the OTE as a blood-testing provider,
    correspondence with specified individuals and entities, and
    basic corporate records. In December of 2013, Doe, as
    custodian, moved to quash the subpoena. The Government
    opposed the motion, and the District Court denied the motion
    to quash, concluding (1) that Supreme Court precedent
    indicated that corporations may not assert a Fifth Amendment
    privilege, and (2) that the subpoena was not overbroad in
    violation of the Fourth Amendment.
    Following the District Court’s denial of his request to
    quash, Doe refused to let his corporation comply and the
    Government moved to compel it to do so. The District Court
    granted that motion. The Corporation persisted in its refusal to
    comply and the District Court found it in civil contempt and
    ordered it to pay a $2,000 per day sanction. The Court,
    however, agreed to stay execution of the fine pending an
    expedited appeal before this court.
    Just days before filing their opening brief, Appellants
    informed the Government that the Corporation had fallen on
    hard financial times and fired all of its employees other than
    Doe. In their place, it hired independent contractors to assist
    Doe in operating his medical practice. Among other duties,
    the independent contractors were tasked with “[m]aint[aining]
    accurate and complete medical records, kept in accordance
    with HIPAA and Patient Privacy standards,” and assisting with
    billing practices. However, before the Government filed its
    response, due to its discovery of a potential procedural defect,
    4
    we summarily vacated the contempt order and remanded the
    matter to the District Court.
    The Government then filed a new subpoena that
    repeated the demands made in the first subpoena. As the
    government indicates, the “new subpoena was intended to
    place the parties in the same position as the previous
    subpoena,” and the request in the new subpoena was limited to
    documents that had been subject to the initial subpoena.
    (Gov’t Br. at 9.) The Government filed a motion to compel,
    Appellants opposed, and the District Court held another
    hearing, albeit a less extensive one given that the parties
    agreed not to rehash the arguments they had made prior. The
    District Court did, however, address Appellants’ new
    submission regarding the fact that the Corporation no longer
    employed anyone other than Doe and was now operated by
    independent contractors.
    Despite this factual development, the District Court
    granted the Government’s motion to compel and found the
    Corporation to be in contempt, concluding (1) that even a one-
    person corporation cannot assert a Fifth Amendment privilege
    regarding corporate documents, and (2) the subpoena was not
    overbroad in violation of the Fourth Amendment. The Court
    found the Corporation to be in civil contempt, and entered a
    sanction of $2,000 per day, which it ordered stayed pending
    the outcome of this appeal.
    II.
    We have jurisdiction over this appeal pursuant to 28
    5
    U.S.C. § 1291. We review the District Court’s decision to
    quash a grand jury subpoena for abuse of discretion. In re
    Impounded, 
    241 F.3d 308
    , 312 (3d Cir. 2001). In so doing, we
    exercise plenary review over the District Court’s legal rulings
    and clear error review of its factual determinations. In re
    Grand Jury, 
    286 F.3d 153
    , 157 (3d Cir. 2002).
    III.
    A.     The Subpoena Does              Not   Violate   Doe’s   Fifth
    Amendment Rights
    The subpoena requires Doe, in his capacity as custodian
    for his Medical Practice, to produce potentially incriminating
    information. There is no dispute that, ordinarily, corporations
    like the Medical Practice are not entitled to invoke the Fifth
    Amendment’s privilege against self-incrimination. Nor is
    there any dispute that custodians of records for corporate
    entities are, typically, not entitled to invoke the privilege.
    Nonetheless, Appellants emphasize that, as a sole practitioner
    in a corporation with no other employees, Doe alone has
    control over the content and location of business records.
    They argue that, as a result, a jury will inevitably conclude that
    he produced any incriminating documents, and that the
    subpoena therefore violates his Fifth Amendment rights.
    Because we disagree, we conclude that the District Court did
    not abuse its discretion by refusing to quash the subpoena on
    this ground.
    Supreme Court Precedent
    Appellants’ argument primarily hinges on two Supreme
    6
    Court cases: Bellis v. United States, 
    417 U.S. 85
    (1974), and
    Braswell v. United States, 
    487 U.S. 99
    (1988). In Bellis, the
    Supreme Court held that a partner in a law firm could not
    invoke his Fifth Amendment privilege against self-
    incrimination to avoid a subpoena seeking partnership 
    records. 417 U.S. at 87
    . In so holding, the Court noted its “long line of
    cases” adhering to the collective entity doctrine, which states
    that “an individual cannot rely on the [Fifth Amendment]
    privilege to avoid producing the records of a collective entity
    which are in his possession in a representative capacity, even
    if these records might incriminate him personally.” 
    Id. at 88.
    “Since no artificial organization may utilize the personal
    privilege against compulsory self-incrimination, the Court
    found that it follows that an individual acting in his official
    capacity on behalf of the organization may likewise not take
    advantage of his personal privilege.” 
    Id. at 90.
    The Court
    noted its “consistent view that the privilege against
    compulsory self-incrimination should be ‘limited to its historic
    function of protecting only the natural individual from
    compulsory incrimination through his own testimony or
    personal records.” 
    Id. (quoting United
    States v. White, 
    322 U.S. 694
    , 701 (1944)).
    Despite the Court's holding in Bellis, Appellants
    emphasize a particular paragraph from the decision, stating
    that the “[Fifth Amendment] privilege applies to the business
    records of the sole proprietor or sole practitioner as well as to
    personal documents containing more intimate information
    about the individual’s private life.” 
    Id. at 87-88.
    They assert
    that the Court intended to distinguish between a partnership
    involving multiple individuals, and a solo practice such as the
    7
    Corporation, where Doe, alone, has control over the content
    and location of the business records. This is incorrect.
    In fact, as the Government argues, and as the remainder
    of the opinion makes clear, the Court, in the paragraph in
    question, is referring to unincorporated solo practitioners and
    sole proprietors. After noting that individuals such as sole
    practitioners may claim the privilege, the Court states, “on the
    other hand,” that custodians of records of a collective entity
    may not rely on the Fifth Amendment privilege to avoid
    production they are required to make in their representative
    capacity of that entity. 
    Id. at 88.
    As the Court explained, “In
    view of the inescapable fact that an artificial entity can only
    act to produce its records through its individual officers or
    agents, recognition of the individual’s claim of privilege with
    respect to the financial records of the organization would
    substantially undermine the unchallenged rule that the
    organization itself is not entitled to claim any Fifth
    Amendment privilege.” 
    Id. at 90.
    Thus, the Court drew a line
    between incorporated and unincorporated persons, not
    between solo practitioners and multi-member corporations.
    Nor is there merit to Doe’s argument that, as a sole
    practitioner, the Corporation is merely his alter ego. The
    petitioner in Bellis had also asserted that due to the modest
    size of his partnership, it was unrealistic to consider the firm
    as an entity independent of its three partners. Soundly
    rejecting this argument, the Court emphasized that the size of
    the organization was immaterial, noting that “we do not
    believe the Court’s formulation . . . can be reduced to a simple
    proposition based solely on the size of the organization. It is
    8
    well settled that no privilege can be claimed by the custodian
    of corporate records, regardless of how small the corporation
    may be.” 
    Id. at 100
    (emphasis added).
    Somewhat presciently, the Court largely dismissed the
    distinction between professional associations and partnerships
    for Fifth Amendment purposes, noting that
    [e]very state has now adopted laws permitting
    incorporation of professional associations, and
    increasing numbers of lawyers, doctors, and
    other professionals are choosing to conduct
    their business affairs in the corporate form
    rather than the more traditional partnership.
    Whether corporation or partnership, many of
    these firms will be independent entities whose
    financial records are held by a member of the
    firm in a representative capacity. In these
    circumstances, the applicability of the privilege
    should not turn on an insubstantial difference in
    the form of the business enterprise.
    
    Id. at 100
    -01. In so doing, the Court placed professional
    associations and partnerships on equal footing and took for
    granted that, assuming aspects of the corporate form were
    respected, the Fifth Amendment privilege would be
    unavailable to custodians of such entities.
    It is therefore clear that, in applying the collective entity
    doctrine, it is not the size or the type of corporation that
    matters. Rather, as the Supreme Court has explained, to
    9
    determine whether an individual is entitled to invoke his or her
    Fifth Amendment privilege, courts must determine whether
    the entity in question is “an established institutional identity
    independent of its individual partners,” and not merely a loose
    informal association or some temporary arrangement. 
    Id. at 95-96.
    The corporation must “maintain a distinct set of
    organizational records, and recognize rights in its members of
    control and access to them.” 
    Id. at 93.
    And finally, “the
    records subpoenaed must in fact be organizational records held
    in a representative capacity,” such that it is “fair to say that the
    records demanded are the records of the organization rather
    than those of the individual.” 
    Id. Here, there
    is no serious
    dispute that the Medical Practice, established as a professional
    association in 1973 and operating as such for over forty-one
    years, possesses an institutional identity independent of Doe
    and maintains business records that, in no way, constitute
    Doe’s personal papers. Bellis, therefore, undermines rather
    than supports Appellants’ position.
    Appellants next rely on Braswell v. United States, 
    487 U.S. 99
    (1988). There, the petitioner, Braswell, was president
    and sole shareholder of two corporations. He also served as
    those corporations’ custodian of records. The corporations
    each had only three directors, and Braswell argued that they
    were so small, they constituted nothing more than his alter
    egos. Applying this logic, he attempted to resist a subpoena
    by invoking his Fifth Amendment privilege against self-
    incrimination. Specifically, Braswell relied on the Supreme
    Court’s decisions in Fisher v. United States, 
    425 U.S. 391
    (1976), and United States v. Doe, 
    465 U.S. 605
    (1984), in
    which the Court had seemingly strayed from the collective
    10
    entity rule and recognized that the “act of producing evidence
    in response to a subpoena has communicative aspects of its
    own, wholly aside from the contents of the papers produced.
    Compliance with the subpoena tacitly concedes the existence
    of the papers demanded and their possession or control by the
    [individual producing them].” 
    Braswell, 487 U.S. at 103
    (quoting 
    Fisher, 425 U.S. at 410
    ).
    Unlike the collective entity doctrine, which states that
    the contents of the subpoenaed business records are not
    privileged, the so called act-of-production doctrine is less
    concerned with the nature of the entity that owns the
    documents, and more concerned with the communicative or
    non-communicative nature of the disclosures sought to be
    compelled. 
    Id. at 102,
    109; see also United States v. Hubbell,
    
    530 U.S. 27
    , 49 (2000) (Thomas, J., concurring) (act-of-
    production doctrine “provides that persons compelled to turn
    over incriminating papers or other physical evidence pursuant
    to a subpoena duces tecum or a summons may invoke the Fifth
    Amendment privilege against self-incrimination as a bar to
    production only where the act of producing the evidence
    would contain ‘testimonial’ features.”). Braswell argued, as
    Appellants do here, that because only he had any authority
    over the business affairs of the corporations, the very act of
    producing documents contained testimonial aspects regarding
    the existence and authenticity of the documents produced.
    
    Braswell, 487 U.S. at 101-02
    .
    The Supreme Court rejected Braswell’s arguments in
    favor of a robust application of the collective entity rule, and
    again declined to carve out an exception to the rule based on
    11
    the size of the corporation. As it had done in Bellis, the Court
    noted the collective entity rule’s “lengthy and distinguished
    pedigree.” 
    Id. at 104.
    “[P]etitioner has operated his business
    through the corporate form, and we have long recognized that,
    for purposes of the Fifth Amendment, corporations and other
    collective entities are treated differently from individuals.” 
    Id. After conducting
    a brief survey of cases in this area, the Court
    reaffirmed that the “plain mandate of these decisions is that
    without regard to whether the subpoena is addressed to the
    corporation, or as here, to the individual in his capacity as a
    custodian, a corporate custodian such as petitioner may not
    resist a subpoena for corporate records on Fifth Amendment
    grounds.” 
    Id. at 109.
    The Court in Braswell did, however, caution that
    “certain consequences flow from the fact that the custodian’s
    act of production is one in his representative rather than
    personal capacity.” 
    Id. at 117.
    The Government is therefore
    prohibited from making any evidentiary use of the “individual
    act” against the custodian. This is because when the custodian
    produces documents pursuant to a subpoena issued to the
    corporation, he or she acts as a representative, and the act is
    deemed one of the corporation, not the individual. 
    Id. at 118.
    It is permitted, however, to use the corporation’s act of
    production against the custodian. 
    Id. As evidenced
    by its opinions in Bellis and Braswell, the
    Court has been steadfast in its conclusion that the Fifth
    Amendment privilege against self-incrimination is unavailable
    12
    to corporate custodians.1 Having taken advantage of the
    benefits of incorporation for over forty years, Doe may not
    discard the corporate form simply because he now finds it
    desirable to do so. See 
    Bellis, 417 U.S. at 88
    (noting that it is
    of no import that the custodian, in producing corporate records
    that are in his possession in a representative capacity, may also
    personally incriminate himself).
    Despite the Supreme Court’s broad, and largely
    unqualified, ruling in Braswell that corporate custodians may
    not claim a Fifth Amendment privilege, it did, in a footnote,
    leave open the question of “whether the agency rationale
    supports compelling a custodian to produce corporate records
    when the custodian is able to establish, by showing for
    example that he is the sole employee and officer of the
    corporation, that the jury would inevitably conclude that he
    produced the records.” 
    Braswell, 487 U.S. at 118
    n.11. But
    whatever circumstances were contemplated by the Court, this
    1
    Appellants argue that the Supreme Court has
    demonstrated an increasing proclivity to extend a greater
    degree of protection to corporate entities. See, e.g., Citizens
    United v. Fed. Election Comm’n, 
    558 U.S. 310
    , 365 (2010);
    Burwell v. Hobby Lobby Stores, Inc., 
    134 S. Ct. 2751
    (2014).
    Whatever merit there may be to Appellants’ general
    observation, we discern nothing in Supreme Court
    jurisprudence that suggests the Court has, in any way,
    signaled its readiness to depart from its longstanding
    precedent regarding corporate custodians’ inability to invoke
    the Fifth Amendment privilege against self-incrimination.
    13
    footnote in no way detracts from its holding that a custodian
    may not resist a subpoena for corporate records on the ground
    that the act of production might incriminate him. 
    Id. at 119.
    Moreover, we express serious doubt as to whether
    footnote 11 in Braswell even applies to Doe’s situation. It is
    hard to imagine a jury “inevitably” concluding that he
    produced the records when the records were created while the
    Corporation employed other staff besides Doe and while he
    utilizes the services of independent contractors whose
    responsibilities include “[m]aint[aining] accurate and complete
    medical records, kept in accordance with HIPAA and Patient
    Privacy standards” and assisting with billing practices. (App.
    187.)
    Third Circuit Precedent
    Appellants further rely on our decisions in In re Grand
    Jury Matter (Brown), 
    768 F.2d 525
    (3d Cir. 1985) (en banc)
    and Matter of Special Federal Grand Jury Empanelled
    October 31, 1985 Impounded, 
    819 F.2d 56
    (3d Cir. 1987). But
    these decisions predate the Supreme Court’s ruling in Braswell
    and do not adequately consider the collective entity rule’s
    application.
    In In re Grand Jury Matter (Brown), we interpreted the
    Supreme Court’s decisions in Fisher and Doe as “mak[ing] the
    significant factor, for the privilege against self-incrimination,
    neither the nature of the entity which owns the documents, nor
    the contents of the documents, but rather the communicative
    or noncomunicative nature of the arguably incriminating
    14
    disclosures sought to be compelled.” 
    Braswell, 487 U.S. at 109
    (quoting In re Grand Jury Matter 
    (Brown), 768 F.2d at 528
    )). Our decision in Matter of Special Federal Grand Jury
    Empanelled October 31, 1985 Impounded relied on our Brown
    decision and similarly applied this 
    reasoning. 819 F.2d at 58
    .
    The Supreme Court disagreed. While acknowledging
    that Fisher and Doe “embarked upon a new course of Fifth
    Amendment analysis,” it rejected the notion suggested by our
    precedent that such analysis “rendered the collective entity
    rule obsolete.” 
    Braswell, 487 U.S. at 109
    . Rather, it
    concluded that “the agency rationale undergirding the
    collective entity decisions, in which custodians asserted that
    production of entity records would incriminate them
    personally, survives.” 
    Id. As a
    result, to the extent our
    precedents suggest that the act-of-production doctrine
    somehow rendered the collective entity rule inferior or
    obsolete, they were overruled by the Court’s decision in
    Braswell.
    Precedent From Other Circuits
    Our conclusion today comports with precedent from
    several other circuits that have considered the issue, all of
    which have agreed that a corporate custodian may not refuse to
    comply with a subpoena on Fifth Amendment grounds merely
    because he or she is also that corporation’s sole owner and
    employee. See In re Grand Jury Subpoena Issued June 18,
    2009, 
    593 F.3d 155
    , 158-59 (2d Cir. 2010); Amato v. United
    States, 
    450 F.3d 46
    , 53 (1st Cir. 2006); United States v. Stone,
    
    976 F.2d 909
    , 912 (4th Cir. 1992), cert. denied, 
    507 U.S. 1029
    15
    (1993).
    As the Second Circuit aptly explained, this result is the
    “sensible” one.
    First, it prevents the erosion of the unchallenged
    rule that the [corporation] itself is not entitled to
    claim any Fifth Amendment privilege. Second,
    it recognizes that the decision to incorporate is
    freely made and generates benefits, such as
    limited liability, and burdens, such as the need
    to respond to subpoenas for corporate records.
    Third, it avoids creating a category of
    organizations      effectively immune           from
    regulation by virtue of being beyond the reach
    of the Government's subpoena power.
    In re Grand Jury Subpoena Issued June 18, 
    2009, 593 F.3d at 158-59
    (quotation marks and internal citation omitted)
    (alteration in original). Indeed, as the Fourth Circuit noted, a
    one-person operation “is still a corporation, a state law-
    regulated entity that has a separate legal existence from [the
    target of the subpoena] shielding him from its liabilities. The
    business could have been formed as an unincorporated sole
    proprietorship and production of its business records protected
    by the privilege against self-incrimination.” 
    Stone, 976 F.2d at 912
    . But the individual, like Doe here, instead “chose the
    corporate form and gained its attendant benefits, and we hold .
    . . that he cannot now disregard the corporate form to shield
    his business records from production.” 
    Id. Given that
    we find
    Appellants have advanced no persuasive rationale as to why
    16
    the reasoning of Bellis and Braswell does not apply to one-
    person corporations like that operated by Doe, we hold that the
    collective entity doctrine applies to the Medical Practice, such
    that Doe may not rely on the Fifth Amendment to avoid
    compliance with the subpoena.2
    2
    Appellants argue that, in accordance with the
    Supreme Court’s decision in United States v. Hubbell, 
    530 U.S. 27
    (2000), they do not have to comply with the subpoena
    because Hubbell recognized that compelled production of
    documents can be testimonial to the extent the production
    communicates statements of fact. See 
    Hubbell, 530 U.S. at 36
    .     Appellants assert that because the Government’s
    document requests require him, as custodian, to identify
    sources of information, the document requests are more akin
    to an interrogatory or oral deposition. Such production, they
    continue, violates Doe’s Fifth Amendment.                  This
    misconstrues the Court’s decision. First, there is no reason to
    suspect that Hubbell altered, in any way, the analysis set forth
    in Braswell. The Supreme Court did not mention, much less
    revisit, the collective entity rule and cited Braswell only in a
    footnote for the proposition that the act of producing
    subpoenaed documents may have some protected testimonial
    aspects.
    17
    B.     The Subpoena is Not Overbroad in Violation of the
    Fourth Amendment
    Appellants also argue that the subpoena was overbroad
    and lacked particularity, in violation of the Fourth
    Amendment. The Fourth Amendment “provides protection
    Second, Hubbell’s recognition that a custodian’s act of
    production may contain protected testimonial aspects is not
    necessarily at odds with Braswell. The Braswell Court
    recognized the testimonial aspect of the act of production, but
    found it an insufficient basis to override the longstanding
    principle that corporate custodians are not entitled to resist a
    subpoena for corporate records on Fifth Amendment grounds.
    See 
    Braswell, 487 U.S. at 112
    (concluding that although
    Bellis did not focus on the testimonial aspect of the act of
    production, “such a focus would not have affected the results
    reached” because it is “well settled that no privilege can be
    claimed by the custodian of records.”) (internal quotation
    marks and citation omitted). And, in an effort to safeguard
    the these protected testimonial aspects, the Court placed
    certain evidentiary limitations on the Government to prevent
    it from using the custodian’s act in a subsequent criminal
    proceeding against him or her.           See 
    id. at 117-18.
    Accordingly, we conclude that Hubbell does not provide a
    justification for Doe’s refusal to comply with the subpoena.
    See also Armstrong v. Guccione, 
    470 F.3d 89
    , 98 (2d Cir.
    2006) (rejecting “any suggestion that Hubbell so undermined
    Braswell that we are no longer compelled to follow its
    holding.”).
    18
    against a grand jury subpoena duces tecum too sweeping in its
    terms to be regarded as reasonable.” United States v. Dionisio,
    
    410 U.S. 1
    , 11 (1973). However, the Supreme Court, in
    remarking on the “unique role in our criminal justice system”
    that the grand jury occupies, has noted that as a “necessary
    consequence of its investigatory function, the grand jury paints
    with a broad brush.” United States v. R. Enterprises, Inc., 
    498 U.S. 292
    , 297 (1991). Moreover, grand juries’ powers must be
    broad, given that “the Government cannot be required to
    justify the issuance of a grand jury subpoena by presenting
    evidence sufficient to establish probable cause because the
    very purpose of requesting the information is to ascertain
    whether probable cause exists. 
    Id. Here, citing
    no case law, Appellants seek to cast the
    subpoena as overly broad because it “sweeps within its
    purview documents and information with no possible nexus to
    the stated investigation.” (App. Br. at 34.) They argue that its
    request for information relative to third parties having nothing
    to do with the OTE is impermissible. We disagree.        The
    Supreme Court has cautioned that “the law presumes, absent a
    strong showing to the contrary, that a grand jury acts within
    the legitimate scope of its authority.” R. Enterprises, 
    Inc., 498 U.S. at 300-01
    . And, where a subpoena is challenged on
    relevancy grounds, as Appellants do here, “the motion to
    quash must be denied unless the district court determines that
    there is no reasonable possibility that the category of materials
    the Government seeks will produce information relevant to the
    general subject of the grand jury's investigation.” 
    Id. at 301.
    As the District Court noted, arrangements between the
    professional association and third parties could be disguised
    19
    kickbacks and patients’ records might reflect that blood
    specimens had been impermissibly ordered or taken. Under
    these circumstances, the District Court did not abuse its
    discretion in concluding that the category of materials
    identified in the subpoena could reasonably produce
    information relevant to the Government’s investigation.
    IV.
    For the foregoing reasons, we affirm the District
    Court’s order entered on November 20, 2014.
    20