UNITED STATES EX REL. STEPHEN GUGENHEIM; STATE OF NORTH CAROLINA EX REL. STEPHEN GUGENHEIM, Plaintiffs - Appellants, v. MERIDIAN SENIOR LIVING, LLC; MERIDIAN SENIOR LIVING SERVICES, LLC; CHARLES E. TREFZGER, JR.; WP-ALBEMARLE HEALTH HOLDINGS, LLC; BURLINGTON AL HOLDINGS I, LLC; TAYLORSVILLE HOUSE, LLC; WP-NEWLAND HEALTH HOLDINGS, LLC; WP-WINDSOR HEALTH HOLDINGS, LLC; LELAND HOUSE, LLC; WP-YANCEYVILLE HEALTH HOLDINGS, LLC; HICKORY HEALTH INVESTORS, LLC; WP-HAYESVILLE HEALTH HOLDINGS, LLC; CHI HOLDINGS, LLC; DANBY HOUSE, LLC; WP-WINSTON SALEM HEALTH HOLDINGS, LLC; COUNTRY TIME INN, LLC; WP-GASTONIA HEALTH HOLDINGS, LLC; GATES HOUSE, LLC; GREENSBORO AL HOLDINGS, LLC; GREENSBORO OPCO HOLDINGS, LLC; GREENSBORO HEALTH HOLDINGS, LLC; FUQUAY-VARINA HEALTH HOLDINGS, LLC; HAYWOOD HEALTH HOLDINGS, LLC; AHOSKIE HOUSE, LLC; SKYLAND HOUSE, LLC; CLAYTON HEALTH HOLDINGS, LLC; MACON HEALTH HOLDINGS, LLC; MINT HILL HEALTH HOLDINGS, LLC; WP-CHARLOTTE HEALTH HOLDINGS, LLC; CHARLOTTE HEALTH HOLDINGS, LLC; MITCHELL HOUSE ONE, LLC; WEST END HOLDINGS, LLC; CASTLE HAYNE AL HOLDINGS, LLC; NEW HANOVER HOUSE, LLC; RVHI, LLC; RV ASSISTED LIVING, LLC; SHI-ORANGE, LLC; GRANTSBORO OPCO HOLDINGS, LLC; BURGAW HEALTH HOLDINGS; WP-CLINTON HEALTH HOLDINGS, LLC; ROSE TARA HOLDINGS, LLC; WP-BREVARD HEALTH HOLDINGS, LLC; CARY HEALTH HOLDINGS, LLC; WP-WENDELL HEALTH, LLC; WP-RALEIGH HEALTH, LLC; ZHI, LLC; WILSON HOUSE, LLC; WP-BURNSVILLE HEALTH HOLDINGS, LLC; AFFINITY LIVING GROUP, LLC, Defendants - Appellees., 36 F.4th 173