HOWARD, Circuit Judge.
This, the third review of William Thurston’s sentence, was necessitated by the Supreme Court’s decision in
United States v. Gall,
— U.S. -, 128 S.Ct. 586, 169 L.Ed.2d 445 (2007). We affirm the sentence.
I.
To say that the journey of this case has been arduous for the parties involved would be an understatement. For present purposes, the background facts may be briefly sketched.
A jury convicted Thurston of conspiring to defraud the Medicare program of more than five million dollars. At Thurston’s sentencing, the district court applied the sentencing guidelines which yielded a range of 63 to 78 months’ imprisonment.
This range was trumped by a 60 month statutory maximum. Departing downward from the guidelines, the district court sentenced Thurston to three months’ incarceration, followed by 24 months of supervised release.
Thurston appealed his conviction and the government cross-appealed the sentence. We affirmed Thurston’s conviction but remanded for resentencing after concluding that the district court erred in granting the downward departure.
Thur-ston I,
358 F.3d at 81.
We instructed the district court to impose the guideline sentence of 60 months’ imprisonment.
Id.
at 82.
Following this disposition, the Supreme Court decided
United States v. Booker,
543 U.S. 220, 125 S.Ct. 738, 160 L.Ed.2d 621 (2005), declaring the sentencing guidelines advisory. Accordingly, the Court vacated our judgment in this case and remanded for further consideration.
Thurston v. United States,
543 U.S. 1097, 125 S.Ct. 984, 160 L.Ed.2d 988 (2005). After receiving and considering additional briefing, we remanded the case to the district court for resentencing.
A second district judge applied the sentencing guidelines and arrived at a recommended guideline sentence of 60 months’ imprisonment. After concluding that a lower sentence was appropriate under the sentencing factors set forth in 18 U.S.C. § 3553(a), the district court imposed a sentence significantly below the recommended guideline range — three months’ incarceration with 24 months of supervised release — that mirrored the sentence imposed by the original sentencing court.
Thur-ston II,
456 F.3d at 214-215. Because Thurston received credit for time served, he was not required to serve more prison time.
Id.
at 215.
The government appealed Thurston’s sentence as unreasonably lenient, arguing that the § 3553(a) factors the court relied on did not justify the steep downward variance the court awarded. We agreed, vacated Thurston’s sentence, and again remanded for resentencing.
Thurston II,
456 F.3d at 216-220. The Supreme Court ultimately vacated this decision as well, this time pursuant to its decision in
Gall,
and remanded the case to us for reconsideration.
Thurston v. United States,
— U.S. -, 128 S.Ct. 854, 169 L.Ed.2d 705 (2008). We, in turn, requested briefing on the effect of
Gall.
II.
After
Gall,
our review of sentences has two components. We must satisfy ourselves that the sentence imposed is both (i) procedurally sound
and (ii) substantively
reasonable.
Gall,
128 S.Ct. at 597 (noting that in considering the latter, reviewing courts must take into account the “totality of the circumstances”);
see also United States v. Martin,
520 F.3d 87, 92 (1st Cir.2008). Our review for substantive reasonableness amounts to review for an abuse of discretion.
Gall,
128 S.Ct. at 591.
We concluded in
Thurston II
that the district court did not commit procedural error in arriving at Thurston’s sentence.
Thurston II,
456 F.3d at 215. There is no need to revisit that determination here. Our focus, then, is on the substantive reasonableness of Thurston’s sentence.
Thurston argues that after
Gall,
our holding in
Thurston II
— that the sentence imposed is unreasonable — cannot stand. He contends that our holding fails to afford sufficient deference to the district court’s sentencing decision and that we should now affirm his sentence. The government argues that, even in light of
Gall,
the sentence imposed is substantively unreasonable and that we should reinstate our reasoning, vacate Thurston’s sentence, and remand for resentencing. Understanding that
Gall
sends a clear message to reviewing courts that the sentencing decisions of district courts should generally be respected, we affirm the sentence.
We start by stating the obvious. In this case the variance from the guideline sentence was dramatic. The guideline sentence was five years of prison time. The district court, however, imposed a sentence of three months’ incarceration followed by 24 months of supervised release.
To be sure,
Gall
teaches that it is error to allow the dramatic nature of a variance to unduly influence our review for substantive reasonableness. In particular, in
Gall
the Court rejected the use of “a rigid mathematical formula that uses the percentage of a departure as the standard for determining the strength of the justifications required for a specific sentence.”
Gall,
128 S.Ct. at 595.
But the degree of variance, even after
Gall,
is not without import.
Id.
at 597 (“If [the sentencing court] decides that an outside-Guidelines sentence is warranted, [it] must consider the extent of the deviation and ensure that the justification is sufficiently compelling to support the degree of the variance.... We find it uneontrover-sial that a major departure [from the guidelines] should be supported by a more significant justification than a minor one.”);
see also Martin,
520 F.3d at 91 (noting that even after
Gall
“a certain ‘sliding scale’ effect lurks in the penumbra of modern federal sentencing law.”);
United States v. Grossman,
513 F.3d 592, 596 (6th Cir.2008)
(“[Gall
] permits ... appellate courts to require some correlation between the extent of the variance and the justification for it.”).
In
Thurston II,
we explained in detail why we considered Thurston’s sentence, the result of a dramatic variance from the guideline sentence, to be substantively unreasonable. 456 F.3d at 215-20.
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HOWARD, Circuit Judge.
This, the third review of William Thurston’s sentence, was necessitated by the Supreme Court’s decision in
United States v. Gall,
— U.S. -, 128 S.Ct. 586, 169 L.Ed.2d 445 (2007). We affirm the sentence.
I.
To say that the journey of this case has been arduous for the parties involved would be an understatement. For present purposes, the background facts may be briefly sketched.
A jury convicted Thurston of conspiring to defraud the Medicare program of more than five million dollars. At Thurston’s sentencing, the district court applied the sentencing guidelines which yielded a range of 63 to 78 months’ imprisonment.
This range was trumped by a 60 month statutory maximum. Departing downward from the guidelines, the district court sentenced Thurston to three months’ incarceration, followed by 24 months of supervised release.
Thurston appealed his conviction and the government cross-appealed the sentence. We affirmed Thurston’s conviction but remanded for resentencing after concluding that the district court erred in granting the downward departure.
Thur-ston I,
358 F.3d at 81.
We instructed the district court to impose the guideline sentence of 60 months’ imprisonment.
Id.
at 82.
Following this disposition, the Supreme Court decided
United States v. Booker,
543 U.S. 220, 125 S.Ct. 738, 160 L.Ed.2d 621 (2005), declaring the sentencing guidelines advisory. Accordingly, the Court vacated our judgment in this case and remanded for further consideration.
Thurston v. United States,
543 U.S. 1097, 125 S.Ct. 984, 160 L.Ed.2d 988 (2005). After receiving and considering additional briefing, we remanded the case to the district court for resentencing.
A second district judge applied the sentencing guidelines and arrived at a recommended guideline sentence of 60 months’ imprisonment. After concluding that a lower sentence was appropriate under the sentencing factors set forth in 18 U.S.C. § 3553(a), the district court imposed a sentence significantly below the recommended guideline range — three months’ incarceration with 24 months of supervised release — that mirrored the sentence imposed by the original sentencing court.
Thur-ston II,
456 F.3d at 214-215. Because Thurston received credit for time served, he was not required to serve more prison time.
Id.
at 215.
The government appealed Thurston’s sentence as unreasonably lenient, arguing that the § 3553(a) factors the court relied on did not justify the steep downward variance the court awarded. We agreed, vacated Thurston’s sentence, and again remanded for resentencing.
Thurston II,
456 F.3d at 216-220. The Supreme Court ultimately vacated this decision as well, this time pursuant to its decision in
Gall,
and remanded the case to us for reconsideration.
Thurston v. United States,
— U.S. -, 128 S.Ct. 854, 169 L.Ed.2d 705 (2008). We, in turn, requested briefing on the effect of
Gall.
II.
After
Gall,
our review of sentences has two components. We must satisfy ourselves that the sentence imposed is both (i) procedurally sound
and (ii) substantively
reasonable.
Gall,
128 S.Ct. at 597 (noting that in considering the latter, reviewing courts must take into account the “totality of the circumstances”);
see also United States v. Martin,
520 F.3d 87, 92 (1st Cir.2008). Our review for substantive reasonableness amounts to review for an abuse of discretion.
Gall,
128 S.Ct. at 591.
We concluded in
Thurston II
that the district court did not commit procedural error in arriving at Thurston’s sentence.
Thurston II,
456 F.3d at 215. There is no need to revisit that determination here. Our focus, then, is on the substantive reasonableness of Thurston’s sentence.
Thurston argues that after
Gall,
our holding in
Thurston II
— that the sentence imposed is unreasonable — cannot stand. He contends that our holding fails to afford sufficient deference to the district court’s sentencing decision and that we should now affirm his sentence. The government argues that, even in light of
Gall,
the sentence imposed is substantively unreasonable and that we should reinstate our reasoning, vacate Thurston’s sentence, and remand for resentencing. Understanding that
Gall
sends a clear message to reviewing courts that the sentencing decisions of district courts should generally be respected, we affirm the sentence.
We start by stating the obvious. In this case the variance from the guideline sentence was dramatic. The guideline sentence was five years of prison time. The district court, however, imposed a sentence of three months’ incarceration followed by 24 months of supervised release.
To be sure,
Gall
teaches that it is error to allow the dramatic nature of a variance to unduly influence our review for substantive reasonableness. In particular, in
Gall
the Court rejected the use of “a rigid mathematical formula that uses the percentage of a departure as the standard for determining the strength of the justifications required for a specific sentence.”
Gall,
128 S.Ct. at 595.
But the degree of variance, even after
Gall,
is not without import.
Id.
at 597 (“If [the sentencing court] decides that an outside-Guidelines sentence is warranted, [it] must consider the extent of the deviation and ensure that the justification is sufficiently compelling to support the degree of the variance.... We find it uneontrover-sial that a major departure [from the guidelines] should be supported by a more significant justification than a minor one.”);
see also Martin,
520 F.3d at 91 (noting that even after
Gall
“a certain ‘sliding scale’ effect lurks in the penumbra of modern federal sentencing law.”);
United States v. Grossman,
513 F.3d 592, 596 (6th Cir.2008)
(“[Gall
] permits ... appellate courts to require some correlation between the extent of the variance and the justification for it.”).
In
Thurston II,
we explained in detail why we considered Thurston’s sentence, the result of a dramatic variance from the guideline sentence, to be substantively unreasonable. 456 F.3d at 215-20. In particular, we believed the lenient sentence imposed by the district court failed to reflect both the seriousness of the offense and the need for general deterrence.
See
U.S.C. § 3553(a)(2)(A), (a)(2)(B). The sentence also, in our view, treated the defendant unreasonably similarly to a co-defendant who was situated differently.
Id.
at § 3553(a)(6). Even after
Gall,
we could remand for reconsideration of the sentence in light of these concerns.
See, e.g., United States v. Tom,
504 F.3d 89 (1st Cir.
2007). Nevertheless, upon considering the sentence in light of
Gall,
we conclude that a remand here would serve little purpose.
In arriving at Thurston’s sentence the district court relied on a host of § 3553(a) factors in addition to the ones detailed above. The court discussed how Thur-ston’s sentence served § 3553(a)’s goal of specific deterrence, noting that Thurston had accepted responsibility for his crime. The court also considered Thurston’s “charitable work, community service, generosity with time, and spiritual support and assistance to others.”
See
18 U.S.C. § 3553(a)(1) (history and characteristics of the defendant). Although we may disagree that Thurston’s sentence serves other goals of § 3553(a), we must ultimately take into account the “totality of the circumstances” when reviewing a defendant’s sentence.
Martin,
520 F.3d at 92. Here, given
Gall’s
broader definition of the deference given to district judges’ sentencing decisions, we affirm.
So ordered.