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Violation Tracker Summary for Mega-Scandal

Mega-Scandal: Healthcare Kickbacks
Description: This list shows cases in which healthcare companies paid penalties of $25 million or more in cases related to the payment of illegal kickbacks to healthcare providers.
Penalty Total since 2000: $12,149,231,981
Number of Penalty Records: 97
Note: The totals here are adjusted to account for the fact that each current parent's entries may include both agency records and settlement announcements for the same case; or else a penalty covering multiple locations may be listed in the individual records for each of the facilities. They are also adjusted to reflect cases in which federal and state or local agencies cooperated and issued separate announcements of the outcome. Duplicate or overlapping penalty amounts are marked with an asterisk in the individual records list below.
Top 10 Current Parent CompaniesTotal Penalty $Number of Records
Tenet Healthcare$1,472,744,0655
Novartis$1,265,000,0005
Biogen$900,000,0001
HCA Healthcare$631,000,0001
Abbott Laboratories$625,000,0003
Fresenius Medical Care$486,000,0001
Johnson & Johnson$444,700,0002
BAE Systems$400,000,0001
Baxter International$350,000,0001
UnitedHealth Group$350,000,0001

Individual Penalty Records:

Click on the company or penalty amount for more information on each case. Click on the current parent name to reach the summary page for that parent company.

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CompanyCurrent ParentCurrent Parent IndustryPrimary Offense TypeYearAgencyPenalty Amount sort icon
Tenet Healthcare CorporationTenet Healthcarehealthcare servicesFalse Claims Act and related2006DOJ_CIVIL$900,000,000
Biogen Inc.BiogenpharmaceuticalsFalse Claims Act and related2022DOJ_CIVIL$900,000,000
Novartis Pharmaceuticals CorporationNovartispharmaceuticalsFalse Claims Act and related2020DOJ_CIVIL(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $642,000,000
HCA Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2003DOJ_CIVIL$631,000,000
Amgen Inc.Amgenpharmaceuticalsoff-label or unapproved promotion of medical products2012MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $612,000,000
Abbott Laboratories and CG NutritionalsAbbott LaboratoriespharmaceuticalsFalse Claims Act and related2003DOJ_CIVIL$600,000,000
Tenet Healthcare CorporationTenet Healthcarehealthcare servicesFalse Claims Act and related2016DOJ_CIVIL$513,000,000
Cameron-Ehlen Group, Inc. dba Precision Lens False Claims Act and related2023USAO$487,048,705
Fresenius Medical Care (fka National Medical Care)Fresenius Medical Carehealthcare servicesFalse Claims Act and related2000DOJ_CIVIL$486,000,000
BAE Systems plcBAE Systemsaerospace and military contractingForeign Corrupt Practices Act2010DOJ_CRIMINAL$400,000,000
Novartis PharmaceuticalsNovartispharmaceuticalskickbacks and bribery2015USAO$390,000,000
Actelion Pharmaceuticals US, Inc.Johnson & JohnsonpharmaceuticalsFalse Claims Act and related2018DOJ_CIVIL$360,000,000
DaVita Healthcare Partners, Inc.UnitedHealth Grouphealthcare servicesFalse Claims Act and related2014DOJ_CIVIL$350,000,000
Gambro HealthcareBaxter Internationalmedical equipment and suppliesFalse Claims Act and related2004DOJ_CIVIL$350,000,000
Shire Pharmaceuticals LLCTakeda PharmaceuticalpharmaceuticalsFalse Claims Act and related2017DOJ_CIVIL$350,000,000
Community Health Network Inc.Community Health Networkhealthcare servicesFalse Claims Act and related2023DOJ_CIVIL$345,000,000
Pfizer, Inc.Pfizerpharmaceuticalskickbacks and bribery2009MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $331,485,170
Olympus Corporation of the AmericasOlympuselectrical and electronic equipmentFalse Claims Act and related2016MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $306,000,000
Health Management Associates, LLCCommunity Health Systemshealthcare servicesFalse Claims Act and related2018DOJ_CIVIL$260,000,000
Novartis Hellas S.A.C.I. et al.NovartispharmaceuticalsForeign Corrupt Practices Act2020DOJ_CRIMINAL$233,000,000
Zimmer Inc.Zimmer Biometmedical equipment and suppliesFalse Claims Act and related2007USAO$169,500,000
Medco Health SolutionsCignahealthcare servicesFalse Claims Act and related2006DOJ_CIVIL$155,000,000
eClinicalWorkseClinicalWorksinformation technologyFalse Claims Act and related2017DOJ_CIVIL$154,920,000
AdvancePCSCVS HealthretailingFalse Claims Act and related2005USAO$137,500,000
Tenet Healthcare CorporationTenet Healthcarehealthcare serviceskickbacks and bribery2016MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $123,772,464
Universal Health Services, Inc.Universal Health Services Inc.healthcare servicesFalse Claims Act and related2020DOJ_CIVIL$122,000,000
Avanir PharmaceuticalsOtsuka PharmaceuticalpharmaceuticalsFalse Claims Act and related2019DOJ_CIVIL$115,874,895
Adventist Health SystemAdventHealthhealthcare servicesFalse Claims Act and related2015DOJ_CIVIL$115,000,000
Sanofi-Aventis U.S. Inc.SanofipharmaceuticalsFalse Claims Act and related2012DOJ_CIVIL$109,000,000
Health Alliance of Greater Cincinnati False Claims Act and related2010DOJ_CIVIL$108,000,000
Novartis Pharmaceuticals Corp.Novartispharmaceuticalskickbacks and bribery2020MULTI-AG$103,000,000
Technip S.A.TechnipFMCoilfield services and suppliesForeign Corrupt Practices Act2010SEC$98,000,000
Omnicare Inc.CVS HealthretailingFalse Claims Act and related2009DOJ_CIVIL$98,000,000
Bayer HealthCare LLCBayerchemicalsFalse Claims Act and related2008DOJ_CIVIL$97,500,000
Gilead Sciences, Inc.Gilead SciencespharmaceuticalsFalse Claims Act and related2020DOJ_CIVIL$97,000,000
EMC CorporationDell Technologieselectrical and electronic equipmentFalse Claims Act and related2010DOJ_CIVIL$87,500,000
Medline Industries Inc.Medline Industriesmedical equipment and suppliesFalse Claims Act and related2011private lawsuit-federal$85,000,000
Depuy Orthopaedics Inc.Johnson & JohnsonpharmaceuticalsFalse Claims Act and related2007USAO$84,700,000
William Beaumont HospitalBeaumont Healthhealthcare servicesFalse Claims Act and related2018DOJ_CIVIL$84,500,000
Novartis Pharmaceuticals CorporationNovartispharmaceuticalskickbacks and bribery2015MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $83,129,754
Cardiac Imaging Inc. False Claims Act and related2023USAO$75,000,000
Covenant Healthcare System False Claims Act and related2023USAO$69,000,000
Accredo Health GroupCignahealthcare serviceskickbacks and bribery2015USAO$60,000,000
Lester E. Cox Medical CentersCoxHealthhealthcare servicesFalse Claims Act and related2008DOJ_CIVIL$60,000,000
Jazz Pharmaceuticals plcJazz PharmaceuticalspharmaceuticalsFalse Claims Act and related2019DOJ_CIVIL$57,000,000
Salix Pharmaceuticals Inc.Bausch Healthpharmaceuticalskickbacks and bribery2016USAO$54,000,000
Teva Pharmaceuticals Inc.Teva Pharmaceutical IndustriespharmaceuticalsFalse Claims Act and related2019private lawsuit-federal$54,000,000
Lundbeck LLCLundbeckpharmaceuticalsFalse Claims Act and related2019DOJ_CIVIL$52,600,000
Walgreen Co.Walgreens Boots AllianceretailingFalse Claims Act and related2017USAO$50,000,000
Wheeling Hospital, Inc.Wheeling Hospitalhealthcare servicesFalse Claims Act and related2020DOJ_CIVIL$50,000,000
Texas Heart Hospital of the Southwest LLPBaylor Scott & White Healthhealthcare servicesFalse Claims Act and related2020DOJ_CIVIL$48,000,000
Health Diagnostics Laboratory Inc. False Claims Act and related2015DOJ_CIVIL$47,000,000
Paksn Inc. False Claims Act and related2023DOJ_CIVIL$45,600,000
Modernizing Medicine Inc. False Claims Act and related2022DOJ_CIVIL$45,000,000
Serono Laboratories Inc.Merck KGaA (EMD)pharmaceuticalsFalse Claims Act and related2011DOJ_CIVIL$44,300,000
EMD Serono, Inc.Merck KGaA (EMD)pharmaceuticalsFalse Claims Act and related2011MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $44,300,000
Alpharma Inc.PfizerpharmaceuticalsFalse Claims Act and related2010DOJ_CIVIL$42,500,000
ChristianaCareChristianaCarehealthcare servicesFalse Claims Act and related2024USAO$42,500,000
PAMC Ltd., and Pacific Alliance Medical Center Inc. False Claims Act and related2017DOJ_CIVIL$42,000,000
Kos PharmaceuticalsAbbViepharmaceuticalskickbacks and bribery2010FDA$41,500,000
CaremarkCVS Healthretailingkickbacks and bribery2008MULTI-AG$41,000,000
Medtronic Inc.Medtronicmedical equipment and suppliesFalse Claims Act and related2006DOJ_CIVIL$40,000,000
Bayer CorporationBayerchemicalsFalse Claims Act and related2022DOJ_CIVIL$40,000,000
Daiichi Sankyo Inc.Daiichi SankyopharmaceuticalsFalse Claims Act and related2015DOJ_CIVIL$39,000,000
Daiichi Sankyo, Inc.Daiichi SankyopharmaceuticalsFalse Claims Act and related2015MULTI-AG$39,000,000
Millennium HealthMillennium Healthhealthcare servicesFalse Claims Act and related2015MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $38,600,000
Omnicare Inc.CVS HealthretailingFalse Claims Act and related2009MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $38,100,000
Forest Laboratories and Forest PharmaceuticalsAbbViepharmaceuticalsFalse Claims Act and related2016DOJ_CIVIL$38,000,000
ResMed Corp.ResMed Inc.medical equipment and suppliesFalse Claims Act and related2020USAO$37,500,000
Bon Secours St. Francis Health System et al. False Claims Act and related2023USAO$36,500,000
Progenity Inc. False Claims Act and related2020USAO$35,849,316
Columbus Regional Healthcare SystemColumbus Regional Health (GA)healthcare servicesFalse Claims Act and related2015DOJ_CIVIL$35,000,000
MedStar Health Inc.MedStar Healthhealthcare servicesFalse Claims Act and related2019DOJ_CIVIL$35,000,000
Respironics Inc.Royal PhilipsdiversifiedFalse Claims Act and related2016DOJ_CIVIL$34,800,000
Mercy Hospital Springfield f/k/a St. John's Regional Health Center andMercy Clinic Springfield Communities f/k/a St. John's ClinicMercy (Sisters of Mercy Health System)healthcare servicesFalse Claims Act and related2017DOJ_CIVIL$34,000,000
ISTA Pharmaceuticals, Inc.Bausch HealthpharmaceuticalsFalse Claims Act and related2013DOJ_CIVIL$33,500,000
Abbott LaboratoriesAbbott LaboratoriespharmaceuticalsFalse Claims Act and related2003MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $32,500,000
OrganonOrganon & Co.pharmaceuticalsoff-label or unapproved promotion of medical products2014MULTI-AG$31,000,000
RehabCare Group Inc., RehabCare Group East Inc., Rehab Systems of Missouri and Health Systems Inc. False Claims Act and related2014DOJ_CIVIL$30,000,000
Orthofix International NVOrthofix Medicalmedical equipment and suppliesFalse Claims Act and related2012DOJ_CIVIL$30,000,000
Detroit Medical CenterTenet Healthcarehealthcare servicesFalse Claims Act and related2010DOJ_CIVIL$30,000,000
Bristol-Myers SquibbBristol-Myers Squibbpharmaceuticalskickbacks and bribery2016CA-INS$30,000,000
VHS of Michigan Inc. et al.Tenet Healthcarehealthcare servicesFalse Claims Act and related2023DOJ_CIVIL$29,744,065
EmCare Inc.KKR & Co.private equity (including portfolio companies)False Claims Act and related2017DOJ_CIVIL$29,600,000
Smith & NephewSmith & Nephewmedical equipment and suppliesFalse Claims Act and related2007USAO$28,900,000
Omnicare Inc.CVS HealthretailingFalse Claims Act and related2016DOJ_CIVIL$28,125,000
Omnicare Inc.CVS Healthretailingkickbacks and bribery2016MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $28,125,000
Healthpoint Ltd. and DFB Pharmaceuticals off-label or unapproved promotion of medical products2012FDA$28,000,000
Ambulatory Anesthesia of Atlanta, LLC et al. False Claims Act and related2021USAO$28,000,000
Teva Pharmaceuticals USA Inc. and IVAX LLCTeva Pharmaceutical IndustriespharmaceuticalsFalse Claims Act and related2014DOJ_CIVIL$27,600,000
McAllen Hospitals L.P., d/b/a/ South Texas Health SystemUniversal Health Services Inc.healthcare servicesFalse Claims Act and related2009DOJ_CIVIL$27,500,000
Biomet Orthopedics Inc.Zimmer Biometmedical equipment and suppliesFalse Claims Act and related2007USAO$26,900,000
Boston Heart Diagnostics CorporationEurofins Scientifichealthcare servicesFalse Claims Act and related2019USAO$26,670,000
21st Century OncologyKKR & Co.private equity (including portfolio companies)False Claims Act and related2017DOJ_CIVIL$26,000,000
Intermountain Health Care Inc.Intermountain Healthcarehealthcare servicesFalse Claims Act and related2013DOJ_CIVIL$25,500,000
Lincare Inc.Lindeindustrial servicesFalse Claims Act and related2024USAO$25,500,000
Abbott LaboratoriesAbbott Laboratoriespharmaceuticalsoff-label or unapproved promotion of medical products2018USAO$25,000,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.