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Violation Tracker Industry Summary Page

Industry: healthcare services
Penalty Total since 2000: $23,311,696,485
Number of Records: 13,343
Note: The totals include only those entries matched to a parent company. The industry designation is the primary one for the parent's operations overall. The totals are adjusted to account for the fact that each 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
UnitedHealth Group$2,245,949,382388
Centene$1,893,480,722226
Tenet Healthcare$1,837,042,45167
HCA Healthcare$1,770,736,95871
Fresenius Medical Care$1,065,932,67526
Elevance Health$1,030,125,450500
Encompass Health$978,182,28920
Sutter Health$762,074,19148
Cigna$746,415,946205
SCAN Health Plan$643,897,9504

Individual Penalty Records:

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

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CompanyCurrent Parent sort iconPrimary Offense TypeYearAgencyPenalty Amount
CIGNA HEALTH AND LIFE INSURANCE COCignainsurance violation2015VA-INS$26,000
Connecticut General Life Insurance CompanyCignainsurance violation2013VT-FIN$7,500
Connecticut General Life Insurance CompanyCignainsurance violation2017WA-INS$10,000
Connecticut General Life Insurance Company et al.Cignainsurance violation2013MULTI-FIN$1,675,000
Cigna Dental Health of Texas, Inc.Cignainsurance violation2020TX-INS$100,000
Cigna HealthCare of California, Inc.Cignainsurance violation2020CA-MHC$7,000
Cigna HealthCare of California, Inc.Cignainsurance violation2020CA-MHC$80,000
Cigna Behavioral Health of California, Inc.Cignainsurance violation2020CA-MHC$60,000
Cigna Behavioral Health of California, Inc.Cignainsurance violation2020CA-MHC$15,000
Cigna Health and Life Insurance CompanyCignainsurance violation2020TX-INS$50,000
Connecticut General Life Insurance CompanyCignaenvironmental violation2009CT-ENV$22,985
Cigna Health and Life Insurance Co.Cignainsurance violation2021MN-FIN$25,000
Express Scripts, Inc.Cignaemployment discrimination2020OFCCP$110,000
Life Insurance Company of North AmericaCignaemployment discrimination2020OFCCP$650,000
Cigna HealthCare of California, Inc.Cignainsurance violation2021CA-MHC$11,500
Cigna HealthCare of California, Inc.Cignainsurance violation2021CA-MHC$10,000
Cigna Health and Life Insurance Co.Cignainsurance violation2021DE-INS$382,000
Express Scripts Administrators, Inc.Cignainsurance violation2021MD-INS$8,000
Express Scripts, Inc.Cignainsurance violation2021MD-INS$8,000
CIGNA Health and Life Insurance CompanyCignainsurance violation2021MD-INS$20,400
Cigna Healthcare of CaliforniaCignaenvironmental violation2010CA-SCAQMD$15,390
CIGNACignaMedicare Parts C and D Enforcement Action2022CMS$126,988
Connecticut General Life Insurance CompanyCignainsurance violation2020NY-DFS$54,220
Cigna HealthCare of California, Inc.Cignainsurance violation2022CA-MHC$20,000
CIGNACignaMedicare Parts C and D Enforcement Action2022CMS$85,436
Cigna HealthCare of California, Inc.Cignainsurance violation2022CA-MHC$17,500
Cigna Dental Health of California, Inc.Cignainsurance violation2022CA-MHC$50,000
Cigna Dental Health of California, Inc.Cignainsurance violation2022CA-MHC$19,000
Express Scripts, Inc.CignaFalse Claims Act and related2022MA-AG$3,200,000
Cigna Dental Health of Virginia, Inc.Cignainsurance violation2023VA-INS$48,000
Cigna Corp.Cignaconsumer protection violation2004private lawsuit-federal$140,000,000
Cigna Health and Life Insurance CompanyCignaconsumer protection violation2017private lawsuit-federal$2,750,000
CIGNA Health Management, Inc.Cignainsurance violation2022CT-INS$8,500
Cigna Healthcare of Connecticut, Inc.Cignainsurance violation2021CT-INS$25,000
Connecticut General Life Insurance CompanyCignainsurance violation2021CT-INS$25,000
Cigna Health and Life Insurance CompanyCignainsurance violation2021CT-INS$25,000
Express Scripts Administrators, LLCCignainsurance violation2023MN-FIN$5,270
CIGNA HEALTH AND LIFE INSURANCE COMPANYCignainsurance violation2023WA-INS$25,000
Cigna GroupCignaFalse Claims Act and related2023DOJ_CIVIL$172,294,250
Cigna Health and Life Insurance CompanyCignainsurance violation2023VA-INS$150,000
EXPRESS SCRIPTS PHARMACY, INC.Cignaworkplace safety or health violation2015OSHA$7,000
Prairie Senior Living ComplexCitizens Healthnursing home violation2022CMS$13,943
Citizens Medical CenterCitizens Medical CenterFalse Claims Act and related2015DOJ_CIVIL$21,750,000
Citizens Medical CenterCitizens Medical Centernursing home violation2022CMS$9,750
CITIZENS MEDICAL CENTERCitizens Medical Centernursing home violation2023CMS$15,593
Cleveland Clinic FoundationCleveland ClinicFalse Claims Act and related2016DOJ_CIVIL$1,600,000
Cleveland Clinic Health Foundation, Inc.Cleveland Clinicwage and hour violation2007WHD$21,905
Martin Memorial Medical CenterCleveland ClinicFalse Claims Act and related2015USAO$2,000,000
The Cleveland ClinicCleveland ClinicFalse Claims Act and related2015USAO$1,740,000
Cleveland Clinic FoundationCleveland Clinicenvironmental violation2002OH-ENV$30,000
Cochlear AmericasCochlear LimitedFalse Claims Act and related2010DOJ_CIVIL$880,000
Cochlear AmericasCochlear LimitedHHS civil monetary penalties2010HHSOIG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $880,000
Columbia Memorial HospitalColumbia Memorial HospitalHHS civil monetary penalties2003HHSOIG$25,000
Columbia Memorial HospitalColumbia Memorial HospitalFalse Claims Act and related2015USAO$650,000
Columbia Memorial HospitalColumbia Memorial HospitalFalse Claims Act and related2015NY-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $650,000
COLUMBIA MEMORIAL HOSPITALColumbia Memorial Hospitalworkplace safety or health violation2017OSHA$7,605
Columbus Regional Healthcare SystemColumbus Regional Health (GA)False Claims Act and related2015DOJ_CIVIL$35,000,000
Dignity Health f/k/a Catholic Healthcare WestCommonSpirit HealthFalse Claims Act and related2016DOJ_CIVIL$5,900,000
Catholic Health InitiativesCommonSpirit HealthFalse Claims Act and related2015DOJ_CIVIL$7,800,000
Dignity Health f/k/a Catholic Healthcare WestCommonSpirit HealthFalse Claims Act and related2014DOJ_CIVIL$37,000,000
Saint Joseph Health System Inc.CommonSpirit HealthFalse Claims Act and related2014DOJ_CIVIL$16,500,000
Jewish Hospital & St. Mary's HealthCareCommonSpirit HealthHHS civil monetary penalties2011HHSOIG$42,500
Catholic Healthcare WestCommonSpirit HealthFalse Claims Act and related2001DOJ_CIVIL$10,750,000
Dignity HealthCommonSpirit Healthwage and hour violation2012WHD$59,212
Alegent HealthCommonSpirit Healthwage and hour violation2012WHD$116,976
Alegent HealthCommonSpirit Healthwage and hour violation2012WHD$447,027
Jewish Hospital & St. Mary's Healthcare, Inc.CommonSpirit Healthwage and hour violation2009WHD$17,299
DIGNITY HEALTH d/b/a St. Rose Dominican HospitalCommonSpirit Healthlabor relations violation2014NLRB$100,509
Jewish Hospital & St. Mary's Healthcare, Inc. d/b/a Our Lady of PeaceCommonSpirit Healthlabor relations violation2012NLRB$17,630
St. Rose Dominican HospitalCommonSpirit Healthlabor relations violation2010NLRB$6,000
Virginia Mason HospitalCommonSpirit Healthlabor relations violation2007NLRB$25,000
Virginia Mason Medical CenterCommonSpirit Healthlabor relations violation2006NLRB$85,617
St. John's Regional Medical CenterCommonSpirit Healthlabor relations violation2005NLRB$9,000
Catholic Healthcare WestCommonSpirit Healthlabor relations violation2005NLRB$35,000
California Hospital Medical CenterCommonSpirit Healthlabor relations violation2005NLRB$5,522
St. Joseph's Hospital and Medical CenterCommonSpirit Healthlabor relations violation2004NLRB$281,830
CATHOLIC HEALTHCARE WEST SOUTHERN CALIFORNIA (2) ROBERT F. KENNEDY MEDICAL CENTERCommonSpirit Healthlabor relations violation2001NLRB$45,000
St. Joseph's Hospital and Medical CenterCommonSpirit Healthlabor relations violation2000NLRB$11,150
Jewish Hospital and St. Mary's HealthcareCommonSpirit HealthHHS civil monetary penalties2009HHSOIG$130,000
Highline Medical CenterCommonSpirit Healthdiscriminatory practices (non-employment)2017USAO$45,000
Dignity HealthCommonSpirit HealthFalse Claims Act and related2014USAO$1,550,000
Memorial Health Care System Inc.CommonSpirit HealthFalse Claims Act and related2012USAO$1,278,579
Jewish Hospital & St. Mary's HealthCare, Inc.CommonSpirit HealthFalse Claims Act and related2011USAO$435,502
CHI FRANCISCAN VILLACommonSpirit Healthnursing home violation2015CMS$6,370
MADONNA MANORCommonSpirit Healthnursing home violation2017CMS$7,803
CHI FRANCISCAN VILLACommonSpirit Healthnursing home violation2016CMS$41,438
CHI FRANCISCAN VILLACommonSpirit Healthnursing home violation2016CMS$82,388
CHI FRANCISCAN VILLACommonSpirit Healthnursing home violation2017CMS$113,232
Catholic Health Initiatives-Health at Home d/b/a Mercy Respiratory Care and Med SupplyCommonSpirit HealthFalse Claims Act and related2018USAO$189,061
Catholic Health InitiativesCommonSpirit HealthFalse Claims Act and related2016CO-AG$412,726
CHI FranciscanCommonSpirit Healthprice-fixing or anti-competitive practices2019WA-AG$2,500,000
CHI FranciscanCommonSpirit Healthconsumer protection violation2019WA-AG$24,680,000
CHI FranciscanCommonSpirit Healthconsumer protection violation2016WA-AG$1,100,000
Jewish Hospital & St. Mary's Healthcare Inc.CommonSpirit HealthFalse Claims Act and related2019DOJ_CIVIL$10,101,132
Dignity HealthCommonSpirit Healthemployment discrimination2019EEOC$570,000
Catholic Healthcare WestCommonSpirit HealthFalse Claims Act and related2011USAO$875,564
Chi St. Luke's HealthCommonSpirit Healthinsurance violation2019TX-INS$5,000
St. Joseph's Hospital and Medical CenterCommonSpirit Healthprivacy violation2020HHSOCR$160,000
ST JOSEPH HOSPITALCommonSpirit Healthenvironmental violation2012KY-ENV$10,000
JEWISH HOSPITAL & ST MARY'S HEALTHCARECommonSpirit Healthenvironmental violation2011KY-ENV$5,000
Dignity Health and Neurosurgical Associates, LTDCommonSpirit HealthFalse Claims Act and related2021USAO$10,000,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.