Violation Tracker Industry Summary Page

Industry: 
healthcare services
Penalty Total since 2000: 
$17,299,448,330
Number of Records: 
3,154
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 Parent CompaniesTotal Penalty $Number of Records
Tenet Healthcare$1,799,370,61944
HCA Healthcare$1,548,918,65923
DaVita HealthCare Partners$1,165,709,61817
Encompass Health$978,160,62117
Fresenius$815,948,42727
Centene$715,826,709150
Sutter Health$658,461,69022
SCAN Health Plan$643,897,9504
UnitedHealth Group$594,044,164295
Quest Diagnostics$582,714,00832


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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Company Parentsort icon Primary Offense Type Year Agency Penalty Amount
Vitas Innovative Hospice Care Chemed wage and hour violation 2004 WHD $16,757
The Rooter Service Chemed wage and hour violation 2002 WHD $5,889
Chemed Corporation Chemed False Claims Act and related 2017 DOJ_CIVIL $75,000,000
Vitas Health Corporation Midwest Chemed False Claims Act and related 2016 USAO $200,000
Roto-Rooter Chemed wage and hour violation 2011 PA-DLI $24,159
Vitas Healthcare Chemed wage and hour violation 2014 private lawsuit-state $10,300,000
Chemed and Roto-Rooter Services Company Chemed wage and hour violation 2014 private lawsuit-federal $14,274,585
Vitas Healthcare Chemed wage and hour violation 2006 private lawsuit-state $19,000,000
ROTO ROOTER Chemed workplace safety or health violation 2002 OSHA $19,135
Children's Hospital Los Angeles Children's Hospital Los Angeles wage and hour violation 2016 private lawsuit-state $27,000,000
CHILDRENS HOSPITAL LOS ANGELES Children's Hospital Los Angeles benefit plan administrator violation 2020 EBSA $10,001
Children's Hospital and Children's National Medical Center Inc. Children's National Medical Center False Claims Act and related 2015 DOJ_CIVIL $12,900,000
Christiana Care Health Services, Inc. ChristianaCare False Claims Act and related 2015 DOJ_CIVIL $2,500,000
CHRISTUS Health CHRISTUS Health False Claims Act and related 2015 DOJ_CIVIL $4,500,000
Christus Health CHRISTUS Health False Claims Act and related 2003 DOJ_CIVIL $1,360,000
CHRISTUS Health Gulf Coast CHRISTUS Health False Claims Act and related 2002 DOJ_CIVIL $220,000
Christus Hospital (St.Elizabeth & St. Mary) CHRISTUS Health employment discrimination 2011 OFCCP $12,359
Christus Spohn Hospital CHRISTUS Health wage and hour violation 2006 WHD $14,545
CHRISTUS Spohn Hospital Corpus Christi - Shoreline CHRISTUS Health labor relations violation 2010 NLRB $26,789
CHRISTUS Health Plan CHRISTUS Health Medicare Parts C and D Enforcement Action 2017 CMS $7,080
CHRISTUS St. Vincent Regional Medical Center CHRISTUS Health False Claims Act and related 2017 DOJ_CIVIL $12,240,000
Christus Health CHRISTUS Health wage and hour violation 2017 WHD $14,900
Christus St. Vincent Regional Medical Center CHRISTUS Health employment discrimination 2020 EEOC $98,000
Christus Santa Rosa Hospital CHRISTUS Health insurance violation 2011 TX-INS $6,000
Christus Health Plan CHRISTUS Health insurance violation 2017 TX-INS $85,000
CHRISTUS Health Plan CHRISTUS Health insurance violation 2018 TX-INS $30,000
CHRISTUS SPOHN HOSPITAL MEMORIAL CHRISTUS Health workplace safety or health violation 2000 OSHA $5,715
Medco Health Solutions Inc. Cigna False Claims Act and related 2015 DOJ_CIVIL $7,900,000
Accredo Health Group Cigna kickbacks and bribery 2015 USAO $60,000,000
Bravo Health Pennsylvania, Inc. Cigna HHS civil monetary penalties 2013 HHSOIG $225,000
Express Scripts Medicare Cigna Medicare Parts C and D Enforcement Action 2014 CMS $334,300
Sterling Life Insurance Company Cigna Medicare Parts C and D Enforcement Action 2012 CMS $75,000
PRIORITY HEALTHCARE Cigna motor vehicle safety violation 2009 FMCSA $10,000
Medco Health Solutions Cigna False Claims Act and related 2006 DOJ_CIVIL $155,000,000
Express Scripts Medicare Cigna Medicare Parts C and D Enforcement Action 2016 CMS $5,325
Express Scripts, Inc. Cigna Controlled Substances Act violation 2012 DEA $2,750,000
Express Scripts, Inc Cigna wage and hour violation 2008 WHD $7,236
Cigna - Columbus Claim Cigna wage and hour violation 2004 WHD $566,688
Express Scripts, Inc. Cigna labor relations violation 2011 NLRB $9,500
Express Scripts Cigna labor relations violation 2010 NLRB $18,000
MEDCO HEALTH SOLUTIONS OF COLUMBUS WEST, LTD Cigna labor relations violation 2009 NLRB $31,562
Medco Health Solutions of Las Vegas, Inc. Cigna labor relations violation 2007 NLRB $27,742
Medco Health Solutions of Las Vegas, Inc. Cigna labor relations violation 2006 NLRB $2,204,000
Merck Medco Cigna labor relations violation 2003 NLRB $12,000
Merck-Medco Rx Services Cigna labor relations violation 2002 NLRB $9,000
Express Scripts d/b/a ValueRx Cigna labor relations violation 2000 NLRB $18,500
Specialty Distribution Services Inc. Cigna off-label or unapproved promotion of medical products 2007 USAO $10,500,000
Express Scripts Holding Company Cigna Medicare Parts C and D Enforcement Action 2017 CMS $213,000
Connecticut General Life Insurance Company Cigna wage and hour violation 2009 private lawsuit-federal $3,300,000
CIGNA CORPORATION Cigna environmental violation 2009 EPA $7,600
Medco Health Solutions Inc. Cigna benefit plan administrator violation 2004 private lawsuit-federal $42,500,000
CIGNA Corporation Cigna benefit plan administrator violation 2013 private lawsuit-federal $35,000,000
Connecticut General Life Insurance Cigna benefit plan administrator violation 2013 private lawsuit-federal $8,134,207
Accredo Health Group Cigna False Claims Act and related 2015 MULTI-AG (*) $14,939,401
Accredo Health Group, Inc. Cigna consumer protection violation 2018 NY-AG $375,000
Cigna Cigna consumer protection violation 2017 NY-AG $50,000
CIGNA Cigna consumer protection violation 2009 NY-AG $10,000,000
Cigna Corporation Cigna consumer protection violation 2014 NY-AG $56,000
CIGNA Health Care Cigna kickbacks and bribery 2004 CT-AG $870,388
CIGNA HealthCare Cigna consumer protection violation 2007 NY-AG $100,000
CIGNA Healthcare of New York Cigna consumer protection violation 2005 NY-AG $5,000
CIGNA Life Insurance Company Cigna consumer protection violation 2008 NY-AG $13,500,000
Express Scripts Cigna False Claims Act and related 2018 VT-AG $503,500
Express Scripts Inc. Cigna consumer protection violation 2008 MULTI-AG $9,500,000
Express Scripts, Inc. Cigna consumer protection violation 2008 NY-AG $13,500,000
Life Insurance of North America Cigna consumer protection violation 2013 MA-AG $1,500,000
Life Insurance of North America Cigna consumer protection violation 2012 MA-AG $1,705,000
Medco Health Solutions Cigna price-fixing or anti-competitive practices 2012 CA-AG $2,750,000
Medco Health Solutions, Inc. Cigna consumer protection violation 2004 MULTI-AG $29,100,000
Medco Health Solutions, Inc. Cigna False Claims Act and related 2005 OH-AG $7,800,000
Life Insurance Company of North America Cigna wage and hour violation 2018 WHD $241,149
Express Scripts Administrators, LLC Cigna insurance violation 2019 AR-INS $50,000
Life Insurance Company of North America Cigna insurance violation 2014 AZ-INS $54,000
Connecticut General Life Insurance Co. Cigna insurance violation 2015 AZ-INS $235,750
Cigna HealthCare of California, Inc. Cigna insurance violation 2001 CA-MHC $10,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2002 CA-MHC $5,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2002 CA-MHC $7,500
Cigna HealthCare of California, Inc. Cigna insurance violation 2003 CA-MHC $30,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2003 CA-MHC $7,500
Cigna HealthCare of California, Inc. Cigna insurance violation 2004 CA-MHC $5,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2004 CA-MHC $5,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2005 CA-MHC $5,000
CIGNA Behavioral Health of California, Inc. Cigna insurance violation 2005 CA-MHC $10,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2006 CA-MHC $5,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2006 CA-MHC $10,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2007 CA-MHC $350,000
Life Insurance Company of North America Cigna insurance violation 2009 CA-INS $600,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2010 CA-MHC $10,000
Cigna Cigna insurance violation 2010 CA-MHC $450,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2011 CA-MHC $7,500
Cigna HealthCare of California, Inc. Cigna insurance violation 2013 CA-MHC $15,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2013 CA-MHC $7,500
Cigna HealthCare of California, Inc. Cigna insurance violation 2014 CA-MHC $5,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2014 CA-MHC $6,000
CIGNA Behavioral Health of California, Inc. Cigna insurance violation 2014 CA-MHC $100,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2014 CA-MHC $10,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2014 CA-MHC $7,500
Cigna HealthCare of California, Inc. Cigna insurance violation 2015 CA-MHC $15,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2015 CA-MHC $70,000
CIGNA Behavioral Health of California, Inc. Cigna insurance violation 2016 CA-MHC $10,000
Cigna HealthCare of California, Inc. Cigna insurance violation 2016 CA-MHC $100,000
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