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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
VITAS HEALTHCAREChemedworkplace safety or health violation2022OSHA$10,151
CHEMED CORPChemedworkplace safety or health violation2022OSHA$5,625
ROTO-ROOTER SERVICES COMPANYChemedworkplace safety or health violation2023OSHA$8,375
Children's Hospital Los AngelesChildren's Hospital Los Angeleswage and hour violation2016private lawsuit-state$27,000,000
CHILDRENS HOSPITAL LOS ANGELESChildren's Hospital Los Angelesbenefit plan administrator violation2020EBSA$10,001
CHILDRENS HOSPITAL LOS ANGELESChildren's Hospital Los Angelesbenefit plan administrator violation2021EBSA$10,000
Children's Hospital of Los AngelesChildren's Hospital Los Angelesenvironmental violation2009CA-SCAQMD$10,000
Children's Hospital of Los AngelesChildren's Hospital Los Angelesenvironmental violation2005CA-SCAQMD$7,500
CHILDRENS HOSPITAL LOS ANGELESChildren's Hospital Los Angelesbenefit plan administrator violation2021EBSA$50,001
CHILDRENS HOSPITAL LOS ANGELESChildren's Hospital Los Angelesbenefit plan administrator violation2021EBSA$50,001
CHILDREN'S HOSPITAL LOS ANGELESChildren's Hospital Los Angelesworkplace safety or health violation2020OSHA$35,750
Children's Hospital and Children's National Medical Center Inc.Children's National Medical CenterFalse Claims Act and related2015DOJ_CIVIL$12,900,000
Children's National Medical CenterChildren's National Medical Centerenvironmental violation2010DC-ENV$20,000
Christiana Care Health Services, Inc.ChristianaCareFalse Claims Act and related2015DOJ_CIVIL$2,500,000
ChristianaCareChristianaCareFalse Claims Act and related2024USAO$42,500,000
Christiana Care Health SystemChristianaCareFalse Claims Act and related2023DE-AG$7,666,379
CHRISTUS HealthCHRISTUS HealthFalse Claims Act and related2015DOJ_CIVIL$4,500,000
Christus HealthCHRISTUS HealthFalse Claims Act and related2003DOJ_CIVIL$1,360,000
CHRISTUS Health Gulf CoastCHRISTUS HealthFalse Claims Act and related2002DOJ_CIVIL$220,000
Christus Hospital (St.Elizabeth & St. Mary)CHRISTUS Healthemployment discrimination2011OFCCP$12,359
Christus Spohn HospitalCHRISTUS Healthwage and hour violation2006WHD$14,545
CHRISTUS Spohn Hospital Corpus Christi - ShorelineCHRISTUS Healthlabor relations violation2010NLRB$26,789
CHRISTUS Health PlanCHRISTUS HealthMedicare Parts C and D Enforcement Action2017CMS$7,080
CHRISTUS St. Vincent Regional Medical CenterCHRISTUS HealthFalse Claims Act and related2017DOJ_CIVIL$12,240,000
Christus HealthCHRISTUS Healthwage and hour violation2017WHD$14,900
Christus St. Vincent Regional Medical CenterCHRISTUS Healthemployment discrimination2020EEOC$98,000
Christus Santa Rosa HospitalCHRISTUS Healthinsurance violation2011TX-INS$6,000
Christus Health PlanCHRISTUS Healthinsurance violation2017TX-INS$85,000
CHRISTUS Health PlanCHRISTUS Healthinsurance violation2018TX-INS$30,000
Christus HealthCHRISTUS Healthenvironmental violation2015TX-ENV$9,439
Christus HealthCHRISTUS Healthenvironmental violation2014TX-ENV$5,400
Christus St. Vincent HospitalCHRISTUS HealthFalse Claims Act and related2021USAO$563,809
CHRISTUS Health PlanCHRISTUS Healthinsurance violation2022TX-INS$225,000
CHRISTUS Good Shepherd Medical CenterCHRISTUS Healthinsurance violation2021TX-INS$5,000
CHRISTUS SPOHN HOSPITAL MEMORIALCHRISTUS Healthworkplace safety or health violation2000OSHA$5,715
CHRISTUS SHREVEPORT- BOSSIER HEALTH SYSTEM- HIGHLANDCHRISTUS Healthworkplace safety or health violation2020OSHA$13,494
Medco Health Solutions Inc.CignaFalse Claims Act and related2015DOJ_CIVIL$7,900,000
Accredo Health GroupCignakickbacks and bribery2015USAO$60,000,000
Bravo Health Pennsylvania, Inc.CignaHHS civil monetary penalties2013HHSOIG$225,000
Express Scripts MedicareCignaMedicare Parts C and D Enforcement Action2014CMS$334,300
Sterling Life Insurance CompanyCignaMedicare Parts C and D Enforcement Action2012CMS$75,000
Medco Health SolutionsCignaFalse Claims Act and related2006DOJ_CIVIL$155,000,000
Express Scripts MedicareCignaMedicare Parts C and D Enforcement Action2016CMS$5,325
Express Scripts, Inc.CignaControlled Substances Act violation2012DEA$2,750,000
Express Scripts, IncCignawage and hour violation2008WHD$7,236
Cigna - Columbus ClaimCignawage and hour violation2004WHD$566,688
Express Scripts, Inc.Cignalabor relations violation2011NLRB$9,500
Express ScriptsCignalabor relations violation2010NLRB$18,000
MEDCO HEALTH SOLUTIONS OF COLUMBUS WEST, LTDCignalabor relations violation2009NLRB$31,562
Medco Health Solutions of Las Vegas, Inc.Cignalabor relations violation2007NLRB$27,742
Medco Health Solutions of Las Vegas, Inc.Cignalabor relations violation2006NLRB$2,204,000
Merck MedcoCignalabor relations violation2003NLRB$12,000
Merck-Medco Rx ServicesCignalabor relations violation2002NLRB$9,000
Express Scripts d/b/a ValueRxCignalabor relations violation2000NLRB$18,500
Express Scripts Holding CompanyCignaMedicare Parts C and D Enforcement Action2017CMS$213,000
Connecticut General Life Insurance CompanyCignawage and hour violation2009private lawsuit-federal$3,300,000
Medco Health Solutions Inc.Cignabenefit plan administrator violation2004private lawsuit-federal$42,500,000
CIGNA CorporationCignabenefit plan administrator violation2013private lawsuit-federal$35,000,000
Connecticut General Life InsuranceCignabenefit plan administrator violation2013private lawsuit-federal$8,134,207
Accredo Health GroupCignaFalse 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. $14,939,401
Accredo Health Group, Inc.Cignaconsumer protection violation2018NY-AG$375,000
CignaCignaconsumer protection violation2017NY-AG$50,000
CIGNACignaconsumer protection violation2009NY-AG$10,000,000
Cigna CorporationCignaconsumer protection violation2014NY-AG$56,000
CIGNA Health CareCignakickbacks and bribery2004CT-AG$870,388
CIGNA HealthCareCignaconsumer protection violation2007NY-AG$100,000
CIGNA Healthcare of New YorkCignaconsumer protection violation2005NY-AG$5,000
CIGNA Life Insurance CompanyCignaconsumer protection violation2008NY-AG$13,500,000
Express ScriptsCignaFalse Claims Act and related2018VT-AG$503,500
Express Scripts Inc.Cignaconsumer protection violation2008MULTI-AG$9,500,000
Express Scripts, Inc.Cignaconsumer protection violation2008NY-AG$13,500,000
Life Insurance of North AmericaCignaconsumer protection violation2013MA-AG$1,500,000
Life Insurance of North AmericaCignaconsumer protection violation2012MA-AG$1,705,000
Medco Health SolutionsCignaprice-fixing or anti-competitive practices2012CA-AG$2,750,000
Medco Health Solutions, Inc.Cignaconsumer protection violation2004MULTI-AG$29,100,000
Medco Health Solutions, Inc.CignaFalse Claims Act and related2005OH-AG$7,800,000
Life Insurance Company of North AmericaCignawage and hour violation2018WHD$241,149
Express Scripts Administrators, LLCCignainsurance violation2019AR-INS$50,000
Life Insurance Company of North AmericaCignainsurance violation2014AZ-DIFI$54,000
Connecticut General Life Insurance Co.Cignainsurance violation2015AZ-DIFI$235,750
Cigna HealthCare of California, Inc.Cignainsurance violation2001CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2002CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2002CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2003CA-MHC$30,000
Cigna HealthCare of California, Inc.Cignainsurance violation2003CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2004CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2004CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2005CA-MHC$5,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2005CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2006CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2006CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2007CA-MHC$350,000
Life Insurance Company of North AmericaCignainsurance violation2009CA-INS$600,000
Cigna HealthCare of California, Inc.Cignainsurance violation2010CA-MHC$10,000
CignaCignainsurance violation2010CA-MHC$450,000
Cigna HealthCare of California, Inc.Cignainsurance violation2011CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2013CA-MHC$15,000
Cigna HealthCare of California, Inc.Cignainsurance violation2013CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$6,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2014CA-MHC$100,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.