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Top 5 Offense Groups (Groups Defined)	Penalty Total	Number of Records
employment-related offenses	$270,534,110	30
government-contracting-related offenses	$48,494,772	12
competition-related offenses	$7,829,879	2
healthcare-related offenses	$4,202,617	3
consumer-protection-related offenses	$263,000	2

Top 5 Primary Offense Types	Penalty Total	Number of Records
benefit plan administrator violation	$266,485,424	3
False Claims Act and related	$48,494,772	12
price-fixing or anti-competitive practices	$7,829,879	2
HHS civil monetary penalties	$4,172,617	2
wage and hour violation	$3,726,544	13

Notes: Parent-subsidiary linkages are based on relationships current as of the latest revision listed in the Update Log, which may vary from what was the case when a violation occurred. The penalty totals are adjusted to account for the fact that the individual entries below 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. The totals 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 list below.

Individual Penalty Records:

Click on the company or penalty amount for more information on each case.

Company	Primary Offense Type	Year	Agency	Penalty Amount
Saint Francis Hospital and Medical Center	benefit plan administrator violation	2016	private lawsuit-federal	$107,000,000
Trinity Health Corporation	benefit plan administrator violation	2017	private lawsuit-federal	$84,485,424
Trinity Health Corporation	benefit plan administrator violation	2017	private lawsuit-federal	$75,000,000
Catholic Health East	False Claims Act and related	2015	DOJ_CIVIL	$11,000,000
Mercy Health System	False Claims Act and related	2010	USAO	$7,920,708
Trinity Health	False Claims Act and related	2015	DOJ_CIVIL	$5,995,000
Trinity Health	price-fixing or anti-competitive practices	2013	private lawsuit-federal	$5,144,257
St. Joseph Mercy-Oakland	HHS civil monetary penalties	2005	HHSOIG	$4,000,000
St. Francis Hospital	False Claims Act and related	2015	USAO	$4,000,000
Trinity Health	False Claims Act and related	2013	DOJ_CIVIL	$3,910,017
St. Mary Medical Center	False Claims Act and related	2010	USAO	$3,283,725
St. Joseph's Hospital Health Center	False Claims Act and related	2016	USAO	$3,200,000
St. Joseph's Hospital Health Center	False Claims Act and related	2016	NY-AG	$3,200,000
Holy Cross Hospital	False Claims Act and related	2001	DOJ_CIVIL	$2,830,208
St. Peter's Health Care Services	wage and hour violation	2011	private lawsuit-federal	$2,685,622
St. Peter's Health Care Services	price-fixing or anti-competitive practices	2011	private lawsuit-federal	$2,685,622
St. Mary Medical Center	False Claims Act and related	2014	USAO	$2,339,224
Saint Francis Hospital and Medical Center	False Claims Act and related	2011	USAO	$516,527
St. Joseph's Hospital Health Center, Inc	wage and hour violation	2016	WHD	$363,730
Trinity Health Corp.	wage and hour violation	2024	private lawsuit-federal	$325,000
St. Francis Hospital and Medical Center	False Claims Act and related	2005	USAO	$299,363
Trinity Health Systems	Americans with Disabilities Act	2012	DOJ_RIGHTS	$218,000
St. Mary Medical Center	HHS civil monetary penalties	2009	HHSOIG	$172,617
Trinity Home Health Services	wage and hour violation	2017	WHD	$164,182
Mercy Medical Center d/b/a Providence Behavioral Health Hospital	labor relations violation	2020	NLRB	$62,441
MERCY MEDICAL CENTER D/B/A PROVIDENCE BEHAVIORAL HEALTH HOSPITAL	labor relations violation	2015	NLRB	$58,409
MERCY HEALTH SYSTEMS	workplace safety or health violation	2017	OSHA	$46,193
St. Francis Hospital and Medical Center	Americans with Disabilities Act	2015	HHSOCR	$45,000
Mercy Hospital and Medical Center	labor relations violation	2002	NLRB	$44,542
Trinity Health	wage and hour violation	2009	WHD	$35,552
Johnson Memorial Hospital Inc.	wage and hour violation	2005	WHD	$34,366
St Mary Mercy Hospital	wage and hour violation	2022	MI-LEO	$32,256
Trinity Health	Medicare Parts C and D Enforcement Action	2016	CMS	$30,000
Loyola University Medical Center	labor relations violation	2023	NLRB	$29,791
TRINITY HEALTH CORPORATION	wage and hour violation	2012	WHD	$27,806
ST FRANCIS MEDICAL CENTER	environmental violation	2021	NJ-ENV	$27,500
Trinity Health Corporation	employment discrimination	2012	EEOC	$25,000
St. Peter's Health Care Services, Inc.	wage and hour violation	2009	WHD	$21,998
Mercy Health System	labor relations violation	2000	NLRB	$20,000
Mercy Health Partners, Hackley Campus	labor relations violation	2015	NLRB	$18,800
TRINITY HEALTH OF NEW ENGLAND	workplace safety or health violation	2021	OSHA	$15,311
Loyola University Medical Center	air pollution violation	2024	IL-ENV	$15,300
St. Francis Hospital, Inc.	environmental violation	2012	DE-ENV	$15,139
St. Francis Hospital, Inc.	environmental violation	2015	DE-ENV	$14,974
Trinity Health	wage and hour violation	2021	WHD	$13,996
ST FRANCIS MEDICAL CTR	hazardous waste violation	2014	NJ-ENV	$13,500
NAZARETH HOSPITAL	workplace safety or health violation	2011	OSHA	$13,000
St. Joseph Mercy Hospital	labor relations violation	2004	NLRB	$12,987
SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC.	workplace safety or health violation	2021	OSHA	$11,704
Mease Dunedin Hospital	labor relations violation	2010	NLRB	$11,383
ST. FRANCIS HOSPITAL	workplace safety or health violation	2011	OSHA	$10,850
SAINT JOSEPH OF THE PINES, INC.	workplace safety or health violation	2012	OSHA	$10,150
St. Mary Mercy Hospital	labor relations violation	2011	NLRB	$10,000
St. Peter's Hospital of the City of Albany	environmental violation	2017	NY-ENV	$9,900
Trinity Health	wage and hour violation	2011	WHD	$9,143
Mercy Health Partners, Hackley Campus	labor relations violation	2016	NLRB	$9,085
ST. PETER'S HEALTH CARE SERVICES	workplace safety or health violation	2014	OSHA	$7,800
Holy Cross Hospital, Inc.	Family and Medical Leave Act	2014	WHD	$7,354
Mercy Health Partners, Hackley Campus	labor relations violation	2019	NLRB	$7,150
ST. FRANCIS MEDICAL CENTER	workplace safety or health violation	2018	OSHA	$6,929
LOYOLA UNIVERSITY MEDICAL CENTER	wage and hour violation	2016	IL-DOL	$6,736
St Mary Mercy Hospital	wage and hour violation	2015	MI-LEO	$6,157
St. Joseph Mercy Hospital	nuclear safety violation	2003	NRC	$6,000
ST JOSEPH MERCY HOSPITAL	workplace safety or health violation	2001	OSHA	$5,850
JOHNSON MEMORIAL HOSPITAL, INC.	workplace safety or health violation	2018	OSHA	$5,684
LOYOLA UNIVERSITY HEALTH SYSTEM	workplace safety or health violation	2012	OSHA	$5,600
ST. FRANCIS HOSPITAL & MEDICAL CENTER	workplace safety or health violation	2016	OSHA	$5,300
Mercy Health Partners, Hackley Campus	labor relations violation	2013	NLRB	$5,200
SAINT AGNES MEDICAL CENTER	workplace safety or health violation	2019	OSHA	$5,000