45,211 documented enforcement actions across 73 regulated industries
| Entity | Location | Year | Industry | Penalty | Deaths |
|---|---|---|---|---|---|
| Hospital Authority Of Irwin County | , GA | 2026 | Hospitals / Health Systems | $520,000 | |
| Former Delaware Nurse Practitioner | , DE | 2026 | DME Suppliers | $520,000 | |
| GIANT CEMENT COMPANY | , | 1995 | Environmental Compliance | $520,000 | |
| Vascular Solutions Inc. | , MN | 2026 | Physician Practices | $520,000 | |
| Hospital Authority Of Irwin County | , GA | 2015 | Hospitals / Health Systems | $520,000 | |
| Spartan Mining Company, LLC | , | 2025 | Mining Operations | $519,924 | |
| Doctors' Anesthesia Associates | , VA | 2026 | Physician Practices | $519,000 | |
| United States Steel Corp-Minnesota Ore Operations | , | 2021 | Mining Operations | $518,795 | |
| Reaches | , MD | 2018 | Hospitals / Health Systems | $518,479 | |
| Sunset Rehabilitation and Health Care | CANTON, IL | 2023 | Assisted Living / Long-Term Care | $518,295 | |
| Medical Center Health System and Medical Center Hospital, and MCH Professional Care, | , TX | 2026 | Hospitals / Health Systems | $518,000 | |
| United Family Practice Health Center | , MN | 2026 | FQHCs / Community Health Centers | $518,000 | |
| North American Quarry & Constr | , | 2017 | Mining Operations | $517,700 | |
| A & G Coal Corporation | , | 2018 | Mining Operations | $517,353 | |
| Sapphire Coal Company | , | 2012 | Mining Operations | $515,850 | |
| Elk Run Coal Company Inc | , | 2015 | Mining Operations | $515,827 | |
| Raytheon Technologies and Subsidiary | , CT | 2021 | Construction Contractors | $515,625 | |
| Louisville Physician | , | 2026 | Physician Practices | $515,408 | |
| Barrick Goldstrike Mines Inc | , | 2015 | Mining Operations | $515,152 | |
| Sutter Health | , CA | 2026 | Hospitals / Health Systems | $515,000 | |
| A1 Pharmacy & Surgical Supply | , NC | 2026 | Independent Pharmacies | $515,000 | |
| Civil Rights | , NY | 2015 | Clinical Laboratories | $515,000 | |
| Lawrence Physician | , | 2026 | Physician Practices | $515,000 | |
| Gateway Eagle Coal Company, LLC | , | 2015 | Mining Operations | $514,789 | |
| Nevada Gold Mines LLC | , | 2024 | Mining Operations | $514,172 | |
| Diversicare Healthcare Services | , DE | 2026 | Healthcare General | $514,000 | |
| Walgreen Co. | , | 2026 | Ambulance / Medical Transport | $512,000 | |
| Ten-Mile Coal Co., Inc. | , | 2015 | Mining Operations | $511,212 | |
| Holcim (US) Inc. | , | 2019 | Mining Operations | $511,207 | |
| Government Contractor | , VA | 2022 | Construction Contractors | $510,991 | |
| Oxbow Mining, LLC | , | 2010 | Mining Operations | $510,962 | |
| Texas Independent Diagnostic Testing Facility | , TX | 2017 | Clinical Laboratories | $510,938 | |
| Whispering Pines Lodge | Longview, TX | 2024 | Assisted Living / Long-Term Care | $510,605 | |
| Gunnison Valley Bank | Gunnison, UT | 2021 | Community Banks / Credit Unions | $510,000 | |
| Owner of Drug Testing Lab Sentenced in Medicare Kickback Scheme | , NV | 2026 | Clinical Laboratories | $510,000 | |
| Havasu Regional Medical Center | , AZ | 2026 | Hospitals / Health Systems | $510,000 | |
| Marfork Coal Company, LLC | , | 2017 | Mining Operations | $509,454 | |
| Lake Oswego Resident | , OR | 2025 | Community Banks / Credit Unions | $509,000 | |
| Oak Grove Resources LLC | , | 2016 | Mining Operations | $508,544 | |
| MAPLEWOOD CENTER | WEST ALLIS, WI | 2023 | Assisted Living / Long-Term Care | $508,068 | |
| MAPLEWOOD CENTER | WEST ALLIS, WI | 2022 | Assisted Living / Long-Term Care | $508,068 | |
| OB/GYN Physician Agrees | , MD | 2014 | Physician Practices | $507,500 | |
| OB/GYN Physician | , MD | 2026 | Physician Practices | $507,500 | |
| Nexus at Alton | ALTON, IL | 2023 | Assisted Living / Long-Term Care | $507,317 | |
| Bluestone Oil Corporation | , | 2022 | Mining Operations | $507,201 | |
| Multivision Inc. | Naperville, IL | 2008 | Veterinary Practices | $507,000 | |
| Leeco Incorporated | , | 2012 | Mining Operations | $506,790 | |
| ICG Hazard, LLC | , | 2010 | Mining Operations | $506,077 | |
| Woman Sentenced to Prison for $500K Health Care Fraud Scheme | , NC | 2026 | Healthcare General | $506,000 | |
| Cumberland Coal Resources LP | , | 2017 | Mining Operations | $505,678 |