45,211 documented enforcement actions across 73 regulated industries
| Entity | Location | Year | Industry | Penalty | Deaths |
|---|---|---|---|---|---|
| ARIA OF BROOKFIELD | BROOKFIELD, WI | 2023 | Assisted Living / Long-Term Care | $453,512 | |
| DeKalb County, Georgia | Decatur, GA | 2003 | Community Water Systems | $453,000 | |
| Consolidation Coal Company | , | 2008 | Mining Operations | $452,744 | |
| Schuylkill County Conservation District (Virginia G. Kunigonis) | Pottsville, PA | 2007 | Conservation Districts | $452,186 | |
| Lehigh Southwest Cement Company | , | 2013 | Mining Operations | $451,924 | |
| Boston Waterproofing & Construction Corp. | Arlington, MA | 2023 | Construction Contractors | $451,694 | |
| Papich Construction Company, Inc. | , | 2023 | Mining Operations | $451,470 | |
| California’s Second-Largest Skilled Nursing Facility Operator | , CA | 2021 | Assisted Living / Long-Term Care | $451,439 | |
| Community Hospital | , HI | 2026 | Hospitals / Health Systems | $451,428 | |
| Owner Of Northeast Philadelphia Pharmacy Sentenced To 3 ½ Years For Conspiracy To Distribute Oxycodone And Fraud | , PA | 2026 | Independent Pharmacies | $451,328 | |
| Cook County Health | , IL | 2026 | Hospitals / Health Systems | $451,000 | |
| Alfred Beshai, MD and Mission Advanced Pain Management & Spine Center | , CA | 2026 | Healthcare General | $451,000 | |
| Austin Powder Company | , | 2012 | Mining Operations | $450,803 | |
| LAKEVIEW NURSING CENTER | GULFPORT, MS | 2023 | Assisted Living / Long-Term Care | $450,136 | |
| Bucks County Water and Sewer Authority | Doylestown, PA | 2014 | Community Water Systems | $450,000 | |
| Wise US Inc. | , | 2025 | Community Banks / Credit Unions | $450,000 | |
| Paige Industrial Services Agrees to | , MD | 2016 | Construction Contractors | $450,000 | |
| Midasco | , MD | 2017 | Construction Contractors | $450,000 | |
| INTERNATIONAL PAPER CO. | , | 1989 | Environmental Compliance | $450,000 | |
| Renal Dialysis Company | , | 2015 | Healthcare General | $450,000 | |
| Comenity Capital Bank | Salt Lake City, UT | 2015 | Community Banks / Credit Unions | $450,000 | |
| Charlotte Man Arrested And Charged With Stealing Identities Of Children And Clinicians To Commit Medicaid Fraud | , NC | 2026 | Physician Practices | $450,000 | |
| Lake Charles Physician, Wife, And Clinic | , LA | 2018 | Hospitals / Health Systems | $450,000 | |
| Federal-State Clean Water Act | , DE | 2021 | Behavioral Health | $450,000 | |
| Avon-based Home Health Company | , | 2026 | Home Health / Home Care | $450,000 | |
| Local Dermatologist, Cordova-based Medical Practice | , TN | 2026 | Physician Practices | $450,000 | |
| For-Profit Virginia School | , VA | 2023 | K-12 School Districts | $450,000 | |
| Colorado-Based Defense Contractor | , CO | 2016 | Clinical Laboratories | $450,000 | |
| School Counselor Sentenced To Two Years In Prison For Defrauding North Carolina Medicaid | , NC | 2026 | Behavioral Health | $450,000 | |
| Traverse City Physical Therapy And Home Health Practices | , MI | 2026 | Home Health / Home Care | $450,000 | |
| Missouri City physician | , MO | 2026 | Home Health / Home Care | $450,000 | |
| Attorney Reaches | , PA | 2016 | Construction Contractors | $450,000 | |
| Office of Attorney General reaches $450K | , PA | 2010 | Independent Pharmacies | $450,000 | |
| Clean Water Act | , DE | 2021 | Behavioral Health | $450,000 | |
| Drug Diversion Claims Against CVS Health Corp. | , RI | 2015 | Independent Pharmacies | $450,000 | |
| MTM AMERICAS - HARDWICKE DIVISION | , | 1995 | Environmental Compliance | $450,000 | |
| California’s Second-Largest Skilled Nursing Facility Operator | , CA | 2026 | Assisted Living / Long-Term Care | $450,000 | |
| Newark Hospital | , NJ | 2026 | Hospitals / Health Systems | $450,000 | |
| Physician and Office Manager | , KY | 2026 | Physician Practices | $450,000 | |
| Miami Valley Bank | Lakeview, OH | 2014 | Community Banks / Credit Unions | $450,000 | |
| Canyon Fuel Company LLC | , | 2024 | Mining Operations | $449,642 | |
| A4S LLC | Breckenridge, CO | 2021 | Construction Contractors | $449,583 | 1 |
| Pinnacle Mining Company LLC | , | 2015 | Mining Operations | $449,205 | |
| Richmond Psychotherapist Convicted Of Health Care Fraud | , VA | 2026 | Physician Practices | $449,014 | |
| S & H Mining, Inc. | , | 2012 | Mining Operations | $448,924 | |
| Jacksonville Cardiovascular Practice | , FL | 2017 | Physician Practices | $448,821 | |
| Mountain Orthopaedics | , UT | 2026 | Physician Practices | $448,000 | |
| Process Energy | , | 2014 | Mining Operations | $447,829 | |
| QUAKER STATE CORPORATION | , | 1992 | Environmental Compliance | $447,594 | |
| Salyersville Nursing and Rehabilitation Center | Salyersville, KY | 2019 | Assisted Living / Long-Term Care | $447,485 |