45,211 documented enforcement actions across 73 regulated industries
| Entity | Location | Year | Industry | Penalty | Deaths |
|---|---|---|---|---|---|
| New Jersey Regional Medical Center | , NJ | 2026 | Hospitals / Health Systems | $435,640 | |
| St. Helena Parish Nursing Home | Greensburg, LA | 2024 | Assisted Living / Long-Term Care | $435,432 | |
| Atlas Healthcare | , WI | 2026 | Healthcare General | $435,000 | |
| Buckner Elam Medical and Setal Rana | , TX | 2026 | Healthcare General | $435,000 | |
| LEFFLER, CARLOS, R. INC. | , | 1999 | Environmental Compliance | $435,000 | |
| Warrior Met Coal Mining, LLC | , | 2024 | Mining Operations | $434,558 | |
| City of Athol, Idaho | Athol, ID | 2010 | Municipal Government | $434,112 | |
| Lighthouse Shelter | Marshall, MO | 2008 | Social Services / Nonprofits | $433,688 | |
| AVIATA AT THE PALMS | PALM HARBOR, FL | 2023 | Assisted Living / Long-Term Care | $433,464 | |
| Amsterdam Medical Practice | , NY | 2026 | Physician Practices | $433,000 | |
| American Coal Company | , | 2009 | Mining Operations | $432,890 | |
| AUSTIN OASIS, THE | CHICAGO, IL | 2023 | Assisted Living / Long-Term Care | $432,708 | |
| Solar Coal Company | , | 2009 | Mining Operations | $432,351 | |
| Vassar Brother Medical Center | , NY | 2026 | Hospitals / Health Systems | $432,000 | |
| Palo Alto Medical Foundation | , CA | 2026 | Social Services / Nonprofits | $432,000 | |
| Pine Ridge Coal Company LLC | , | 2011 | Mining Operations | $431,702 | |
| Coshocton Metropolitan Housing Authority | Coshocton, OH | 2012 | Public Housing | $431,668 | |
| HILTON DAVIS CHEMICAL COMPANY | , | 1993 | Environmental Compliance | $431,500 | |
| PIERREMONT HEALTHCARE CENTER | SHREVEPORT, LA | 2023 | Assisted Living / Long-Term Care | $431,489 | |
| PIERREMONT HEALTHCARE CENTER | SHREVEPORT, LA | 2022 | Assisted Living / Long-Term Care | $431,489 | |
| Dominion Coal Corporation | , | 2015 | Mining Operations | $431,214 | |
| Decatur Hospital Authority, d/b/a Wise Health System in Decatur, Texas will | , TN | 2019 | Hospitals / Health Systems | $431,182 | |
| Decatur Hospital Authority, d/b/a Wise Health System in Decatur, Texas | , TX | 2026 | Hospitals / Health Systems | $431,182 | |
| Healthcare Authority for Medical West | , AL | 2026 | Healthcare General | $431,000 | |
| Compassion Hospice, Inc. | Beaumont, TX | 2019 | Hospice | $430,752 | |
| Asarco LLC | , | 2013 | Mining Operations | $430,328 | |
| VWR International, LLC | , PA | 2018 | Clinical Laboratories | $430,194 | |
| Emergency Ambulance Service | , NY | 2022 | Assisted Living / Long-Term Care | $430,000 | |
| Somerset County Man Sentenced to 50 Months in Prison for Role in Medicare Fraud | , NJ | 2026 | Social Services / Nonprofits | $430,000 | |
| Compassion Hospice | , TX | 2026 | Hospice | $430,000 | |
| Southern Oregon Hospital System and Physician | , OR | 2026 | Hospitals / Health Systems | $430,000 | |
| Bakersfield Medical Practice | , | 2021 | Physician Practices | $430,000 | |
| AG Healey Secures $430,000 From Springfield Home Health Agency To | , | 2026 | Home Health / Home Care | $430,000 | |
| Pain Management Physician | , GA | 2016 | Physician Practices | $430,000 | |
| Alex Energy Inc | , | 2012 | Mining Operations | $429,613 | |
| Harmony Care at Beaumont | Beaumont, TX | 2024 | Assisted Living / Long-Term Care | $429,546 | |
| Wolf Run Mining Company | , | 2014 | Mining Operations | $429,271 | |
| Austin Emergency Center and Affiliates | , TX | 2025 | Physician Practices | $429,231 | |
| Marfork Coal Company, LLC | , | 2019 | Mining Operations | $429,002 | |
| Med Solutions | , NJ | 2026 | Physician Practices | $429,000 | |
| Hospice by the Sea, Inc. | Florida, FL | 2011 | Hospice | $428,935 | |
| Physician and Wife | , TN | 2018 | Physician Practices | $428,700 | |
| M-Class Mining LLC | , | 2018 | Mining Operations | $428,330 | |
| Independence Rehab and Nursing | PHILADELPHIA, PA | 2023 | Assisted Living / Long-Term Care | $428,246 | |
| Las Palomas Center | Albuquerque, NM | 2024 | Assisted Living / Long-Term Care | $428,126 | |
| Physician and Wife | , TN | 2009 | Physician Practices | $428,000 | |
| Hospice by the Sea | , FL | 2026 | Hospice | $428,000 | |
| White County Coal, LLC | , | 2012 | Mining Operations | $427,847 | |
| Connecticut Physiatrist and Practice | , CT | 2025 | Municipal Government | $427,129 | |
| Connecticut Physiatrist and Practice | , CT | 2026 | Healthcare General | $427,129 |