HCA Healthcare: Pay Billions in Fines under False Claims Act (FCA) Settlements

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HCA Healthcare Violation Tracker

Republished Oct 22, 2022

Washington, September 26, 2016 — Since the beginning of 2010, drug manufacturers, hospital systems, insurers and other healthcare companies have paid nearly $7 billion in fines and settlements to resolve cases in which they were accused of defrauding the federal government.

Banks, led by Wells Fargo, account for the second largest portion of False Claims Act penalties, with more than $3 billion in payments.

More than one-third of the 100 largest federal contractors have been defendants in such cases during the seven-year period.

These are some of the key findings that emerge from an expansion of Violation Tracker, a database of corporate crime and misconduct produced by the Corporate Research Project of Good Jobs First.

It is available to the public for free at

https://goodjobsfirst.org/violation-tracker

With the addition of more than 750 cases relating to the 150-year-old False Claims Act and similar laws, Violation Tracker now contains a total of 112,000 entries from 30 federal regulatory agencies and all divisions of the Justice Department.

“The inclusion of False Claims Act cases is another milestone in our ongoing effort to make Violation Tracker a comprehensive data resource on corporate crime and regulatory misconduct,”

said Philip Mattera, who heads the Corporate Research Project and leads the work on Violation Tracker.

Mattera noted that the database’s expansion plans include employment discrimination and wage and hour cases as well as violations at the state level and in selected foreign countries.

Among the newly added cases involving healthcare companies, the largest is the $784 million settlement the Justice Department reached last April with Pfizer and its subsidiary Wyeth to resolve allegations that they overcharged the Medicaid program.

DaVita HealthCare Partners, a leading dialysis provider, was involved in the next two largest cases, in which it had to pay a total of $800 million to resolve allegations that it engaged in wasteful practices and paid referral kickbacks while providing services covered under Medicare and other federal health programs.

Wells Fargo accounts for the largest banking-related penalty and the largest False Claims Act case overall in the new data: a $1.2 billion settlement earlier this year to resolve allegations that the bank falsely certified to the Department of Housing and Urban Development that certain residential home mortgage loans were eligible for Federal Housing Administration insurance, with the result that the government had to pay FHA insurance claims when some of those loans defaulted.

Thirty-five of the 100 largest federal contractors (in FY2015) have paid fines or settlements totaling $1.8 billion in False Claims Act-related cases since the beginning of 2010.

The biggest contractor, Lockheed Martin, paid a total of $50 million in four cases, while number two Boeing paid a total of $41 million in two cases.

The database has also added new search features, such as the ability to search by 49 different types of offenses, ranging from mortgage abuses to drug safety violations. Users can view summary pages for each type of offense, showing which parent companies have the most penalties in the category.

Penalty summary pages for parents, industries and agencies now also contain tables showing the most common offenses. Users can add one or more offense type to other variables in their searches.

Among types of offenses, the largest penalty total comes from cases involving the packaging and sale of toxic securities in the period leading up to the financial meltdown in 2008. The top-ten primary case types are as follows:

1. Toxic securities abuses: $68 billion

2. Environmental violations: $63 billion

3. Mortgage abuses: $43 billion

4. Other banking violations: $18 billion

5. Economic sanction violations: $14 billion

6. Off-label/unapproved promotion of medical products: $12 billion

7. False Claims Act cases: $11 billion

8. Consumer protection violations: $9 billion

9. Interest rate benchmark manipulation: $7 billion

10. Foreign Corrupt Practices Act cases: $6 billion

Good Jobs First is a Washington, DC-based resource center promoting corporate and government accountability in economic development subsidies and smart growth for working families.

Its Corporate Research Project provides research resources for organizations and individuals concerned about corporate accountability.

The initial version of Violation Tracker was supported by a grant from the Bauman Foundation.

COMPANYCURRENT PARENTCURRENT PARENT INDUSTRYPRIMARY OFFENSE TYPEYEARAGENCYPENALTY AMOUNTsort icon
HCA-The Healthcare CompanyHCA Healthcarehealthcare servicesFalse Claims Act and related2000DOJ_CIVIL$840,000,000
HCA Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2003DOJ_CIVIL$631,000,000
HCA Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2003MULTI-AG$17,500,000
HCA Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2012DOJ_CIVIL$16,500,000
HCA Holdings, Inc. a/k/a Hospital Corporation of AmericaHCA Healthcarehealthcare servicesFalse Claims Act and related2015DOJ_CIVIL$15,800,000
HCA-The Healthcare CompanyHCA Healthcarehealthcare servicesFalse Claims Act and related2000MULTI-AG(*) $13,600,000
Hospital Corporation of AmericaHCA Healthcarehealthcare serviceskickbacks and bribery2017USAO$8,600,000
HCAHCA Healthcarehealthcare servicesFalse Claims Act and related2013DOJ_CIVIL$7,145,842
HCA, Inc.HCA Healthcarehealthcare servicesbenefit plan administrator violation2009private lawsuit-federal$3,000,000
Citrus Memorial Health SystemHCA Healthcarehealthcare servicesFalse Claims Act and related2015USAO$2,600,000
HCA Holdings Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2015USAO$2,000,000
HCA Inc.HCA Healthcarehealthcare servicesFalse Claims Act and related2001DOJ_CIVIL$1,929,255
Doctors Hospital of Augusta, LLCHCA Healthcarehealthcare servicesFalse Claims Act and related2013USAO$1,000,000
HCAHCA Healthcarehealthcare servicesFalse Claims Act and related2004UT-AG$856,961
Columbia/HCAHCA Healthcarehealthcare servicesFalse Claims Act and related2000NV-AG$405,000
HCA Inc.HCA Healthcarehealthcare servicesprice-fixing or anti-competitive practices2003FL-AG$240,000
Doctors Hospital of AugustaHCA Healthcarehealthcare servicesHHS civil monetary penalties2019HHSOIG$180,000
FORT WALTON BEACH MEDICAL CENTER, INCHCA Healthcarehealthcare servicesenvironmental violation2021EPA$118,400
Southern Hills Medical CenterHCA Healthcarehealthcare servicesemployment discrimination2009EEOC$70,000
Palms West HospitalHCA Healthcarehealthcare servicesHHS civil monetary penalties2015HHSOIG$50,000
Palms West HospitalHCA Healthcarehealthcare servicesHHS civil monetary penalties2009HHSOIG$50,000
Mercy HospitalHCA Healthcarehealthcare servicesHHS civil monetary penalties2014HHSOIG$45,000
HCA Midwest Division d/b/a Belton Regional Medical CenterHHS civil monetary penalties2016HHSOIG$40,000
HCA HealthServices of Virginia, Inc.HCA Healthcarehealthcare servicesenvironmental violation2020VA-ENV$35,275
Columbia/HCA John Randolph, Inc.HCA Healthcarehealthcare servicesenvironmental violation2014VA-ENV$26,900
North Florida Regional Medical CenterHCA Healthcarehealthcare servicesemployment discrimination2015OFCCP$25,230
Columbia/HCA Healthcare CorporationHCA Healthcarehealthcare servicesFamily and Medical Leave Act2013WHD$24,065
Columbia/HCA John Randolph, Inc.HCA Healthcarehealthcare servicesenvironmental violation2020VA-ENV$19,500
HCA Health Services of Virginia, Inc.HCA Healthcarehealthcare servicesenvironmental violation2011VA-ENV$18,000
HCA MIDWEST DIVISIONworkplace safety or health violation2013OSHA$18,000
Chippenham & Johnston-Willis Hospitals, Inc.HCA Healthcarehealthcare servicesenvironmental violation2018VA-ENV$15,663
Chippenham & Johnston-Willis Hospitals, IncHCA Healthcarehealthcare servicesenvironmental violation2020VA-ENV$14,430
HCA HealthcareHCA Healthcarehealthcare servicesFamily and Medical Leave Act2012WHD$14,344
HCA MIDWEST DIVISIONworkplace safety or health violation2013OSHA$14,000
OSCEOLA REGIONAL HOSPITAL, INC.HCA Healthcarehealthcare servicesworkplace safety or health violation2020OSHA$13,653
HCA Healthcare, Inc.HCA Healthcarehealthcare servicesenvironmental violation2019VA-ENV$13,050
HCA Health Services of Oklahoma, Inc.HCA Healthcarehealthcare serviceswage and hour violation2014WHD$11,620
Park Plaza HospitalHCA Healthcarehealthcare servicesHHS civil monetary penalties2007HHSOIG$11,250
OSCEOLA REGIONAL MEDICAL CENTERHCA Healthcarehealthcare servicesworkplace safety or health violation2017OSHA$9,054
HCA Health Services of New Hampshire, Inc.HCA Healthcarehealthcare servicesenvironmental violation2017NH-ENV$9,000
HCA-HEALTHONE LLCHCA Healthcarehealthcare servicesworkplace safety or health violation2016OSHA$9,000
NORTH SUBURBAN MEDICAL CENTERHCA Healthcarehealthcare servicesworkplace safety or health violation2014OSHA$8,840
Fort Walton Beach Medical Center, Inc.HCA Healthcarehealthcare servicesenvironmental violation2022FL-DEP$8,650
Pulaski Community Hospital, Inc.HCA Healthcarehealthcare servicesenvironmental violation2014VA-ENV$8,470
CITRUS MEMORIAL HEALTH SYSTEMHCA Healthcarehealthcare servicesworkplace safety or health violation2010OSHA$8,325
HCA HEALTH SERVICES OF VIRGINIA, INC.HCA Healthcarehealthcare servicesworkplace safety or health violation2017OSHA$8,247
Bay Area Healthcare Group, Ltd.HCA Healthcarehealthcare servicesenvironmental violation2012TX-ENV$7,576
Osceola Regional Hospital, IncHCA Healthcarehealthcare serviceswage and hour violation2014WHD$7,219
CITRUS MEMORIAL HOSPITAL, INC.HCA Healthcarehealthcare servicesenvironmental violation2019FL-DEP$6,890
HCA-Healthone LLC dba North Suburban Medical CenterHCA Healthcarehealthcare servicesenvironmental violation2010CO-DPHE$6,064
SOUTHERN HILLS MEDICAL CENTERHCA Healthcarehealthcare servicesworkplace safety or health violation2011OSHA$6,000
CITRUS MEMORIAL HOSPITALHCA Healthcarehealthcare servicesworkplace safety or health violation2021OSHA$5,852
BAY AREA HEALTHCARE GROUP, LTD.HCA Healthcarehealthcare servicesworkplace safety or health violation2020OSHA$5,851
SOUTHERN HILLS MEDICAL CENTERHCA Healthcarehealthcare servicesworkplace safety or health violation2010OSHA$5,400
PARKRIDGE MEDICAL CENTERHCA Healthcarehealthcare servicesworkplace safety or health violation2011OSHA$5,400
TRIDENT MEDICAL CENTERHCA Healthcarehealthcare servicesenvironmental violation2003EPA$5,400
HCA DBA EMORY EASTSIDE HERITAGE BEHAVIORAL HLTHHCA Healthcarehealthcare servicesworkplace safety or health violation2010OSHA$5,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.
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