Compliance Radar
Who was sanctioned, and for what?
Fines, court rulings and incidents from Europe, North America, Latin America, Asia-Pacific, Middle East and Africa: 2,207 cases from 44 jurisdictions, each with an official source and checked against that source before publication. Filter by country, area of law and sector. Click a chart to drill down one level.
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Where?
by regionAll jurisdictions
What for?
by topicWho?
by company- Anonymised companies €90.5m 76 % · 7 cases
- Medirex s. r. o.; KLINICKÁ BIOCHÉMIA s.r.o.; Unilabs Slovensko, s. r. o.; synlab slovakia s. r. o.; Asociácia laboratórií €14.6m 12 % · 1 case
- PHOENIX Zdravotnícke zásobovanie, a.s.; TRANSMEDIC SLOVAKIA, s.r.o. (in Konkurs) €7.8m 7 % · 1 case
- Doctolib €4.67m 4 % · 1 case
- Attendo Suomi Oy €1.5m 1 % · 1 case
- Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO) €464,087 0 % · 1 case
- Самостоятелна медико-диагностична лаборатория „Лина“ ЕООД €52,097 0 % · 1 case
- Ascension Health Alliance; AmSurg LLC / Ambulatory Topco LLC – 0 % · 1 case
When?
per year, by date of decision| Period | Cases | Total |
|---|---|---|
| 2022 | 3 | €88.6m |
| 2023 | 4 | €1.91m |
| 2024 | 0 | – |
| 2025 | 3 | €6.63m |
| 2026 | 4 | €22.4m |
14 cases
25 Jun 2026 Самостоятелна медико-диагностична лаборатория „Лина“ ЕООДLaboratory Lina lures customers with free blood tests – 52,097 EUR for unfair competition €52,097
On application by a competitor, the Комисия за защита на конкуренцията (Bulgarian Commission for the Protection of Competition, KZK) established that the laboratory had offered packages of medical laboratory tests free of charge nationwide over extended periods (only against a fee of 2 leva for taking blood) – conduct shown by no other market participant outside joint campaigns. It found an infringement of the general clause of unfair competition law (Art. 29 ZZK – Bulgarian Protection of Competition Act) and imposed 0.3% of 2024 turnover, i.e. 52,096.55 EUR. Appeals have been lodged against the decision.
Permanent free offers to win customers can be unfair if they deviate significantly from market practice and drive out competitors.
- Authority / court
- Комисия за защита на конкуренцията (КЗК, Bulgarische Wettbewerbskommission)
- Area of law
- Competition law
- Legal basis
- Art. 29 ZZK (Generalklausel unlauterer Wettbewerb)
- Action
- Fine
- Status of proceedings
- under appeal
- Sector
- Healthcare
- Published
- 2 Jul 2026
- КЗК Публичен електронен регистър – Производство (Решение № 591 от 25.06.2026; Volltext als PDF im Register) Official register or notice
Checked against the official source on 28 Sep 2026 · Version 2 · Direct link
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2 Jun 2026 Ascension Health Alliance; AmSurg LLC / Ambulatory Topco LLCAscension/AmSurg: seven ambulatory surgery centres must be sold Order
The non-profit hospital group Ascension wanted to acquire AmSurg for 3.9 billion USD. Owing to overlaps in outpatient surgery in five regions, the Federal Trade Commission (FTC) requires the sale of seven AmSurg centres to SC Affiliates and a gastroenterology practice, as well as transitional support.
Non-profit healthcare providers are also subject to merger control – regional market shares determine divestitures.
- Authority / court
- Federal Trade Commission (FTC)
- Area of law
- Competition law · Merger control
- Legal basis
- Section 7 Clayton Act; Section 5 FTC Act (Consent Order)
- Action
- Order
- Status of proceedings
- unknown
- Sector
- Healthcare
- Employees
- 10,000 or more
- FTC Requires Divestiture of Ambulatory Surgery Centers … Ascension Health-AmSurg Deal (02.06.2026) Press release of an authority
Checked against the official source on 25 Sep 2026 · Direct link
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17 Apr 2026 Medirex s. r. o.; KLINICKÁ BIOCHÉMIA s.r.o.; Unilabs Slovensko, s. r. o.; synlab slovakia s. r. o.; Asociácia laboratóriíLaboratory cartel: 14.6 million EUR and procurement bans against diagnostic laboratories €14.6m
Four laboratories and their association coordinated negotiations on prices with health insurers, coordinated in tenders, exchanged sensitive information and allocated customers. At first instance, the Protimonopolný úrad Slovenskej republiky (Antimonopoly Office of the Slovak Republic, PMÚ SR) imposed 14,551,800 EUR and three-year procurement bans; Unilabs received a substantially reduced fine as leniency applicant and under a settlement.
Common negotiating positions towards payers via an association are a cartel – association meetings need minutes and a review of the agenda.
Information exchange among competitors and association work
- Authority / court
- Protimonopolný úrad Slovenskej republiky (PMÚ SR)
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Slowakisches Wettbewerbsschutzgesetz (Kartellverbot)
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Culpability
- intentional
- Mitigating circumstances
- Unilabs: leniency reduction (50%) and settlement (a further 30%).
- Published
- 12 May 2026
- KARTELY: PMÚ odhalil kartel laboratórií a uložil pokuty takmer 15 miliónov eur Press release of an authority
Checked against the official source on 25 Sep 2026 · Direct link
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20 Jan 2026 PHOENIX Zdravotnícke zásobovanie, a.s.; TRANSMEDIC SLOVAKIA, s.r.o. (in Konkurs)Pharmaceutical cartel uncovered thanks to whistleblower: 7.8 million EUR against PHOENIX and TRANSMEDIC €7.8m
The two companies colluded in tenders of the General Health Insurance Company for the supply of medicines (2017–2020). For the first time, a cartel was uncovered on the basis of information from a whistleblower; the Protimonopolný úrad Slovenskej republiky (Antimonopoly Office of the Slovak Republic, PMÚ SR) imposed 7,595,200 EUR and a one-year procurement ban on PHOENIX and 201,800 EUR and a three-year procurement ban on TRANSMEDIC (first instance).
Whistleblowers receive a reward in Slovakia – internal reporting channels should be faster than the route to the authority.
Bid rigging in public tenders; whistleblowing channels
- Authority / court
- Protimonopolný úrad Slovenskej republiky (PMÚ SR)
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Slowakisches Wettbewerbsschutzgesetz (Submissionsabsprache)
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Culpability
- intentional
- Mitigating circumstances
- PHOENIX: settlement with a 30% fine reduction and a shortened procurement ban.
- Published
- 24 Feb 2026
- KARTELY: PMÚ aj vďaka whistleblowerovi odhalil kartel v dodávkach liekov a uložil pokuty takmer 7,8 milióna eur Press release of an authority
Checked against the official source on 25 Sep 2026 · Direct link
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6 Nov 2025 DoctolibFrance: 4.665 million EUR against Doctolib for abuse in doctor appointment booking €4.67m
Doctolib tied doctors with exclusivity clauses, bundled telemedicine with the appointment booking subscription and in 2018 acquired its main competitor in order to eliminate it (decision 25-D-06). Fines: 4.615 million EUR for exclusivity and tying, 50,000 EUR for the acquisition.
Platforms with high market shares should have exclusivity clauses, bundled offers and acquisitions of rivals reviewed under competition law.
- Authority / court
- Autorité de la concurrence
- Area of law
- Competition law · Abuse of market power
- Legal basis
- Art. 102 AEUV, Art. L.420-2 Code de commerce
- Action
- Fine
- Status of proceedings
- under appeal
- Sector
- Healthcare
- Culpability
- intentional
- Published
- 6 Nov 2025
- L'Autorité de la concurrence sanctionne Doctolib à hauteur de 4 665 000 euros Press release of an authority
- Décision 25-D-06 relative à des pratiques mises en œuvre dans le secteur de la prise de rendez-vous médicaux en ligne Decision of an authority
Checked against the official source on 28 Sep 2026 · Version 2 · Direct link
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9 Apr 2025 Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO)CADE: physiotherapy federal council COFFITO fined BRL 3.1m over price tables €464,087
The CADE Tribunal convicted the federal council of physiotherapists and occupational therapists because, through resolutions, rulings and annually updated reference tables, it had set binding minimum prices for the services of members of the profession and thereby encouraged uniform market conduct. In addition to a fine of 3,103,583.65 BRL, COFFITO must refrain from binding price tables, remove all references to them from its websites (penalty of 5,000.00 BRL per day) and publish the decision on its website and social media; proceedings against the regional council for the 15th region are suspended owing to a settlement. The amount and the facts have not been confirmed against the primary source.
Professional chambers and associations must not impose binding price tables on their members.
Fee and price recommendations by professional chambers
- Authority / court
- Conselho Administrativo de Defesa Econômica (CADE), Tribunal Administrativo
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Lei nº 12.529/2011; Art. 38 und 39 (Nebenanordnungen)
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Published
- 10 Apr 2025
Original amount 3,103,583.65 BRL, converted at the ECB reference rate of 9 Apr 2025.
- Diário Oficial da União, 16.04.2025, Seção 1, S. 78: Ata da 245ª Sessão Ordinária de Julgamento (09.04.2025), PA nº 08700.003473/2021-16 Official register or notice
- CADE, 10.04.2025: Tribunal do Cade condena Conselho de Fisioterapia por tabelamento de preços em serviços profissionais Press release of an authority
Checked against the official source on 3 Oct 2026 · Direct link
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31 Mar 2025 Attendo Suomi OyAttendo: EUR 1.5m after chats were deleted during a competition inspection €1.5m
The Markkinaoikeus (Market Court, Finland) imposed a penalty payment of 1,500,000 EUR on the care services provider Attendo Suomi Oy for obstructing an unannounced inspection by the competition authority in January 2023: after the inspection had begun, a manager deleted chat histories and the call log on a mobile phone also used for work. It was the first penalty for such a procedural infringement in Finland; the authority had sought 4,373,760 EUR, but the court gave considerably more weight to Attendo's own measures, including the swift restoration of the deleted chats.
Once an inspection starts, an immediate ban on deleting or altering data applies to all work devices and messaging apps – every manager must know this.
Conduct during unannounced inspections (dawn raids)
Missing or inadequate training played a role in the decision.
- Authority / court
- Markkinaoikeus (Marktgericht) auf Antrag des Kilpailu- ja kuluttajavirasto (KKV)
- Area of law
- Competition law
- Legal basis
- Kilpailulaki (948/2011) 37 a § 1 mom. 1 kohta i. V. m. 35 § und 37 §
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Mitigating circumstances
- Training and instructions for staff on conduct during inspections already before the incident; swift restoration and handover of the deleted chats from a backup; no advantage gained and no earlier penalties for procedural infringements.
- Published
- 31 Mar 2025
Checked against the official source on 28 Sep 2026 · Direct link
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20 Dec 2023 a Slovenian professional chamber of veterinariansVeterinary chamber: 43,000 EUR for ban on discounts and advertising €43,000
Since 2015, the chamber’s professional code had prohibited its members from offering services below list price, at a discount or free of charge and from advertising prices and promotions – including online. As the first decision under the new act and in the first settlement procedure, the Javna agencija Republike Slovenije za varstvo konkurence (Slovenian Competition Protection Agency, AVK) imposed 43,000 EUR.
Professional codes of chambers are decisions of associations of undertakings – price and advertising bans in them infringe competition law.
- Authority / court
- Javna agencija Republike Slovenije za varstvo konkurence (AVK)
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Art. 5 ZPOmK-2, Art. 101 AEUV
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Mitigating circumstances
- Settlement with acknowledgement of responsibility.
- Published
- 22 Jan 2024
- AVK, Entscheidungen (Übersicht) (Entscheidung 2023) Press release of an authority
Checked against the official source on 28 Sep 2026 · Version 4 · Company name anonymised since 20 Dec 2025 · Direct link
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19 Dec 2023 a Portuguese healthcare products supplierPortugal: 75,000 EUR against healthcare products supplier – merger implemented before notification €75,000
The healthcare products company implemented a concentration that was subject to notification because of the market share threshold, without prior notification and clearance by the competition authority; notification was only made afterwards. In settlement proceedings with a confession and full cooperation, the AdC (Autoridade da Concorrência, the Portuguese Competition Authority) imposed a fine of 75,000 EUR – the first whose proceeds go entirely to the state, specifically to the new Fund for the Promotion of Consumer Rights.
Check even small transactions against the notification thresholds before completion – in Portugal, a high market share alone can make a concentration notifiable.
Notification obligation for acquisitions (market share threshold)
- Authority / court
- Autoridade da Concorrência (AdC)
- Area of law
- Competition law · Merger control
- Legal basis
- Lei da Concorrência, Art. 37 Abs. 1 lit. a (Anmeldepflicht nach Marktanteilsschwelle) und Vollzugsverbot vor Freigabe
- Action
- Fine
- Status of proceedings
- final
- Sector
- Healthcare
- Mitigating circumstances
- Full cooperation, subsequent notification, settlement proceedings with confession.
- Published
- 20 Dec 2023
- AdC, Nachrichten und Mitteilungen (Übersicht) (Entscheidung 2023) Press release of an authority
Checked against the official source on 28 Sep 2026 · Version 3 · Company name anonymised since 19 Dec 2025 · Direct link
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18 Dec 2023 three Portuguese teleradiology providersPortugal: €1.65m and debarment for three firms in teleradiology cartel €1.65m
In its final decision in the teleradiology cartel (five addressees) the competition authority imposed fines of 1,648,800 EUR: 1,139,200 EUR, 503,600 EUR and 6,000 EUR on the three condemned companies. It also excluded the three condemned companies from public teleradiology tenders for one year; two other cartel members had already been sanctioned by settlement in 2022 (total for the proceedings 6,889,300 EUR).
Besides fines, bid rigging can lead to exclusion from public contracts, which may hit the business model itself.
Bid rigging and debarment
- Authority / court
- Autoridade da Concorrência (AdC)
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Art. 9 Lei n.º 19/2012 (Lei da Concorrência); Art. 101 AEUV
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Published
- 15 Jan 2024
- AdC, Nachrichten und Mitteilungen (Übersicht) (Entscheidung 2023) Press release of an authority
Checked against the official source on 28 Sep 2026 · Company name anonymised since 18 Dec 2025 · Direct link
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16 Aug 2023 a Brazilian professional council of dentistsCADE fines Brazilian dentists’ council for banning discount cards €138,680
The Tribunal of the Conselho Administrativo de Defesa Econômica (CADE, Brazilian competition authority) unanimously fined the federal council of dentists 752,700 BRL because its rules (Resolution No. 118/2012) prohibited dentists from granting discounts and accepting discount cards. The council must amend the resolution within 180 days, close disciplinary proceedings based on it within 90 days and publish the decision on its website for 90 days; non-compliance carries a penalty of 10,000 BRL per day and per breach. The proceedings against a regional council were suspended because of a settlement (TCC).
Professional councils and associations are also subject to competition law when their professional rules restrict price competition among their members.
Competition law limits on professional and ethics rules
- Authority / court
- Conselho Administrativo de Defesa Econômica (CADE), Tribunal Administrativo
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Lei nº 12.529/2011 (Lei de Defesa da Concorrência), Nebenanordnungen nach Art. 38 und 39
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Published
- 16 Aug 2023
Original amount 752,700 BRL, converted at the ECB reference rate of 16 Aug 2023.
Checked against the official source on 7 Oct 2026 · Company name anonymised since 16 Aug 2025 · Direct link
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14 Oct 2022 a Portuguese subsidiary of an international diagnostics groupPortugal: €5.04m for diagnostics group subsidiary over teleradiology cartel €5.04m
The competition authority fined a Portuguese subsidiary of the diagnostics group 5,038,200 EUR because from November 2015 to August 2021 it colluded with other providers in public teleradiology tenders by state hospitals, fixing winners and bid prices and sharing the market. The fine was reduced in the settlement procedure.
Agreeing winners and prices in hospital tenders directly harms the public health system and is severely punished.
Bid rigging in healthcare tenders
- Authority / court
- Autoridade da Concorrência (AdC)
- Area of law
- Competition law · Cartels and collusion
- Legal basis
- Art. 9 Lei n.º 19/2012 (Lei da Concorrência); Art. 101 AEUV
- Action
- Fine
- Status of proceedings
- final
- Sector
- Healthcare
- Mitigating circumstances
- Settlement procedure (transação) with admission and waiver of appeal; fine reduced.
- Published
- 31 Oct 2022
- AdC, Nachrichten und Mitteilungen (Übersicht) (Entscheidung 2022) Press release of an authority
Checked against the official source on 28 Sep 2026 · Company name anonymised since 14 Oct 2024 · Direct link
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6 Oct 2022 a large French spectacle lens manufacturerLens manufacturer: EUR 81.07 million for discriminating against online eyewear sellers €81.1m
From 29 April 2009 to 23 December 2020, the manufacturer, as the dominant manufacturer and wholesaler of spectacle lenses, pursued a discriminatory commercial policy towards websites offering prescription glasses entirely online, with the aim of hindering the development of online distribution in France. The Autorité de la concurrence (French Competition Authority) imposed EUR 81,067,400, of which EUR 15,400,000 jointly with the parent company. The Cour d’appel de Paris (Paris Court of Appeal) upheld the decision on 12 December 2024.
Dominant suppliers must not hold back their customers’ new distribution channels by treating them less favourably.
Discrimination against new distribution channels by dominant suppliers
- Authority / court
- Autorité de la concurrence
- Area of law
- Competition law · Abuse of market power
- Legal basis
- Art. L. 420-2 Code de commerce; Art. 102 AEUV
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Employees
- 10,000 or more
- Published
- 8 Nov 2022
- Autorité de la concurrence, Liste des décisions et avis (Übersicht) (Entscheidung 2022) Enforcement database of an authority
Checked against the official source on 7 Oct 2026 · Version 2 · Company name anonymised since 6 Oct 2024 · Direct link
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6 Sep 2022 a Portuguese charitable institutionPortugal: €2.5m for Portuguese charitable institution over gun-jumping €2.5m
The competition authority fined the charitable institution 2,500,000 EUR because it acquired sole control of the operating company of a hospital on 14 December 2020 but only notified the merger on 28 May 2021, i.e. after completion.
Notifiable acquisitions may only be completed after clearance; when in doubt, consult the authority beforehand.
Merger control: notification before completion (gun-jumping)
- Authority / court
- Autoridade da Concorrência (AdC)
- Area of law
- Competition law · Merger control
- Legal basis
- Lei n.º 19/2012 (Lei da Concorrência): Anmelde- und Vollzugsverbot für Zusammenschlüsse
- Action
- Fine
- Status of proceedings
- unknown
- Sector
- Healthcare
- Mitigating circumstances
- Cooperation with the authority, voluntary late notification, suspension of voting rights and a request for derogation from the standstill obligation were taken into account.
- Published
- 7 Sep 2022
- AdC, Nachrichten und Mitteilungen (Übersicht) (Entscheidung 2022) Press release of an authority
Checked against the official source on 28 Sep 2026 · Company name anonymised since 6 Sep 2024 · Direct link