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Data / Workplace safety / Other Ambulatory Health Care Services

OSHA citations in Other Ambulatory Health Care Services: 217 establishments, $838,993 in penalties (2021 to 2026)

OSHA cited 217 establishments in Other Ambulatory Health Care Services (NAICS 6219) between December 3, 2021 and September 3, 2026: 760 citations, $1,270,675 in initial penalties and $838,993 in current penalties.

SpecStream is the live web data engine for teams and agents. It reads OSHA inspections and citations from the US Department of Labor's enforcement data, and this page is that reading. Ask for the employers you check by industry, state or standard and new inspections and citations arrive in your sheet, CRM, Slack or agent as they are posted.

Industry
NAICS 6219, Other Ambulatory Health Care Services
Establishments cited
217
Citations
760
Penalties
$1,270,675 initial, $838,993 current

By state

StateEstablishmentsCitationsCurrent penalties
New Jersey1150$159,769
Puerto Rico2393$132,263
Ohio515$55,652
North Carolina1356$47,676
California1431$44,570
Texas510$37,636
Massachusetts311$36,532
Pennsylvania511$34,578
Nevada211$34,067
Maine1289$31,117
Kentucky716$23,475
Washington1131$23,192
Rhode Island26$18,429
New York1042$17,171
Oregon842$16,651
Tennessee42152$16,575
Michigan917$12,750
Florida11$11,823
Virginia24$11,524
New Mexico11$10,566
Wisconsin27$9,986
Arkansas11$9,500
District of Columbia11$9,458
Colorado13$6,215
Maryland321$4,430
Alabama22$4,407
Connecticut38$3,721
Georgia12$3,526
U.S. Virgin Islands12$2,851
Hawaii36$2,789
Vermont11$2,419
Utah23$1,750
Indiana35$1,528
South Carolina22$400
Alaska24$0
Arizona11$0
Mississippi11$0
West Virginia11$0

Most penalized establishments

Ranked by current penalties. Each row links to OSHA's record of its latest cited inspection.

EstablishmentCityStateCitationsInitial penaltiesCurrent penaltiesLatest citationSource
Community Tissue ServicesKetteringOH7$121,632$42,100January 5, 2026osha.gov
Maple Shade First Aid SquadMaple ShadeNJ8$41,580$41,580September 9, 2024osha.gov
University Hospital Emergency Medical ServicesNewarkNJ6$36,000$36,000July 12, 2024osha.gov
Dispatchhealth NV Wagner, PCLas VegasNV8$33,691$33,691November 27, 2023osha.gov
Livingston First Aid SquadLivingstonNJ5$32,220$32,220March 20, 2023osha.gov
Quality Care Ambulance IncPoncePR3$25,536$25,536June 1, 2026osha.gov
Brewster Ambulance Services, Inc.BrocktonMA6$33,460$23,422May 9, 2022osha.gov
American Medical ResponseRockdaleTX4$24,860$20,000August 8, 2022osha.gov
Alert Ambulance Service, Inc.South KingstownRI4$13,610$17,058March 12, 2024osha.gov
Pennsylvania Ambulance LLCScrantonPA4$18,666$15,000February 6, 2024osha.gov
American Legion Ambulance Association Elmer StationElmerNJ16$92,196$14,040November 7, 2024osha.gov
Star Medical Transport Services, LLC.PhiladelphiaPA2$18,751$13,126March 10, 2023osha.gov
Umpqua Valley Ambulance Service, IncRoseburgOR10$12,449$12,449January 8, 2025osha.gov
Convenientmd Urgent CareBrunswickME2$17,610$12,327August 12, 2022osha.gov
Americord Registry LLCSomersetNJ4$19,860$11,916April 23, 2025osha.gov
Medfleet, Inc.New Port RicheyFL1$11,823$11,823October 27, 2025osha.gov
Municipio Aut�nomo De Juana DiazJuana DiazPR8$23,000$11,500April 10, 2026osha.gov
County of Gaston - EmsGastoniaNC14$17,295$11,241May 7, 2026osha.gov
Anderson County Fiscal CourtLawrenceburgKY8$17,625$10,575August 25, 2025osha.gov
International SosAlamogordoNM1$10,566$10,566January 24, 2022osha.gov
San Luis Ambulance Service, Inc.San Luis ObispoCA3$27,375$10,200February 24, 2022osha.gov
County of Caswell EmsYanceyvilleNC8$10,000$10,000December 8, 2025osha.gov
Sharon S. Richardson Community Hospice, Inc.Sheboygan FallsWI6$14,265$9,986April 8, 2022osha.gov
K.W.P.H. EnterprisesFresnoCA2$9,750$9,750April 22, 2024osha.gov
Little Rock Ambulance AuthorityLittle RockAR1$14,502$9,500April 6, 2022osha.gov
Lifeline IncWashingtonDC1$9,458$9,458March 30, 2026osha.gov
Northern Onondaga Volunteer Ambulance, IncLiverpoolNY5$14,504$8,702July 21, 2022osha.gov
Finger Lakes Ambulance Ems, Inc.Clifton SpringsNY4$11,292$8,469February 29, 2024osha.gov
West Long Branch Emergency Medical ServicesWest Long BranchNJ5$8,200$8,200November 17, 2025osha.gov
Center at Advocate, LLCEast BostonMA1$11,585$8,110December 19, 2025osha.gov
True Health Inc.ElizabethNJ2$7,813$7,813June 9, 2023osha.gov
Falck Northern California Corp.HaywardCA6$12,810$7,810July 24, 2024osha.gov
Dci Donor Services, Inc.NashvilleTN6$7,525$7,525March 27, 2023osha.gov
Midwest Medical Transport Company, LLCLortonVA1$7,350$7,350November 28, 2022osha.gov
Air Evac Ems IncWheatleyKY1$7,000$7,000December 16, 2024osha.gov
Globus Medical Inc.San AntonioTX1$13,240$6,620July 28, 2025osha.gov
Ohio Ambulance Solutions, LLCClevelandOH2$26,104$6,520July 29, 2022osha.gov
Global Medical Response, Inc.Colorado SpringsCO3$6,215$6,215May 23, 2022osha.gov
Healthright 360EscondidoCA4$6,120$6,120January 13, 2023osha.gov
Infinite Wellness of the Carolinas, P.C.ConcordNC2$6,000$6,000April 14, 2022osha.gov
Reliant Pro Rehab, LLCCedar ParkTX1$5,594$5,594February 2, 2022osha.gov
Sea Isle City EmsSea Isle CityNJ1$5,400$5,400September 27, 2024osha.gov
Pridestar Ems, IncHaverhillMA4$10,360$5,000August 8, 2022osha.gov
Jewish Family & Children's ServicesSan FranciscoCA1$5,000$5,000March 20, 2023osha.gov
Superior Air-Ground Ambulance Service of Michigan IncHamtramckMI1$5,000$5,000January 25, 2024osha.gov
KS SC, LLCHoustonTX3$8,036$4,822October 19, 2023osha.gov
Wa317976172 - Seattle Sperm Bank LLCSeattleWA7$4,800$4,800November 21, 2023osha.gov
Mobile Medical ResponseMount MorrisMI3$4,800$4,800September 3, 2026osha.gov
Wa317973207 - Dispatchhealth Washington PCTukwilaWA2$4,800$4,800May 15, 2023osha.gov
Lifeguard Ambulance Service LLCHartselleAL1$5,876$4,407September 6, 2024osha.gov
Town of SearsportSearsportME14$10,200$4,250October 29, 2024osha.gov
County of Buncombe - Emergency ServicesAshevilleNC2$6,500$4,225May 24, 2023osha.gov
Octapharma Plasma, Inc.ChesapeakeVA3$12,530$4,174August 6, 2024osha.gov
Mcdowell County Rescue Squad - Ambulance, Inc.MarionNC8$4,125$4,125October 5, 2023osha.gov
Wa317988978 - BloodworksRentonWA3$4,080$4,080February 27, 2026osha.gov
B Positive Plasma National Blood Services LLCWyncotePA2$5,288$3,966November 14, 2024osha.gov
Medical Alert Ambulance Service IncToa AltaPR2$5,100$3,570October 6, 2025osha.gov
The American National Red CrossDouglasvilleGA2$5,876$3,526April 8, 2024osha.gov
Town of Island FallsIsland FallsME17$3,500$3,500October 16, 2023osha.gov
Town of PattenPattenME15$3,500$3,500January 20, 2023osha.gov
American Legion Ambulance Fund, IncorporatedPlainfieldCT4$8,276$3,476June 2, 2026osha.gov
Wellpath LLCFredoniaKY1$3,250$3,250July 11, 2022osha.gov
American Red CrossGreensboroNC1$5,288$3,173February 1, 2024osha.gov
J Medical Care LLCJuana DiazPR5$6,250$3,150April 10, 2026osha.gov
Community Health Systems, Inc.ClarksvilleTN2$3,150$3,150September 27, 2024osha.gov
Multicare Medical Transport LLCJuana DiazPR7$6,250$3,125April 17, 2026osha.gov
Villalba Medical Transport LLCJuana DiazPR5$6,250$3,125April 17, 2026osha.gov
Mid Valley Ambulance ServiceEugeneOR1$3,112$3,112May 6, 2024osha.gov
Mart� Medical Transport IncBayamonPR3$4,200$2,940April 6, 2026osha.gov
BVR Ambulance Best Care LLCSan JuanPR3$5,780$2,890August 7, 2024osha.gov
C&C - Support ServicesHonoluluHI4$3,984$2,789May 2, 2023osha.gov
Wa317971293 - Providence Health & Services WashingtonOlympiaWA1$2,700$2,700January 5, 2023osha.gov
Wa317973414 - Octapharma Plasma IncFifeWA1$2,700$2,700May 8, 2023osha.gov
Vacunas Bright Center IncPoncePR3$5,000$2,500January 7, 2026osha.gov
Hawley Ambulance and Rescue CompanyHawleyPA2$3,315$2,486March 14, 2022osha.gov
Traslados M?dicos De Puerto Rico Inc.San JuanPR1$4,500$2,475October 20, 2023osha.gov
Ambulnz TN, LLCGoodlettsvilleTN4$2,450$2,450July 9, 2026osha.gov
Knox County Ambulance ServiceWoodbineKY2$2,450$2,450August 28, 2025osha.gov
Regional Ambulance Service, Inc.RutlandVT1$4,839$2,419November 21, 2024osha.gov
Wa317969898 - Discovery Health MD P CSeatacWA2$2,400$2,400September 29, 2022osha.gov
Luis Guillermo Santiago Balb�sJuana DiazPR4$4,500$2,250April 17, 2026osha.gov
Vacunas Bright Center IncMayaguezPR4$2,250$2,250January 9, 2026osha.gov
Pleasant River Ambulance ServiceColumbiaME6$3,300$2,200January 12, 2024osha.gov
Washington County Emergency Medical Services AuthorityBaileyvilleME8$2,100$2,100September 29, 2022osha.gov
Superior Air-Ground Ambulance Service of Michigan Inc.SouthfieldMI4$3,300$2,100November 19, 2024osha.gov
Town of Stockton SpringsStockton SpringsME4$2,100$2,100August 14, 2023osha.gov
Reese and Community Volunteer Fire Company, Inc.WestminsterMD6$7,500$2,000April 28, 2022osha.gov
Life Guardians Ambulance Service Inc.NaranjitoPR3$3,750$1,875July 18, 2024osha.gov
First Call Ambulance, LLCOld HickoryTN5$1,750$1,750May 19, 2026osha.gov
Abo Plasma - West ValleyWest Valley CityUT2$3,500$1,750February 28, 2025osha.gov
Wa317989259 - Olympic Ambulance Service IncFifeWA3$1,712$1,712April 6, 2026osha.gov
CHS TX, Inc.CumberlandMD6$2,700$1,620April 5, 2023osha.gov
Yadkin County Emergency Medical ServicesYadkinvilleNC2$2,000$1,600July 16, 2025osha.gov
Optumserve Health Services, Inc.OaklandCA2$1,500$1,500July 27, 2022osha.gov
Universal Care Ambulance LLCSan JuanPR2$2,750$1,375October 7, 2024osha.gov
New York Blood Center, Inc.ProvidenceRI2$1,958$1,371August 29, 2024osha.gov
City and County of S.F. Department of Public Health Tom Waddell Urban Health ClinicSan FranciscoCA2$1,200$1,200December 30, 2025osha.gov
Optumserve Health Services, Inc.French CampCA2$1,050$1,050November 3, 2022osha.gov
P.r.a.s. Puerto Rico Ambulances Services Inc.San JuanPR2$5,000$1,000September 13, 2024osha.gov
Gloucester County Ems 82-8ClaytonNJ1$1,000$1,000May 4, 2026osha.gov

Standards cited most often

StandardTitleCitationsEstablishmentsInitial penaltiesCurrent penalties
1910.1030Bloodborne pathogens15577$382,284$234,808
1910.134Respiratory protection11540$226,016$164,745
1910.1200Hazard communication4831$26,077$15,395
1910.303General4130$36,115$21,654
1910.305Wiring methods, components, and equipment for general use4029$26,224$23,860
1910.132General requirements3527$26,950$21,680
1910.157Portable fire extinguishers3429$4,000$3,125
1910.37Maintenance, safeguards, and operational features for exit routes1616$11,059$13,694
1910.147The control of hazardous energy (lockout/tagout)94$129,022$47,645
1910.304Wiring design and protection99$5,684$3,639
1904.41Electronic submission of Employer Identification Number (EIN) and injury and illness records to OSHA85$7,345$3,821
1910.120Hazardous waste operations and emergency response86$4,200$2,855
1910.22General requirements88$21,220$16,449
1904.33Retention and updating76$1,324$662
1904.39Reporting fatalities, hospitalizations, amputations, and losses of an eye as a result of work-related incidents to OSHA77$36,982$23,759

Citations by year issued

Year issuedCitationsCurrent penalties
20219$0
2022143$165,086
2023135$167,884
2024168$222,264
2025131$99,138
2026174$184,622

Updated November 3, 2026. Read from US Department of Labor, OSHA enforcement data. Public domain (U.S. government work). Penalties are as OSHA records them on the date this page was read and can change after a contest or a settlement. Citations OSHA deleted are left out. Each row links to OSHA's own inspection record. This page uses US Department of Labor data and is not endorsed or certified by the US Department of Labor. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.