Under the settlement, PAL and its executives will pay $4 million plus a percentage of proceeds from the sale of PAL's interest in a joint venture with HMA. "These settlements demonstrate our commitment to ensuring that physician judgment is not compromised by illegal inducements," said Acting Assistant Attorney General for the Justice Department's Civil Division, Chad A. Readler. "Patient care decisions should be based on the needs of patients rather than the financial interests of physicians." Envision Healthcare Corporation (Envision) has also entered into a Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General as part of the resolution of the EmCare matter. EmCare is a subsidiary of Envision. "Improper physician inducements not only compromise sound medical decision-making, but also cost American taxpayers millions in unnecessary medical costs," said U.S. Attorney for the Western District of North Carolina Andrew Murray.