
Said it before, will say it again. You want fines to actually be a deterrent, make them proportional. Say 5% of gross revenues for the previous FY. It has the added bonus of being much more equitable since it hurts every company exactly the same amount. Large companies can't just simply write it off as a cost of doing business and smaller companies won't necessarily be put out of business by a large fine, giving them a chance to reform. If CEOs start having to explain to investors why 5% of their gross revenues disappeared, there might be a lot more shakeups in C-Suites. The fear of losing their cushy do-nothing high-paying job will mean that executives will actually make sure that changes are implemented.
I'm also all in favor of making anyone who has a title in the CxO family, personally liable for any criminal actions undertaken by the company. So, if Quest were to be found guilty of HIPAA violations, which call for prison time, it would be served by one or more of the C-Suite residents. That, or the company would be effectively put in prison, meaning it would be unable to do business for the duration of its sentence, or would only be able to earn roughly a few cents per hour like any other prisoner, all the rest of the money going to the state and/or federal government.