The FDA was empowered to impose fines on the Red Cross under a federal court order in 2003. Since then, it has levied over $46 million in penalties for unsafe blood handling and distributing. The FDA notifies the Red Cross of these fines by sending "adverse determination letters," which you can explore in detail below. We've included the letters that list the initially levied fines – in some cases the final penalty was renegotiated to a slightly higher or lower figure. | Related: $10 Million Fine on Red Cross Highlights Its Troubled History of Blood Services »