On 5 August 2011, the ICA fined Alliance Medical S.r.l, Toshiba Medical Systems Italia S.r.l., Philips S.p.A. and Siemens S.p.A. a total of €5,538,750. The ICA held that the parties had participated in a meeting at which they entered into a joint agreement that defined their participation in a tender for electro-medical equipment.