The two largest private prison companies, CoreCivic (formerly known as Corrections Corporation of America) and the CEO Group, run over 170 correctional facilities. In Texas, they have five facilities. These companies keep their operating costs low by using less dollars than allocated per inmate, especially in the area of Healthcare. Additionally, these companies and similar ones, avoid taking inmates over 65 or with chronic illnesses. When they can't avoid it, they improvise ways to make it hard for the inmate to receive medical care. Specifically, CoreCivic has a history of denying hospital requests and punishing inmates when they make repeated requests. Additionally, the records of private prisons are not subject to public access laws. For these reasons, access to health care in private prisons is something that must require more scrutiny.