Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing AL-20111117-sutter-medical-foundationHHS OCR Breach Register, Alabama

Breach filing

Archived

Sutter Medical Foundation: 943,434 individuals, Nov 2011.

Sutter Medical Foundation reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 17 November 2011. The filing records the organisation as a healthcare provider in Alabama and lists 943,434 individuals affected, which makes it the 1st largest of the 98 Alabama filings on the register and the 5th largest of the 200 filings submitted nationally in 2011. Among the 4 Alabama filings made in 2011 it ranks 1st.

Individuals affected

943,434

As reported to HHS

Modelled cost (IBM 2025)

$151M

Upper bound, method shown

Rank in AL

1st

of 98 Alabama filings

Rank in 2011

5th

of 200 filings nationally

Section F.1 / The filing

As posted by HHS OCR

Every value below is the portal's own field for this filing, plus its rank within the register.

Covered entity type
Healthcare Provider
Individuals affected
943,434
Breach submission date
17 November 2011
Submission year
2011
Type of breach
Theft
Location of breached information
Desktop Computer
Business associate present
No
Portal status
listed in the HHS OCR breach portal archive
Rank in Alabama by size
1st of 98
Rank in 2011 nationally
5th of 200
Alabama median filing
5,000 individuals
Register id (derived)
AL-20111117-sutter-medical-foundation

Section F.2 / In context

Where this filing sits in Alabama and in 2011

OCR classifies the incident as theft, with the breached information held in a desktop computer. Theft is the type recorded on 16 of the 98 Alabama filings (16%) and on 62% of all filings submitted in 2011. Desktop Computer appears on 6% of Alabama filings.

No business associate is recorded on the filing; 29% of Alabama filings do involve one. At 943,434 individuals the breach is 189 times the Alabama median filing of 5,000 and 236 times the national median of 4,000 across all 7,884 filings. It is one of 801 filings of 100,000 or more individuals.

As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

Alabama's breach notification statute (Ala. Code 8-38-1 et seq.) requires notice to affected residents without unreasonable delay, no later than 45 days after determining a breach occurred. Its attorney general threshold: more than 1,000 Alabama residents. The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.

Multiplying 943,434 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $151M; the 2026 edition's $192 gives $181M. Both are modelled estimates with the method shown, not costs disclosed by Sutter Medical Foundation. Because the filing is above the roughly 100,000-record range in which the per-record figure is reliable, the result is an upper bound, not an estimate: fixed costs are spread across far more records at this scale.

Section F.3 / OCR closing summary

The portal's archived description, in full

Written by the Office for Civil Rights when the case was closed and reproduced verbatim from the HHS export.

\N

Section F.5 / Modelled cost

943,434 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Upper bound

IBM 2025 customer PII, $160 per record

$151M

943,434 x $160

IBM 2026 customer PII, $192 per record

$181M

943,434 x $192

Method: individuals affected, as reported by Sutter Medical Foundation to HHS, multiplied by IBM's customer-PII cost per record (Cost of a Data Breach 2025 Figure 6 and the 2026 edition). No cost has been disclosed by the entity for this filing; the figure is a planning estimate, not a fact about the breach. IBM's per-record figures come from mid-volume breaches and IBM cautions against applying them to breaches involving millions of records; the site's per-record page explains where the multiplication holds and where it breaks down.

Context: IBM's average cost of a healthcare breach is $6.64M in the 2026 report ($7.42M in 2025); the global average across all sectors was $4.44M in 2025.

Cost per record: method and limits / Healthcare breach cost, IBM 2026

Section F.6 / Notification clock

Alabama statute and the HIPAA rule

State notification statute

Alabama: Ala. Code 8-38-1 et seq.

Alabama Data Breach Notification Act of 2018

Notice to individuals
Without unreasonable delay, no later than 45 days after determining a breach occurred
Attorney general threshold
More than 1,000 Alabama residents (Within the same 45-day window)
Private right of action
No: Enforcement is exclusive to the Alabama Attorney General
Penalty
Civil penalties up to $5,000 per day, capped at $500,000 per breach, as an unlawful trade practice

The HIPAA Breach Notification Rule runs alongside the state statute: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.

Section F.7 / Peer filings

Alabama filings closest in size

Neighbours by size rank among Alabama filings in 2011, topped up from other years where 2011 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Upstream RollCo, LLCHealthcare Provider748,67822 Apr 2023
Cardiovascular AssociatesHealthcare Provider433,3483 Feb 2023
Sarrell DentalHealthcare Provider363,61712 Sep 2019
Rape & Brooks Orthodontics, P.C.Healthcare Provider20,74428 Mar 2011
Cahaba Government Benefit Administrators, LLCBusiness Associate13,41225 May 2011

Index / Companion schedules

Provenance

Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-08-28. Public domain. Individuals affected and dates as reported by the covered entity.

Portal: ocrportal.hhs.gov breach report. Statutory basis: HITECH Act section 13402(e)(4): the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. Breaches affecting fewer than 500 individuals are reported to OCR annually and are not posted, so they are not on this register. Status wording follows the portal's two tabs ("Cases Currently Under Investigation" and "Archive") as of 28 August 2026; a filing moves to the archive when OCR closes the case. Modelled costs on this site are a method applied to the reported count, using IBM Cost of a Data Breach per-record figures, and are never a cost disclosed by the entity. This row: hhs-breach-archive__2026-08-28.csv, export row 6780.

Corrections: if you represent a listed entity and the portal row has been amended, email [email protected] with the portal entry and we will re-pull the export.