Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing CA-20240323-designed-receivable-solutionsHHS OCR Breach Register, California

Breach filing

Archived

Designed Receivable Solutions, Inc.: 585,035 individuals, Mar 2024.

Designed Receivable Solutions, Inc. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 23 March 2024. The filing records the organisation as a business associate in California and lists 585,035 individuals affected, which makes it the 22nd largest of the 776 California filings on the register and the 35th largest of the 741 filings submitted nationally in 2024. Among the 66 California filings made in 2024 it ranks 3rd.

Individuals affected

585,035

As reported to HHS

Modelled cost (IBM 2025)

$93.6M

Upper bound, method shown

Rank in CA

22nd

of 776 California filings

Rank in 2024

35th

of 741 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
Business Associate
Individuals affected
585,035
Breach submission date
23 March 2024
Submission year
2024
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
Yes
Portal status
listed in the HHS OCR breach portal archive
Rank in California by size
22nd of 776
Rank in 2024 nationally
35th of 741
California median filing
3,553 individuals
Register id (derived)
CA-20240323-designed-receivable-solutions

Section F.2 / In context

Where this filing sits in California and in 2024

OCR classifies the incident as a hacking or IT incident, with the breached information held in a network server. Hacking/IT Incident is the type recorded on 398 of the 776 California filings (51%) and on 83% of all filings submitted in 2024. Network Server appears on 43% of California filings.

A business associate is recorded as present on the filing, as it is on 33% of California filings. At 585,035 individuals the breach is 165 times the California median filing of 3,553 and 146 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.

California's breach notification statute (Cal. Civ. Code 1798.82) requires notice to affected residents within 30 calendar days of discovery (effective 1 January 2026, SB 446). Its attorney general threshold: more than 500 California 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 585,035 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 $93.6M; the 2026 edition's $192 gives $112M. Both are modelled estimates with the method shown, not costs disclosed by Designed Receivable Solutions, Inc.. 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.

The covered entity (CE), Designed Receivable Solutions, reported that it suffered a cyber-attack that compromised the protected health information (PHI) of 585,035 individuals. The PHI involved included names, Social Security numbers, addresses, dates of birth, medications, and claims information. The CE notified HHS, the affected individuals, the media, and provided substitute notice. In response to the breach, the CE provided complimentary credit monitoring services and implemented additional administrative, technical, and security safeguards to better protect its PHI.

Section F.5 / Modelled cost

585,035 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Upper bound

IBM 2025 customer PII, $160 per record

$93.6M

585,035 x $160

IBM 2026 customer PII, $192 per record

$112M

585,035 x $192

Method: individuals affected, as reported by Designed Receivable Solutions, Inc. 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

California statute and the HIPAA rule

State notification statute

California: Cal. Civ. Code 1798.82

Notice to individuals
Within 30 calendar days of discovery (effective 1 January 2026, SB 446)
Attorney general threshold
More than 500 California residents (Within 15 calendar days after notifying affected consumers)
Private right of action
Yes: Under CCPA Civ. Code 1798.150 for breaches from failure to maintain reasonable security; $107-$799 per consumer per incident (CPI-adjusted from $100-$750, effective Jan 2025)
Penalty
CCPA civil penalties of $2,663 per violation, $7,988 per intentional violation (CPI-adjusted, effective Jan 2025); CCPA private right of action for security-failure breaches

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

California filings closest in size

Neighbours by size rank among California filings in 2024, topped up from other years where 2024 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Kaiser Foundation Health Plan, Inc.Health Plan13,400,00012 Apr 2024
Palomar Health Medical GroupHealthcare Provider1,140,2213 Jul 2024
NorthBay Healthcare CorporationHealthcare Provider569,01223 Apr 2024
Omni Family HealthHealthcare Provider468,3444 Oct 2024

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 1089.

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.