Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing CA-20170901-hand-and-upper-extremity-centers-dba-hanHHS OCR Breach Register, California

Breach filing

Archived

Hand & Upper Extremity Centers dba Hand Rehabilitation Specialists: 12,806 individuals, Sep 2017.

Hand & Upper Extremity Centers dba Hand Rehabilitation Specialists reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 1 September 2017. The filing records the organisation as a healthcare provider in California and lists 12,806 individuals affected, which makes it the 223rd largest of the 776 California filings on the register and the 69th largest of the 358 filings submitted nationally in 2017. Among the 34 California filings made in 2017 it ranks 7th.

Individuals affected

12,806

As reported to HHS

Modelled cost (IBM 2025)

$2.05M

Method shown, not disclosed

Rank in CA

223rd

of 776 California filings

Rank in 2017

69th

of 358 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
12,806
Breach submission date
1 September 2017
Submission year
2017
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
No
Portal status
listed in the HHS OCR breach portal archive
Rank in California by size
223rd of 776
Rank in 2017 nationally
69th of 358
California median filing
3,553 individuals
Register id (derived)
CA-20170901-hand-and-upper-extremity-centers-dba-han

Section F.2 / In context

Where this filing sits in California and in 2017

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 42% of all filings submitted in 2017. Network Server appears on 43% of California filings.

No business associate is recorded on the filing; 33% of California filings do involve one. At 12,806 individuals the breach is 3.6 times the California median filing of 3,553 and 3.2 times the national median of 4,000 across all 7,884 filings. It sits in the 10,000 to 99,999 band, which holds 1,938 filings.

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 12,806 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 $2.05M; the 2026 edition's $192 gives $2.46M. Both are modelled estimates with the method shown, not costs disclosed by Hand & Upper Extremity Centers dba Hand Rehabilitation Specialists. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.4 times the sector average.

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.

On July 5, 2017, the covered entity (CE), Hand & Upper Extremity Centers dba Hand Rehabilitation Specialists, was informed that the hacker group, the Dark Overlord, may have breached their computer network. The CE reported the notice to the Ventura County Sheriff's High Tech Task Force, who began a forensic information technology investigation in consultation with the Federal Bureau of Investigation. This investigation is ongoing. To date, law enforcement has found no evidence of any information leaving the CE's system. However, unauthorized access has not been ruled out, and out of an abundance of caution, the CE provided breach notification to HHS, affected individuals, and the media. Following the breach, the CE changed passwords, updated access control logs, updated its email policy and procedures, and added technical and administrative security improvements. OCR obtained assurances that the CE implemented the voluntary corrective actions noted above.

Section F.5 / Modelled cost

12,806 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$2.05M

12,806 x $160

IBM 2026 customer PII, $192 per record

$2.46M

12,806 x $192

Method: individuals affected, as reported by Hand & Upper Extremity Centers dba Hand Rehabilitation Specialists 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 2017, topped up from other years where 2017 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
University of California Davis HealthHealthcare Provider14,9006 Jul 2017
Universal Care, Inc. DBA Brand New DayHealth Plan14,00510 Feb 2017
Verity Medical FoundationHealthcare Provider10,16411 Jan 2017
Sheldon M. Golden O.D., Optometric CorporationHealthcare Provider7,58319 Dec 2017

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 5119.

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.