Breach filing
ArchivedDelaware Guidance Services for Children and Youth, Inc.: 50,000 individuals, Feb 2019.
Delaware Guidance Services for Children and Youth, Inc. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 22 February 2019. The filing records the organisation as a healthcare provider in Delaware and lists 50,000 individuals affected, which makes it the 9th largest of the 31 Delaware filings on the register and the 62nd largest of the 511 filings submitted nationally in 2019. Among the 2 Delaware filings made in 2019 it ranks 1st.
Individuals affected
50,000
As reported to HHS
Modelled cost (IBM 2025)
$8.00M
Method shown, not disclosed
Rank in DE
9th
of 31 Delaware filings
Rank in 2019
62nd
of 511 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
- 50,000
- Breach submission date
- 22 February 2019
- Submission year
- 2019
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Desktop Computer, Electronic Medical Record, Email, Laptop
- Business associate present
- No
- State
- Delaware (DE)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Delaware by size
- 9th of 31
- Rank in 2019 nationally
- 62nd of 511
- Delaware median filing
- 14,095 individuals
- Register id (derived)
- DE-20190222-delaware-guidance-services-for-children
Section F.2 / In context
Where this filing sits in Delaware and in 2019
OCR classifies the incident as a hacking or IT incident, with the breached information held in a desktop computer, an electronic medical record system, email and a laptop. Hacking/IT Incident is the type recorded on 22 of the 31 Delaware filings (71%) and on 61% of all filings submitted in 2019. Desktop Computer appears on 6% of Delaware filings.
No business associate is recorded on the filing; 39% of Delaware filings do involve one. At 50,000 individuals the breach is 3.5 times the Delaware median filing of 14,095 and 13 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.
Delaware's breach notification statute (Del. Code tit. 6, Ch. 12B) requires notice to affected residents without unreasonable delay, no later than 60 days after determining a breach occurred. Its attorney general threshold: 500 or more Delaware 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 50,000 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 $8.00M; the 2026 edition's $192 gives $9.60M. Both are modelled estimates with the method shown, not costs disclosed by Delaware Guidance Services for Children and Youth, Inc.. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.4 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.
Delaware Guidance Services for Children and Youth, Inc., the covered entity (CE), reported that it was the victim of a cyber-attack involving ransomware that affected the protected health information (PHI) of 20,633 individuals. The PHI involved included names, birthdates, Social Security numbers, addresses, claims information, diagnoses, lab results, and medications prescribed. The CE notified HHS, affected individuals, and the media. Following the breach, the CE implemented additional administrative, technical, and security safeguards and retrained its staff. As a result of OCR's investigation, the CE completed a new risk analysis and implemented an updated risk management plan.
Section F.5 / Modelled cost
50,000 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$8.00M
50,000 x $160
IBM 2026 customer PII, $192 per record
$9.60M
50,000 x $192
Method: individuals affected, as reported by Delaware Guidance Services for Children and Youth, 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
Delaware statute and the HIPAA rule
State notification statute
Delaware: Del. Code tit. 6, Ch. 12B
- Notice to individuals
- Without unreasonable delay, no later than 60 days after determining a breach occurred
- Attorney general threshold
- 500 or more Delaware residents (No later than when individual notices are sent)
- Private right of action
- No: Statute preserves existing common-law and other statutory rights
- Penalty
- Enforced by the AG Consumer Protection Division; may recover direct economic damages
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
Delaware filings closest in size
Neighbours by size rank among Delaware filings in 2019, topped up from other years where 2019 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Mid-Delaware Imaging | Healthcare Provider | 77,110 | 30 Mar 2020 | |||
| Beebe Medical Foundation | Healthcare Provider | 56,953 | 28 Dec 2020 | |||
| La Red Health Center | Healthcare Provider | 39,759 | 20 Oct 2023 | |||
| Brandywine Pediatrics, P.A. | Healthcare Provider | 26,873 | 23 Dec 2016 | |||
| Medical Oncology Hematology Consultants, PA | Healthcare Provider | 8,591 | 26 Apr 2019 |
Index / Companion schedules
13 HHS breach register
→Hub: every filing, by state, year and entity.
04 Biggest breaches
→Mega-breaches with primary-source cost figures.
Industry / Healthcare
→IBM 2026: $6.64M average, 13 years at #1.
Regulation / HIPAA penalties
→OCR enforcement tiers and the 60-day rule.
11 50-state laws
→Deadline, AG threshold and penalties per state.
Cost / Per record
→Where the per-record model is reliable.
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 4564.
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.