Breach filing
ArchivedHealth Management Concepts, Inc.: 502,416 individuals, Aug 2018.
Health Management Concepts, Inc. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 22 August 2018. The filing records the organisation as a business associate in Florida and lists 502,416 individuals affected, which makes it the 22nd largest of the 463 Florida filings on the register and the 9th largest of the 369 filings submitted nationally in 2018. Among the 19 Florida filings made in 2018 it ranks 1st.
Individuals affected
502,416
As reported to HHS
Modelled cost (IBM 2025)
$80.4M
Upper bound, method shown
Rank in FL
22nd
of 463 Florida filings
Rank in 2018
9th
of 369 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
- 502,416
- Breach submission date
- 22 August 2018
- Submission year
- 2018
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- Yes
- State
- Florida (FL)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Florida by size
- 22nd of 463
- Rank in 2018 nationally
- 9th of 369
- Florida median filing
- 4,912 individuals
- Register id (derived)
- FL-20180822-health-management-concepts
Section F.2 / In context
Where this filing sits in Florida and in 2018
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 256 of the 463 Florida filings (55%) and on 45% of all filings submitted in 2018. Network Server appears on 45% of Florida filings.
A business associate is recorded as present on the filing, as it is on 25% of Florida filings. At 502,416 individuals the breach is 102 times the Florida median filing of 4,912 and 126 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.
Florida's breach notification statute (Fla. Stat. 501.171) requires notice to affected residents within 30 days of determining a breach occurred (up to 15-day extension for good cause). Its attorney general threshold: 500 or more Florida 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 502,416 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 $80.4M; the 2026 edition's $192 gives $96.5M. Both are modelled estimates with the method shown, not costs disclosed by Health Management Concepts, 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.
A business Associate (BA), Health Management Concepts, Inc., discovered on July 16, 2018, that ransomware had encrypted data on a secure File Transfer Protocol (sFTP) computer server, including electronic protected health information (ePHI). While the BA determined that the ransomware incident resulted in a low probability of compromise to ePHI and no reportable breach occurred, ePHI for one covered entity (CE), Inlandboatmen's Union of the Pacific National Benefit Fund, was inadvertently disclosed to the ransom attacker during negotiations for the decryption key. The breached ePHI included the names, Social Security numbers, and health insurance plan information of 2,452 individuals. After technical assistance from OCR, the BA provided breach notification on behalf of the CE. In response to the breach, the BA reset passwords, installed a new computer server with a new IT host, reconfigured firewall and remote access procedures, revised its written breach notification procedures, and engaged a new data backup service. In response to technical assistance from OCR, the BA completed a risk analysis in June 2019 to meet the standards of the Security Rule. OCR obtained assurances that the BA implemented the corrective actions listed above and performed notification obligations on behalf of the CE.
Section F.5 / Modelled cost
502,416 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$80.4M
502,416 x $160
IBM 2026 customer PII, $192 per record
$96.5M
502,416 x $192
Method: individuals affected, as reported by Health Management Concepts, 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
Florida statute and the HIPAA rule
State notification statute
Florida: Fla. Stat. 501.171
Florida Information Protection Act (FIPA)
- Notice to individuals
- Within 30 days of determining a breach occurred (up to 15-day extension for good cause)
- Attorney general threshold
- 500 or more Florida residents (Within 30 days of the breach determination)
- Private right of action
- No: FIPA does not permit direct individual lawsuits; AG enforcement only
- Penalty
- Escalating civil penalties up to $500,000 per breach; also an unfair or deceptive 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
Florida filings closest in size
Neighbours by size rank among Florida filings in 2018, topped up from other years where 2018 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Electrostim Medical Services, Inc. d/b/A EMSI | Healthcare Provider | 542,990 | 28 Dec 2023 | |||
| Women's Care Florida, LLC | Healthcare Provider | 527,310 | 25 Sep 2019 | |||
| Radiology Regional Center, PA | Healthcare Provider | 483,063 | 12 Feb 2016 | |||
| Florida Agency for Persons with Disabilities | Health Plan | 63,627 | 1 Mar 2018 | |||
| Health First, Inc | Healthcare Provider | 42,000 | 5 Oct 2018 |
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 4758.
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.