Breach filing
Under investigationHawaii Radiologic Associates, Ltd.: 43,916 individuals, Oct 2024.
Hawaii Radiologic Associates, Ltd. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 25 October 2024. The filing records the organisation as a healthcare provider in Hawaii and lists 43,916 individuals affected, which makes it the 3rd largest of the 22 Hawaii filings on the register and the 192nd largest of the 741 filings submitted nationally in 2024. Among the 2 Hawaii filings made in 2024 it ranks 2nd.
Individuals affected
43,916
As reported to HHS
Modelled cost (IBM 2025)
$7.03M
Method shown, not disclosed
Rank in HI
3rd
of 22 Hawaii filings
Rank in 2024
192nd
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
- Healthcare Provider
- Individuals affected
- 43,916
- Breach submission date
- 25 October 2024
- Submission year
- 2024
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- No
- State
- Hawaii (HI)
- Portal status
- listed by HHS OCR under Cases Currently Under Investigation
- Rank in Hawaii by size
- 3rd of 22
- Rank in 2024 nationally
- 192nd of 741
- Hawaii median filing
- 14,369 individuals
- Register id (derived)
- HI-20241025-hawaii-radiologic-associates
Section F.2 / In context
Where this filing sits in Hawaii 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 13 of the 22 Hawaii filings (59%) and on 83% of all filings submitted in 2024. Network Server appears on 45% of Hawaii filings.
No business associate is recorded on the filing; 27% of Hawaii filings do involve one. At 43,916 individuals the breach is 3.1 times the Hawaii median filing of 14,369 and 11 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 by HHS OCR under Cases Currently Under Investigation. OCR has not published a closing summary, so this page is limited to the fields on the filing itself; the archive entry that follows a closed investigation usually adds a short account of what was exposed and what the entity did afterwards.
Hawaii's breach notification statute (HRS Ch. 487N) requires notice to affected residents without unreasonable delay. Its attorney general threshold: 1,000 or more Hawaii residents (written notice to the Office of Consumer Protection). 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 43,916 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 $7.03M; the 2026 edition's $192 gives $8.43M. Both are modelled estimates with the method shown, not costs disclosed by Hawaii Radiologic Associates, Ltd.. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.3 times the sector average.
Section F.5 / Modelled cost
43,916 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$7.03M
43,916 x $160
IBM 2026 customer PII, $192 per record
$8.43M
43,916 x $192
Method: individuals affected, as reported by Hawaii Radiologic Associates, Ltd. 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
Hawaii statute and the HIPAA rule
State notification statute
Hawaii: HRS Ch. 487N
- Notice to individuals
- Without unreasonable delay
- Attorney general threshold
- 1,000 or more Hawaii residents (written notice to the Office of Consumer Protection)
- Private right of action
- Yes: Individuals may sue for actual damages plus reasonable attorney fees
- Penalty
- Up to $2,500 per violation enforceable by the AG or Office of Consumer Protection
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
Hawaii filings closest in size
Neighbours by size rank among Hawaii 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 entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Orthopedic Associates of Hawaii | Healthcare Provider | 138,000 | 20 Apr 2021 | |||
| Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center | Healthcare Provider | 123,816 | 26 Sep 2024 | |||
| Aloha Laser Vision | Healthcare Provider | 43,263 | 17 Jun 2022 | |||
| Greigh I. Hirata M.D. Inc, dba. Fetal Diagnostic Institute of the Pacific | Healthcare Provider | 40,800 | 30 Aug 2018 | |||
| Ola Equipment LLC | Business Associate | 39,000 | 14 Dec 2022 |
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-under-investigation__2026-08-28.csv, export row 678.
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.