Breach filing
ArchivedKootenai Health: 464,088 individuals, Apr 2024.
Kootenai Health reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 24 April 2024. The filing records the organisation as a healthcare provider in Idaho and lists 464,088 individuals affected, which makes it the 1st largest of the 29 Idaho filings on the register and the 46th largest of the 741 filings submitted nationally in 2024. Among the 4 Idaho filings made in 2024 it ranks 1st.
Individuals affected
464,088
As reported to HHS
Modelled cost (IBM 2025)
$74.3M
Upper bound, method shown
Rank in ID
1st
of 29 Idaho filings
Rank in 2024
46th
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
- 464,088
- Breach submission date
- 24 April 2024
- Submission year
- 2024
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- No
- State
- Idaho (ID)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Idaho by size
- 1st of 29
- Rank in 2024 nationally
- 46th of 741
- Idaho median filing
- 5,500 individuals
- Register id (derived)
- ID-20240424-kootenai-health
Section F.2 / In context
Where this filing sits in Idaho 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 20 of the 29 Idaho filings (69%) and on 83% of all filings submitted in 2024. Network Server appears on 38% of Idaho filings.
No business associate is recorded on the filing; 28% of Idaho filings do involve one. At 464,088 individuals the breach is 84 times the Idaho median filing of 5,500 and 116 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. The archive entry carries no closing summary.
Idaho's breach notification statute (Idaho Code 28-51-104 et seq.) requires notice to affected residents as soon as possible, without unreasonable delay. Its attorney general threshold: government agencies only (no requirement for commercial entities). 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 464,088 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 $74.3M; the 2026 edition's $192 gives $89.1M. Both are modelled estimates with the method shown, not costs disclosed by Kootenai Health. 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.5 / Modelled cost
464,088 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$74.3M
464,088 x $160
IBM 2026 customer PII, $192 per record
$89.1M
464,088 x $192
Method: individuals affected, as reported by Kootenai Health 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
Idaho statute and the HIPAA rule
State notification statute
Idaho: Idaho Code 28-51-104 et seq.
- Notice to individuals
- As soon as possible, without unreasonable delay
- Attorney general threshold
- Government agencies only (no requirement for commercial entities) (Government agencies: within 24 hours of discovery)
- Private right of action
- No: No direct individual lawsuits; AG and primary regulators enforce
- Penalty
- Up to $25,000 per breach for intentional failure to notify
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
Idaho filings closest in size
Neighbours by size rank among Idaho 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 |
|---|---|---|---|---|---|---|
| Mountain View Hospital | Healthcare Provider | 441,903 | 3 Jul 2023 | |||
| Saint Alphonsus Health System | Healthcare Provider | 134,906 | 4 Mar 2021 | |||
| NS Support, LLC | Healthcare Provider | 92,845 | 21 Nov 2025 | |||
| Orthopedic and Fracture Clinic dba West Idaho Orthopedics and Sports Medicine | Healthcare Provider | 6,146 | 17 Apr 2024 | |||
| Northern Idaho Advanced Care Hospital | Healthcare Provider | 5,606 | 29 Mar 2024 |
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 995.
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.