OpenLoop Health, Inc.: 716,000 individuals, Mar 2026.

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 66 of the 98 Iowa filings (67%) and on 86% of all filings submitted in 2026. Network Server is the most common location in the state, appearing on 50% of Iowa filings.

A business associate is recorded as present on the filing, as it is on 34% of Iowa filings. At 716,000 individuals the breach is 165 times the Iowa median filing of 4,336 and 179 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 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.

Iowa's breach notification statute (Iowa Code Ch. 715C) requires notice to affected residents in the most expedient time possible and without unreasonable delay. Its attorney general threshold: 500 or more Iowa 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 716,000 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 $115M; the 2026 edition's $192 gives $137M. Both are modelled estimates with the method shown, not costs disclosed by OpenLoop Health, 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.