Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing MA-20260120-middlesex-sheriffs-officeHHS OCR Breach Register, Massachusetts

Breach filing

Under investigation

Middlesex Sheriff's Office: 19,080 individuals, Jan 2026.

Middlesex Sheriff's Office reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 20 January 2026. The filing records the organisation as a healthcare provider in Massachusetts and lists 19,080 individuals affected, which makes it the 56th largest of the 245 Massachusetts filings on the register and the 142nd largest of the 564 filings submitted nationally in 2026. Among the 19 Massachusetts filings made in 2026 it ranks 6th.

Individuals affected

19,080

As reported to HHS

Modelled cost (IBM 2025)

$3.05M

Method shown, not disclosed

Rank in MA

56th

of 245 Massachusetts filings

Rank in 2026

142nd

of 564 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
19,080
Breach submission date
20 January 2026
Submission year
2026
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
No
Portal status
listed by HHS OCR under Cases Currently Under Investigation
Rank in Massachusetts by size
56th of 245
Rank in 2026 nationally
142nd of 564
Massachusetts median filing
4,049 individuals
Register id (derived)
MA-20260120-middlesex-sheriffs-office

Section F.2 / In context

Where this filing sits in Massachusetts and in 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 154 of the 245 Massachusetts filings (63%) and on 85% of all filings submitted in 2026. Network Server is the most common location in the state, appearing on 52% of Massachusetts filings.

No business associate is recorded on the filing; 37% of Massachusetts filings do involve one. At 19,080 individuals the breach is 4.7 times the Massachusetts median filing of 4,049 and 4.8 times the national median of 4,000 across all 8,012 filings. It sits in the 10,000 to 99,999 band, which holds 1,973 filings.

As of 8 October 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.

Massachusetts's breach notification statute (Mass. Gen. Laws ch. 93H) requires notice to affected residents as soon as practicable and without unreasonable delay. Its attorney general threshold: all breaches (AG and Office of Consumer Affairs and Business Regulation). 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 19,080 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 $3.05M; the 2026 edition's $192 gives $3.66M. Both are modelled estimates with the method shown, not costs disclosed by Middlesex Sheriff's Office. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.6 times the sector average.

Section F.5 / Modelled cost

19,080 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$3.05M

19,080 x $160

IBM 2026 customer PII, $192 per record

$3.66M

19,080 x $192

Method: individuals affected, as reported by Middlesex Sheriff's Office 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

Massachusetts statute and the HIPAA rule

State notification statute

Massachusetts: Mass. Gen. Laws ch. 93H

paired with 201 CMR 17.00 data-security regulations

Notice to individuals
As soon as practicable and without unreasonable delay
Attorney general threshold
All breaches (AG and Office of Consumer Affairs and Business Regulation) (As soon as practicable and without unreasonable delay)
Private right of action
Yes: Chapter 93A claims, subject to a 30-day pre-suit demand letter requirement
Penalty
Up to $5,000 per violation; treble damages for willful violations, plus attorney fees

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

Massachusetts filings closest in size

Neighbours by size rank among Massachusetts filings in 2026, topped up from other years where 2026 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
High Point Treatment Center, Inc.OpenHealthcare Provider25,83230 Jan 2026
Orthopaedic Specialists of Massachusetts, PCOpenHealthcare Provider20,65926 Feb 2026
Community NurseHealthcare Provider6,74612 Mar 2026
Indico Data Solutions, Inc.OpenBusiness Associate4,8407 Aug 2026

Index / Companion schedules

Provenance

Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-10-08. 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 8 October 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__2026-10-08.csv, export row 369.

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.