Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing MI-20230306-trinity-healthHHS OCR Breach Register, Michigan

Breach filing

Archived

Trinity Health: 46,526 individuals, Mar 2023.

Trinity Health reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 6 March 2023. The filing records the organisation as a business associate in Michigan and lists 46,526 individuals affected, which makes it the 40th largest of the 238 Michigan filings on the register and the 213th largest of the 746 filings submitted nationally in 2023. Among the 18 Michigan filings made in 2023 it ranks 7th.

Individuals affected

46,526

As reported to HHS

Modelled cost (IBM 2025)

$7.44M

Method shown, not disclosed

Rank in MI

40th

of 238 Michigan filings

Rank in 2023

213th

of 746 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
46,526
Breach submission date
6 March 2023
Submission year
2023
Type of breach
Hacking/IT Incident
Location of breached information
Email
Business associate present
Yes
Portal status
listed in the HHS OCR breach portal archive
Rank in Michigan by size
40th of 238
Rank in 2023 nationally
213th of 746
Michigan median filing
3,754 individuals
Register id (derived)
MI-20230306-trinity-health

Section F.2 / In context

Where this filing sits in Michigan and in 2023

OCR classifies the incident as a hacking or IT incident, with the breached information held in email. Hacking/IT Incident is the type recorded on 148 of the 238 Michigan filings (62%) and on 82% of all filings submitted in 2023. Email appears on 29% of Michigan filings.

A business associate is recorded as present on the filing, as it is on 30% of Michigan filings. At 46,526 individuals the breach is 12 times the Michigan median filing of 3,754 and 12 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 in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

Michigan's breach notification statute (MCL 445.72) requires notice to affected residents without unreasonable delay. Its attorney general threshold: not currently required (pending SB 360 would require it at 100+ 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 46,526 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 $7.44M; the 2026 edition's $192 gives $8.93M. Both are modelled estimates with the method shown, not costs disclosed by Trinity Health. 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.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.

Trinity Health, the business associate (BA), reported that an employee was the target of an email phishing scheme that compromised the protected health information (PHI) of 46,526 individuals. The PHI involved included names, addresses, dates of birth, financial information, medications, and other treatment information. Trinity notified HHS, affected individuals, and the media. In its mitigation efforts, the BA strengthened its access controls and retrained its workforce.

Section F.5 / Modelled cost

46,526 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$7.44M

46,526 x $160

IBM 2026 customer PII, $192 per record

$8.93M

46,526 x $192

Method: individuals affected, as reported by Trinity 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

Michigan statute and the HIPAA rule

State notification statute

Michigan: MCL 445.72

Identity Theft Protection Act

Notice to individuals
Without unreasonable delay
Attorney general threshold
Not currently required (pending SB 360 would require it at 100+ residents)
Private right of action
No: No PROA under the statute; other theories such as negligence may apply
Penalty
Up to $250 per failed notification, capped at $750,000 per breach event

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

Michigan filings closest in size

Neighbours by size rank among Michigan filings in 2023, topped up from other years where 2023 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
University of MichiganHealthcare Provider61,03323 Oct 2023
Kent County Community Mental Health Authority d/b/a Network180Healthcare Provider59,33422 Dec 2023
Teijin Automotive Technologies Welfare PlanHealth Plan25,4646 Feb 2023
TGI Direct, Inc.Business Associate16,11321 Nov 2023

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 2026-08-28. 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 1921.

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.