Breach filing
ArchivedSaint Francis Medical Center: 107,054 individuals, Nov 2019.
Saint Francis Medical Center reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 20 November 2019. The filing records the organisation as a healthcare provider in Missouri and lists 107,054 individuals affected, which makes it the 19th largest of the 164 Missouri filings on the register and the 40th largest of the 511 filings submitted nationally in 2019. Among the 12 Missouri filings made in 2019 it ranks 4th.
Individuals affected
107,054
As reported to HHS
Modelled cost (IBM 2025)
$17.1M
Upper bound, method shown
Rank in MO
19th
of 164 Missouri filings
Rank in 2019
40th
of 511 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
- 107,054
- Breach submission date
- 20 November 2019
- Submission year
- 2019
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Electronic Medical Record
- Business associate present
- No
- State
- Missouri (MO)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Missouri by size
- 19th of 164
- Rank in 2019 nationally
- 40th of 511
- Missouri median filing
- 4,800 individuals
- Register id (derived)
- MO-20191120-saint-francis-medical-center
Section F.2 / In context
Where this filing sits in Missouri and in 2019
OCR classifies the incident as a hacking or IT incident, with the breached information held in an electronic medical record system. Hacking/IT Incident is the type recorded on 100 of the 164 Missouri filings (61%) and on 61% of all filings submitted in 2019. Electronic Medical Record appears on 7% of Missouri filings.
No business associate is recorded on the filing; 23% of Missouri filings do involve one. At 107,054 individuals the breach is 22 times the Missouri median filing of 4,800 and 27 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. OCR's closing summary of the case is reproduced in full below.
Missouri's breach notification statute (Mo. Rev. Stat. 407.1500) requires notice to affected residents without unreasonable delay. Its attorney general threshold: more than 1,000 Missouri consumers. 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 107,054 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 $17.1M; the 2026 edition's $192 gives $20.6M. Both are modelled estimates with the method shown, not costs disclosed by Saint Francis Medical Center. 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.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.
The covered entity (CE), Saint Francis Medical Center, reported that it was the subject of a ransomware attack that affected the protected health information (PHI) of 107,054 individuals. The PHI involved included names, addresses, dates of birth, drivers' license information, Social Security numbers, claims and financial information, diagnoses, lab results, medications, and other treatment information. The CE notified HHS, the affected individuals, the media, and provided substitute notice. In response to the breach, the CE provided complimentary credit monitoring services and implemented additional administrative, technical, and security safeguards to better protect its PHI.
Section F.5 / Modelled cost
107,054 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$17.1M
107,054 x $160
IBM 2026 customer PII, $192 per record
$20.6M
107,054 x $192
Method: individuals affected, as reported by Saint Francis Medical Center 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
Missouri statute and the HIPAA rule
State notification statute
Missouri: Mo. Rev. Stat. 407.1500
- Notice to individuals
- Without unreasonable delay
- Attorney general threshold
- More than 1,000 Missouri consumers (Without unreasonable delay)
- Private right of action
- No: AG has exclusive enforcement authority
- Penalty
- Up to $150,000 per breach (or series) for willful and knowing violations
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
Missouri filings closest in size
Neighbours by size rank among Missouri filings in 2019, topped up from other years where 2019 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| EyeCare Partners, LLC | Healthcare Provider | 141,165 | 19 Jun 2019 | |||
| Truman Medical Center, Incorporated | Healthcare Provider | 114,466 | 5 Dec 2019 | |||
| Burrell Behavioral Health | Healthcare Provider | 67,493 | 29 Mar 2019 | |||
| University of Missouri Health Care | Healthcare Provider | 14,402 | 2 Aug 2019 |
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 4173.
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.