Breach filing
ArchivedLaboratory Medicine Consultants, Ltd.: 140,590 individuals, Jul 2019.
Laboratory Medicine Consultants, Ltd. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 25 July 2019. The filing records the organisation as a healthcare provider in Nevada and lists 140,590 individuals affected, which makes it the 4th largest of the 55 Nevada filings on the register and the 33rd largest of the 511 filings submitted nationally in 2019. Among the 5 Nevada filings made in 2019 it ranks 1st.
Individuals affected
140,590
As reported to HHS
Modelled cost (IBM 2025)
$22.5M
Upper bound, method shown
Rank in NV
4th
of 55 Nevada filings
Rank in 2019
33rd
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
- 140,590
- Breach submission date
- 25 July 2019
- Submission year
- 2019
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- No
- State
- Nevada (NV)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Nevada by size
- 4th of 55
- Rank in 2019 nationally
- 33rd of 511
- Nevada median filing
- 3,898 individuals
- Register id (derived)
- NV-20190725-laboratory-medicine-consultants
Section F.2 / In context
Where this filing sits in Nevada and in 2019
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 31 of the 55 Nevada filings (56%) and on 61% of all filings submitted in 2019. Network Server is the most common location in the state, appearing on 55% of Nevada filings.
No business associate is recorded on the filing; 25% of Nevada filings do involve one. At 140,590 individuals the breach is 36 times the Nevada median filing of 3,898 and 35 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.
Nevada's breach notification statute (Nev. Rev. Stat. 603A.010 et seq.) requires notice to affected residents in the most expedient time possible and without unreasonable delay. Its attorney general threshold: no AG notification requirement. 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 140,590 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 $22.5M; the 2026 edition's $192 gives $27.0M. Both are modelled estimates with the method shown, not costs disclosed by Laboratory Medicine Consultants, Ltd.. 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.
On May 15, 2019, the covered entity (CE), Laboratory Medicine Consultants, Ltd., learned through correspondence directed to its managing entity, Aurora Diagnostics, that a business associate (BA), American Medical Collection Agency, had discovered a potential data security incident. Upon initial review, the CE reported that the incident affected 140,590 individuals; however, after further analysis, the CE amended its report to indicate that 144,775 individuals were affected. The breach compromised the BA's payment website and potentially the protected health information (PHI) of the CE's patients with overdue accounts. The types of PHI involved included demographic, clinical, and financial information. In response to the breach, the CE ceased using the BA for collection efforts and informed affected individuals that payments for outstanding balances should no longer be made to AMCA. The CE provided breach notification to individuals, the media and HHS. The CE cooperated with OCR's investigation and provided all requested documents and information to demonstrate its reasonable compliance efforts. Notably, the CE demonstrated it had a preexisting BA agreement, via Aurora Diagnostics, with the BA, that sufficiently meets the requirements of the Privacy Rule.
Section F.5 / Modelled cost
140,590 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$22.5M
140,590 x $160
IBM 2026 customer PII, $192 per record
$27.0M
140,590 x $192
Method: individuals affected, as reported by Laboratory Medicine Consultants, Ltd. 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
Nevada statute and the HIPAA rule
State notification statute
Nevada: Nev. Rev. Stat. 603A.010 et seq.
- Notice to individuals
- In the most expedient time possible and without unreasonable delay
- Attorney general threshold
- No AG notification requirement
- Private right of action
- No: No PROA for notification failures; NRS 603A.900 allows damages for reasonable-security failures
- Penalty
- Enforced through the Deceptive Trade Practices Act; injunctive relief, civil penalties, restitution
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
Nevada filings closest in size
Neighbours by size rank among Nevada 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 |
|---|---|---|---|---|---|---|
| University Medical Center of Southern Nevada | Healthcare Provider | 1,300,000 | 13 Aug 2021 | |||
| Absolute Dental Group, LLCOpen | Business Associate | 1,223,635 | 2 May 2025 | |||
| Renown Health | Healthcare Provider | 65,181 | 22 Jun 2021 | |||
| Renown Health | Healthcare Provider | 27,004 | 9 Aug 2019 | |||
| Western Pathology | Healthcare Provider | 4,079 | 25 Jul 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 4341.
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.