Breach filing
ArchivedOptima Dermatology Holdings, LLC: 59,872 individuals, Apr 2022.
Optima Dermatology Holdings, LLC reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 18 April 2022. The filing records the organisation as a healthcare provider in New Hampshire and lists 59,872 individuals affected, which makes it the 7th largest of the 38 New Hampshire filings on the register and the 134th largest of the 718 filings submitted nationally in 2022. Among the 8 New Hampshire filings made in 2022 it ranks 2nd.
Individuals affected
59,872
As reported to HHS
Modelled cost (IBM 2025)
$9.58M
Method shown, not disclosed
Rank in NH
7th
of 38 New Hampshire filings
Rank in 2022
134th
of 718 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
- 59,872
- Breach submission date
- 18 April 2022
- Submission year
- 2022
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Business associate present
- No
- State
- New Hampshire (NH)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in New Hampshire by size
- 7th of 38
- Rank in 2022 nationally
- 134th of 718
- New Hampshire median filing
- 5,205 individuals
- Register id (derived)
- NH-20220418-optima-dermatology-holdings
Section F.2 / In context
Where this filing sits in New Hampshire and in 2022
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 28 of the 38 New Hampshire filings (74%) and on 79% of all filings submitted in 2022. Email appears on 21% of New Hampshire filings.
No business associate is recorded on the filing; 32% of New Hampshire filings do involve one. At 59,872 individuals the breach is 12 times the New Hampshire median filing of 5,205 and 15 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.
New Hampshire's breach notification statute (N.H. Rev. Stat. 359-C:19 et seq.) requires notice to affected residents as quickly as possible. Its attorney general threshold: 1,000 or more residents (AG notified before individual notices). 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 59,872 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 $9.58M; the 2026 edition's $192 gives $11.5M. Both are modelled estimates with the method shown, not costs disclosed by Optima Dermatology Holdings, LLC. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.7 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.
The covered entity (CE), Optima Dermatology Holdings, reported that it experienced a hacking incident that affected the protected health information (PHI) of 59,872 individuals. The PHI involved included names, dates of birth, claims information, and diagnoses. The CE notified HHS, the affected individuals, the media, and provided substitute notice. In response to the breach, the CE implemented additional administrative and technical safeguards and retrained its staff on email security.
Section F.5 / Modelled cost
59,872 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$9.58M
59,872 x $160
IBM 2026 customer PII, $192 per record
$11.5M
59,872 x $192
Method: individuals affected, as reported by Optima Dermatology Holdings, LLC 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
New Hampshire statute and the HIPAA rule
State notification statute
New Hampshire: N.H. Rev. Stat. 359-C:19 et seq.
- Notice to individuals
- As quickly as possible
- Attorney general threshold
- 1,000 or more residents (AG notified before individual notices) (Before individual notifications are sent)
- Private right of action
- No: Only the AG can enforce; individuals may pursue common-law remedies separately
- Penalty
- Unfair or deceptive act; injunctive relief, civil penalties, restitution, 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
New Hampshire filings closest in size
Neighbours by size rank among New Hampshire filings in 2022, topped up from other years where 2022 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| NuLife Med, LLC | Healthcare Provider | 92,436 | 9 May 2022 | |||
| Community Bridges | Healthcare Provider | 10,461 | 24 Aug 2022 | |||
| Living Innovations | Healthcare Provider | 4,041 | 5 Aug 2022 |
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 2561.
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.