Breach filing
ArchivedAlamance Caswell Local Management Entity: 50,000 individuals, Jan 2012.
Alamance Caswell Local Management Entity reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 10 January 2012. The filing records the organisation as a business associate in North Carolina and lists 50,000 individuals affected, which makes it the 34th largest of the 207 North Carolina filings on the register and the 11th largest of the 218 filings submitted nationally in 2012. Among the 8 North Carolina filings made in 2012 it ranks 1st.
Individuals affected
50,000
As reported to HHS
Modelled cost (IBM 2025)
$8.00M
Method shown, not disclosed
Rank in NC
34th
of 207 North Carolina filings
Rank in 2012
11th
of 218 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
- 50,000
- Breach submission date
- 10 January 2012
- Submission year
- 2012
- Type of breach
- Other, Unauthorized Access/Disclosure
- Location of breached information
- Email, Network Server
- Business associate present
- Yes
- State
- North Carolina (NC)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in North Carolina by size
- 34th of 207
- Rank in 2012 nationally
- 11th of 218
- North Carolina median filing
- 3,679 individuals
- Register id (derived)
- NC-20120110-alamance-caswell-local-management-entity
Section F.2 / In context
Where this filing sits in North Carolina and in 2012
OCR classifies the incident as a breach of another type and unauthorized access or disclosure, with the breached information held in email and a network server. Other is the type recorded on 3 of the 207 North Carolina filings (1%) and on 9% of all filings submitted in 2012. Email appears on 28% of North Carolina filings.
A business associate is recorded as present on the filing, as it is on 26% of North Carolina filings. At 50,000 individuals the breach is 14 times the North Carolina median filing of 3,679 and 13 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.
North Carolina's breach notification statute (N.C. Gen. Stat. 75-65) requires notice to affected residents without unreasonable delay. Its attorney general threshold: all breaches (Consumer Protection Division of the AG). 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 50,000 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 $8.00M; the 2026 edition's $192 gives $9.60M. Both are modelled estimates with the method shown, not costs disclosed by Alamance Caswell Local Management Entity. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.4 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.
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Section F.5 / Modelled cost
50,000 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$8.00M
50,000 x $160
IBM 2026 customer PII, $192 per record
$9.60M
50,000 x $192
Method: individuals affected, as reported by Alamance Caswell Local Management Entity 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
North Carolina statute and the HIPAA rule
State notification statute
North Carolina: N.C. Gen. Stat. 75-65
Identity Theft Protection Act
- Notice to individuals
- Without unreasonable delay
- Attorney general threshold
- All breaches (Consumer Protection Division of the AG) (Concurrent with consumer notification)
- Private right of action
- Yes: Civil action under N.C. Gen. Stat. 75-16 as an unfair and deceptive trade practice; treble damages
- Penalty
- Treble damages for affected individuals; AG may seek injunctive relief, penalties, and 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
North Carolina filings closest in size
Neighbours by size rank among North Carolina filings in 2012, topped up from other years where 2012 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| AuthoraCare Collective | Healthcare Provider | 57,944 | 19 Nov 2024 | |||
| Monarch | Healthcare Provider | 56,155 | 16 Dec 2022 | |||
| North Carolina Department of Health and Human Services | Healthcare Provider | 48,752 | 7 Jan 2014 | |||
| Bruce G. Peller, DMD, PA | Healthcare Provider | 9,953 | 25 Jun 2012 | |||
| Carolinas Medical Center - Randolph | Healthcare Provider | 5,600 | 7 Dec 2012 |
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 6759.
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.