Coastal Carolina Health Care, PA: 110,304 individuals, Mar 2026.

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 130 of the 207 North Carolina filings (63%) and on 86% of all filings submitted in 2026. Network Server appears on 45% of North Carolina filings.

No business associate is recorded on the filing; 26% of North Carolina filings do involve one. At 110,304 individuals the breach is 30 times the North Carolina median filing of 3,679 and 28 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 by HHS OCR under Cases Currently Under Investigation. OCR has not published a closing summary, so this page is limited to the fields on the filing itself; the archive entry that follows a closed investigation usually adds a short account of what was exposed and what the entity did afterwards.

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 110,304 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 $17.6M; the 2026 edition's $192 gives $21.2M. Both are modelled estimates with the method shown, not costs disclosed by Coastal Carolina Health Care, PA. 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.