Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing ND-20250701-heart-of-america-medical-center-hamcHHS OCR Breach Register, North Dakota

Breach filing

Under investigation

Heart of America Medical Center ("HAMC"): 29,430 individuals, Jul 2025.

Heart of America Medical Center ("HAMC") reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 1 July 2025. The filing records the organisation as a healthcare provider in North Dakota and lists 29,430 individuals affected, which makes it the 5th largest of the 21 North Dakota filings on the register and the 193rd largest of the 804 filings submitted nationally in 2025. Among the 2 North Dakota filings made in 2025 it ranks 1st.

Individuals affected

29,430

As reported to HHS

Modelled cost (IBM 2025)

$4.71M

Method shown, not disclosed

Rank in ND

5th

of 21 North Dakota filings

Rank in 2025

193rd

of 804 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
29,430
Breach submission date
1 July 2025
Submission year
2025
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
No
Portal status
listed by HHS OCR under Cases Currently Under Investigation
Rank in North Dakota by size
5th of 21
Rank in 2025 nationally
193rd of 804
North Dakota median filing
6,457 individuals
Register id (derived)
ND-20250701-heart-of-america-medical-center-hamc

Section F.2 / In context

Where this filing sits in North Dakota and in 2025

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 15 of the 21 North Dakota filings (71%) and on 81% of all filings submitted in 2025. Network Server appears on 43% of North Dakota filings.

No business associate is recorded on the filing; 19% of North Dakota filings do involve one. At 29,430 individuals the breach is 4.6 times the North Dakota median filing of 6,457 and 7.4 times the national median of 4,000 across all 7,927 filings. It sits in the 10,000 to 99,999 band, which holds 1,950 filings.

As of 10 September 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 Dakota's breach notification statute (N.D. Cent. Code Ch. 51-30) requires notice to affected residents in the most expedient time possible and without unreasonable delay. Its attorney general threshold: 250 or more North Dakota residents. 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 29,430 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 $4.71M; the 2026 edition's $192 gives $5.65M. Both are modelled estimates with the method shown, not costs disclosed by Heart of America Medical Center ("HAMC"). For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.9 times the sector average.

Section F.5 / Modelled cost

29,430 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$4.71M

29,430 x $160

IBM 2026 customer PII, $192 per record

$5.65M

29,430 x $192

Method: individuals affected, as reported by Heart of America Medical Center ("HAMC") 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 Dakota statute and the HIPAA rule

State notification statute

North Dakota: N.D. Cent. Code Ch. 51-30

Notice to individuals
In the most expedient time possible and without unreasonable delay
Attorney general threshold
250 or more North Dakota residents (Same timeline as individual notification)
Private right of action
No: Only the North Dakota Attorney General may enforce
Penalty
Up to $5,000 per violation under the consumer fraud statute, plus fees and costs

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 Dakota filings closest in size

Neighbours by size rank among North Dakota filings in 2025, topped up from other years where 2025 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
DMS Health Technologies, Inc.Healthcare Provider48,33621 Jun 2023
State of North DakotaHealthcare Provider35,41627 Oct 2020
Pembina County Memorial HospitalHealthcare Provider23,81125 Mar 2024
Southwest Healthcare ServicesHealthcare Provider15,9961 Apr 2023
Langdon Prairie HealthHealthcare Provider1,15218 Apr 2025

Index / Companion schedules

Provenance

Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-09-10. 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 10 September 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-under-investigation__2026-09-10.csv, export row 535.

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.