Breach filing
ArchivedUSACS Management Group, Ltd.: 15,552 individuals, May 2018.
USACS Management Group, Ltd. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 8 May 2018. The filing records the organisation as a business associate in Ohio and lists 15,552 individuals affected, which makes it the 58th largest of the 276 Ohio filings on the register and the 83rd largest of the 369 filings submitted nationally in 2018. Among the 10 Ohio filings made in 2018 it ranks 3rd.
Individuals affected
15,552
As reported to HHS
Modelled cost (IBM 2025)
$2.49M
Method shown, not disclosed
Rank in OH
58th
of 276 Ohio filings
Rank in 2018
83rd
of 369 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
- 15,552
- Breach submission date
- 8 May 2018
- Submission year
- 2018
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Business associate present
- Yes
- State
- Ohio (OH)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Ohio by size
- 58th of 276
- Rank in 2018 nationally
- 83rd of 369
- Ohio median filing
- 2,763 individuals
- Register id (derived)
- OH-20180508-usacs-management-group
Section F.2 / In context
Where this filing sits in Ohio and in 2018
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 162 of the 276 Ohio filings (59%) and on 45% of all filings submitted in 2018. Email appears on 23% of Ohio filings.
A business associate is recorded as present on the filing, as it is on 29% of Ohio filings. At 15,552 individuals the breach is 5.6 times the Ohio median filing of 2,763 and 3.9 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.
Ohio's breach notification statute (Ohio Rev. Code 1349.19) requires notice to affected residents within 45 days of discovery or notification of a breach. Its attorney general threshold: no direct AG requirement (reporting agencies at more than 1,000 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 15,552 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 $2.49M; the 2026 edition's $192 gives $2.99M. Both are modelled estimates with the method shown, not costs disclosed by USACS Management Group, Ltd.. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.4 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.
The business associate (BA), USACS Management Group, reported that multiple employees were the victims of an email phishing attack that compromised the protected health information (PHI) of 15,552 individuals. The PHI involved included names, addresses, health insurance information, Social Security numbers, diagnoses/conditions, lab results, medication information, and other treatment information. The BA notified HHS, affected individuals, the media, and provided substitute notice on its website. The BA also offered complimentary identity theft protection services to those affected. In response to the breach, the BA implemented additional administrative, technical, and security safeguards to better protect PHI. Employees were also retrained on email security.
Section F.5 / Modelled cost
15,552 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$2.49M
15,552 x $160
IBM 2026 customer PII, $192 per record
$2.99M
15,552 x $192
Method: individuals affected, as reported by USACS Management Group, 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
Ohio statute and the HIPAA rule
State notification statute
Ohio: Ohio Rev. Code 1349.19
- Notice to individuals
- Within 45 days of discovery or notification of a breach
- Attorney general threshold
- No direct AG requirement (reporting agencies at more than 1,000 residents)
- Private right of action
- No: No direct individual lawsuits; AG may investigate under ORC 1349.191
- Penalty
- Escalating civil penalties up to $10,000 per day for intentional or reckless non-compliance
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
Ohio filings closest in size
Neighbours by size rank among Ohio filings in 2018, topped up from other years where 2018 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Dental Center of Northwest Ohio | Healthcare Provider | 85,874 | 28 Dec 2018 | |||
| Aultman Hospital | Healthcare Provider | 42,625 | 25 May 2018 | |||
| Ohio Living | Healthcare Provider | 6,510 | 7 Sep 2018 | |||
| RGH Enterprises, Inc. | Healthcare Provider | 4,586 | 22 Jan 2018 |
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 4869.
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.