Breach filing
ArchivedAvamere Health Services, LLC: 229,460 individuals, Jul 2022.
Avamere Health Services, LLC reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 13 July 2022. The filing records the organisation as a business associate in Oregon and lists 229,460 individuals affected, which makes it the 5th largest of the 120 Oregon filings on the register and the 58th largest of the 718 filings submitted nationally in 2022. Among the 7 Oregon filings made in 2022 it ranks 1st.
Individuals affected
229,460
As reported to HHS
Modelled cost (IBM 2025)
$36.7M
Upper bound, method shown
Rank in OR
5th
of 120 Oregon filings
Rank in 2022
58th
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
- Business Associate
- Individuals affected
- 229,460
- Breach submission date
- 13 July 2022
- Submission year
- 2022
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- Yes
- State
- Oregon (OR)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Oregon by size
- 5th of 120
- Rank in 2022 nationally
- 58th of 718
- Oregon median filing
- 2,400 individuals
- Register id (derived)
- OR-20220713-avamere-health-services
Section F.2 / In context
Where this filing sits in Oregon and in 2022
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 63 of the 120 Oregon filings (53%) and on 79% of all filings submitted in 2022. Network Server appears on 33% of Oregon filings.
A business associate is recorded as present on the filing, as it is on 23% of Oregon filings. At 229,460 individuals the breach is 96 times the Oregon median filing of 2,400 and 57 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 in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.
Oregon's breach notification statute (ORS 646A.600 et seq.) requires notice to affected residents as soon as practicable but no later than 45 days after discovery. Its attorney general threshold: 250 or more Oregon 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 229,460 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 $36.7M; the 2026 edition's $192 gives $44.1M. Both are modelled estimates with the method shown, not costs disclosed by Avamere Health Services, LLC. 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.
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), Avamere Health Services, reported that its network provider experienced a ransomware attack that affected the protected health information (PHI) of 229,460 individuals. The PHI involved included names, addresses, dates of birth, drivers' license and Social Security numbers, claims and financial information, diagnoses, lab results, and medication data. The BA notified HHS, affected individuals, and the media. Upon discovering the breach, the BA provided complimentary credit monitoring services and strengthened its technical safeguards. OCR provided technical assistance regarding the HIPAA Rules.
Section F.5 / Modelled cost
229,460 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$36.7M
229,460 x $160
IBM 2026 customer PII, $192 per record
$44.1M
229,460 x $192
Method: individuals affected, as reported by Avamere Health Services, 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
Oregon statute and the HIPAA rule
State notification statute
Oregon: ORS 646A.600 et seq.
Oregon Consumer Information Protection Act
- Notice to individuals
- As soon as practicable but no later than 45 days after discovery
- Attorney general threshold
- 250 or more Oregon residents (Within the 45-day notification window)
- Private right of action
- No: No express PROA; remedies may run through the Unlawful Trade Practices Act
- Penalty
- Up to $1,000 per violation; continuing violations up to $500,000
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
Oregon filings closest in size
Neighbours by size rank among Oregon 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 |
|---|---|---|---|---|---|---|
| Health Share of Oregon | Health Plan | 654,362 | 5 Feb 2020 | |||
| Oregon Department of Human Services | Business Associate | 625,000 | 22 Mar 2019 | |||
| Premere Infinity Rehab, LLC | Business Associate | 196,077 | 13 Jul 2022 | |||
| Advantage Consolidated LLC | Healthcare Provider | 151,626 | 18 Mar 2015 | |||
| CareOregon Advantage | Health Plan | 10,467 | 23 Feb 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 2356.
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.