Breach filing
Under investigationAdaptHealth, LLC: 4,115,802 individuals, Aug 2026.
AdaptHealth, LLC reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 14 August 2026. The filing records the organisation as a healthcare provider in Pennsylvania and lists 4,115,802 individuals affected, which makes it the 1st largest of the 340 Pennsylvania filings on the register and the 4th largest of the 478 filings submitted nationally in 2026. Among the 15 Pennsylvania filings made in 2026 it ranks 1st.
Individuals affected
4,115,802
As reported to HHS
Modelled cost (IBM 2025)
$659M
Upper bound, method shown
Rank in PA
1st
of 340 Pennsylvania filings
Rank in 2026
4th
of 478 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
- 4,115,802
- Breach submission date
- 14 August 2026
- Submission year
- 2026
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Network Server
- Business associate present
- No
- State
- Pennsylvania (PA)
- Portal status
- listed by HHS OCR under Cases Currently Under Investigation
- Rank in Pennsylvania by size
- 1st of 340
- Rank in 2026 nationally
- 4th of 478
- Pennsylvania median filing
- 4,145 individuals
- Register id (derived)
- PA-20260814-adapthealth
Section F.2 / In context
Where this filing sits in Pennsylvania and in 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 229 of the 340 Pennsylvania filings (67%) and on 86% of all filings submitted in 2026. Network Server is the most common location in the state, appearing on 51% of Pennsylvania filings.
No business associate is recorded on the filing; 34% of Pennsylvania filings do involve one. At 4,115,802 individuals the breach is 993 times the Pennsylvania median filing of 4,145 and 1,029 times the national median of 4,000 across all 7,927 filings. It is one of 152 filings on the register of one million or more individuals.
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.
Pennsylvania's breach notification statute (73 Pa. Stat. 2301 et seq.) requires notice to affected residents without unreasonable delay. Its attorney general threshold: more than 500 Pennsylvania 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 4,115,802 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 $659M; the 2026 edition's $192 gives $790M. Both are modelled estimates with the method shown, not costs disclosed by AdaptHealth, 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.5 / Modelled cost
4,115,802 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$659M
4,115,802 x $160
IBM 2026 customer PII, $192 per record
$790M
4,115,802 x $192
Method: individuals affected, as reported by AdaptHealth, 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
Pennsylvania statute and the HIPAA rule
State notification statute
Pennsylvania: 73 Pa. Stat. 2301 et seq.
Breach of Personal Information Notification Act (amended by Act 33 of 2024)
- Notice to individuals
- Without unreasonable delay
- Attorney general threshold
- More than 500 Pennsylvania residents (Without unreasonable delay (online portal))
- Private right of action
- Yes: Treated as an unfair or deceptive practice; consumers may pursue civil suits
- Penalty
- AG enforcement via civil actions, injunctive relief, civil 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
Pennsylvania filings closest in size
Neighbours by size rank among Pennsylvania filings in 2026, topped up from other years where 2026 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Connexin Software, Inc. | Business Associate | 2,846,039 | 11 Nov 2022 | |||
| Geisinger | Healthcare Provider | 1,276,026 | 21 Jun 2024 | |||
| Iron Mountain Data Products, Inc. (now known as | Business Associate | 800,000 | 19 Jul 2010 | |||
| Laurel Eye ClinicOpen | Healthcare Provider | 145,221 | 22 Apr 2026 | |||
| Alta Orthopaedics Medical Group, Inc.Open | Healthcare Provider | 24,496 | 3 Jul 2026 |
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 2026-09-10. 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 10.
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.