Breach filing
ArchivedRoper St. Francis Healthcare: 189,761 individuals, Jan 2021.
Roper St. Francis Healthcare reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 8 January 2021. The filing records the organisation as a healthcare provider in South Carolina and lists 189,761 individuals affected, which makes it the 4th largest of the 86 South Carolina filings on the register and the 60th largest of the 715 filings submitted nationally in 2021. Among the 7 South Carolina filings made in 2021 it ranks 1st.
Individuals affected
189,761
As reported to HHS
Modelled cost (IBM 2025)
$30.4M
Upper bound, method shown
Rank in SC
4th
of 86 South Carolina filings
Rank in 2021
60th
of 715 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
- 189,761
- Breach submission date
- 8 January 2021
- Submission year
- 2021
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Business associate present
- No
- State
- South Carolina (SC)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in South Carolina by size
- 4th of 86
- Rank in 2021 nationally
- 60th of 715
- South Carolina median filing
- 4,125 individuals
- Register id (derived)
- SC-20210108-roper-st-francis-healthcare
Section F.2 / In context
Where this filing sits in South Carolina and in 2021
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 54 of the 86 South Carolina filings (63%) and on 76% of all filings submitted in 2021. Email appears on 15% of South Carolina filings.
No business associate is recorded on the filing; 34% of South Carolina filings do involve one. At 189,761 individuals the breach is 46 times the South Carolina median filing of 4,125 and 47 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.
South Carolina's breach notification statute (S.C. Code 39-1-90) requires notice to affected residents in the most expedient time possible and without unreasonable delay. Its attorney general threshold: no direct AG requirement (Dept. of Consumer Affairs at 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 189,761 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 $30.4M; the 2026 edition's $192 gives $36.4M. Both are modelled estimates with the method shown, not costs disclosed by Roper St. Francis Healthcare. 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 covered entity (CE), Roper St. Francis Healthcare, reported that multiple employees were the victims of an email phishing scheme that compromised the protected health information (PHI) of 189,761 individuals. The PHI involved included names, dates of birth, addresses, Social Security numbers, medical record numbers, health insurance information, and other treatment information. The CE notified HHS, affected individuals, the media, and provided substitute notice. In response to the breach the CE provided affected individuals with complimentary credit monitoring services and implemented additional technical safeguards, revised its policies and procedures, and provided training to employees.
Section F.5 / Modelled cost
189,761 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$30.4M
189,761 x $160
IBM 2026 customer PII, $192 per record
$36.4M
189,761 x $192
Method: individuals affected, as reported by Roper St. Francis Healthcare 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
South Carolina statute and the HIPAA rule
State notification statute
South Carolina: S.C. Code 39-1-90
- Notice to individuals
- In the most expedient time possible and without unreasonable delay
- Attorney general threshold
- No direct AG requirement (Dept. of Consumer Affairs at 1,000+ residents)
- Private right of action
- Yes: Residents may sue; actual damages for negligent violations, broader recovery for knowing and willful
- Penalty
- Administrative fines of $1,000 per affected resident for knowing and willful violations
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
South Carolina filings closest in size
Neighbours by size rank among South Carolina filings in 2021, topped up from other years where 2021 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Stokes Regional Eye Centers | Healthcare Provider | 266,170 | 17 Jun 2022 | |||
| South Carolina Department of Health and Human Services | Health Plan | 228,435 | 24 Apr 2012 | |||
| Sandhills Medical FoundationOpen | Healthcare Provider | 169,017 | 14 Sep 2025 | |||
| CareSouth Carolina, Inc. | Healthcare Provider | 76,035 | 14 May 2021 | |||
| Sandhills Medical Foundation, Inc. | Healthcare Provider | 39,602 | 12 Mar 2021 |
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 3446.
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.