Breach filing
ArchivedConifer Revenue Cycle Solutions, LLC: 343,593 individuals, Aug 2022.
Conifer Revenue Cycle Solutions, LLC reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 12 August 2022. The filing records the organisation as a business associate in Texas and lists 343,593 individuals affected, which makes it the 29th largest of the 633 Texas filings on the register and the 38th largest of the 718 filings submitted nationally in 2022. Among the 53 Texas filings made in 2022 it ranks 6th.
Individuals affected
343,593
As reported to HHS
Modelled cost (IBM 2025)
$55.0M
Upper bound, method shown
Rank in TX
29th
of 633 Texas filings
Rank in 2022
38th
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
- 343,593
- Breach submission date
- 12 August 2022
- Submission year
- 2022
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Business associate present
- Yes
- State
- Texas (TX)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in Texas by size
- 29th of 633
- Rank in 2022 nationally
- 38th of 718
- Texas median filing
- 4,055 individuals
- Register id (derived)
- TX-20220812-conifer-revenue-cycle-solutions
Section F.2 / In context
Where this filing sits in Texas and in 2022
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 360 of the 633 Texas filings (57%) and on 79% of all filings submitted in 2022. Email appears on 23% of Texas filings.
A business associate is recorded as present on the filing, as it is on 27% of Texas filings. At 343,593 individuals the breach is 85 times the Texas median filing of 4,055 and 86 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.
Texas's breach notification statute (Tex. Bus. & Com. Code 521.053) requires notice to affected residents without unreasonable delay, no later than the 60th day after determining a breach occurred. Its attorney general threshold: 250 or more Texas 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 343,593 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 $55.0M; the 2026 edition's $192 gives $66.0M. Both are modelled estimates with the method shown, not costs disclosed by Conifer Revenue Cycle Solutions, 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), Conifer Revenue Cycle Solutions, reported that multiple employees were the victims of an email phishing scheme that compromised the protected health information (PHI) of 343,593 individuals. The PHI involved included names, addresses, dates of birth, Social Security numbers, diagnoses, medications, claims and financial information, and other treatment information. The BA notified HHS, affected individuals, the media, and provided substitute notice. In response to the breach, the BA reset its passwords, added additional training on security awareness, and implemented additional technical safeguards to protect its network.
Section F.5 / Modelled cost
343,593 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
Upper boundIBM 2025 customer PII, $160 per record
$55.0M
343,593 x $160
IBM 2026 customer PII, $192 per record
$66.0M
343,593 x $192
Method: individuals affected, as reported by Conifer Revenue Cycle Solutions, 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
Texas statute and the HIPAA rule
State notification statute
Texas: Tex. Bus. & Com. Code 521.053
- Notice to individuals
- Without unreasonable delay, no later than the 60th day after determining a breach occurred
- Attorney general threshold
- 250 or more Texas residents (No later than the 30th day after determining a breach occurred)
- Private right of action
- Limited: Indirect recovery via the Deceptive Trade Practices Act (up to treble economic damages for knowing violations)
- Penalty
- $2,000-$50,000 per violation; additional up to $100 per individual per day, capped at $250,000 per breach
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
Texas filings closest in size
Neighbours by size rank among Texas 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 |
|---|---|---|---|---|---|---|
| Metropolitan Area EMS Authority dba MedStar Mobile Healthcare | Healthcare Provider | 612,000 | 19 Dec 2022 | |||
| OakBend Medical Center / OakBend Medical Group | Healthcare Provider | 500,000 | 28 Oct 2022 | |||
| Clinic of North Texas, LLP | Healthcare Provider | 244,174 | 18 Mar 2022 | |||
| FMC Services, LLC | Healthcare Provider | 233,948 | 23 Sep 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 2297.
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.