Breach filing
Under investigationCouve Healthcare Consulting, LLC DBA Evergreen Healthcare Group: 11,795 individuals, Feb 2026.
Couve Healthcare Consulting, LLC DBA Evergreen Healthcare Group reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 24 February 2026. The filing records the organisation as a business associate in Washington and lists 11,795 individuals affected, which makes it the 62nd largest of the 185 Washington filings on the register and the 130th largest of the 441 filings submitted nationally in 2026. Among the 13 Washington filings made in 2026 it ranks 5th.
Individuals affected
11,795
As reported to HHS
Modelled cost (IBM 2025)
$1.89M
Method shown, not disclosed
Rank in WA
62nd
of 185 Washington filings
Rank in 2026
130th
of 441 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
- 11,795
- Breach submission date
- 24 February 2026
- Submission year
- 2026
- Type of breach
- Hacking/IT Incident
- Location of breached information
- Electronic Medical Record
- Business associate present
- Yes
- State
- Washington (WA)
- Portal status
- listed by HHS OCR under Cases Currently Under Investigation
- Rank in Washington by size
- 62nd of 185
- Rank in 2026 nationally
- 130th of 441
- Washington median filing
- 3,950 individuals
- Register id (derived)
- WA-20260224-couve-healthcare-consulting-dba-evergree
Section F.2 / In context
Where this filing sits in Washington and in 2026
OCR classifies the incident as a hacking or IT incident, with the breached information held in an electronic medical record system. Hacking/IT Incident is the type recorded on 117 of the 185 Washington filings (63%) and on 86% of all filings submitted in 2026. Electronic Medical Record appears on 4% of Washington filings.
A business associate is recorded as present on the filing, as it is on 21% of Washington filings. At 11,795 individuals the breach is 3.0 times the Washington median filing of 3,950 and 2.9 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 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.
Washington's breach notification statute (RCW 19.255.010) requires notice to affected residents no later than 30 days after discovery. Its attorney general threshold: more than 500 Washington 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 11,795 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 $1.89M; the 2026 edition's $192 gives $2.26M. Both are modelled estimates with the method shown, not costs disclosed by Couve Healthcare Consulting, LLC DBA Evergreen Healthcare Group. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.3 times the sector average.
Section F.5 / Modelled cost
11,795 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$1.89M
11,795 x $160
IBM 2026 customer PII, $192 per record
$2.26M
11,795 x $192
Method: individuals affected, as reported by Couve Healthcare Consulting, LLC DBA Evergreen Healthcare Group 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
Washington statute and the HIPAA rule
State notification statute
Washington: RCW 19.255.010
- Notice to individuals
- No later than 30 days after discovery
- Attorney general threshold
- More than 500 Washington residents (Within the same 30-day window)
- Private right of action
- Yes: Civil lawsuits under the Consumer Protection Act; actual damages plus up to $1,000 punitive for willful violations
- Penalty
- Consumers may recover damages, costs, and attorney fees; AG may seek penalties and injunctive relief
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
Washington filings closest in size
Neighbours by size rank among Washington 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 |
|---|---|---|---|---|---|---|
| Providence | Healthcare Provider | 22,701 | 16 Jan 2026 | |||
| Bridle Trails Family DentistryOpen | Healthcare Provider | 20,976 | 14 May 2026 | |||
| Bayside DentalOpen | Healthcare Provider | 10,216 | 17 Apr 2026 | |||
| Washington Department of Social and Health ServicesOpen | Healthcare Provider | 8,600 | 30 Jun 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 2026-08-28. 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-under-investigation__2026-08-28.csv, export row 237.
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.