Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing WA-20210713-king-county-public-hospital-district-noHHS OCR Breach Register, Washington

Breach filing

Archived

King County Public Hospital District No. 2 d/b/a EvergreenHealth: 22,579 individuals, Jul 2021.

King County Public Hospital District No. 2 d/b/a EvergreenHealth reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 13 July 2021. The filing records the organisation as a healthcare provider in Washington and lists 22,579 individuals affected, which makes it the 42nd largest of the 185 Washington filings on the register and the 212th largest of the 715 filings submitted nationally in 2021. Among the 17 Washington filings made in 2021 it ranks 6th.

Individuals affected

22,579

As reported to HHS

Modelled cost (IBM 2025)

$3.61M

Method shown, not disclosed

Rank in WA

42nd

of 185 Washington filings

Rank in 2021

212th

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
22,579
Breach submission date
13 July 2021
Submission year
2021
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
Yes
Portal status
listed in the HHS OCR breach portal archive
Rank in Washington by size
42nd of 185
Rank in 2021 nationally
212th of 715
Washington median filing
3,950 individuals
Register id (derived)
WA-20210713-king-county-public-hospital-district-no

Section F.2 / In context

Where this filing sits in Washington and in 2021

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 117 of the 185 Washington filings (63%) and on 76% of all filings submitted in 2021. Network Server appears on 48% of Washington filings.

A business associate is recorded as present on the filing, as it is on 21% of Washington filings. At 22,579 individuals the breach is 5.7 times the Washington median filing of 3,950 and 5.6 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 in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

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 22,579 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 $3.61M; the 2026 edition's $192 gives $4.34M. Both are modelled estimates with the method shown, not costs disclosed by King County Public Hospital District No. 2 d/b/a EvergreenHealth. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.7 times the sector average.

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), King County Public Hospital District No. 2, dba EvergreenHealth, reported that its business associate (BA) experienced a cyber-attack that affected the electronic protected health information (ePHI) of 22,579 individuals. The ePHI involved included names, dates of birth, health insurance and financial information, and treatment information. The CE notified HHS, affected individuals, and the media.

Section F.5 / Modelled cost

22,579 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$3.61M

22,579 x $160

IBM 2026 customer PII, $192 per record

$4.34M

22,579 x $192

Method: individuals affected, as reported by King County Public Hospital District No. 2 d/b/a EvergreenHealth 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 2021, topped up from other years where 2021 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Welfare & Pension Administration Service, Inc.Health Plan194,67417 Sep 2021
SEIU 775 Benefits GroupBusiness Associate140,00027 May 2021
Samaritan Center of Puget SoundHealthcare Provider20,86615 Sep 2021
UW MedicineHealthcare Provider18,3894 Jun 2021

Index / Companion schedules

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 3060.

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.