Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing WI-20200416-advocate-aurora-healthHHS OCR Breach Register, Wisconsin

Breach filing

Archived

Advocate Aurora Health: 27,137 individuals, Apr 2020.

Advocate Aurora Health reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 16 April 2020. The filing records the organisation as a healthcare provider in Wisconsin and lists 27,137 individuals affected, which makes it the 26th largest of the 126 Wisconsin filings on the register and the 177th largest of the 663 filings submitted nationally in 2020. Among the 11 Wisconsin filings made in 2020 it ranks 1st.

Individuals affected

27,137

As reported to HHS

Modelled cost (IBM 2025)

$4.34M

Method shown, not disclosed

Rank in WI

26th

of 126 Wisconsin filings

Rank in 2020

177th

of 663 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
27,137
Breach submission date
16 April 2020
Submission year
2020
Type of breach
Hacking/IT Incident
Location of breached information
Email
Business associate present
No
Portal status
listed in the HHS OCR breach portal archive
Rank in Wisconsin by size
26th of 126
Rank in 2020 nationally
177th of 663
Wisconsin median filing
3,657 individuals
Register id (derived)
WI-20200416-advocate-aurora-health

Section F.2 / In context

Where this filing sits in Wisconsin and in 2020

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 83 of the 126 Wisconsin filings (66%) and on 69% of all filings submitted in 2020. Email appears on 33% of Wisconsin filings.

No business associate is recorded on the filing; 31% of Wisconsin filings do involve one. At 27,137 individuals the breach is 7.4 times the Wisconsin median filing of 3,657 and 6.8 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.

Wisconsin's breach notification statute (Wis. Stat. 134.98) requires notice to affected residents within 45 days after learning of the unauthorized acquisition. Its attorney general threshold: no AG notification requirement. 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 27,137 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 $4.34M; the 2026 edition's $192 gives $5.21M. Both are modelled estimates with the method shown, not costs disclosed by Advocate Aurora Health. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.8 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), Advocate Aurora Health, reported that several employees were the victims of an email phishing scheme that affected the protected health information (PHI) of 27,137 individuals. The PHI involved included names, addresses, dates of birth, driver's license numbers, Social Security numbers, passport numbers, full face photographs, claims and financial information, health insurance information, diagnoses/conditions, lab results, medications prescribed, and other treatment information. The CE notified HHS, affected individuals, the media, and provided substitute notice. In its mitigation efforts, the CE offered complimentary identity theft protection services to the affected individuals and implemented additional administrative, technical, and security safeguards to better protect its PHI. In addition, the CE retrained its workforce members on the proper methods of identifying fraudulent email communications.

Section F.5 / Modelled cost

27,137 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$4.34M

27,137 x $160

IBM 2026 customer PII, $192 per record

$5.21M

27,137 x $192

Method: individuals affected, as reported by Advocate Aurora Health 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

Wisconsin statute and the HIPAA rule

State notification statute

Wisconsin: Wis. Stat. 134.98

Notice to individuals
Within 45 days after learning of the unauthorized acquisition
Attorney general threshold
No AG notification requirement
Private right of action
No: No PROA under the statute; failure to notify may support separate negligence claims
Penalty
Civil forfeitures up to $10,000 per violation, enforced by the AG and DATCP

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

Wisconsin filings closest in size

Neighbours by size rank among Wisconsin filings in 2020, topped up from other years where 2020 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Hand to Shoulder Specialists of Wisconsin Ltd.Healthcare Provider39,31728 Apr 2021
Marshfield Clinic Health SystemOpenHealthcare Provider35,9527 Nov 2025
Rock County Human Services DepartmentHealthcare Provider25,61012 Aug 2022
The Medical College of Wisconsin, Inc.Healthcare Provider5,65511 Oct 2020
EVERSANAHealthcare Provider5,0007 Apr 2020

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 3958.

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.