Geography
Alabama: 100 healthcare breach filings.
Alabama entities have reported 100 breaches of 500 or more individuals to HHS since 2010, the 26th most of the 52 states and territories on the register, covering 14,148,981 individuals (22nd by people affected). 11 are still under investigation. Hacking/IT Incident is the breach type on 62% of them, and network server the most common location (55%).
Filings
100
26th of 52 states and territories
Individuals affected
14,148,981
Median filing 5,280
Largest filing
9,540,683
Aesto, LLC, 2026
Hacking / IT share
62%
29 filings involve a business associate
Direct answer / Alabama on the HHS portal
The largest Alabama filing is Aesto, LLC (9,540,683 individuals, submitted 31 July 2026). The busiest year was 2024 with 16 filings. Healthcare Providers account for 73% of the state's filings. 42 filings of 10,000 or more individuals have their own page; the remaining 58 are listed in the table at the foot of this page.
Section AL.1 / Largest filings
Ten largest Alabama breaches
| # | Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|---|
| 1 | Aesto, LLCOpen | Business Associate | 9,540,683 | 31 Jul 2026 | |||
| 2 | Sutter Medical Foundation | Healthcare Provider | 943,434 | 17 Nov 2011 | |||
| 3 | Upstream RollCo, LLC | Healthcare Provider | 748,678 | 22 Apr 2023 | |||
| 4 | Cardiovascular Associates | Healthcare Provider | 433,348 | 3 Feb 2023 | |||
| 5 | Sarrell Dental | Healthcare Provider | 363,617 | 12 Sep 2019 | |||
| 6 | Alabama Cardiovascular Group | Healthcare Provider | 280,534 | 2 Aug 2024 | |||
| 7 | Cardiology Associates of Mobile | Healthcare Provider | 172,678 | 19 Dec 2024 | |||
| 8 | Alabama Ophthalmology AssociatesOpen | Healthcare Provider | 131,576 | 8 Apr 2025 | |||
| 9 | Acadia Health, LLC d/b/a Just Kids Dental | Healthcare Provider | 129,463 | 27 Sep 2023 | |||
| 10 | NHS Management, LLC | Business Associate | 120,712 | 29 Oct 2021 |
Section AL.2 / By year
Alabama filings by submission year
Each year links to the national year page.
| Year | Filings | Individuals affected | Hacking / IT share | Filings with a page |
|---|---|---|---|---|
| 2010 | 3 | 5,233 | 0% | 0 |
| 2011 | 4 | 978,470 | 0% | 3 |
| 2012 | 1 | 1,655 | 0% | 0 |
| 2013 | 1 | 2,400 | 0% | 0 |
| 2014 | 9 | 85,608 | 33% | 2 |
| 2015 | 2 | 2,666 | 0% | 0 |
| 2016 | 5 | 23,907 | 0% | 0 |
| 2017 | 6 | 38,092 | 50% | 2 |
| 2018 | 2 | 24,742 | 100% | 1 |
| 2019 | 4 | 410,901 | 75% | 3 |
| 2020 | 3 | 55,502 | 67% | 1 |
| 2021 | 8 | 161,692 | 63% | 2 |
| 2022 | 10 | 147,618 | 80% | 5 |
| 2023 | 9 | 1,461,814 | 67% | 5 |
| 2024 | 16 | 793,762 | 88% | 10 |
| 2025 | 9 | 310,830 | 89% | 4 |
| 2026 | 8 | 9,644,089 | 100% | 4 |
Section AL.3 / Composition
Breach type, location and who filed
Multi-valued fields count once per value.
Type of breach
Location of breached information
Covered entity type
Section AL.4 / Notification law
What Alabama law required alongside HIPAA
State notification statute
Alabama: Ala. Code 8-38-1 et seq.
Alabama Data Breach Notification Act of 2018
- Notice to individuals
- Without unreasonable delay, no later than 45 days after determining a breach occurred
- Attorney general threshold
- More than 1,000 Alabama residents (Within the same 45-day window)
- Private right of action
- No: Enforcement is exclusive to the Alabama Attorney General
- Penalty
- Civil penalties up to $5,000 per day, capped at $500,000 per breach, as an unlawful trade practice
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 AL.5 / Filing pages
42 filings of 10,000 or more individuals
Each links to a page with the full filing, its rank in the state and year, OCR's closing summary where the case is archived, peers, and the modelled cost.
Section AL.6 / All other filings
58 filings below 10,000 individuals
Listed in full from the HHS export, largest first. These filings do not have their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| Surgical Care Affiliates | Business Associate | 9,009 | 16 May 2016 | |||
| Methodist Homes of Alabama and Northwest Florida | Healthcare Provider | 8,711 | 30 Jan 2025 | |||
| Blue Cross and Blue Shield of Alabama | Health Plan | 8,702 | 19 Jul 2022 | |||
| Southern Immediate Care, LLCOpen | Healthcare Provider | 7,447 | 15 Jan 2026 | |||
| American Family Care, Inc. | Healthcare Provider | 7,200 | 25 Jul 2016 | |||
| Jemison Internal Medicine, PC | Health Plan | 6,550 | 16 Feb 2018 | |||
| Community Tri-County Healthcare | Healthcare Provider | 5,809 | 2 Jan 2024 | |||
| Daleville Dental II LLC | Healthcare Provider | 5,280 | 5 Jan 2024 | |||
| Locust Fork Pharmacy | Healthcare Provider | 5,000 | 26 Feb 2016 | |||
| Southern Orthopaedic Surgeons | Healthcare Provider | 4,983 | 5 Apr 2021 | |||
| VIVA Health | Health Plan | 4,945 | 26 Sep 2025 | |||
| Cove Family and Sports Medicine, LLC | Healthcare Provider | 4,300 | 12 Jun 2017 | |||
| TruBridge, Inc. | Business Associate | 3,855 | 4 Jan 2025 | |||
| HealthActions, P.A. | Healthcare Provider | 3,653 | 18 Apr 2022 | |||
| RxBenefits, Inc. | Business Associate | 3,396 | 18 Mar 2024 | |||
| The South Alabama Regional Planning CommissionOpen | Business Associate | 3,043 | 18 Mar 2026 | |||
| American Family Care, Inc. | Healthcare Provider | 2,588 | 30 Sep 2014 | |||
| DCH Health System | Healthcare Provider | 2,530 | 20 Jan 2023 | |||
| Hypertension, Nephrology, Dialysis and Transplantation, PC | Healthcare Provider | 2,465 | 27 Mar 2010 | |||
| Community Services NW | Healthcare Provider | 2,400 | 2 Feb 2013 | |||
| Physicians Apothecary | Healthcare Provider | 2,000 | 6 Nov 2020 | |||
| Southern Perioperative Services, P.C. | Healthcare Provider | 2,000 | 30 Dec 2010 | |||
| AIDS Alabama, Inc. | Healthcare Provider | 1,922 | 26 Sep 2023 | |||
| Medical Business Management | Business Associate | 1,750 | 25 Aug 2021 | |||
| LTC Dental, P.C. | Healthcare Provider | 1,680 | 28 Oct 2015 | |||
| University of Alabama at Birmingham School of Nursing | Healthcare Provider | 1,655 | 26 Jul 2024 | |||
| Baptist Health System | Healthcare Provider | 1,655 | 4 May 2012 | |||
| Trinity Emergency Physicians, LLC | Healthcare Provider | 1,491 | 16 Sep 2025 | |||
| Methodist Homes of Alabama and Northwest FloridaOpen | Healthcare Provider | 1,406 | 6 Jan 2026 | |||
| Lister Healthcare | Healthcare Provider | 1,349 | 9 Nov 2016 | |||
| Public Education Employees' Health Insurance Plan | Health Plan | 1,349 | 9 Sep 2016 | |||
| Mobile County Commission | Business Associate | 1,337 | 23 Jul 2021 | |||
| Pathway Healthcare, LLC | Healthcare Provider | 1,304 | 11 Apr 2023 | |||
| Public Education Employees' Health Insurance Plan d/b/a PEEHIP | Health Plan | 1,248 | 22 Jan 2021 | |||
| Alabama Department of Public Health | Healthcare Provider | 1,200 | 26 Jun 2014 | |||
| PracMan, Inc. | Business Associate | 1,179 | 10 Mar 2014 | |||
| CAH Holdings, Inc. | Business Associate | 1,158 | 6 Jan 2020 | |||
| PracMan, Inc. | Business Associate | 1,145 | 7 Mar 2014 | |||
| Grandview Medical Center | Healthcare Provider | 1,126 | 6 Jun 2022 | |||
| HC3, Inc | Business Associate | 1,105 | 11 Jun 2023 | |||
| D&J Optical Inc. | Health Plan | 1,100 | 7 Jul 2014 | |||
| Escambia County Alabama Community Hospitals, Inc. D/B/A Atmore Community Hospital | Healthcare Provider | 1,090 | 12 Jan 2017 | |||
| Birmingham Printing and Publishing, Inc dba Paper Airplane | Business Associate | 1,085 | 24 Jan 2014 | |||
| Pathways Professional Counseling | Healthcare Provider | 986 | 24 Nov 2015 | |||
| Alabama Department of Rehabilitation Services | Healthcare Provider | 934 | 20 Dec 2021 | |||
| Cypress Healthcare, LLC | Healthcare Provider | 899 | 9 May 2022 | |||
| Troy Regional Medical Center | Healthcare Provider | 880 | 8 Jul 2011 | |||
| AllyScripts, LLC | Healthcare Provider | 776 | 20 Dec 2024 | |||
| Computer Program and Systems, Inc. (CPSI) | Business Associate | 768 | 30 Mar 2010 | |||
| Proteus Molecular and Clinical Lab, LLC | Healthcare Provider | 728 | 29 Mar 2021 | |||
| Brewer Porch Children's Center / The University of Alabama | Healthcare Provider | 727 | 16 Jul 2019 | |||
| Mobile Emergency Physicians, LLC | Healthcare Provider | 672 | 16 Sep 2025 | |||
| University of Alabama at Birmingham | Healthcare Provider | 652 | 27 Nov 2017 | |||
| Flowers Hospital | Healthcare Provider | 629 | 25 Apr 2014 | |||
| Grayson & Associates | Healthcare Provider | 573 | 3 May 2024 | |||
| Lifestyle Therapy & Coaching | Healthcare Provider | 550 | 9 Oct 2017 | |||
| Decatur Diagnostic Laboratory Inc.Open | Healthcare Provider | 500 | 16 Jun 2026 | |||
| North Alabama Bone & Joint Clinic, P.C. | Healthcare Provider | 500 | 6 May 2022 |
Index / Other states
Every state on the register
32
164
94
777
140
144
31
33
465
226
23
30
361
200
99
81
124
66
39
170
242
239
191
55
164
36
60
55
39
176
57
512
207
21
278
81
120
340
32
41
87
15
197
641
68
15
158
186
47
126
19
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 2026-09-10. 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 10 September 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.
Corrections: if you represent a listed entity and the portal row has been amended, email questions@databreachcost.com with the portal entry and we will re-pull the export.