MICHIGANHackingHealthcareHealthcareBusiness Associate (HIPAA)Customer Data InvolvedPHIHealth (basic)Identity (basic)MediumContained

Crystal Lake Clinic PC

bd_150db8d834a1e504 · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Apr 9, 2021

To disclose

—

Affected

37,331

Linked

4 filings

Confidence

68%

Full breach record for Crystal Lake Clinic PC →

Crystal Lake Clinic PC reported to HHS on 2021-04-09 a Hacking/IT Incident affecting 37331 individuals. Breached information located on Network Server.

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HIPAA clock✓ HHS notified

⚠ no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.

⚠ No discovery dateThe OCR public portal omits the discovery date, so the 60-day notification clock cannot be evaluated from this source — only that the filing was submitted.

Incident timeline — partial

? — ?

Breach window unknown

Apr 9, 2021

Filed

—

Corroborated · see linked filings

Compliance clocks stay unassessable until a regulatory filing lands. Dashed segments fill in automatically when corroboration arrives.

This filing is one of 4 about the same incident.View merged incident

Linked disclosures

Why this link?

Regulatory filings (3) · sorted by filing gap

Massachusetts State AGbd_4ab1567e37fb95a52021-04-09Verified
Montana State AGbd_6c9da17559e75e492021-04-09Candidate
New Hampshire State AGbd_bf15d88c886b59922021-04-12 · +3dVerified

Name: Crystal Lake Clinic PC
norm: crystal lake clinic
Industry: Health Care Services

Name: Crystal Lake Clinic PC
norm: crystal lake clinic
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 37,331nationwide
Data types: PHIHealth (basic)Identity (basic)
HHS breach type: Hacking / IT incident
Where the data lived: Network server
Covered-entity type: Healthcare provider
Attack vector: Unauthorized Access
MITRE ATT&CK: T1190 Exploit Public-Facing Application
Threat actor: External
Regulator citations: Notified HHS

Compliance flags: HHS notified
Discovery-date grounding: no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: not extracted
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: not extracted → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Filing propagation · 4 filings · 4 states

View merged incident ↗

Massachusetts State AGApr 9 · first

Montana State AGApr 9 · first

HHS OCRApr 9 · first · this page

New Hampshire State AG+3d

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Apr 9, 2021
Raw hash: 6a01cfd469e87b4f311acde6c38911fc9da40bc662170c4e177d75f3cad252d7

AI-assisted summary above. The structured extract on this page was generated from the document below. Inspect the source to verify or correct any field.

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Linked disclosures

Regulatory filings (3) · sorted by filing gap

Reporting entityCrystal Lake Clinic PC

Victim entityCrystal Lake Clinic PC

IncidentUnauthorized Access

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing