MisuseHealthcareGovernmentHealthcarePrivilege AbuseSupply Chain (3P Vendor)Customer Data InvolvedDelayed DiscoveryPHIHealth (basic)Identity (basic)LowResolved

San Francisco Department of Public Health

bd_5d4e4a5c52a98a02 · schema v1 · pii pii-v1

Severity

Low

Discovered

Dec 22, 2017

Filed

May 11, 2018

To disclose

20 weeks

Affected

Not disclosed

Linked

2 filings

Confidence

65%

Full breach record for San Francisco Department of Public Health →3 incidents on file

San Francisco Department of Public Health notified patients that a former employee of third-party vendor Nuance Communications accessed patient medical records between Nov 20 and Dec 9, 2017. The incident was discovered on Dec 22, 2017. Affected data included names, DOB, medical record numbers, and clinical information. No SSNs or financial data were involved. Notification was delayed per FBI/DOJ request.

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California clockDiscovered Dec 22, 2017 → Notified May 11, 2018140d ✗ CA 60-day late20 weeks discovery → filing

Incident timeline

undetected · 32 days

discovery → filing · 20 weeks / 140 days

Nov 20, 2017

Begins

Dec 22, 2017

Discovered

May 11, 2018

Filed

vs. sector median

+9 wks slower

This filing is one of 2 about the same incident.View merged incident

Linked disclosures

Why this link?

Regulatory filings (1) · sorted by filing gap

HHS OCRbd_55d794beb502891b2018-06-25 · +45dVerified

Name: San Francisco Department of Public Health
norm: san francisco department of public health

Name: San Francisco Department of Public Health
norm: san francisco department of public health
Industry: HealthcarellmGovernmentllm

Discovered: Dec 22, 2017
Breach occurred: Nov 20, 2017 – Dec 9, 2017
Undetected for: 32 daysoccurrence → discovery
Materiality determined: —
Notification sent: May 11, 2018
Affected individuals: Not disclosed
Data types: PHIHealth (basic)Identity (basic)
Attack vector: Third-Party / Supply Chain
MITRE ATT&CK: T1078 Valid Accounts
Threat actor: Internal
Regulator citations: The FBI and the U. S. Department of Justice conducted a criminal investigationLaw enforcement requested that notification be delayed
Third party: via Nuance Communications, Inc.
Initial access: insider_action

During the incident: Nuance took steps to block access to the transcription system
Nuance permanently took the system offline
SFDPH is working with Nuance to continue to address this issue
SFDPH is taking steps to improve how we ensure that our vendors protect patient privacy
Changes made: SFDPH is taking steps to improve how we ensure that our vendors protect patient privacy
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 20 weeks(140 days from discovery to filing)
Compliance flags: CA 60-day late · 140d
Discovery-date grounding: letter-groundedThe discovery date is the detection date narrated in the notification letter — the defensible tier.
Clock breakdown: Statute Window Elapsed Threshold Status
California
Discovered: Dec 22, 2017
→ Notified: May 11, 2018
140d 60 days (analyst band, pre-2026 discoveries) CA 60-day late

Statute	Window	Elapsed	Threshold	Status
California	Discovered: Dec 22, 2017 → Notified: May 11, 2018	140d	60 days (analyst band, pre-2026 discoveries)	CA 60-day late

Status: No extraction artifact recorded for this disclosure.

Filing propagation · 2 filings

View merged incident ↗

California State AGMay 11 · first · this page

HHS OCR+45d

Pattern: first filing May 11 (CA), last Jun 25 (CA) — a 45-day rolling notification. Rolling spreads often mean counsel is filing as thresholds trip per state. Why this link?

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://oag.ca.gov/ecrime/databreach/reports/sb24-136120
DisclosureLens links to the originating regulator URL — full filing bodies are not redistributed from public surfaces (§4.5).
Filed at: May 11, 2018
Raw hash: fe9776a8c077e19ecb1af3776083a6243e1b7431e9508a555871ae8008849647

Linked disclosures

Regulatory filings (1) · sorted by filing gap

Reporting entitySan Francisco Department of Public Health

Victim entitySan Francisco Department of Public Health

Incidentdiscovered Dec 22, 2017

Stated responseNuance took steps to block access to the transcription system

ComplianceCA 60-day late

Extraction provenanceno artifact recorded

Source provenanceoag.ca.gov