SOUTH DAKOTAMalwareHealthcareHealthcareRansomwareBrute ForceStolen CredentialsCustomer Data InvolvedData EncryptedRansom DemandedDelayed DiscoveryHealth (basic)Identity (basic)MediumResolved

Plastic Surgery Associates of South Dakota

bd_b02c9f5dc1b96190 · schema v1 · pii pii-v1

Severity

Medium

Discovered

Jul 1, 2017

Filed

Jul 27, 2017

To disclose

26 days

Affected

10,229

Linked

2 records

Confidence

95%

Full breach record for Plastic Surgery Associates of South Dakota →2 incidents on file

Plastic Surgery Associates of South Dakota (Sioux Falls, SD) reported to HHS OCR on 2017-07-27 a Hacking/IT Incident affecting 10,229 individuals. Nine workstations and two servers were infected with ransomware. Attackers gained access via a brute force attack against the entity's Remote Desktop Protocol to obtain credentials. Breached information located on Network Server. OCR investigation found multiple HIPAA Security Rule violations; a settlement was reached.

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HIPAA clock✓ HHS report on time26 days discovery → filing

⚠ unattributedNo provenance was recorded for this discovery date and it matches no other date on the record. It may be correct, but it is not independently grounded.

Incident timeline

discovery → filing · 26 days

Jul 1, 2017

Discovered

Jul 27, 2017

Filed

vs. sector median

5 wks faster

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

Linked disclosures

Why this link?

Enforcement records (1)

HHS OCR enforcementbd_7c1588d4265d2b162024-10-31 · +2653dVerified by operator

Name: Plastic Surgery Associates of South Dakota
norm: plastic surgery associates of south dakota
Industry: Health Care Services

Name: Plastic Surgery Associates of South Dakota
norm: plastic surgery associates of south dakota
Industry: Health Care Services
Industry: Healthcaresource default

Discovered: Jul 1, 2017
Materiality determined: —
Notification sent: —
Affected individuals: 10,229nationwide
Data types: Health (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: T1110 Brute ForceT1078 Valid AccountsT1486 Data Encrypted for ImpactT1021.001 Remote Desktop Protocol
Threat actor: ExternalFinancial
Regulator citations: HHS OCR investigation initiated following breach report filed July 2017HHS OCR settlement reached for potential HIPAA Security Rule violations
Initial access: external_remote_services

During the incident: Filed breach report with HHS OCR in July 2017
Attempted to restore affected servers from backup (unsuccessful)
Changes made: OCR settlement resolving investigation into HIPAA Security Rule violations
Required to implement compliant risk analysis
Required to implement sufficient security measures to reduce ePHI risks
Required to implement procedures to regularly review information system activity records
Required to implement policies and procedures to address security incidents
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 26 days(26 days from discovery to filing)
Compliance flags: HHS report on timeHHS notified
Discovery-date grounding: unattributedNo provenance was recorded for this discovery date and it matches no other date on the record. It may be correct, but it is not independently grounded.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: Jul 1, 2017
→ Notified: not extracted
— 60 days HHS report on time
HIPAA
Discovered: Jul 1, 2017
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: Jul 1, 2017 → Notified: not extracted	—	60 days	HHS report on time
HIPAA	Discovered: Jul 1, 2017 → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

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: Jul 27, 2017
Raw hash: 5ad92c1f382de7bf1a5ce7a21fb7863b08a555b68bd5fd7d09903a33e2ae77d2

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Linked disclosures

Enforcement records (1)

Reporting entityPlastic Surgery Associates of South Dakota

Victim entityPlastic Surgery Associates of South Dakota

Incidentdiscovered Jul 1, 2017

Stated responseFiled breach report with HHS OCR in July 2017

ComplianceHHS report on time

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing