MISSOURIMalwareHealthcareHealthcareRansomwareData EncryptedCustomer Data InvolvedDelayed DiscoveryPHIHealth (basic)Identity (basic)MediumActive

James R. Etzkorn, MD

bd_f2c008eae83c87f7 · schema v1 · pii pii-v1

Severity

Medium

Discovered

Sep 5, 2018

Filed

Nov 9, 2018

To disclose

9 weeks

Affected

6,845

Linked

3 filings

Confidence

65%

Full breach record for James R. Etzkorn, MD →

James R. Etzkorn, MD reported to HHS on 2018-11-09 a Hacking/IT Incident affecting 6845 individuals. Breached information located on Network Server. The practice suffered a ransomware attack beginning September 5, 2018. A second breach occurred during notification mailing on November 13-19, 2018, due to addressing letters to wrong individuals. OCR consolidated issues into an investigation of the subsequent breach.

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HIPAA clockDiscovered Sep 5, 2018 → Notified Nov 13, 2018✓ HHS notified9 weeks discovery → filing

⚠ occurrence dateThe stored discovery date equals the breach OCCURRENCE date. Detection is normally later, so this OVERSTATES the delay — a 'late' verdict here may not be real.

Incident timeline

discovery → filing · 9 weeks / 65 days

Sep 5, 2018

Begins

Sep 5, 2018

Discovered

Nov 9, 2018

Filed

vs. sector median

on median

This filing is one of 3 filings about the same incident.View merged incident

Linked disclosures

Why this link?

Regulatory filings (2) · sorted by filing gap

Massachusetts State AGbd_316ca806061e10302018-11-13 · +4dVerified
HHS OCRbd_55346b7943cd5f5c2018-11-19 · +10dVerified

Name: James R. Etzkorn, MD
norm: james r etzkorn md
Industry: Health Care Services

Name: James R. Etzkorn, MD
norm: james r etzkorn md
Industry: Healthcaresource default

Discovered: Sep 5, 2018
Breach occurred: Sep 5, 2018
Undetected for: 0 daysoccurrence → discovery
Materiality determined: —
Notification sent: Nov 13, 2018
Affected individuals: 6,845nationwide
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: T1486 Data Encrypted for ImpactT1119 Automated Collection
Threat actor: ExternalFinancial

During the incident: Provided breach notification to HHS
Provided individual notification regarding the event
Source: Quoted from the filing itself, not independently verified.

Time to disclose: 9 weeks(65 days from discovery to filing)
Compliance flags: HHS notified
Discovery-date grounding: occurrence dateThe stored discovery date equals the breach OCCURRENCE date. Detection is normally later, so this OVERSTATES the delay — a 'late' verdict here may not be real.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: Sep 5, 2018
→ Notified: Nov 13, 2018
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: Sep 5, 2018 → Notified: Nov 13, 2018	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Filing propagation · 3 filings · 2 states

View merged incident ↗

HHS OCRNov 9 · first · this page

Massachusetts State AG+4d

HHS OCR+10d

Pattern: first filing Nov 9 (MO), last Nov 19 (MO) — a 10-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://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: Nov 9, 2018
Raw hash: 7671545de6e4a26bec2992961641e75d806060366c132a3808660b623ebaa0bf

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Linked disclosures

Regulatory filings (2) · sorted by filing gap

Reporting entityJames R. Etzkorn, MD

Victim entityJames R. Etzkorn, MD

Incidentdiscovered Sep 5, 2018

Stated responseProvided breach notification to HHS

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing