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The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

Nationwide Recovery Service Data Breach Victim List Grows: 560,000+ Individuals Affected

The list of victims from the data breach at the debt collection agency Nationwide Recovery Service (NRS) is steadily growing, with a further six NRS clients confirming that sensitive information was stolen in the attack: The City of Chattanooga, MAK Anesthesia, Duncan Regional Hospital, Swedish Edmonds Hospital, Smile Solutions of Goodlettsville, and UCM Medical Group. Currently, at least 560,067 individuals are known to have been affected, and several affected companies have yet to confirm breach numbers, including NRS.

HIPAA-regulated entities that have previously confirmed that they were affected include Harbin Clinic, Northeast Georgia Health System, Rhea Medical Center, Chartered Radiology, Erlanger Western Carolina Hospital, and Vitruvian Health, with the latter affecting Hamilton Health Care System and its affiliates Hamilton Emergency Medical Services, Hamilton Physician Group, Hamilton Medical Center, and Anna Shaw Children’s Institute.

NRS is used by many HIPAA-regulated entities to recover funds from delinquent accounts, as well as for issues related to bankruptcies, lawsuits, and patient estate matters. NRS is provided with protected health information such as names, contact information, Social Security numbers, financial account information, and medical information in order to provide those services. In some cases, NRS was provided with access to its clients’ systems.

NRS identified suspicious activity within its computer network in July 2024 and took steps to prevent further unauthorized access. The attack resulted in a network outage, although it has not been confirmed if ransomware was involved. The forensic investigation confirmed that hackers had access to the NRS network between July 5, 2024, and July 11, 2024, during which time, files containing sensitive information were exfiltrated from its systems. NRS conducted a time-intensive review of the stolen files and notified the affected clients between February and March 2025. Individual notification letters are now being sent to the affected individuals, and lawsuits have started to be filed against NRS and its affected clients.

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One of the latest healthcare providers to confirm it was affected by the cyberattack was UChicago Medicine Medical Group (UCM Medical Group), formerly Primary Healthcare Associates. The medical group said it was notified on April 8, 2025, that patient data had been compromised in the incident, including names, addresses, dates of birth, Social Security numbers, financial account details, and medical-related information. UCM Medical Group said it is sending notification letters to the affected individuals and has terminated its business relationship with NRS due to the data breach.

HIPAA-regulated entities known to have been affected by the Nationwide Recovery Service data breach include:

HIPAA-Regulated Entity State Individuals Affected
Nationwide Recovery Service Georgia TBC – Reported to OCR as affecting at least 501 individuals
Harbin Clinic Georgia 176,149
Select Medical Holdings Corporation Pennsylvania 119,525
TRG Medical Imaging (The Radiology Group) Oregon 70,434
UChicago Medicine Medical Group (formerly Primary Healthcare Associates) Illinois 38,656
Shore Medical Center New Jersey 31,177
Self Regional Healthcare South carolina 26,696
MAK Anesthesia Georgia 24,079
Northeast Georgia Health System Georgia 21,000
Jackson Hospital and Clinic Alabama 14,485
Radiology Chartered Wisconsin 12,656
Vitruvian Health, including Hamilton Health Care System, Hamilton Emergency Medical Services, Hamilton Physician Group, Hamilton Medical Center, and Anna Shaw Children’s Institute Georgia 8,848
Rhea Medical Center Tennessee 8,309
Erlanger Western Carolina Hospital (formerly Murphy Medical Center) Tennessee 3,371
Franklin Dermatology Group Tennessee 2,457
Swedish Edmonds Hospital (Formerly Stevens Memorial Hospital) Washington 886
City of Chattanooga Tennessee 838
Doctors’ Memorial Hospital Florida 500 (placeholder)
Duncan Regional Hospital (DRH Health) Oklahoma TBC
Smile Solutions of Goodlettsville Tennessee TBC
Total 560,067

Table last updated on September 12, 2025.

Threat actors often target vendors, as an attack on a vendor can allow the threat actor to gain access to the networks of its clients, or at least steal their sensitive data. Debt collection agencies are an attractive target as they are provided with sensitive data that can be used for identity theft and fraud. A cyberattack on the debt collection agency American Medical Collection Agency in 2018 allowed a threat actor to steal the sensitive data of more than 24 million individuals.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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