Cyber Incident Victim: Metrocare Services
Date:
Jan 2019
Location:
United States of America
Summary
Metrocare Services experienced two separate security incidents involving unauthorized access to employee email accounts, compromising sensitive patient information. The breaches exposed personal and health-related data, including names, dates of birth, health insurance details, driver's license information, treatment records, and some Social Security numbers. Following the first incident affecting over 1,800 individuals, the organization pledged enhanced email security and staff training but did not initially implement multi-factor authentication. A subsequent breach impacted more than 5,200 patients, prompting the eventual adoption of multi-factor authentication alongside other infrastructure improvements to mitigate future risks.
| CIA Posture | Motives | Tactics, Techniques & Procedures |
|---|---|---|
| Available to members | 1 motive | 1 technique |
| Threat Actors | Type | Location |
|---|---|---|
| 0 actors | Available to members | Available to members |
Description
Metrocare Services experienced a breach involving unauthorized access to employee email accounts, first detected on February 6, 2019. The intrusion began in January 2019, with an external third party compromising multiple accounts. Metrocare secured the affected accounts promptly and initiated an investigation, which confirmed the unauthorized access but could not definitively determine whether emails containing patient information were viewed. The compromised data included names, dates of birth, health insurance details, driver's license information, treatment-related health records, and Social Security numbers for some individuals. This incident impacted 5,290 patients, marking the second such breach within five months, following a nearly identical November 2018 email compromise that affected 1,804 patients. Both breaches were discovered within approximately one month of initial access.

In response to the 2019 incident, Metrocare notified the U.S. Department of Health and Human Services (HHS) on April 5, 2019, and issued public notifications detailing the breach scope and protective measures. The organization stated it had strengthened email security and implemented multi-factor authentication—a safeguard notably absent after the 2018 breach, despite prior commitments to enhance system protections. Following the earlier incident, Metrocare had pledged to bolster its email infrastructure and provide additional employee security training but had not adopted multi-factor authentication at that time. The 2018 breach remained under HHS investigation as of the 2019 disclosure. No threat actor details or specific attack vectors were disclosed in either case. The repeated nature of the breaches raised questions about regulatory scrutiny regarding the adequacy of Metrocare’s corrective actions.
