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The Hidden Risk in Your Filing Cabinet: What 2024 Data Breach Statistics Reveal About Paper Records

HIPAA paper record data breach

In a world where ransomware, phishing, and digital hacking dominate headlines, it’s easy to believe that data security is purely a digital issue. But 2024’s healthcare breach statistics tell a different (and startling) story.

Despite rapid digital transformation, paper records are still a major source of data breaches. And the consequences can be just as severe as a cyberattack.

If your business still relies on paper documents for medical records, HR files, legal documentation, or client data, now is the time to rethink your risk exposure.


  • There were 725 healthcare data breaches reported to the OCR in 2023 alone.
  • While many breaches involved digital attacks like phishing or ransomware, 21 breaches involved physical paper or film records.
  • These “analog” breaches affected over 250,000 individuals.

That means hundreds of thousands of patients had their data compromised not by a hacker, but by a lost file, stolen folder, or improperly discarded paper document.

  • Roughly 4.4% of healthcare breaches involving individuals originate from paper records.
  • 22.4% of breaches at covered entities (like hospitals and clinics) involved paper.
  • 21.6% of breaches at business associates (such as billing companies or storage vendors) also stemmed from paper sources.

These aren’t outdated figures, they reflect systemic, ongoing vulnerabilities.

  • 13 reported breaches tied to paper record loss, theft, or improper disposal.
  • These affected:
    • 66,396 individuals due to loss or theft (avg. ~5,107 per incident)
    • 2,309 individuals due to improper disposal (avg. ~770 per incident)

Even more concerning, real-world cases show how damaging paper-based breaches can be:

  • 149,940 paper records were stolen from a storage facility in one high-profile case.
  • Another incident exposed 7,500 patient records when documents were improperly discarded in a dumpster.

And while major breaches make headlines, small and mid-sized organizations are especially vulnerable:

  • In 2022, fewer than 1% of large data breaches were due to paper loss or mishandling.
  • But for smaller breaches (affecting fewer than 500 individuals), 93% involved unauthorized access or disclosure, most commonly from paper records.

Takeaway: The humble filing cabinet could be your company’s biggest security blind spot.


Unlike digital systems that rely on encryption, passwords, and user permissions, paper security often depends on physical barriers and human behavior.

Common causes of paper record breaches include:

  • Improper disposal – Records thrown in the trash instead of securely shredded
  • Loss or theft – Files left in cars, at front desks, or shipped without tracking
  • Unsecured office storage – Open cabinets or boxes in shared areas
  • Lack of audit trail – No visibility into who accessed or removed files

One misplaced file or poorly discarded folder can violate HIPAA, damage your reputation, and cost thousands, or even millions.


Going paperless is more than a convenience, it’s a data security upgrade.

When you scan and digitize your records, you:

  • Control access with secure logins and user permissions
  • Track usage with audit trails and version history
  • Encrypt data at rest and in transit
  • Recover data through backups and disaster recovery
  • Improve compliance with HIPAA, GDPR, and other regulatory frameworks

Digitization also enhances productivity by making files searchable, shareable, and integrated into your workflow. No more digging through file cabinets or missing documents.


Some records must be retained in physical form due to legal or operational requirements. But keeping them in your office (or basement) is a risk.

Offsite document storage offers:

  • High-security environments with 24/7 surveillance and climate control
  • Professional indexing and inventory so you always know what you have
  • Retention tracking to ensure records are kept only as long as needed
  • Chain-of-custody documentation for audits and litigation readiness

Rather than leave sensitive records vulnerable to fire, theft, or unauthorized access, offload them to a professional facility with the infrastructure to keep them protected.


Digital and physical records need a structured plan and platform to manage them safely and efficiently. That’s where records management systems (RMS) come in.

A robust RMS can help you:

  • Apply retention schedules automatically
  • Ensure regulatory compliance
  • Prevent unauthorized access
  • Track record activity across departments
  • Coordinate digitization and destruction timelines

Without a centralized system, you risk keeping records too long, disposing of them improperly, or exposing data to unnecessary threats.


Data breaches don’t just result in fines, they erode trust, delay operations, and increase liability.

  • In 2023, the average healthcare data breach cost $10.93 million, the highest of any industry (IBM).
  • HIPAA fines can range from $100 to $50,000 per record, depending on the nature of the violation.
  • State-level penalties and lawsuits can further drive up costs.

And unlike digital breaches, paper-based incidents are almost always the result of avoidable human error or lack of policy enforcement.


At Emerald Document Imaging, we help New York and Long Island businesses eliminate paper risks through secure, compliant, and cost-effective services:

✔️ Document Scanning

Convert paper to digital with high-resolution scanning, OCR indexing, and secure delivery.

✔️ Offsite Records Storage

Protect hard copies in secure, climate-controlled, access-monitored facilities.

✔️ Document Management Systems (DMS)

Organize, search, share, and protect digital files with customizable workflows and access control.

✔️ Secure Shredding

When it’s time to dispose, our shredding service ensures records are destroyed in compliance with HIPAA and state laws.

Whether you’re a medical office, law firm, or enterprise dealing with legacy files, we’ll help you build a custom solution to reduce risk and boost efficiency.


The HIPAA Journal’s 2024 statistics make one thing clear: paper records are still a major data security risk, and one of the easiest to fix.

If your organization still stores, manages, or disposes of sensitive documents manually, the time to act is now.

Let Emerald Document Imaging help you digitize, store, manage, and destroy records the right way.

Contact us today for scanning and storage solutions that will keep your data safe →

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