The covered entity (CE), Scott County, Iowa, reported that several employees were the subjects of an email phishing scheme that affected the protected health information (PHI) of 1,607 individuals. The PHI involved included names, dates of birth, addresses, drivers’ license and Social Security numbers, claims and financial information, diagnoses, lab results, health insurance information, and other treatment information. The CE notified HHS, the affected individuals, the media, and provided substitute notice. In response to the breach, the CE provided complimentary credit monitoring services and implemented additional administrative, technical, and security safeguards. Staff were retrained on email security.