This is another argument we hear all the time. The truth of the matter is that the Office of Civil Rights (OCR) does not discriminate based on size, and they do not discriminate with their fines either! Many people think they don't have that many patients or that the government barely knows they exist, but they would be very, very wrong. Consider the case of Hospice of Northern Idaho that was Fined for the disclosure of less than 500 names. The fine was $50,000 and OCR would NOT allow them to appeal it.