Opinion

Hannant v. Culbertson Memorial Hospital Foundation

Court
District Court, C.D. Illinois
Filed
Aug 20, 2025
Cited by
0 cases
Authority
More cited than 38.9%

noting that “the Government’s interpretation of the [CFAA] would attach criminal penalties to a breathtaking amount of commonplace computer activity” and describing this as an additional reason to reject the Government’s broad interpretation of the CFAA

How later courts described this case

  • noting that “the Government’s interpretation of the [CFAA] would attach criminal penalties to a breathtaking amount of commonplace computer activity” and describing this as an additional reason to reject the Government’s broad interpretation of the CFAA
  • “[A] plaintiff whose original complaint has been dismissed under Rule 12(b)(6) should be given at least one opportunity to try to amend her complaint before the entire action is dismissed.”
  • “[The defendant]’s arguments are wholly lacking, and we have made clear that such perfunctory and undeveloped arguments, and arguments that are unsupported by pertinent authority, are waived.” (quotation marks omitted)
  • “The plaintiffs’ loss is financial: they paid more for the toys than they would have, had they known of the risks the beads posed to children. A financial injury creates standing.”

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF ILLINOIS

ROCK ISLAND DIVISION

ALANA HANNANT, individually, and on )

behalf of all others similarly situated, )

)

Plaintiff, )

)

v. ) Case No. 4:24-cv-04164-SLD-RLH

)

SARAH D. CULBERTSON MEMORIAL )

HOSPITAL, )

)

Defendant. )

ORDER

Before the Court is Defendant Sarah D. Culbertson Memorial Hospital’s Motion to

Dismiss Amended Class Action Complaint (“Motion to Dismiss”), ECF No. 16, and Unopposed

Motion for Leave to File Reply in Support of Defendant’s Motion to Dismiss Amended Class

Action Complaint (“Motion to Reply”), ECF No. 23. For the reasons that follow, the Motion to

Dismiss is GRANTED IN PART and DENIED IN PART, and the Motion to Reply is

GRANTED.

BACKGROUND1

Plaintiff Alana Hannant, a citizen of Illinois, on behalf of herself and others similarly

situated, alleges that Defendant, a non-profit corporation headquartered in Illinois, wrongfully

embedded third-party tracking technology on its website as well as its web-based tools and

services (collectively “Online Platforms”). For example, Meta Platforms, Inc., formerly known

as Facebook, offers online tracking technology—pixel trackers—that website operators can

1 At the motion to dismiss stage, the court “accept[s] as true all well-pleaded facts in the complaint, and draw[s] all

reasonable inferences in [the nonmovant]’s favor.” Pierce v. Zoetis, Inc., 818 F.3d 274, 277 (7th Cir. 2016). Unless

otherwise noted, the factual background is drawn from Plaintiff’s Amended Class Action Complaint, ECF No. 14.

embed into their webpages to transmit information about their website’s visitors to Facebook.

Facebook’s pixel tracker, the Meta Pixel, by default “tracks information about a website user’s

device and the URLs and domains they visit” and may be configured to track more information,

“including a visitor’s search terms, button clicks, and form submissions.” Am. Compl. ¶ 15,

ECF No. 14. The Meta Pixel can also link this data “with an individual’s unique and persistent

Facebook ID . . ., allowing a user’s health information to be linked with her Facebook profile.”

Id. Other entities, including Google and Microsoft, offer similar pixel trackers.

Plaintiff and other putative class members’ information was collected by Defendant via

the pixel trackers and disclosed to entities like Facebook for the purposes of online advertising.

Plaintiff asserts that the information Defendant collected and disclosed constituted either

Personally Identifying Information and/or Protected Health Information (collectively “Private

Information”).2 Defendant had control over the pixel trackers, including the types of information

they collected, which webpages contained them, and what they automatically communicated to

third parties. Defendant chose to share, trade, or sell Plaintiff and other class members’ Private

Information to third parties “in exchange for improved targeting and marketing services and

reduced marketing costs.” Id. ¶ 127. “By installing the Meta Pixel on its Website, Defendant

effectively planted a bug on Plaintiff’s and Class Members’ web browsers and compelled them

to disclose Private Information and confidential communications to Facebook, without their

authorization or knowledge.” Id. ¶ 16. Plaintiff personally used Defendant’s Online Platforms

to “find a specific physician, to research treatments, including information related to an MRI test,

2 Plaintiff’s definitions of Personally Identifying Information and Protected Health information are derived from

federal regulations. See, e.g., Am. Compl. 1 nn.1–2. The parties dispute whether Plaintiff has sufficiently alleged

that Defendant collected and disclosed information satisfying those definitions as well as whether the information is

protectible under either federal or state law. The Court’s usage of “Private Information” does not constitute a

finding on this question, which is analyzed in the context of the specific claims that Plaintiff asserts.

to search for treatment information; to find out how to obtain medical records; [and] to use the

patient portal.” Id. ¶ 134. After doing so, “advertisements for MRI tests and advertisements for

doctors treating back problems began appearing in her Facebook feed.” Id. ¶ 135.

Plaintiff filed her Complaint, ECF No. 1, on September 6, 2024 and received leave to file

her Amended Complaint to correct an “an inadvertent scrivener’s error” on February 5, 2025.

See Feb. 5, 2025 Text Order (quoting Second Mot. File Am. Compl. ¶ 9, ECF No. 13). She

invokes both the Court’s federal-question jurisdiction, 28 U.S.C. § 1331, and jurisdiction under

the Class Action Fairness Act, 28 U.S.C. § 1332(d). She seeks to represent a class of “[a]ll

patients of Defendant residing in the United States whose Private Information was disclosed by

Defendant to third parties through the Meta Pixel and related technology without authorization,”

as well as an Illinois subclass of “[a]ll patients of Defendant who are Illinois Citizens and whose

Private Information was disclosed by Defendant to third parties through the Meta Pixel and

related technology without authorization.” Am. Compl. ¶¶ 205–06.

She asserts twelve counts on behalf of herself and the class: (I) negligence; (II)

negligence per se; (III) invasion of privacy—intrusion upon seclusion; (IV) breach of implied

contract; (V) unjust enrichment; (VI) breach of implied duty of confidentiality; (VII) violation of

the Illinois Consumer Fraud and Deceptive Business Practices Act (“ICFA”), 815 ILCS 505/1–

12; (VIII) violation of the Illinois Eavesdropping Statute (“IES”), 720 ILCS 5/14-1 to 14-9; (IX)

violation of the Electronic Communications Privacy Act (“ECPA”), 18 U.S.C. §§ 2510–2523,

via interception; (X) violation of the ECPA via unauthorized divulgence by an electronic

communications service; (XI) violation of the Stored Communications Act (“SCA”), 18 U.S.C.

§§ 2701–2713; and (XII) violation of the Computer Fraud and Abuse Act (“CFAA”), 18 U.S.C.

§ 1030. Defendant seeks the dismissal of all twelves counts, see generally Mem. Supp. Mot.

Dismiss, ECF No. 18, as well as the Court’s leave to file a reply in support of its Motion to

Dismiss, see generally Mot. Reply. Plaintiff opposes the Motion to Dismiss in its entirety, see

generally Resp. Mot. Dismiss, ECF No. 21, but does not oppose Defendant’s Motion to Reply.

DISCUSSION

I. Motion to Reply

For all motions other than those for summary judgment, the Court’s Local Rules provide

that “[a] reply to the response is only permitted with leave of Court.” Civil LR 7.1(B)(3).

“Replies may be allowed for reasons including the non-movant’s introduction of new and

unexpected issues in his response, and the interest of completeness.” Magnuson v. Exelon Corp.,

658 F. Supp. 3d 652, 658 (C.D. Ill. 2023) (alterations and quotation marks omitted). Defendant

seeks the Court’s leave to file a reply “[g]iven the number of claims, as well as their nature and

complexity.” Mot. Reply ¶ 8. Defendant’s Motion to Reply is unopposed. Id. ¶ 9. Therefore,

the Court grants such leave in the interest of completeness. Defendant’s Motion to Reply is

GRANTED.

II. Motion to Dismiss

A. Legal Standard

A complaint must contain “a short and plain statement of the claim showing that the

pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). At the motion to dismiss stage, the key

inquiry is whether the complaint is “sufficient to provide the defendant with ‘fair notice’ of the

plaintiff’s claim and its basis.” Indep. Tr. Corp. v. Stewart Info. Servs. Corp., 665 F.3d 930, 934

(7th Cir. 2012) (quoting Erickson v. Pardus, 551 U.S. 89, 93 (2007)). While “detailed factual

allegations are unnecessary, the complaint must have ‘enough facts to state a claim to relief that

is plausible on its face.’” Pierce v. Zoetis, Inc., 818 F.3d 274, 277 (7th Cir. 2016) (quoting Bell

Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A court must take “[t]he complaint’s well-

pleaded factual allegations, though not its legal conclusions, . . . [as] true,” Phillips v. Prudential

Ins. Co. of Am., 714 F.3d 1017, 1019 (7th Cir. 2013), and “draw all inferences in the light most

favorable to the nonmoving party,” Vesely v. Armslist LLC, 762 F.3d 661, 664 (7th Cir. 2014).

B. Analysis

Following the parties’ briefing, the Court analyzes Plaintiff’s claims in three categories:

(1) federal statutory; (2) state statutory; and (3) common law.3 The Court dismisses all claims

except one but finds that Plaintiff may seek the Court’s leave to file amended versions. See, e.g.,

Runnion ex rel. Runnion v. Girl Scouts of Greater Chi. & Nw. Ind., 786 F.3d 510, 519 (7th Cir.

2015) (“[A] plaintiff whose original complaint has been dismissed under Rule 12(b)(6) should be

given at least one opportunity to try to amend her complaint before the entire action is

dismissed.”).

1. Federal Statutory Claims

a. Count IX: Interception in Violation of the Electronic

Communications Privacy Act

In Counts IX and X, Plaintiff alleges that Defendant violated the ECPA, commonly

known as the Wiretap Act. Am. Compl. ¶¶ 334–65. Specifically in Count IX, Plaintiff alleges

violations of 18 U.S.C. § 2511(1)(a), (c), and (d). E.g., id. ¶¶ 342, 345–46. The ECPA “makes it

unlawful to ‘intentionally intercept[ ], endeavor[ ] to intercept, or procure[ ] any other person to

intercept or endeavor to intercept, any wire, oral, or electronic communication.’” Stein v.

Edward-Elmhurst Health, No. 23-cv-14515, 2025 WL 580556, at *3 (N.D. Ill. Feb. 21, 2025)

3 The parties use Illinois law for their arguments addressing Plaintiff’s common law claims. See Mem. Supp. Mot.

Dismiss 18–30; Resp. Mot. Dismiss 19–30; Reply Mot. Dismiss 12–18, ECF No. 23-1. The Court therefore applies

Illinois law to those claims. See, e.g., Selective Ins. Co. of S.C. v. Target Corp., 845 F.3d 263, 266 (7th Cir. 2016)

(“If no party raises a choice of law issue to the district court, the federal court may simply apply the forum state’s

substantive law.” (quotation marks omitted)), as amended (Jan. 25, 2017).

(alterations in original) (quoting 18 U.S.C. § 2511(a)); see also id. (“A plaintiff must show that

the defendant (1) intentionally (2) intercepted, endeavored to intercept or procured another

person to intercept or endeavor to intercept (3) the contents of (4) an electronic communication,

(5) using a device.” (quotation marks omitted)). The ECPA excepts from liability persons who

are “party to the communication . . . unless such communication is intercepted for the purpose of

committing any criminal or tortious act in violation” of federal or state law.” 18 U.S.C.

§ 2511(2)(d). Therefore, Section 2511(2)(d) sets forth a “party exception,” to which the further

“criminal or tortious exception” applies—one is normally not liable for intercepting her own

communications but may be liable if her conduct satisfies the crime or tort exception. See, e.g.,

Kurowski v. Rush Sys. for Health (Kurowski I), 659 F. Supp. 3d 931, 937–39 (N.D. Ill. 2023).

The parties do not contest that Defendant was a party to the alleged communications but

do dispute whether Plaintiff has plausibly invoked the crime-tort exception. Mem. Supp. Mot.

Dismiss 4–7; Resp. Mot. Dismiss 5–8. They focus on whether Defendant’s usage of the pixel

trackers without prior consent violates the Administrative Simplification provisions of the Health

Insurance Portability and Accountability Act (“HIPAA”), 42 U.S.C. §§ 1320d to d-9. Generally,

HIPAA provides for criminal and civil penalties against a person “who knowingly . . . discloses

individually identifiable health information [(‘IIHI’)] to another person.” 42 U.S.C. § 1320d-6.

IIHI is defined as:

[A]ny information, including demographic information collected from an

individual, that—(A) is created or received by a health care provider, health plan,

employer, or health care clearinghouse; and (B) relates to the past, present, or

future physical or mental health or condition of an individual, the provision of

health care to an individual, or the past, present, or future payment for the

provision of health care to an individual, and—(i) identifies the individual; or (ii)

with respect to which there is a reasonable basis to believe that the information can

be used to identify the individual.

42 U.S.C. § 1320d(6) (emphasis added). When deciding whether a plaintiff has plausibly alleged

that IIHI was obtained and improperly disclosed via a pixel tracker, courts seek to distinguish

between tracking data derived from healthcare provider websites generally and tracking data

which both relates to a specific individual’s health and reasonably can be used to identify that

individual. As a rough analogy, the dividing line is somewhere between precise geolocation data

showing that an individual ate in a hospital’s cafeteria and such data showing that an individual

was in their primary care physician’s examination room—the latter could be the basis of a

HIPAA violation; the former is probably just lunch.

For example, a court analyzed whether certain disclosure standards under HIPAA applied

to the tracking of URLs which “point[ed] to pages containing information about treatment

options for melanoma, information about a specific doctor, search results related to the phrase

‘intestine transplant,’ a wife’s blog post about her husband’s cancer diagnosis, and other publicly

available medical information.” Smith v. Facebook, Inc., 262 F. Supp. 3d 943, 954–55 (N.D.

Cal. 2017) (footnotes omitted), aff’d, 745 F. App’x 8 (9th Cir. 2018). The Smith court concluded

that the tracked information did not relate “to the past, present, or future physical or mental

health or condition of an individual,” because the “pages contain[ed] general health information

that [wa]s accessible to the public at large,” such that HIPAA did not apply. Id. at 955; see also

Kurowski I, 659 F. Supp. 3d at 935–36, 939 (finding that allegations that “patient IP addresses,

patient cookie identifiers, device identifiers, account numbers, URLs, other unique identifying

numbers, characteristics, or codes, and browser-fingerprints” were transmitted did not “support

an inference that [the defendant] disclosed its patients’ [IIHI],” such that the plaintiff did not

plausibly invoke the crime-tort exception to the ECPA (footnotes omitted) (quotation marks

omitted)).

Another court considered an administrative challenge to guidance issued by the United

States Department of Health and Human Services which sought to include within HIPAA’s

ambit the disclosure of metadata connecting “(1) an individual’s IP address with (2) a visit to a

[unauthenticated public webpage] addressing specific health conditions or healthcare providers.”

Am. Hosp. Ass’n v. Becerra, 738 F. Supp. 3d 780, 789 (N.D. Tex. 2024). The court concluded

that such a combination of data did not constitute a HIPAA violation in part because attributing

IIHI status to that combination depended upon the visitor’s subjective motive for visiting that

website—one would need to infer that the webpage’s visitor was a patient, as opposed to a

public-health researcher or hospital employee, and the combination of metadata standing alone

did not support such an inference. Id. at 801–04; see also id. at 803 (“Simply put, Identity

(Person A) + Query (Condition B) ≠ IIHI (Person A has Condition B).”).

Conversely, plaintiffs have succeeded in invoking the crime-tort exception via HIPAA

violations by plausibly alleging that their patient status was captured in interceptions or

disclosures showing that they had clicked “the ‘Schedule an Appointment’ button or click[ed]

the physician’s phone number to schedule an appointment,” Kane v. Univ. of Rochester, No. 23-

CV-6027-FPG, 2024 WL 1178340, at *5–7 (W.D.N.Y. Mar. 19, 2024), or had clicked a button

to log in to a healthcare provider’s patient portal, In re Meta Pixel Healthcare Litig., 647 F.

Supp. 3d 778, 791–93 (N.D. Cal. 2022); see also Nienaber v. Overlake Hosp. Med. Ctr.

(Nienaber II), No. 2:23-cv-01159-TL, 2025 WL 692097, at *5–6 (W.D. Wash. Mar. 4, 2025)

(finding that the disclosure of an individual’s Facebook ID, as opposed to just an IP address,

distinguished the instant case from the challenged administrative guidance in American Hospital

Association and that the plaintiff “just barely demonstrate[d] that [her] interactions with [the

d]efendant’s website plausibly relate[d] to the provision of health care” in part because she

“allege[d] that she used the website to log in to [the d]efendant’s patient portal”). However,

courts have found that even transmissions showing navigation to a page containing methods for

scheduling an appointment or logging into a hospital’s patient portal are insufficient without

further information demonstrating that the individual availed herself of those methods. See Doe

v. Upperline Health, Inc., No. 1:23-cv-01261-RLY-CSW, 2024 WL 4953503, at *3 (S.D. Ind.

Sept. 24, 2024); Williams v. TMC Health, No. CV-23-00434-TUC-SHR, 2024 WL 4364150, at

*4 (D. Ariz. Sept. 30, 2024).

Plausibility in this context turns on the details. Here, Plaintiff’s allegations of her own

experience, as opposed to a potential class member, lack the detail necessary to plausibly invoke

the crime-tort exception via a HIPAA violation. See Am. Compl. ¶¶ 132–40. When discussing a

potential class member, her allegations might be sufficient to invoke the crime-tort exception—

as examples, she details how the acts of calling to schedule an appointment, calling a specific

provider, and logging in to Defendant’s patient portals would be transmitted. Id. ¶¶ 102–03,

113–14, 118–24. But when discussing her own experiences, the specificity is replaced by vague

generalities. She alleges that she “used the Website and Online Platforms to: find a specific

physician, to research treatments, including information related to an MRI test, to search for

treatment information; to find out how to obtain medical records; to use the patient portal, and

more.” Id. ¶ 134. But she does not allege that she actually contacted any specific physician, that

she actually obtained any of her medical records, nor even that she logged into the patient portal.

Thus, the Amended Complaint is closer to the insufficient allegations of Upperline Health than

the “just barely” plausible allegations of Nienaber II.

She also alleges “[o]n information and belief” that Defendant disclosed information like

her “status as a patient” and her “patient portal activity” but provides no detail as to what

information was disclosed that demonstrated her patient status or what activities she took with

respect to the patient portal. As the caselaw discussed above demonstrates, an allegation that

patient status was disclosed, standing alone, is closer to a legal conclusion than a factual

allegation. The necessary specificity about Plaintiff’s use of the Online Platforms is simply not

part of the Amended Complaint. The Court is cognizant that discovery would likely be

necessary to understand the exact mechanism of Defendant’s alleged interception, disclosure, or

use of Private Information, see Kurowski v. Rush Sys. for Health (Kurowski IV), No. 22 C 5380,

2023 WL 8544084, at *3 (N.D. Ill. Dec. 11, 2023), but Plaintiff has access to her end of the

equation, such as whether she used Defendant’s website to book an appointment or log into a

patient portal. In sum, the eleven paragraphs related to Plaintiff’s personal experiences in her

388-paragraph-long Amended Complaint provide insufficient detail to conclude that she has

plausibly alleged that her IIHI was improperly intercepted, disclosed, or used. See, e.g., Hartley

v. Univ. of Chi. Med. Ctr. (Hartley I), No. 22 C 5891, 2023 WL 7386060, at *2 (N.D. Ill. Nov. 8,

2023) (dismissing ECPA claim where “there [wa]s an absolute dearth of information specific to

Plaintiff as what was disclosed to Facebook that would plausibly be in violation of HIPAA”).

Plaintiff asserts that courts within the Seventh Circuit have found allegations similar to

hers to be sufficient. See, e.g., Resp. Mot. Dismiss 4–5 (first citing Stein, 2025 WL 580556, at

*6; then A.D. v. Aspen Dental Mgmt., Inc., No. 24 C 1404, 2024 WL 4119153, at *2–3 (N.D. Ill.

Sept. 9, 2024); then Kurowski IV, 2024 WL 3455020, at *2; and then Hartley v. Univ. of Chi.

Med. Ctr. (Hartley II), No. 22 C 5891, 2024 WL 1886909, at *1–2 (N.D. Ill. Apr. 30, 2024)).

But she has not demonstrated that her allegations are sufficiently similar to any of those cases.

Stein rejected the defendant’s argument that a financial motivation meant that it could not act

with a criminal or tortious purpose and did not analyze whether the plaintiffs’ allegations about

their own experiences were sufficient to plausibly allege a HIPAA violation. Stein, 2025 WL

580556, at *4–6. A.D. concluded without much explanation that the plaintiffs’ “allegations

regarding their individual experiences using [the defendant]’s online platform—and the

inferences drawn from those experiences—[we]re sufficient to plausibly allege that [the

defendant disclosed information regarding their personal health conditions and treatments to

third parties.” A.D., 2024 WL 4119153, at *3. More on point are Kurowski and Hartley, both of

which only allowed the ECPA claims to proceed after the plaintiffs satisfactorily amended their

complaints. See Kurowski IV, 2024 WL 3455020, at *2 (noting that the allegations in the

plaintiff’s first two complaints “were far too vague to allow an inference to be drawn that [the

defendant] was actually disclosing IIHI as it is unambiguously defined by HIPAA, rather than

just metadata” (quotation marks omitted)); Hartley II, 2024 WL 1886909, at *2 (similar). At this

stage, Plaintiff’s allegations are closer to Kurowski I and Hartley I than Kurowski IV or Hartley

II. More factual detail is required to find that Plaintiff has plausibly alleged that her IIHI, as

opposed to a potential class member’s IIHI, was disclosed. Accordingly, Plaintiff has not

demonstrated that the crime-tort exception should apply and Count IX is DISMISSED.

b. Counts X–XI: Status as Electronic Communication Service

Provider under the Electronic Communications Privacy Act

and Stored Communications Act

Plaintiff alleges in Count X that Defendant violated another part of the ECPA,

specifically 18 U.S.C. § 2511(3)(a), because it provided an electronic communication service and

intentionally divulged communications.4 Am. Compl. ¶¶ 353–65. Relatedly, she alleges in

4 The ECPA provides that:

a person or entity providing an electronic communication service to the public shall not intentionally

divulge the contents of any communication (other than one to such person or entity, or an agent

Count XI that Defendant violated the SCA because it provided an electronic communication

service, held communications in storage, and intentionally divulged the contents of those

communications while they were in storage.5 Id. ¶¶ 366–82. The viability of both Counts X and

XI turns on whether Defendant is plausibly an electronic communication service provider.

Both the ECPA and SCA define “electronic communication service” as “any service

which provides to users thereof the ability to send or receive wire or electronic

communications.” 18 U.S.C. § 2510(15); id. § 2711(1) (cross-referencing the definitions used in

the ECPA, including 18 U.S.C. § 2510(15)). Defendant argues that it is not an electronic

communication service provider because merely “[h]aving a public website does not transform

[it] into a service provider under the ECPA or SCA.” Mem. Supp. Mot. Dismiss 9–10; see also

id. at 10 (“The ‘majority of courts addressing [the statute’s scope] interpret the ECPA . . . to

encompass only traditional “electronic communications services” such as internet service

providers, electronic mail providers, telecommunications companies, and remote computing

services.’” (alteration in original) (quoting St. Johns Vein Ctr., Inc. v. StreamlineMD LLC, 347 F.

Supp. 3d 1047, 1064 (M.D. Fla. 2018))). Plaintiff responds that other courts have entertained

EPCA claims and that one court rejected an interpretation of § 2510(15) that restricted its scope

to only internet service providers. Resp. Mot. Dismiss 11–12.

“[C]ompanies that merely purchase or use electronic communications services in the

conduct of their ordinary business are not themselves electronic communications services.”

Kurowski I, 659 F. Supp. 3d at 939–40 (N.D. Ill. 2023); see also Garner v. Amazon.com, Inc.,

thereof) while in transmission on that service to any person or entity other than an addressee or

intended recipient of such communication or an agent of such addressee or intended recipient.

18 U.S.C. § 2511(3)(a).

5 The SCA provides that “a person or entity providing an electronic communication service to the public shall not

knowingly divulge to any person or entity the contents of a communication while in electronic storage by that

service.” 18 U.S.C. § 2702(a)(1).

603 F. Supp. 3d 985, 1003–04 (W.D. Wash. 2022) (“A company that merely utilizes electronic

communications in the conduct of its own business is generally considered a purchaser or user of

the communications platform, not the provider of the service to the public.”). Plaintiff’s

argument—that Defendant’s Online Platforms make it an electronic communication service

provider because “in the absence of Defendant’s Website, internet users could not send or

receive communications regarding Plaintiff[’s] and Class Members’ Private Information,” [14]

Am. Compl. ¶ 355—has been squarely rejected by another court in this district. See Doe 1 v.

Chestnut Health Sys., Inc., No. 1:24-cv-01475-JEH-RLH, 2025 WL 1616635, at *12 (C.D. Ill.

June 6, 2025) (“[T]here are many steps involved in an electronic communication that, in their

absence, would have prevented the [p]laintiffs from communicating with the [d]efendant’s

website. That alone does not make each step an electronic communication service.”); see also id.

(collecting cases). This Court agrees—simply operating a website is not enough.

Plaintiff’s contrary citations are distinguishable. Most of them shed no light on the issue

at hand.6 The only potentially relevant citation is In re BetterHelp, Inc., No. 23-cv-01033-RS,

2024 WL 4504527, at *2 (N.D. Cal. Oct. 15, 2024), in which a court determined that the

defendant had not “shown the statute should be construed so narrowly as to apply only to internet

service providers.” But the court did not affirmatively decide that entities with websites provide

electronic communication services. Instead, it found notable that the defendant “d[id] not merely

receive its own customers’ communications electronically” but rather “allegedly facilitate[d]

two-way electronic communications between its customers and third-party therapists.” Id. at *2

6 Without identifying any page of her cited decisions, Plaintiff asserts that courts “have concluded that ECPA claims

have merit” in “the hospital website privacy context.” See Resp. Mot. Dismiss 11 (first citing Smith v. Loyola Univ.

Med. Ctr., No. 23 CV 15828, 2024 WL 3338941 (N.D. Ill. July 9, 2024); then citing A.D., 2024 WL 4119153; then

citing Kurowski IV, 2024 WL 3455020; and then citing Hartley II, 2024 WL 1886909). She also cites Amedisys

Holding, LLC v. Interim Healthcare of Atl., Inc., 793 F. Supp. 2d 1302, 1316 (N.D. Ga. 2011). None of those cases

address whether the mere provision of a website makes an entity an electronic communication service provider for

purposes of § 2511(3)(a), such that they shed no light on the resolution of this dispute.

n.1. Plaintiff does not make any similar allegations that Defendant facilitated two-way

communications between herself and third parties, such that In re BetterHelp is distinguishable.

The Court finds that Plaintiff does not plausibly allege that Defendant is an electronic

communication service provider, and therefore Counts X and XI are DISMISSED.

c. Count XII: Computer Fraud and Abuse Act

The CFAA prohibits “intentionally access[ing] a computer without authorization or

exceed[ing] authorized access” and thereby obtaining “information from any protected

computer.” 18 U.S.C. § 1030(a)(2)(C). Plaintiff alleges in Count XII that her and class

members’ computers and mobile devices are “protected computers”7 and Defendant exceeded its

authorized access to those protected computers. Am. Compl. ¶¶ 383–88. Defendant argues that

Plaintiff has failed to allege that it exceeded its authorized access by “reach[ing] into any ‘off-

limits areas’ of her or other potential class members’ computers.” Mem. Supp. Mot. Dismiss

10–11. Plaintiff responds that pixel trackers are analogous to cookies implanted in users’

computers, the use of which has previously been found to exceed authorized access. Resp. Mot.

Dismiss 12–13.

The CFAA defines “exceeds authorized access” as “to access a computer with

authorization and to use such access to obtain or alter information in the computer that the

accesser is not entitled so to obtain or alter.” 18 U.S.C. § 1030(e)(6). The Supreme Court

clarified the scope of the CFAA in Van Buren v. United States, 593 U.S. 374 (2021). As relevant

here, the Supreme Court noted “that the exceeds authorized access clause prohibits only unlawful

7 The CFAA defines a protected computer in part as “a computer . . . which is used in or affecting interstate or

foreign commerce or communication, including a computer located outside the United States that is used in a

manner that affects interstate or foreign commerce or communication of the United States.” 18 U.S.C.

§ 1030(e)(2)(B).

information access, not downstream information misuse.” Van Buren, 593 U.S. at 395–96

(alteration and quotation marks omitted).

Here, Plaintiff’s allegations concern downstream information misuse. She does not

allege that Defendant took some action to access or alter her hard drive, file architecture, or other

information stored on her protected computers, i.e., hacking in the now-traditional sense of that

term. Instead, she complains that, after she voluntarily shared with Defendant the fact that she

was using its Online Platforms, Defendant subsequently misused that information by sharing it

with entities like Meta or Google. E.g., Am. Compl. ¶ 104 (“Not only did [Defendant] disclose

data about patients’ keyword searches, but it also shared information with Facebook when

patients conducted searches for physicians.”). Such allegations of downstream information

misuse do not support a CFAA claim in the wake of Van Buren. See Chestnut Health Sys., 2025

WL 1616635, at *13; Nienaber v. Overlake Hosp. Med. Ctr. (Nienaber I), 733 F. Supp. 3d 1072,

1096–97 (W.D. Wash. 2024); Allen v. Novant Health, Inc., No. 1:22-CV-697, 2023 WL

5486240, at *5 (M.D.N.C. Aug. 24, 2023). Plaintiff’s lone contrary citation, In re Toys R Us,

Inc., Priv. Litig., No. 00-CV-2746, 2001 WL 34517252, at *9–12 (N.D. Cal. Oct. 9, 2001), is a

pre-Van Buren case which analyzed the adequacy of the plaintiffs’ allegations of damages, not

the predicate issue of whether the defendants had exceeded their authorized access. Plaintiff

fails to persuade the Court that the use of cookies standing alone creates exposure to criminal and

civil liability under federal law. Cf. Van Buren, 593 U.S. at 393 (noting that “the Government’s

interpretation of the [CFAA] would attach criminal penalties to a breathtaking amount of

commonplace computer activity” and describing this as an additional reason to reject the

Government’s broad interpretation of the CFAA). Because Plaintiff does not plausibly allege

that Defendant exceeded its authorized access, Count XII is DISMISSED.

2. State Statutory Claims

a. Count VII: Violation of the Illinois Consumer Fraud and

Deceptive Business Practices Act

Plaintiff alleges in Count VII that Defendant violated the ICFA. Am. Compl. ¶¶ 289–

309. The ICFA requires allegations “that the defendant committed a deceptive or unfair act with

the intent that others rely on the deception, that the act occurred in the course of trade or

commerce, and that it caused actual damages.” Benson v. Fannie May Confections Brands, Inc.,

944 F.3d 639, 646 (7th Cir. 2019) (quotation marks omitted); see also Oliveira v. Amoco Oil Co.,

776 N.E.2d 151, 160 (Ill. 2002) (articulating similar elements). The IFCA thus proscribes two

categories of conduct: deceptive acts and unfair acts. Allegations of deceptive conduct must

satisfy the heightened pleading standard of Federal Rule of Civil Procedure 9(b). Benson, 944

F.3d at 646. Whether based upon deceptive or unfair acts, showing actual damages requires

“pecuniary loss.” Id. This requirement of actual damages limits the ICFA to “purely economic

injuries.” Flores v. Aon Corp., 242 N.E.3d 340, 357 (Ill. App. Ct. 2023). “Actual damages must

be calculable and measured by the plaintiffs[’] loss.” Morris v. Harvey Cycle & Camper, Inc.,

911 N.E.2d 1049, 1053 (Ill. App. Ct. 2009) (quotation marks omitted). “The failure to allege

specific economic damages precludes a claim brought under the [ICFA].” Flores, 242 N.E.3d at

357.

The parties dispute whether Plaintiff adequately alleges that she incurred actual damages.

Mem. Supp. Mot. Dismiss 14–16; Resp. Mot. Dismiss 16–17. The Amended Complaint

describes the following categories of harms:

a. Sensitive and confidential information that Plaintiff and Class Members

intended to remain private is no longer private.

b. Defendant eroded the essential confidential nature of the doctor-patient

relationship.

c. Defendant took something of value from Plaintiff and Class Members and

derived benefit therefrom without Plaintiff’ [sic] and Class Members’

knowledge or informed consent and without sharing the benefit of such value.

d. Plaintiff and Class Members did not get the full value of the medical services

for which they paid, which included Defendant’s duty to maintain

confidentiality.

e. Defendant’s actions diminished the value of Plaintiff’ [sic] and Class Members’

personal information.

Am. Compl. ¶ 307. Plaintiff summarizes these allegations into three categories: (1) “Plaintiff’s

lost benefit of the bargain” (i.e., that she “paid for medical services and confidentiality of

information, which she did not receive”); (2) “diminished value of personal information”; and (3)

“harm to privacy interests.” Resp. Mot. Dismiss 16. The Court addresses each category in turn.

Beginning with the lost-benefit-of-the-bargain or overpayment theory of damages, the

Seventh Circuit has previously recognized that an overpayment—i.e., the plaintiff paid more

than she otherwise would have if she had fully known the nature of a product or service—could

constitute a financial injury sufficient to support Article III standing. See, e.g., In re Aqua Dots

Prods. Liab. Litig., 654 F.3d 748, 751 (7th Cir. 2011) (“The plaintiffs’ loss is financial: they paid

more for the toys than they would have, had they known of the risks the beads posed to children.

A financial injury creates standing.”). However, the Seventh Circuit has repeatedly declined to

expand this theory of standing beyond the product-liability context, limiting its application to

cases in which “the product itself was defective or dangerous and [the plaintiffs] claim they

would not have bought it (or paid a premium for it) had they known of the defect.” Lewert v.

P.F. Chang’s China Bistro, Inc., 819 F.3d 963, 968 (7th Cir. 2016); see also Dinerstein v.

Google, LLC (Dinerstein II), 73 F.4th 502, 517–18 (7th Cir. 2023); Remijas v. Neiman Marcus

Grp., LLC, 794 F.3d 688, 694–95 (7th Cir. 2015). In Lewert, the Seventh Circuit concluded that

the overpayment theory “fare[d] no better” to show standing in federal court under the IFCA due

to the statute’s requirement of actual damages. See Lewert, 819 F.3d at 968–69 (citing People ex

rel. Madigan v. United Constr. of Am., Inc., 981 N.E.2d 404, 410–11 (Ill. App. Ct. 2012)).

Lewert implicitly holds, then, that an allegation that the plaintiff paid more than she otherwise

would have for a product or service is insufficient to allege actual damages under the ICFA.

Following Lewert, ICFA claims premised upon an overpayment theory of actual damages and

asserted against healthcare providers that allegedly utilized pixel trackers are often dismissed.

See Kurowski II, 683 F. Supp. 3d at 846; A.D., 2024 WL 4119153, at *7–8; Doe v. Genesis

Health Sys. (Genesis I), No. 23-cv-4209-JES-JEH, 2024 WL 3890164, at *14 (C.D. Ill. Aug. 21,

2024); Loyola Univ. Med. Ctr., 2024 WL 3338941, at *8.

Plaintiff provides no persuasive argument that the cases above were wrongly decided.8

She points to In re Michaels Stores Pin Pad Litig., 830 F. Supp. 2d 518, 526 (N.D. Ill. 2011), for

the idea that “allegations that plaintiffs lost money [are] sufficient to allege an ICFA claim.”

Resp. Mot. Dismiss 16. As relevant to the instant case, the plaintiffs in In re Michaels premised

their actual damages on the “monetary losses from unauthorized bank account withdrawals

and/or related bank fees charged to their accounts.” In re Michaels, 830 F. Supp. 2d at 526.

Here, Plaintiff does not allege that she was subjected to any unauthorized withdrawals or that any

fees were wrongfully charged to her—i.e., she does not allege any concrete pocketbook harms.

Instead, her damages are premised on the idea that she would have paid less or not paid at all for

8 Plaintiff asserts that Kurowski II, A.D., Genesis I, and Loyola University Medical Center “go against the decisions

of nearly fifty courts across the country,” directing the Court to an exhibit which simply lists forty-seven cases.

Resp. Mot. Dismiss 16 (citing Online Tracking Technology Motion to Dismiss Orders Allowing Consumer

Protection Claims, Resp. Mot. Dismiss Ex. A-9, ECF No. 21-1 at 25–26). The Court already gave Plaintiff leave to

file an oversized response, see Mar. 20, 2025 Text Order, and finds this exhibit and the others like it to be improper

attempts to further stretch the page limits imposed by Civil Local Rule 7.1(B)(4). Even if the Court were to ignore

this length manipulation, “Plaintiff does not explain the facts, relate them to this case, or compare the law in these

states to Illinois tort law,” and the Court will not “review hundreds of cases and make Plaintiff’s argument for her.”

Genesis I, 2024 WL 3890164, at *1. Plaintiff may not rely on such perfunctory argumentation, such that the Court

does not consider Exhibit A-9 nor the other exhibits like it. See, e.g., Hakim v. Safariland, LLC, 79 F.4th 861, 872

(7th Cir. 2023) (“[The defendant]’s arguments are wholly lacking, and we have made clear that such perfunctory and

undeveloped arguments, and arguments that are unsupported by pertinent authority, are waived.” (quotation marks

omitted)).

Defendant’s healthcare, which is not a valid theory of actual damages outside of the product-

liability context. Plaintiff’s lost benefit of the bargain is insufficient to maintain an ICFA claim.

And for substantially similar reasons, her other two categories of actual damages,

diminished value of personal information and harm to privacy interests, are also insufficient.

The same four cases cited above—Kurowski II; A.D.; Genesis I; and Loyola University Medical

Center—additionally rejected these two categories as plausibly alleging pecuniary loss and

Plaintiff again provides no persuasive argument as to why those cases were wrongly decided.

More specifically, as to diminished value of personal information, an Illinois appellate court

found that materially identical allegations were insufficient under the ICFA, noting in relevant

part that “[a]ctual damages must be calculable.” Flores, 242 N.E.3d at 357 (quotation marks

omitted). Moreover, Kurowski II highlighted the dearth of allegations “that would allow an

inference to be drawn that she sought to monetize her own data, or that her ability to do so was

diminished by [the defendant]’s practices.” Kurowski II, 683 F. Supp. 3d at 846–47. The same

is true here, as Plaintiff does not allege that she ever sought to sell her own information. Any

inference that she would have participated in such a marketplace is belied by the general thrust of

her lawsuit, which seeks to prevent any further disclosures of her personal information. See Am.

Compl. 91.

Finally, as to harm to privacy interests, the ICFA is not a statute which specifically seeks

to protect privacy rights. See Khorloo v. John C. Heath Att’y at L., PLLC, No. 18-cv-01778,

2020 WL 1530735, at *2 (N.D. Ill. Mar. 31, 2020) (noting a lack of “any Illinois case law

suggesting that privacy violations . . . provide a basis for actual damages under the ICFA” and

that “[i]t seem[ed] unlikely that the statute allows plaintiffs to recover damages for privacy

violations because the ICFA is concerned with fraudulent or unfair advertising, not with

individual privacy rights”). Even if the ICFA was concerned with privacy rights, Illinois courts

have made clear that such a privacy violation standing alone would be insufficient to create

actual damages. When the Illinois Supreme Court found that the Biometric Information Privacy

Act, 740 ILCS 14/1–99, did not require a showing “beyond violation of the rights conferred by

the statute,” it pointed to the ICFA as a counterexample, i.e., a statue requiring actual damages.

Rosenbach v. Six Flags Ent. Corp., 129 N.E.3d 1197, 1204 (Ill. 2019). In sum, Plaintiff has not

plausibly alleged that she suffered any actual damages, as required by the ICFA, such that Count

VII is DISMISSED.

b. Count VIII: Violation of the Illinois Eavesdropping Statute

In Count VIII, Plaintiff alleges that Defendant violated the IES. Am. Compl. ¶¶ 310–33.

Of the five methods for establishing liability under section 14-2(a) of the IES, Plaintiff invokes

720 ILCS 5/14-2(a)(2) and (a)(5).9 Id. ¶¶ 311–12. The IES prohibits a person from “knowingly

and intentionally” “[u]s[ing] an eavesdropping device, in a surreptitious manner, for the purpose

of transmitting or recording all or any part of any private conversation to which he or she is a

party unless he or she does so with the consent of all other parties to the private conversation.”

720 ILCS 5/14-2(a)(2). The IES also prohibits a person from “knowingly and intentionally”

“[u]s[ing] or disclos[ing] any information which he or she knows or reasonably should know was

obtained from a private conversation or private electronic communication in violation of [the

IES], unless he or she does so with the consent of all of the parties.” Id. § 5/14-2(a)(5). The two

subsections invoked by Plaintiff operate differently based on the type of communication at issue

and whether the defendant was a party to that communication.

9 Plaintiff purports to invoke “720 Ill. Comp. Stat 5/14-2(a), -4,” but the language quoted in the Amended Complaint

is found in sections 5/14-2(a)(2) and (a)(5). See [14] Am. Compl. ¶¶ 311–12.

Defendant first argues that Plaintiff cannot state a claim under section 5/14-2(a)(2)

because that section applies only to private conversations, i.e., oral communications, and does

not apply to private electronic communications. Mem. Supp. Mot. Dismiss 17. Plaintiff

responds that “the IES is not limited to literal ‘oral’ communications.” Resp. Mot. Dismiss 18.

A “[p]rivate conversation” is defined as “any oral communication between 2 or more persons,

whether in person or transmitted between the parties by wire or other means, when one or more

of the parties intended the communication to be of a private nature under circumstances

reasonably justifying that expectation,” 720 ILCS 5/14-1(d) (emphasis added), whereas a

“[p]rivate electronic communication” is defined as “any transfer of signs, signals, writing,

images, sounds, data, or intelligence of any nature transmitted in whole or part by a wire, radio,

pager, computer, electromagnetic, photo electronic or photo optical system, when the sending or

receiving party intends the electronic communication to be private under circumstances

reasonably justifying that expectation,” id. § 5/14-1(e).

Multiple courts have attributed significance to the separate definitions and varying

methods of imposing liability for private conversations as compared to private electronic

communications, dismissing claims asserted under section 14-2(a)(2) which did not involve any

oral communications. See Mayer v. Midwest Physician Admin. Servs., LLC, No. 23-cv-3132,

2025 WL 963779, at *4 (N.D. Ill. Mar. 31, 2025) (“Because [p]laintiffs complain about typed

communications and not oral ones, they have not alleged a Section 14-2(a)(2) violation.”); see

also Chestnut Health Sys., 2025 WL 1616635, at *9; Stein, 2025 WL 580556, at *6–7; A.D.,

2024 WL 4119153, at *4. Plaintiff does not allege that Defendant intercepted any out-loud,

verbal communications but rather the records and contents of the pages she viewed and other

silent interactions with Defendant’s Website and Online Platforms. See Am. Compl. ¶¶ 132–42.

These allegations do not support finding that a private conversation, as that term is used by the

IES, was transmitted, recorded, used, or disclosed. See, e.g., A.D., 2024 WL 4119153, at *4

(“The difference in these definitions suggests legislative intent to distinguish between the

disclosure of conversations, like those occurring in-person or over the phone, and electronic

communications, like the private user data and appointment scheduling information at issue

here.”).

Plaintiff’s response fails to address Defendant’s argument that she insufficiently alleges

the transmission, recording, use, or disclosure of a private conversation. She argues that “[t]he

IES explicitly states that the civil cause of action applies to ‘[a]ny or all parties to any

conversation or electronic communication.’” Resp. Mot. Dismiss 18 (second and third alteration

in original) (quoting 720 ILCS 5/14-6). And she cites to cases for the proposition that “Illinois

has implicitly recognized the applicability of the IES to electronic, written messages.” Id. But

no one is arguing that the IES in its entirety is limited to solely out-loud, verbal communications.

Instead, Defendant is arguing that Plaintiff fails to state a claim under one of the specific

subsections that she invokes in her complaint—section 14-2(a)(2)—which is limited to “private

conversations.” Plaintiff fails to directly engage with this argument and her cited authorities do

not address the question.10 The Court finds that Plaintiff does not plausibly allege that

10 Plaintiff’s reliance upon section 14-6 as defining the scope of section 14-2(a)(2) puts the cart before the horse

because section 14-6 still requires allegations of a “conversation or electronic communication upon which

eavesdropping is practiced contrary to th[e IES].” 720 ILCS 5/14-6. Plaintiff still needs to plausibly allege liability

under the IES, and the general usage of “conversation or electronic communication” in the remedial provision that is

section 14-6 does not override the delineated subsections for liability within section 14-2(a) nor the definitions in

sections 14-1(d)–(e). Plaintiff’s cited cases also miss the mark. See Resp. Mot. Dismiss 18 (first citing People v.

Gariano, 852 N.E.2d 344, 348 (Ill. App. Ct. 2006)); and then citing Peters v. Mundelein Consol. High Sch. Dist. No.

120, No. 21 C 0336, 2022 WL 393572, at *11 (N.D. Ill. Feb. 9, 2022)). Gariano sheds no light on the scope of

“private conversation”—that decision interpreted an older version of the IES, finding that certain AOL chatlogs

were not “electronic communications” because the because the undercover police officer who was party to the

communications “had no intention of keeping the conversations private.” Gariano, 852 N.E.2d at 345, 349.

Gariano is now outdated in light of the 2014 amendments to the IES. See, e.g., Cook Au Vin, LLC v. Mid-Century

Ins. Co., 226 N.E.3d 694, 703 (Ill. App. Ct. 2023) (noting the 2014 amendment to the IES expanded liability under

the IES to situations where “one or more of the parties intended the communication to be of a private nature” as

Defendant surreptitiously recorded any private conversations as defined by the IES, such that her

section 14-2(a)(2) claim fails.

Defendant’s second argument concerns section 14-2(a)(5) and its relationship with the

other subsections of 14-2(a). For context, section 14-2(a)(5) prohibits using or disclosing

information that “was obtained from a private conversation or private electronic communication

in violation of th[e IES].” 720 ILCS 5/14-2(a)(5). Stated differently, there must be adequate

allegations of a violation of another subsection of section 14-2(a) to invoke section 14-2(a)(5).

Sections 14-2(a)(1) and 14-2(a)(2) concern private conversations, and as explained above,

Plaintiff’s allegations regarding private conversations are insufficient. Nor is section 14-2(a)(4)

implicated here.11 Thus, to invoke section 14-2(a)(5), Plaintiff must first adequately allege a

violation 14-2(a)(3).

Defendant asserts that Plaintiff cannot invoke section 14-2(a)(3) because Defendant was

undisputedly a party to the at-issue conversations. Mem. Supp. Mot. Dismiss 17–18; Reply Mot.

Dismiss 11, ECF No. 23-1. Plaintiff’s only response is that section 14-2(a) as a whole may apply

to communications to which the defendant was not a party. Resp. Mot. Dismiss 18–19. Plaintiff

does not engage with relationship between the different subsections of 14-2(a). Section 14-

2(a)(3) only applies to “private electronic communication[s] to which [the defendant] is not a

party,” 720 ILCS 14-2(a)(3), and Defendant was undisputedly party to the at-issue

communications. Plaintiff cannot rely upon section 14-2(a)(3), nor any of the other first four

opposed to requiring that all parties intended as such (quoting 720 ILCS 5/14-1(d))). While Peters at least construes

the current version of the IES, it is inapposite because it analyzed whether a teacher had a reasonable expectation of

privacy in her lectures, not whether the online Zoom class counted as a private conversation. See Peters, 2022 WL

393572, at *11–12.

11 Section 14-2(a)(4) imposes liability against any person who “knowingly and intentionally” “[m]anufactures,

assembles, distributes, or possesses any electronic, mechanical, eavesdropping, or other device knowing that or

having reason to know that the design of the device renders it primarily useful for the purpose of [violating the

IES].” Plaintiff does not allege that Defendant violated section 14-2(a)(4) by utilizing the at-issue tracking

technologies. See Am. Comp. ¶¶ 310–33; Stein, 2025 WL 580556, at *8 (reaching the same conclusion).

subsections of 14-2(a), and therefore cannot rely upon section 14-2(a)(5). See Mayer, 2025 WL

963779, at *4 (“Plaintiffs must first allege a violation of Section 14-2(a)(1), (a)(2), (a)(3), or

(a)(4) to plead a claim under Section 14-2(a)(5)”); see also Chestnut Health Sys., 2025 WL

1616635, at *10; Stein, 2025 WL 580556, at *7–8. In sum, Plaintiff has not adequately alleged a

violation of any part of section 14-2(a) and Count VIII is DISMISSED.

3. Common Law Claims

a. Counts I–II: Damages for Negligence and Negligence Per Se

Plaintiff alleges in Count I that Defendant negligently handled her and other class

members’ Private Information, Am. Compl. ¶¶ 225–34, and alleges in Count II that Defendant is

liable under a negligence per se theory for the same conduct, id. ¶¶ 235–46. To state a

negligence claim, a plaintiff must plead “that the defendant owed a duty of care to the plaintiff,

that the defendant breached that duty, and that the breach was the proximate cause of the

plaintiff’s injuries.” Cowper v. Nyberg, 28 N.E.3d 768, 772 (Ill. 2015). For a negligence per se

claim, the plaintiff must plead that the defendant violated a statute or ordinance designed to

protect human life, that she is in the class of people protected by the statute, and that her injury is

of the type the statute was intended to protect against; she must also plead that “the defendant’s

violation of the statute proximately caused the injury.” See, e.g., Wittmeyer v. Heartland All. for

Hum. Needs & Rts., No. 23 CV 1108, 2024 WL 182211, at *3 (N.D. Ill. Jan. 17, 2024) (citing

Kalata v. Anheuser-Busch Cos., Inc., 581 N.E.2d 656, 434 (Ill. 1991)). Defendant argues that

both Counts I and II should be dismissed for inadequate allegations of compensable injury.

Mem. Supp. Mot. Dismiss 18–22. Plaintiff disagrees. Resp. Mot. Dismiss 19–23.12

12 Defendant does not argue that Plaintiff fails to sufficiently allege the existence of a duty to properly safeguard the

Private Information or that Defendant breached such a duty—i.e., unlike Defendant’s arguments against Plaintiff’s

attempt to invoke HIPAA as part of her ECPA claim, here Defendant does not argue that the alleged disclosures

related to insufficiently private information. Cf. Kurowski II, 683 F. Supp. 3d at 851 (finding that the plaintiff

Plaintiff invokes five categories of harms:

(i) increased risk of future harm and “lost time and money incurred to mitigate and

remediate the effects of use of her information” for targeted advertisements; (ii)

diminution in value of her personal information, which is purportedly worth less

due to [Defendant’s] conduct; (iii) “lost benefit of her bargain”; (iv)

“embarrassment, humiliation, frustration, and emotional distress” from loss of

privacy or control of her personal information; and (v) use of her private

information for advertising purposes.

Mem. Supp. Mot. Dismiss 18–19 (quoting Am. Compl. ¶¶ 231–32, 244). The Court need only

consider the fourth category—emotional harms—because the Court finds that such harms are

compensable injuries under Illinois law in this pixel tracker context.

The Court in Loyola University Medical Center found that allegations that the plaintiffs

“suffered fear, anxiety and worry about the status of, and the loss of control over, their private

health information” were “sufficient to state a negligence claim under Illinois law, including in

the data privacy context.” Loyola Univ. Med. Ctr., 2024 WL 3338941, at *7 (quotation marks

omitted). Other courts have reached similar conclusions. See In re Arthur J. Gallagher Data

Breach Litig., 631 F. Supp. 3d 573, 587 (N.D. Ill. 2022) (“There can be no dispute that [the

p]laintiffs have alleged present injuries or damages; for instance, all allege experiencing

emotional harms such as anxiety and increased concerns for the loss of privacy. These types of

non-economic damages are recoverable under Illinois law.” (citations omitted)); see also M.C. v.

E. Side Health Dist., No. 3:24-CV-01336-NJR, 2025 WL 435992, at *4 (S.D. Ill. Feb. 7, 2025).

Defendant asserts that these cases were incorrectly decided because those courts “overlooked a

longstanding principle of Illinois law.” Reply Mot. Dismiss 12–13 & n.7. A careful

“alleged a claim for breach of contract irrespective of whether the disclosures she alleges [the defendant] made to

the third parties contained confidential health information as contemplated by the laws that protect the disclosure of

such information”).

examination of Illinois negligence law reveals that those cases are still consistent with the

principle that Defendant discusses.

Under Illinois law, the requirements for a plaintiff to assert a cause of action for negligent

infliction of emotional distress (“NIED”) differ depending upon whether the plaintiff was a

direct victim or a bystander—a direct victim “must include an allegation of contemporaneous

physical injury or impact,” i.e., allegations satisfying the impact rule, Schweihs v. Chase Home

Fin., LLC, 77 N.E.3d 50, 59 (Ill. 2016), whereas “a bystander must show physical injury or

illness as a result of the emotional distress, caused by the defendant’s negligence and not a

contemporaneous physical injury or impact,” i.e., allegations satisfying the zone-of-danger rule,

id. at 58. Defendant correctly notes “there was confusion in the courts,” Reply Mot. Dismiss 12

n.7, regarding the differing standards for direct victims and bystanders asserting a cause of action

for NIED, see Cochran v. Securitas Sec. Servs. USA, Inc., 93 N.E.3d 493, 499 (Ill. 2017) (noting

this confusion but stating that the Illinois Supreme Court “ha[d] since clarified that the impact

rule remains the law for direct victims of a defendant’s negligence, whereas bystanders’ claims

are now governed by the zone-of-danger rule.” (citing Schweihs, 77 N.E.3d at 61)). Defendant

asserts that the courts that decided emotional damages were available for negligence claims in

pixel tracker cases relied on cases deciding during this period of confusion, such that the Court

should decline to follow their reasoning. See Reply Mot. Dismiss 12–13 & n.7. However,

Defendant concedes that the Illinois Supreme Court has also recognized that “certain actionable

wrongs that carry with them the right to recover damages for the resulting emotional distress

even without any physical harm.” Id. at 13 (citing Cochran, 93 N.E.3d at 502). Thus, the

question presented by the parties’ briefing is best understood as whether Plaintiff has sufficiently

alleged an actionable wrong that allows her to recover emotional damages without alleging

physical harm.

In Cochran, the Illinois Supreme Court noted that a direct victim of negligence who does

not satisfy the impact rule may still recover emotional damages if “the infliction of emotional

distress is not itself the wrong that was committed but rather is part and parcel of the damage that

results from the wrong that was committed.” Cochran, 93 N.E.3d at 502. Cochran discussed the

tort for negligent interference with the right to possess a corpse, see id. at 503, and Defendant

asserts that Plaintiff has not identified an “Illinois state court case holding that a pixel case

constitutes” a similar harm, Reply Mot. Dismiss 13. But Defendant is the party seeking to

dismiss Plaintiff’s claim. Plaintiff has pointed to pixel tracker cases rejecting Defendant’s initial

argument. It is not Plaintiff’s burden to have anticipated Defendant’s reply and located cases

refuting Defendant’s overbroad statement of what is required to recover emotional damages

under Illinois law. Here, Plaintiff asserts that Defendant negligently handled her private

information, and as a result she suffered emotional damages. In other words, the infliction of

emotional distress was not itself the wrong, but rather the damage that resulted from the

mishandling of her private information. Therefore, under a proper understanding of the

longstanding principle of Illinois law identified by Defendant, Plaintiff’s alleged emotional

damages may be sufficient to maintain a cause of action for negligence. See Cochran, 93 N.E.3d

at 502.

The Court is unpersuaded by Defendant’s reliance on Manley v. Law, 889 F.3d 885, 892

(7th Cir. 2018). Reply Mot. Dismiss 12–13. In Manley, the Seventh Circuit rejected the

suggestion that there was a freestanding liberty interest in emotional wellbeing for purposes of a

procedural due process claim. Manley, 889 F.3d at 892. Defendant points to Manley as setting

forth a general principle under Illinois law for any allegations of emotional harms stemming

from tortious conduct which do not include an allegation of physical harm. Reply Mot. Dismiss

12–13 (“[W]hen a tortious act causes no physical harm, emotional damages are available only if

the act was extreme or outrageous and undertaken with the knowledge and intent that the action

would likely result in severe emotional harm.” (quoting Manley, 889 F.3d at 892 (citing

Schweihs, 77 N.E.3d at 59, 63))). Yet Defendant’s quote from Manley is based upon what is

required under Illinois law to maintain a cause of action for intentional infliction of emotional

distress (“IIED”), not negligence generally. See Schweihs, 77 N.E.3d at 63 (reciting the same

elements—(1) extreme and outrageous conduct; (2) intent or knowledge of high probability to

cause emotional distress; and (3) causation of severe emotional distress—for maintaining an

IIED cause of action, not just torts generally). The Court is unpersuaded that intentional conduct

is a prerequisite to recovering emotional damages for direct victims who were not physically

harmed because Cochran establishes that such damages may still be available if they are the

result of a wrongful act, as opposed to the wrongful act itself.

Defendant also points to cases relying on Wadsworth v. Kross, Lieberman & Stone, Inc.,

12 F.4th 665, 668 (7th Cir. 2021), to argue that Plaintiff’s “general allegations that the incident

may cause loss of privacy and emotional distress are . . . insufficient to support the damages

element of her claim.” Mem. Supp. Mot. Dismiss 21. But those cases are distinguishable.

Wadsworth concluded that “anxiety and embarrassment are not injuries in fact” sufficient to

confer Article III standing in the context of a bare procedural violation of the Fair Debt

Collection Practices Act, 15 U.S.C. §§ 1692–1692p. Wadsworth, 12 F.4th 667–68. Wadsworth

is distinguishable because it does not speak to whether similar harms are cognizable under

Illinois negligence law. See M.C., 2025 WL 435992, at *4 (“If Plaintiff alleged that Defendants

failed to comply with a federal data protection statute, without a data breach ever having taken

place, then Wadsworth may be more analogous. But that is not the case here.”).

Finally, Defendant points to Maglio v. Advocate Health & Hospitals Corporation, 40

N.E.3d 746, 756 (Ill. App. Ct. 2015), and two other cases discussing Maglio. Mem. Supp. Mot.

Dismiss 19. Maglio found that emotional distress due to an increased risk that the plaintiffs’ data

was “being viewed and used in a malicious way” was too “speculative and conclusory” to

support standing. Maglio, 40 N.E.3d at 755. But Illinois courts have understood Maglio to mean

that “the risk of identity theft or fraud can create standing . . . if the risk of identity theft is

imminent or certainly impending.” Flores, 242 N.E.3d at 351. “A mere increased risk of

identity theft is not enough.” Id. The court in Flores found that the plaintiffs’ allegations of

injury were sufficient under Maglio because the plaintiffs “allege[d] that they ha[d] already

experienced fraudulent charges and spam messaging.” Id. Similarly, here, Plaintiff alleges that

her and other class members’ Private Information was affirmatively shared with advertisers and

that she has already received advertisements based on the Private Information that she shared

with Defendant. E.g., Am. Compl. ¶¶ 134–35. Such a risk is sufficiently imminent and

impending, not merely speculative and conclusory.

In sum, Plaintiff’s allegations of emotional distress due to Defendant’s mishandling of

her private information are sufficient to withstand Defendant’s Motion to Dismiss.

b. Count II: Liability for Negligence Per Se

Plaintiff alleges in Count II that Defendant is liable under a negligence per se theory,

pointing to a litany of statutes and regulations which Defendant allegedly violated. Am. Compl.

¶¶ 235–46. Specifically, Plaintiff invokes the following laws:

FTC Act, HIPAA, the HIPAA Privacy Rule and Security Rule, 45 C.F.R. Part 160

and Part 164, Subparts A and E (“Standards for Privacy of Individually Identifiable

Health Information”), and Security Rule (“Security Standards for the Protection of

Electronic Protected Health Information”), 45 C.F.R. Part 160 and Part 164,

Subparts A and C and the other sections identified above, and Illinois law, including

the Illinois Medical Patient Rights Act (“MPRA”), 410 Ill. Comp. Stat. 50/3(d), and

the Illinois Personal Information Protection Act (“IPIPA”), 815 Ill. Comp. Stat.

530/5, /45, et seq., . . . .

Id. ¶ 237. Defendant argues that Count II must be dismissed because “Plaintiff does not identify

any statute or regulation that imposes strict liability or sufficiently allege [that Defendant]

violated such statute.” Mem. Supp. Mot. Dismiss 22–23. Plaintiff responds that she “does not

assert a standalone negligence per se claim, but one that runs alongside her negligence claim.”

Resp. Mot. Dismiss 23–24.

Sufficient allegations that a “statute or ordinance designed to protect human life or

property” was violated “is prima facie evidence of negligence” and recovery is allowed if the

plaintiff also alleges “that ‘the violation proximately caused his injury and the statute or

ordinance was intended to protect a class of persons to which he belongs from the kind of injury

that he suffered.’” Flores, 242 N.E.3d at 354 (quoting Kalata, 581 N.E.2d at 661). Negligence

per se is distinct from prima facie evidence of negligence based on the violation of a statute: “A

violation of a statute only constitutes negligence per se (which would mean strict liability) if the

legislature clearly intends for the act to impose strict liability.” Id. at 355 (citing Abbasi ex rel.

Abbasi v. Paraskevoulakos, 718 N.E.2d 181, 186 (Ill. 1999)). Because Plaintiff makes no

attempt to argue that the sources of law which she identified were intended to impose strict

liability, the Court construes Count II as another negligence claim that is based on violation of a

statute.

c. Count III: Invasion of Privacy—Intrusion upon Seclusion

Plaintiff alleges in Count III that Defendant invaded her and other class members’

privacy via a theory of intrusion upon seclusion. Am. Compl. ¶¶ 247–58. Defendant argues that

this claim must be dismissed because Plaintiff’s allegations concern an unauthorized disclosure

of information, as opposed to an unauthorized intrusion to obtain information. Mem. Supp. Mot.

Dismiss 23–24. Plaintiff’s response collapses the distinction between intrusion and disclosure,

asserting that Defendant “intruded on her solitude, seclusion, and private affairs by utilizing

invisible pixel trackers to disclose her Private Information.” Resp. Mot. Dismiss 24–25

(emphasis added). Illinois recognizes intrusion upon seclusion as a tort. See Lawlor v. N. Am.

Corp. of Ill., 983 N.E.2d 414, 425 (Ill. 2012). “The basis of the tort is not publication or

publicity. Rather, the core of this tort is the offensive prying into the private domain of another.”

Lovgren v. Citizens First Nat. Bank of Princeton, 534 N.E.2d 987, 989 (Ill. 1989); see also

Brown, 2025 WL 81340, at *8 (“It is the intrusion itself that creates liability, not any subsequent

publication or disclosure.” (quotation marks omitted)).

As with the issues inherent in Plaintiff’s CFAA claim, the issue here is that Plaintiff’s

allegations concern a subsequent disclosure of information, not a wrongful initial acquisition of

information. Plaintiff voluntarily utilized Defendant’s Online Platforms, thereby volunteering

the information which she asserts was wrongfully disclosed. Courts in Illinois have routinely

found that such subsequent disclosures cannot support an intrusion upon seclusion claim. See

Brown, 2025 WL 81340, at *8; Genesis I, 2024 WL 3890164, at *12–13; In re Mondelez Data

Breach Litig., Nos. 23 C 3999, 23 C 4249, 2024 WL 2817489, at *8 (N.D. Ill. June 3, 2024);

Hartley I, 2023 WL 7386060, at *2–3. Plaintiff asserts that her allegations are distinct because

Defendant sought out and embedded the pixel trackers and could have made different decisions

about how they were configured. Resp. Mot. Dismiss 25. This is a distinction without a

difference—that Defendant allegedly automated its wrongful disclosures of Plaintiff’s

information does not make Defendant’s acquisition of that information intrusive.13 Because

Plaintiff fails to adequately allege a wrongful intrusion under Illinois law, Count III is

DISMISSED.

d. Count IV: Breach of Implied Contract

Plaintiff alleges in Count IV that Defendant breached an implied contract between the

parties. Am. Compl. ¶¶ 259–69. Defendant advances three arguments in favor of dismissing

Count IV: (1) lack of mutual assent; (2) lack of consideration; and (3) lack of actual money

damages. Mem. Supp. Mot. Dismiss 24–26. Plaintiff responds that she provided monetary

compensation in exchange for medical care, and an implied condition of that care’s provision

was a promise to keep secure her private information. Resp. Mot. Dismiss 26–27. Additionally,

she asserts that her alleged damages are cognizable in a breach of implied contract action. Id.

Defendant’s first two arguments are improper attempts to impose express-contract requirements

onto an implied contract. Plaintiff alleges that Defendant’s Privacy Policy states that it would

not share a patient’s information for marketing purposes nor sell such information without first

obtaining written permission. See, e.g., Am. Compl. ¶ 85. Multiple courts have rejected

arguments similar to those advanced by Defendant under these circumstances, noting that in

today’s technological age it is implied that entrusting another with private information comes

with a commensurate expectation that such information will be kept secure. See Flores, 242

N.E.3d at 355–56; In re Mondelez Data Breach Litig., 2024 WL 2817489, at *7; Wittmeyer,

2024 WL 182211, at *5; M.C., 2025 WL 435992, at *5.

13 The Court is not persuaded by Plaintiff’s citation to Lamarr v. Goshen Health System, Inc., 2024 Ind. Super.

LEXIS 107, *17, which applied Indiana law and did not address the voluntary nature of the plaintiff’s utilization of

the defendant’s online offerings. See Resp. Mot. Dismiss 25; Lamarr, 2024 Ind. Super. LEXIS, at *17 (“The [c]ourt

is not convinced that . . . Indiana case law forecloses [the p]laintiff’s ability to assert a claim for intrusion upon

seclusion on the facts alleged.”)).

However, Plaintiff’s allegations of monetary damages are insufficient to support a claim

for breach of implied contract. “To successfully make a breach of implied contract claim, a

plaintiff must allege actual monetary damages.” Flores, 242 N.E.3d at 356. Sufficient

allegations of actual monetary damages require “an actual loss or measurable damages resulting

from the breach.” Avery v. State Farm Mut. Auto. Ins. Co., 835 N.E.2d 801, 832 (Ill. 2005).

Plaintiff describes her damages as:

[M]onetary damages; loss of privacy; unauthorized disclosure of Private

Information; unauthorized access to Private Information by third parties; use of the

Private Information for advertising purposes; embarrassment, humiliation,

frustration, and emotional distress; decreased value of Private Information; lost

benefit of the bargain; and increased risk of future harm resulting from further

unauthorized use and disclosure of their information.

Am. Compl. ¶ 268.14 These allegations can be grouped into six categories: (1) emotional harms;

(2) overpayment; (3) diminution in value of Plaintiff’s data; (4) privacy harms; (5) increased risk

of future harm; and (6) advertising-usage harms.

The first three categories are plainly insufficient. Emotional harms are not cognizable

contract damages absent allegations that “the breach was wanton or reckless and caused bodily

harm, or where defendant had reason to know, when the contract was made, that its breach

would cause mental suffering for reasons other than mere pecuniary loss.” Dinerstein v. Google,

LLC (Dinerstein I), 484 F. Supp. 3d 561, 590–91 (N.D. Ill. 2020) (quoting Parks v. Wells Fargo

14 Plaintiff mischaracterizes the Amended Complaint in her briefing when she invokes damages due to “lost time

and money incurred to mitigate and remediate the effects of use of Private Information.” Resp. Mot. Dismiss 26–27

(citing Am. Compl. ¶¶ 142, 268). Allegations of money expended in response to the wrongful disclosures may have

been sufficient. See Olson v. Ferrara Candy Co., 2025 IL App (1st) 241126, ¶¶ 11, 63 (finding that the plaintiff’s

allegation that he bought a credit monitoring service and incurred monthly charges after a data breach was sufficient

to plead actual monetary damages under an implied-contract theory); M.C., 2025 WL 435992, at *1, *6 (finding that

the plaintiff’s allegations related to “out-of-pocket expenses to purchase credit monitoring, internet monitoring,

identity theft insurance, and/or other Breach risk mitigation products” as well as “the cost of placing a credit freeze”

were sufficient to supply the necessary damages for a claim of breach of implied contract). But the cited paragraphs

of the Amended Complaint are devoid of allegations that she spent any money or time to “mitigate and remediate”

Defendant’s allegedly wrongful disclosures, see Am. Compl. ¶¶ 142, 268, despite Plaintiff’s contrary assertion in

her briefing.

Home Mortg., Inc., 398 F.3d 937, 940–41 (7th Cir. 2005)), aff’d as modified, 73 F.4th 502 (7th

Cir. 2023). Plaintiff’s allegations do not satisfy either condition, such that her emotional harms

are insufficient to maintain her contract claim. And the Court’s reasoning for rejecting both the

overpayment and diminished-data-value theories under the IFCA applies similarly to this implied

contract claim. See supra Section II.B.2.a; accord Wittmeyer, 2024 WL 182211, at *5–6.

As to the privacy harms and increased risk of future harm, the Court finds that these

intangible harms are not the sort of “actual or measurable damages” which can support an

implied contract claim. Cf. M.C., 2025 WL 435992, at *1, *6 (denying motion to dismiss as to

implied contract claim where the plaintiff had sufficiently alleged “‘out-of-pocket’ costs” like

expenditures to prevent identity theft). Finally, it is unclear what unique harm to Plaintiff

allegedly stems from the “use of the Private Information for advertising purposes,” which is not

already addressed by the categories discussed above. Am. Compl. ¶ 268. To the extent this

harm is premised upon the gains Defendant allegedly received by improperly disclosing her data,

as opposed to her losses stemming from that same conduct, it cannot support her claim for

breach of implied contract. See Dinerstein II, 73 F.4th at 518 (“[A] plaintiff's claim of injury in

fact cannot be based solely on a defendant's gain; it must be based on a plaintiff's loss.”

(quotation marks omitted)). In sum, Plaintiff fails to sufficiently allege actual monetary damages

to support her claim for breach of implied contract and Count IV is DISMISSED.

e. Count V: Unjust Enrichment

Plaintiff alleges in Count V that Defendant was unjustly enriched because it “collected,

used, and disclosed” her and other class members’ Private Information “for its own gain, for

marketing purposes, and for sale or trade with third parties.” Am. Compl. ¶¶ 270–77. This

claim is “pleaded in the alternative to Plaintiff’s breach of implied contract claim.” Id. ¶ 271.

Defendant asserts that this claim should be dismissed because the unjust enrichment claim: (1)

must rise and fall with Plaintiff’s IFCA claim; (2) is “improperly ple[ade]d in the alternative

because it incorporates by reference the existence of a contract between the parties”; or (3) fails

to adequately allege that Plaintiff and other class members conferred a benefit upon Defendant.

Mem. Supp. Mot. Dismiss 26–28. Plaintiff asserts that “it would be inequitable for Defendant to

retain the benefit” of Plaintiff and other class members’ Private Information because that

information was obtained “under the premise of confidentiality,” but otherwise does not

meaningfully respond to Defendant’s arguments. Resp. Mot. Dismiss 27–28.

“Under Illinois law, unjust enrichment is not a separate cause of action. Rather, it’s a

condition brought about by fraud or other unlawful conduct.” Vanzant v. Hill’s Pet Nutrition,

Inc., 934 F.3d 730, 739–40 (7th Cir. 2019) (quotation marks omitted). Courts therefore dismiss

claims for unjust enrichment when such fraud or other unlawful conduct is inadequately pleaded.

See Cleary v. Philip Morris Inc., 656 F.3d 511, 517 (7th Cir. 2011). Plaintiff allegations that

Defendant’s conduct in disclosing her Private Information for its own financial gain was

wrongful are also the subject of either her now-dismissed IFCA claim or breach-of-implied-

contract claim. See supra Section II.B.2.a; Section II.B.3.d. Therefore, Plaintiff’s claim for

unjust enrichment must also be dismissed. See A.D., 2024 WL 4119153, at *9 (dismissing the

plaintiffs’ unjust enrichment claim when their ICFA claim based on the same conduct was also

dismissed); Genesis Health Sys., 2024 WL 3890164, at *10; (same) Loyola Univ. Med. Ctr.,

2024 WL 3338941, at *9 (same). Count V is DISMISSED.

f. Count VI: Breach of Implied Duty of Confidentiality

Finally, Plaintiff asserts in Count VI that Defendant is liable for breaching the implied

duty of confidentiality inherent in a doctor-patient relationship. Am. Compl. ¶¶ 278–88. The

parties dispute both whether Plaintiff has sufficiently alleged a breach of this duty and whether

such a cause of action is even recognized under Illinois law. Mem. Supp. Mot. Dismiss 28–30;

Resp. Mot. Dismiss 28–30.

When a court sitting in diversity is presented with an unsettled question of state law, it

must predict how the state supreme court would decide the issue. Cmty. Bank of Trenton v.

Schnuck Markets, Inc., 887 F.3d 803, 811 (7th Cir. 2018). It is not a federal court’s “role to

break new ground in state law.” Sabrina Roppo v. Travelers Commercial Ins. Co., 869 F.3d 568,

596 (7th Cir. 2017) (quotation marks omitted). Facing the exact question presented here, a court

in the Northern District of Illinois concluded that “it is unlikely that Illinois would recognize [a]

breach of confidentiality tort.” Dinerstein I, 484 F. Supp. 3d at 595. While the Seventh Circuit

found it unnecessary to address this ruling on appeal, it noted that it saw “no reason to disturb” it.

Dinerstein II, 73 F.4th at 516 n.4.

Plaintiff fails to present anything that persuades the Court to break with Dinerstein I. She

asserts that “Illinois already recognizes this cause of action per Geisberger [v. Willuhn, 390

N.E.2d 945 (Ill. App. Ct. 1979)].” Resp. Mot. Dismiss 29. But the Illinois Appellate Court in

Geisberger did not affirmatively recognize a distinct tort for breach of implied duty of

confidentiality. Instead, it: (1) noted that the privilege for communications between a doctor and

a patient is based on state statutes, not the common law; (2) found that other jurisdictions with

similar statutes had held that disclosure of a patient’s name, standing alone, did not violate those

statutes; and (3) joined those other jurisdictions by holding “that the disclosure of the name alone

of the patient by a doctor or his agents does not violate the patient-doctor privilege established by

[Illinois statutes].” Geisberger, 390 N.E.2d at 946–47. In the remainder of its opinion, the

Geisberger court concluded that the plaintiff failed to state a claim “for the breach of an implied

contract not to disclose confidential information acquired through the physician-patient

relationship” because “the breach of a confidential relationship and the breach of contract [we]re

probably co-extensive,” id. at 947–48, and that the plaintiff failed to state a claim for invasion of

privacy, id. at 948. The Court agrees with Defendant that Geisberger did not affirmatively find

that the tort of breach of implied duty of confidentiality exists under Illinois law, Reply Mot.

Dismiss 17, and joins the other federal courts that have declined to break new ground in this area

of state law, see Kurowski I, 659 F. Supp. 3d at 940–41; Dinerstein I, 484 F. Supp. 3d at 595

(“[I]t is unlikely that Illinois would recognize the breach of confidentiality tort.”).15 Count VI is

DISMISSED.

CONCLUSION

Accordingly, Defendant Sarah D. Culbertson Memorial Hospital’s Motion to Dismiss

Amended Class Action Complaint, ECF No. 16, is GRANTED IN PART and DENIED IN

PART, and its Unopposed Motion for Leave to File Reply in Support of Defendant’s Motion to

Dismiss Amended Class Action Complaint, ECF No. 23, is GRANTED. The Clerk is directed to

file the reply, ECF No. 23-1, on the docket. All counts except Counts I and II, construed as

negligence claims, are DISMISSED. Plaintiff may seek the Court’s leave to file another

amended complaint by September 10, 2025.

Entered this 20th day of August, 2025.

s/ Sara Darrow

SARA DARROW

CHIEF UNITED STATES DISTRICT JUDGE

15 Some aspects of Plaintiff’s briefing suggest that Count VI sounds in contract, not tort. See, e.g., Resp. Mot.

Dismiss 28 (“Disclosures which violate the statutory privilege between a patient and their healthcare provider define

what is actionable under a contract theory.” (citing Geisberger, 390 N.E.2d at 947–48)). To the extent that Count VI

is a contract-based claim, it would not withstand dismissal for the reasons explained in the Court’s dismissal of

Count IV, Plaintiff’s claim for breach of implied contract. See supra Section II.B.3.d.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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