Security is a key concern in the development of electronic health record (EHR) systems. This paper considers Neutralization Theory and the Fear Appeals Model in proposing a conceptual model for use in predicting breach behaviors within EHR systems. The goal of the model is to determine which factors influence security breach intent on the part of the offender. Specifically, perceived penalty, perceived evasiveness, awareness of opportunity, enforcement, and user participation are proposed to act as antecedents to security breach intent, a surrogate for actual breach behavior.