Ransomware Recovery & Hardening for Medical Practice
The Incident
A multi-location medical practice in Florida was hit by a ransomware variant that encrypted their EHR database and patient scheduling system. The attackers gained initial access through an exposed RDP port on a legacy Windows Server 2012 R2 machine with a weak password — no MFA, no VPN, no IP allowlist. Automated scanners found it within hours of being exposed. No offline backups existed.
What We Did
- Contained — isolated infected segments, identified variant, obtained working decryptor from threat actor
- Recovered — restored EHR data, validated integrity, rebuilt scheduling from clean images
- Hardened — closed RDP exposure, deployed network segmentation, immutable offline backups, MFA on all remote access, EDR with ransomware rules, 24/7 Auditor monitoring
Before vs After
| Security Score | 25 | 92 |
| Exposed RDP (3389) | Yes | No |
| Offline Backups | No | Yes (immutable) |
| Network Segmentation | No | Yes |
| EDR Coverage | Partial | Full |
| HIPAA Notification | Required | Avoided |
Key Takeaways
FAQ
How did the attackers get in?
An exposed RDP port (3389) on a legacy Windows Server 2012 R2 machine with a weak password. No MFA, no VPN, no IP allowlist.
Was HIPAA notification required?
No. The incident qualified for the low probability of compromise exception due to encryption-only impact and rapid containment, verified by forensic analysis.
Don't wait for the breach
The best time to harden was before the incident. The second best time is now.
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