How Outdated Encryption in Microsoft Defaults Enabled the 2024 Ascension Ransomware Attack
In February 2024, Ascension, one of the largest healthcare organizations in the United States, suffered a massive ransomware attack linked to longstanding encryption flaws in Microsoft’s default configurations. Attackers infiltrated Ascension’s network via a phishing email opened by a contractor on a company laptop using default Microsoft Edge and Bing settings. Exploiting weak encryption (RC4) and leveraging the Kerberoasting technique on Microsoft Active Directory, the ransomware group rapidly gained administrative privileges and deployed malware across the organization’s systems. This breach compromised sensitive data belonging to over 5.6 million patients, including personal, medical, payment, insurance, and government identification records, and severely disrupted business operations.
Kill Chain