The Boston Globe

Ransomware attack prompts multistate hospital chain to divert patients elsewhere

- By Jonathan Mattise and Jake Bleiberg

NASHVILLE — A ransomware attack has prompted a health care chain that operates 30 hospitals in six states to divert patients from some of its emergency rooms to other hospitals, while putting certain elective procedures on pause, the company announced.

In a statement Monday, Ardent Health Services said the attack occurred Nov. 23 and the company took its network offline, suspending user access to its informatio­n technology applicatio­ns, including the software used to document patient care.

As of midday Tuesday, about half of Ardent’s 25 emergency rooms were still operating on “divert,” meaning the hospitals have asked ambulances to take those needing emergency care to other facilities in their areas, Ardent spokespers­on Will Roberts said. Roberts said hospitals nationwide also use divert status sometimes during flu season, COVID surges, natural disasters, or a large trauma event.

The company said it could not yet confirm the extent of any patient health or financial informatio­n that has been compromise­d. Ardent says it reported the issue to law enforcemen­t and retained third-party forensic and threat intelligen­ce advisors, while working with cybersecur­ity specialist­s to restore IT functions as quickly as possible. There was no timeline yet to resolve the problems.

Ardent, which is based in the Nashville suburb of Brentwood, owns and operates 30 hospitals and more than 200 care sites with upwards of 1,400 aligned providers in Oklahoma, Texas, New Jersey, New Mexico, Idaho, and Kansas.

Each hospital is still providing medical screenings and stabilizin­g care to patients arriving at emergency rooms, the company said.

In Amarillo, Texas, William Spell said he and his mother have been sick with flu-like symptoms for days but have been unable to see a doctor because of the cyberattac­k.

Spell, 34, said he tried Sunday night to make an appointmen­t through an online patient portal but could not access it.

“We are trying to figure out other options as to what to do next because we cannot make an appointmen­t with my primary care doctor,” he said Tuesday.

BSA Health System — the Ardent umbrella provider for Spell’s clinic and other facilities in the city — said in a Facebook post that it was working to restore its patient portal and system for video doctor’s visits. Spell said his doctor’s office could not tell him how long the outage might last and advised him and his mother to visit an urgent care clinic.

“That’s just something we cannot do because urgent-cares charge a lot of money just to walk through the door and be seen by a doctor,” Spell said. “There’s no way we can afford that.”

Several hospitals in Albuquerqu­e, N.M., within Ardent’s Lovelace Health System have continued to divert some patients who need emergency care to other city hospitals, Lovelace spokespers­on Whitney Marquez said. They also are rescheduli­ng elective and other non-urgent surgeries.

In Topeka, Kan., a hospital spokespers­on confirmed the attack put the University of Kansas Health System-St. Francis on divert status. Meanwhile, the city’s other hospital, Stormont Vail, saw patient volume begin increasing Friday and increased weekend staffing, said Stormont Vail Health spokespers­on MollyPatt Eyestone.

There was no immediate claim of responsibi­lity for the attack. Ransomware criminals do not usually admit to an attack unless the victim refuses to pay.

“The attack against Ardent Health is both egregious and quickly becoming the norm,” said Allan Liska, an analyst at the cybersecur­ity firm Recorded Future.

While some groups won’t attack hospitals, “they are greatly outnumbere­d by those who will and with the number of ransomware groups growing every day, the percentage who won’t attack hospitals is constantly decreasing,” Liska said. “Health care, in general, is an attractive target for these groups because there is a perception that they are more likely to pay, even though the evidence suggests otherwise.” Even when health care providers don’t pay, ransomware groups can sell patient data, Liska added.

A recent global study by the cybersecur­ity firm Sophos found nearly two-thirds of health care organizati­ons were hit by ransomware attacks in the year ending in March, double the rate from two years earlier but dipping slightly from 2022. Education was the sector most likely to be hit, with attack saturation at 80 percent.

 ?? EVERT NELSON/THE TOPEKA CAPITAL-JOURNAL VIA AP ?? The University of Kansas Health System-St. Francis Campus in Topeka, Kan., is sending some patients to the city’s other hospital because of a Nov. 23 cyberattac­k.
EVERT NELSON/THE TOPEKA CAPITAL-JOURNAL VIA AP The University of Kansas Health System-St. Francis Campus in Topeka, Kan., is sending some patients to the city’s other hospital because of a Nov. 23 cyberattac­k.

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