Incident Score: Analysis & Impact (COV1769001816)
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Rankiteo Score Impact Analysis
Key Highlights From The Incident Analysis
- Timeline of Covenant Health (MA)'s Ransomware and lateral movement inside company's environment.
- Overview of affected data sets, including SSNs and PHI, and why they materially increase incident severity.
- How Rankiteo’s incident engine converts technical details into a normalized incident score.
- How this cyber incident impacts Covenant Health (MA) Rankiteo cyber scoring and cyber rating.
- Rankiteo’s MITRE ATT&CK correlation analysis for this incident, with associated confidence level.
Full Incident Analysis Transcript
In this Rankiteo incident briefing, we review the Covenant Health (MA) breach identified under incident ID COV1769001816.
The analysis begins with a detailed overview of Covenant Health (MA)'s information like the linkedin page: https://www.linkedin.com/company/covhealth, the number of followers: 2228, the industry type: Hospitals and Health Care and the number of employees: 197 employees
After the initial compromise, the video explains how Rankiteo's incident engine converts technical details into a normalized incident score. The incident score before the incident was 608 and after the incident was 512 with a difference of -96 which is could be a good indicator of the severity and impact of the incident.
In the next step of the video, we will analyze in more details the incident and the impact it had on Covenant Health (MA) and their customers.
On 11 January 2025, Advanced Family Surgery Center (AFSC) disclosed Ransomware issues under the banner "Cyberattack on Advanced Family Surgery Center Exposes Sensitive Patient Data".
On November 26, 2025, the ransomware group Genesis notified Advanced Family Surgery Center (AFSC), a Tennessee-based facility under Covenant Health, that they had breached its systems.
The disruption is felt across the environment, and exposing 100 GB.
In response, and stakeholders are being briefed through Delayed/Unclear.
The case underscores how Ongoing.
Finally, we try to match the incident with the MITRE ATT&CK framework to see if there is any correlation between the incident and the MITRE ATT&CK framework.
The MITRE ATT&CK framework is a knowledge base of techniques and sub-techniques that are used to describe the tactics and procedures of cyber adversaries. It is a powerful tool for understanding the threat landscape and for developing effective defense strategies.
MITRE ATT&CK® Correlation Analysis
Rankiteo's analysis has identified several MITRE ATT&CK tactics and techniques associated with this incident, each with varying levels of confidence based on available evidence. Under the Initial Access tactic, the analysis identified Exploit Public-Facing Application (T1190) with moderate confidence (50%), with evidence including breached its systems, and no details on attack vector and Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating operational and file-server records accessed. Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with lower confidence (40%), supported by evidence indicating ransomware group Genesis notified breach. Under the Persistence tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating access to operational and file-server records. Under the Privilege Escalation tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating access to sensitive patient data and records. Under the Defense Evasion tactic, the analysis identified Obfuscated Files or Information (T1027) with moderate confidence (50%), supported by evidence indicating ransomware group Genesis involved and Impair Defenses: Disable or Modify Tools (T1562.001) with lower confidence (40%), supported by evidence indicating no public breach notification identified. Under the Credential Access tactic, the analysis identified OS Credential Dumping (T1003) with moderate confidence (50%), supported by evidence indicating access to insurance details, SSNs, and procedure notes. Under the Discovery tactic, the analysis identified File and Directory Discovery (T1083) with moderate to high confidence (70%), supported by evidence indicating file tree posted by threat actors confirmed breach. Under the Collection tactic, the analysis identified Data from Local System (T1005) with moderate to high confidence (80%), supported by evidence indicating 100 GB of data exfiltrated including PHI and financial data. Under the Command and Control tactic, the analysis identified Application Layer Protocol: Web Protocols (T1071.001) with moderate confidence (60%), supported by evidence indicating ransomware group Genesis listed AFSC on dark web leak site. Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with high confidence (90%), with evidence including 100 GB of data exfiltrated, and upload was in progress and Exfiltration Over Web Service: Exfiltration to Cloud Storage (T1567.002) with moderate confidence (50%), supported by evidence indicating genesis listed AFSC on dark web leak site. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with moderate to high confidence (70%), with evidence including type such as Ransomware, and no resolution reached and Defacement: Internal Defacement (T1491.001) with lower confidence (40%), supported by evidence indicating file tree posted by threat actors. These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.
Sources & References
- Covenant Health (MA) Rankiteo Cyber Incident Details: https://www.rankiteo.com/company/covhealth/incident/COV1769001816
- Covenant Health (MA) CyberSecurity Rating page: https://www.rankiteo.com/company/covhealth
- Covenant Health (MA) Rankiteo Cyber Incident Blog Article: https://blog.rankiteo.com/cov1769001816-covenant-health-ransomware-november-2025/
- Covenant Health (MA) CyberSecurity Score History: https://www.rankiteo.com/company/covhealth/history
- Covenant Health (MA) CyberSecurity Incident Source: https://databreaches.net/2026/01/21/alerted-to-a-breach-in-november-advanced-family-surgery-center-remains-publicly-silent/
- Rankiteo A.I CyberSecurity Rating methodology: https://www.rankiteo.com/Images/rankiteo_algo.pdf
- Rankiteo TPRM Scoring methodology: https://static.rankiteo.com/model/rankiteo_tprm_methodology.pdf