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Analyze » Mt. Spokane Pediatrics » MT.1778106493

Incident Score: Analysis & Impact (MT.1778106493)

The details regarding individual company incidents & reports gives you full view from every side.

Rankiteo Score Impact Analysis

Rankiteo Incident Impact-160
Company Score Before Incident757 / 1000
Company Score After Incident597 / 1000
INCIDENT NUMBERMT.1778106493
Type of Cyber IncidentRansomware
ATTACK VECTORUnauthorized access
DATA EXPOSEDSensitive patient information
INCIDENT DATE31/12/2025
STATUSOngoing

Key Highlights From The Incident Analysis

  • Timeline of Mt. Spokane Pediatrics'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 Mt. Spokane Pediatrics 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 Mt. Spokane Pediatrics breach identified under incident ID MT.1778106493.

The analysis begins with a detailed overview of Mt. Spokane Pediatrics's information like the linkedin page: https://www.linkedin.com/company/mt.-spokane-pediatrics-pllc, the number of followers: 100, the industry type: Medical Practices and the number of employees: 23 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 757 and after the incident was 597 with a difference of -160 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 Mt. Spokane Pediatrics and their customers.

On 30 April 2026, Mt. Spokane Pediatrics disclosed Data Breach, Ransomware issues under the banner "Mt. Spokane Pediatrics Data Breach".

Mt.

The disruption is felt across the environment, and exposing Sensitive patient information, with nearly 29000 records at risk.

In response, and stakeholders are being briefed through Notifications sent to affected individuals, reported to Washington Attorney General.

The case underscores how Ongoing, with advisories going out to stakeholders covering Credit monitoring services offered to impacted patients.

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 Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating unauthorized access to the clinic’s systems and Exploit Public-Facing Application (T1190) with lower confidence (40%), supported by evidence indicating attack vector described as Unauthorized access. Under the Execution tactic, the analysis identified Exploitation for Client Execution (T1203) with moderate confidence (50%), supported by evidence indicating lOCKBIT 5.0 ransomware strain involved. Under the Persistence tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (50%), supported by evidence indicating unauthorized access maintained for exfiltration. Under the Privilege Escalation tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (50%), supported by evidence indicating access to sensitive patient data implies elevated privileges. Under the Defense Evasion tactic, the analysis identified Obfuscated Files or Information (T1027) with moderate confidence (60%), supported by evidence indicating lOCKBIT 5.0 ransomware known for encryption/obfuscation and Impair Defenses: Disable or Modify Tools (T1562.001) with moderate confidence (50%), supported by evidence indicating ransomware attack implies defense evasion. Under the Credential Access tactic, the analysis identified OS Credential Dumping (T1003) with moderate confidence (50%), supported by evidence indicating access to Social Security numbers, health insurance details and Unsecured Credentials: Credentials In Files (T1552.001) with lower confidence (40%), supported by evidence indicating sensitive patient data accessed implies credential exposure. Under the Discovery tactic, the analysis identified Account Discovery (T1087) with moderate confidence (50%), supported by evidence indicating access to patient and health plan beneficiary numbers and Data from Local System (T1005) with moderate confidence (60%), supported by evidence indicating medical treatment and diagnostic records exfiltrated. Under the Collection tactic, the analysis identified Data from Local System (T1005) with moderate to high confidence (80%), supported by evidence indicating sensitive files were exfiltrated by a third-party actor and Data from Network Shared Drive (T1039) with moderate confidence (60%), supported by evidence indicating healthcare provider’s systems accessed for patient data. Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with high confidence (90%), supported by evidence indicating data exfiltration confirmed by forensic investigations and Exfiltration Over Web Service (T1567) with moderate to high confidence (70%), supported by evidence indicating threatened to publish stolen data on the dark web. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with moderate to high confidence (80%), supported by evidence indicating lOCKBIT 5.0 ransomware strain involved and Inhibit System Recovery (T1490) with moderate confidence (60%), supported by evidence indicating ransomware attack implies disruption of recovery. These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.

Initial Access
Valid Accounts (60%)
Exploit Public-Facing Application (40%)
Execution
Exploitation for Client Execution (50%)
Persistence
Valid Accounts (50%)
Privilege Escalation
Valid Accounts (50%)
Defense Evasion
Obfuscated Files or Information (60%)
Impair Defenses: Disable or Modify Tools (50%)
Credential Access
OS Credential Dumping (50%)
Unsecured Credentials: Credentials In Files (40%)
Discovery
Account Discovery (50%)
Data from Local System (60%)
Collection
Data from Local System (80%)
Data from Network Shared Drive (60%)
Exfiltration
Exfiltration Over C2 Channel (90%)
Exfiltration Over Web Service (70%)
Impact
Data Encrypted for Impact (80%)
Inhibit System Recovery (60%)

Sources & References