2025-03-06
Microsoft: US Rural Hospitals Need $75M to Achieve Baseline Cybersecurity
There are roughly 2,100 rural hospitals in the US; of those, about 1,000 are independent hospitals, meaning that they are not part of a larger network that can help absorb the cost of and pass along security upgrades. Last year, Microsoft launched their Cybersecurity for Rural Hospitals Program, which offers 'free cybersecurity assessments, cybersecurity training, Microsoft security product discounts, and AI solutions designed to promote hospital resiliency.' In a paper published earlier this week, Microsoft shares insights gained from their work with participating hospitals. Microsoft's data indicate that 20 percent of hospitals experience increased patient mortality following cyberattacks. When rural hospitals experience cyberattacks, people have to travel farther for care, and this also contributes to negative outcomes for patients. Microsoft estimates rural hospitals would have to spend between $30,000 and $40,000 to bring their cybersecurity postures to basic standards. 'This would include implementing MFA, unified identity management, and separating user and privileged accounts so that the most common attacks could be largely mitigated.'
Editor's Note
Microsoft is to be commended for investing in its Cybersecurity Program for Rural Hospitals which provided free assessments and free/discounted Microsoft security products. But some context: The report recommends $75M of near-term fixes to rural hospital systems, which works out to be less than three hours of Microsoft's 2024 revenue or 4.5% of its 2024 advertising budget. Imagine if Microsoft and other IT companies reduced the ads touting AI by 4.5% and applied the savings to directly helping their customers achieve the key recommendations of this report: 'addressing basic cyber hygiene through tools and polices such as MFA, unified identity management and separation of user and privileged accounts.'

John Pescatore
Good on MSFT for shining a light on the cyber-underserved rural hospitals. The report confirms many of our collective suspicions on the state of cybersecurity within this community. Conducting a free security assessment only goes so far; who's stepping up to *actually* fix the problems identified? With how things are going in the Federal space, that 'cash cow' may no longer be available.

Curtis Dukes
Rural hospitals serve about 14% of the US Population, are often the largest employer in their community and operate on extremely thin margins, making that $30-40K almost unobtainable. When they are unavailable, due to service outage or closure, patients have to drive an additional 20 to 40 miles for services. Of the 2100 rural hospitals identified, more than 500 have signed up for Microsoft's program which includes both security assessments and discounts on licenses and support. This also underscores the value of efforts to require systems (IT, OT, etc.) be secure in their default configuration, raising the bar for small business and home users.

Lee Neely
This has been on my mind for the last 2 decades. Hospitals have a terrible track record regarding cybersecurity, and rural hospitals are not doing any better; they are significantly underfunded.

Moses Frost
"An ounce of prevention is worth a pound of cure."

William Hugh Murray
Read more in
Microsoft: The rural hospital cybersecurity landscape (PDF)
Microsoft: Enhancing cybersecurity for rural health resilience
The Record: Rural hospitals in US need to invest at least $70 million in cybersecurity, Microsoft finds
The Register: https://www.theregister.com/2025/03/06/rural_hospitals_cybersecurity/
Microsoft: Sign up for the Cybersecurity Program for Rural Hospitals