The Real Cost of a Ransomware Attack: The Ransom Is the Least of Your Problems episode artwork

EPISODE · Apr 13, 2026 · 46 MIN

The Real Cost of a Ransomware Attack: The Ransom Is the Least of Your Problems

from The Backup Wrap-Up

The cost of a ransomware attack goes way beyond the ransom itself — and most organizations don't find that out until it's too late. In this episode of The Backup Wrap-up, W. Curtis Preston (Mr. Backup) and co-host Prasanna Malaiyandi sit down with Dr. Mike Saylor of Black Swan Cybersecurity to walk through every category of cost that hits when ransomware strikes.The case that kicks everything off: UVM Health Network, October 2020. Over 1,300 servers encrypted, staff forced back to paper records, patient care disrupted for weeks. Total tab? Over $63 million — and they never paid the ransom.From there, we go category by category: people costs (overtime, third-party IR firms, emergency hardware), lost business revenue, regulatory fines, reputational damage that doesn't wash off, staff burnout and resignations, supply chain chaos, payment processor shutdowns, and cyber insurance fine print that can leave you holding the bag even when you think you're covered.We also cover what you should be doing right now — before any of this happens to you. Starting with a Business Impact Analysis, which Mike argues most small-to-medium businesses can knock out in one to three weeks. Knowing what a downed system costs you per hour is exactly the information that gets you budget from leadership and a plan that actually works when the feces hits the rotary oscillator.Chapters:00:01:44 - Intro & Welcome00:03:45 - Case Study: UVM Health Network ($63M, 1,300 Servers Down)00:07:12 - People Costs: Overtime, Staffing & Third-Party IR Firms00:10:01 - The Odds Are Damn Near 100% — Set Up Your IR Relationship Now00:13:00 - Hardware Costs & Emergency Spending00:14:05 - Lost Business Revenue (Current and Future)00:15:14 - The Stat That Should Scare You: Over 50% Don't Survive00:16:38 - Regulatory Fines (GDPR, California & More)00:19:32 - Reputational Damage: Your Customers Never Forget00:21:28 - Staff Burnout, Exhaustion & Resignations00:22:40 - Supply Chain Disruption & Credit Rating Impact00:24:07 - Payment Processor Shutdown (Real Case: Dental Practice)00:26:00 - Cyber Insurance: Fine Print, Claim Denials & Premium Spikes00:27:52 - Post-Attack Process Remediation Costs00:29:36 - Business Impact Analysis: Why You Need One Before It Happens00:35:00 - Action Items00:39:41 - Recovery Prioritization & Recovery Point Objectives00:44:43 - Wrap

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The Real Cost of a Ransomware Attack: The Ransom Is the Least of Your Problems

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