Pay up or shut down. You choose. Cybercrime is on the rise and hackers have moved on from targeting individuals to targeting corporations both large and small. In recent memory, many high-profile companies have been the victim of some form of cyberattack. Healthcare has emerged as a lucrative target for these crimes. Attacks jeopardize the safety of patients and security of caregivers. This is the story of how one hospital system was held hostage through a ransomware attack. When faced with the decision to lose all access to patient data or pay a ransom, what will the hospital administration decide?From the onset of the attack, through the decision-making process, to its eventual resolution, there are many lessons to apply about protecting health care in the digital world.