Cybersecurity: Active Directory Penetration Audit in a Hospital Group

6 novembre 2025

Project Context

As part of the national CaRE program (Cybersecurity, Acceleration and Resilience of Institutions), a group of five hospitals wanted to assess the robustness of their Active Directory (AD).

The challenge was critical: protecting the hospital information system from internal and external threats while ensuring the continuity of patient care.


Objectives

The main objective was to test the security and resilience of the AD in order to:

  • Identify exploitable vulnerabilities, including internal ones
  • Assess the exposure level of the information system
  • Provide concrete and prioritized recommendations to strengthen hospital cybersecurity


Mission Duration

A short but intensive mission, including a technical audit, intrusion scenarios, and an operational debrief.


Implementation

Agaetis deployed a rigorous audit methodology:

  • PTES framework: Adoption of international standards to structure the mission
  • Grey-box penetration testing: Combination of manual and automated tests across the network
  • Simulated intrusion scenarios: Realistic situations to measure AD exposure
  • Comprehensive and actionable report: Vulnerabilities classified by severity with prioritized recommendations


Results Achieved

  • Enhanced security: Clear identification of vulnerabilities with an associated remediation plan
  • Cybersecurity awareness: Increased internal understanding of AD-related risks
  • Decision-making support: Practical recommendations to prioritize corrective actions
  • Regulatory compliance: Alignment with cybersecurity requirements in the healthcare sector


Key Success Factors

  • Strong technical expertise from Agaetis in AD environments and sensitive IT systems
  • Methodology tailored to hospital environments
  • Educational and immediately actionable deliverables
  • Supportive approach focused on guidance and knowledge transfer


And You?

Are you wondering about:

  • The security of your Active Directory environments?
  • The resilience of your critical systems?
  • The compliance of your infrastructures with cybersecurity standards?

👉 Contact our experts to strengthen your defenses and protect your critical environments against emerging threats.

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