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October 26, 2022

Securing Patient Data at Cullman Regional Medical Center

Discover how Cullman Regional Medical Center safeguards patient data with Darktrace AI. Learn how to keep sensitive data protected with the Darktrace experts!
Inside the SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
Written by
Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)
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26
Oct 2022

Cullman Regional Medical Center strives to improve the health of our community by providing excellent medical resources. We have over 50 providers offering a wide range of specialized care across our offices in Cullman and Hartselle, Alabama. 

To deliver the best services possible, we rely on technology. Staff members record medical histories in digital files. Guests interact with us through online portals. Medical IoT devices collect patient data. Yet the same digital adoptions that make healthcare more efficient also present vulnerabilities that threat actors can exploit to gain access to our digital systems. 

Another major concern comes from insider threat, whether malicious or accidental. Data security depends on user compliance, which can be hard to enforce and monitor. Even unintentionally, medical professionals can introduce risk simply by bringing personal devices, such as smart phones or watches, into the network.  

In late 2020, the FBI, CISA, and HHS issued a warning after the number of cyber-attacks targeting the healthcare sector reached record highs. The agencies cautioned that cybercriminals could exploit malware like TrickBot to harvest credentials, hijack resources to mine crypto-currencies, exfiltrate data, and deploy ransomware. 

The attacks targeting the healthcare sector have gone up in frequency and complexity. While protecting our digital infrastructure and patient data has become increasingly difficult, it remains vitally important. That’s why we deployed Darktrace.

High stakes healthcare security

The consequences of cyber-attacks in medicine can be devastating. Lost or stolen medical records can damage a hospital’s reputation and cost millions of dollars. According to a Ponemon Institute study, the financial cost of a data breach in the healthcare sector can cost two to three times more than a breach in any other industry.  

Beyond reputational or financial harm, cyber-attacks against hospitals and clinics can be lethal. They can force ambulances to be re-routed, surgeries to be postponed, and treatment options to be scaled back. In 2021, over 45 million patients were impacted by cyber-attacks on healthcare centers, and almost 25% of Health Delivery Organizations found that cyber-attacks increased patient mortality rates.

Darktrace protects our digital infrastructure to avoid these consequences. Its Self-Learning AI learns our organization— from the laptops and servers to the IoT devices to the users themselves— to recognize what constitutes our “pattern of life.” The AI then uses this information to identify the subtle behaviors that indicate a cyber-attack. Once an attack is detected, Autonomous Response reacts with surgical precision to neutralize it without disrupting our normal digital activity.  

Darktrace is always on and can detect and respond to attacks within seconds, providing another layer of security for our hospital and clinics. Darktrace’s approach, based on understanding our organization to create bespoke security, allows the AI to spot threats that slip by traditional security tools, which rely on rules and signatures. In this way, Darktrace can detect insider threats, too.  

Finally, not only does Darktrace protect us by stopping cyber-attacks, but it also serves as a deterrent to threat actors by making us a harder target. 

Protection in action

Darktrace has successfully helped us monitor and protect our digital estate. We have used it to examine suspicious traffic and troubleshoot access related problems. Darktrace’s Cyber AI Analyst investigates attacks and translates its findings into understandable explanations displayed in a single screen.  

Darktrace has proven its value to us on multiple occasions. The same day that one of our clinic managers installed a new file transfer protocol, Darktrace identified traffic going out over an unencrypted port. With its visibility and understanding of our cyber landscape, Darktrace detected this abnormal action and responded at machine-speed. It protected us from exposing personal patient data.

Another time, Darktrace noticed someone on our guest network running a network snooping tool, triggering us to remove their computer from the network. While it was only on our guest network, the threat actor could have been targeting the patients that were using it. Darktrace protected them, helping us live up to our goal of serving our guests with compassion and respect.

Keeping our organization healthy

We do not have a large enough IT staff to constantly monitor all traffic across our digital estate, so Darktrace supplements and augments our team. The AI continuously monitors our cyber landscape and responds to attacks without disrupting our normal digital activities. Moreover, it works at all times of the day, even when I am not online. By handling the maintenance of our security, Darktrace buys my team time to work on other projects. 

The cyber security of our organization is crucial for the safety of our patients and practitioners. Since deploying Darktrace, my team feels reassured that our security posture can handle any attacks that come our way. Darktrace is a valuable tool in our security stack. 

Inside the SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
Written by
Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)

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May 8, 2025

Anomaly-based threat hunting: Darktrace's approach in action

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What is threat hunting?

Threat hunting in cybersecurity involves proactively and iteratively searching through networks and datasets to detect threats that evade existing automated security solutions. It is an important component of a strong cybersecurity posture.

There are several frameworks that Darktrace analysts use to guide how threat hunting is carried out, some of which are:

  • MITRE Attack
  • Tactics, Techniques, Procedures (TTPs)
  • Diamond Model for Intrusion Analysis
  • Adversary, Infrastructure, Victims, Capabilities
  • Threat Hunt Model – Six Steps
  • Purpose, Scope, Equip, Plan, Execute, Feedback
  • Pyramid of Pain

These frameworks are important in baselining how to run a threat hunt. There are also a combination of different methods that allow defenders diversity– regardless of whether it is a proactive or reactive threat hunt. Some of these are:

  • Hypothesis-based threat hunting
  • Analytics-driven threat hunting
  • Automated/machine learning hunting
  • Indicator of Compromise (IoC) hunting
  • Victim-based threat hunting

Threat hunting with Darktrace

At its core, Darktrace relies on anomaly-based detection methods. It combines various machine learning types that allows it to characterize what constitutes ‘normal’, based on the analysis of many different measures of a device or actor’s behavior. Those types of learning are then curated into what are called models.

Darktrace models leverage anomaly detection and integrate outputs from Darktrace Deep Packet Inspection, telemetry inputs, and additional modules, creating tailored activity detection.

This dynamic understanding allows Darktrace to identify, with a high degree of precision, events or behaviors that are both anomalous and unlikely to be benign.  On top of machine learning models for detection, there is also the ability to change and create models showcasing the tool’s diversity. The Model Editor allows security teams to specify values, priorities, thresholds, and actions they want to detect. That means a team can create custom detection models based on specific use cases or business requirements. Teams can also increase the priority of existing detections based on their own risk assessments to their environment.

This level of dexterity is particularly useful when conducting a threat hunt. As described above, and in previous ‘Inside the SOC’ blogs such a threat hunt can be on a specific threat actor, specific sector, or a  hypothesis-based threat hunt combined with ‘experimenting’ with some of Darktrace’s models.

Conducting a threat hunt in the energy sector with experimental models

In Darktrace’s recent Threat Research report “AI & Cybersecurity: The state of cyber in UK and US energy sectors” Darktrace’s Threat Research team crafted hypothesis-driven threat hunts, building experimental models and investigating existing models to test them and detect malicious activity across Darktrace customers in the energy sector.

For one of the hunts, which hypothesised utilization of PerfectData software and multi-factor authentication (MFA) bypass to compromise user accounts and destruct data, an experimental model was created to detect a Software-as-a-Service (SaaS) user performing activity relating to 'PerfectData Software’, known to allow a threat actor to exfiltrate whole mailboxes as a PST file. Experimental model alerts caused by this anomalous activity were analyzed, in conjunction with existing SaaS and email-related models that would indicate a multi-stage attack in line with the hypothesis.

Whilst hunting, Darktrace researchers found multiple model alerts for this experimental model associated with PerfectData software usage, within energy sector customers, including an oil and gas investment company, as well as other sectors. Upon further investigation, it was also found that in June 2024, a malicious actor had targeted a renewable energy infrastructure provider via a PerfectData Software attack and demonstrated intent to conduct an Operational Technology (OT) attack.

The actor logged into Azure AD from a rare US IP address. They then granted Consent to ‘eM Client’ from the same IP. Shortly after, the actor granted ‘AddServicePrincipal’ via Azure to PerfectData Software. Two days later, the actor created a  new email rule from a London IP to move emails to an RSS Feed Folder, stop processing rules, and mark emails as read. They then accessed mail items in the “\Sent” folder from a malicious IP belonging to anonymization network,  Private Internet Access Virtual Private Network (PIA VPN) [1]. The actor then conducted mass email deletions, deleting multiple instances of emails with subject “[Name] shared "[Company Name] Proposal" With You” from the  “\Sent folder”. The emails’ subject suggests the email likely contains a link to file storage for phishing purposes. The mass deletion likely represented an attempt to obfuscate a potential outbound phishing email campaign.

The Darktrace Model Alert that triggered for the mass deletes of the likely phishing email containing a file storage link.
Figure 1: The Darktrace Model Alert that triggered for the mass deletes of the likely phishing email containing a file storage link.

A month later, the same user was observed downloading mass mLog CSV files related to proprietary and Operational Technology information. In September, three months after the initial attack, another mass download of operational files occurred by this actor, pertaining to operating instructions and measurements, The observed patience and specific file downloads seemingly demonstrated an intent to conduct or research possible OT attack vectors. An attack on OT could have significant impacts including operational downtime, reputational damage, and harm to everyday operations. Darktrace alerted the impacted customer once findings were verified, and subsequent actions were taken by the internal security team to prevent further malicious activity.

Conclusion

Harnessing the power of different tools in a security stack is a key element to cyber defense. The above hypothesis-based threat hunt and custom demonstrated intent to conduct an experimental model creation demonstrates different threat hunting approaches, how Darktrace’s approach can be operationalized, and that proactive threat hunting can be a valuable complement to traditional security controls and is essential for organizations facing increasingly complex threat landscapes.

Credit to Nathaniel Jones (VP, Security & AI Strategy, Field CISO at Darktrace) and Zoe Tilsiter (EMEA Consultancy Lead)

References

  1. https://spur.us/context/191.96.106.219

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About the author
Nathaniel Jones
VP, Security & AI Strategy, Field CISO

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May 6, 2025

Combatting the Top Three Sources of Risk in the Cloud

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With cloud computing, organizations are storing data like intellectual property, trade secrets, Personally Identifiable Information (PII), proprietary code and statistics, and other sensitive information in the cloud. If this data were to be accessed by malicious actors, it could incur financial loss, reputational damage, legal liabilities, and business disruption.

Last year data breaches in solely public cloud deployments were the most expensive type of data breach, with an average of $5.17 million USD, a 13.1% increase from the year before.

So, as cloud usage continues to grow, the teams in charge of protecting these deployments must understand the associated cybersecurity risks.

What are cloud risks?

Cloud threats come in many forms, with one of the key types consisting of cloud risks. These arise from challenges in implementing and maintaining cloud infrastructure, which can expose the organization to potential damage, loss, and attacks.

There are three major types of cloud risks:

1. Misconfigurations

As organizations struggle with complex cloud environments, misconfiguration is one of the leading causes of cloud security incidents. These risks occur when cloud settings leave gaps between cloud security solutions and expose data and services to unauthorized access. If discovered by a threat actor, a misconfiguration can be exploited to allow infiltration, lateral movement, escalation, and damage.

With the scale and dynamism of cloud infrastructure and the complexity of hybrid and multi-cloud deployments, security teams face a major challenge in exerting the required visibility and control to identify misconfigurations before they are exploited.

Common causes of misconfiguration come from skill shortages, outdated practices, and manual workflows. For example, potential misconfigurations can occur around firewall zones, isolated file systems, and mount systems, which all require specialized skill to set up and diligent monitoring to maintain

2. Identity and Access Management (IAM) failures

IAM has only increased in importance with the rise of cloud computing and remote working. It allows security teams to control which users can and cannot access sensitive data, applications, and other resources.

Cybersecurity professionals ranked IAM skills as the second most important security skill to have, just behind general cloud and application security.

There are four parts to IAM: authentication, authorization, administration, and auditing and reporting. Within these, there are a lot of subcomponents as well, including but not limited to Single Sign-On (SSO), Two-Factor Authentication (2FA), Multi-Factor Authentication (MFA), and Role-Based Access Control (RBAC).

Security teams are faced with the challenge of allowing enough access for employees, contractors, vendors, and partners to complete their jobs while restricting enough to maintain security. They may struggle to track what users are doing across the cloud, apps, and on-premises servers.

When IAM is misconfigured, it increases the attack surface and can leave accounts with access to resources they do not need to perform their intended roles. This type of risk creates the possibility for threat actors or compromised accounts to gain access to sensitive company data and escalate privileges in cloud environments. It can also allow malicious insiders and users who accidentally violate data protection regulations to cause greater damage.

3. Cross-domain threats

The complexity of hybrid and cloud environments can be exploited by attacks that cross multiple domains, such as traditional network environments, identity systems, SaaS platforms, and cloud environments. These attacks are difficult to detect and mitigate, especially when a security posture is siloed or fragmented.  

Some attack types inherently involve multiple domains, like lateral movement and supply chain attacks, which target both on-premises and cloud networks.  

Challenges in securing against cross-domain threats often come from a lack of unified visibility. If a security team does not have unified visibility across the organization’s domains, gaps between various infrastructures and the teams that manage them can leave organizations vulnerable.

Adopting AI cybersecurity tools to reduce cloud risk

For security teams to defend against misconfigurations, IAM failures, and insecure APIs, they require a combination of enhanced visibility into cloud assets and architectures, better automation, and more advanced analytics. These capabilities can be achieved with AI-powered cybersecurity tools.

Such tools use AI and automation to help teams maintain a clear view of all their assets and activities and consistently enforce security policies.

Darktrace / CLOUD is a Cloud Detection and Response (CDR) solution that makes cloud security accessible to all security teams and SOCs by using AI to identify and correct misconfigurations and other cloud risks in public, hybrid, and multi-cloud environments.

It provides real-time, dynamic architectural modeling, which gives SecOps and DevOps teams a unified view of cloud infrastructures to enhance collaboration and reveal possible misconfigurations and other cloud risks. It continuously evaluates architecture changes and monitors real-time activity, providing audit-ready traceability and proactive risk management.

Real-time visibility into cloud assets and architectures built from network, configuration, and identity and access roles. In this unified view, Darktrace / CLOUD reveals possible misconfigurations and risk paths.
Figure 1: Real-time visibility into cloud assets and architectures built from network, configuration, and identity and access roles. In this unified view, Darktrace / CLOUD reveals possible misconfigurations and risk paths.

Darktrace / CLOUD also offers attack path modeling for the cloud. It can identify exposed assets and highlight internal attack paths to get a dynamic view of the riskiest paths across cloud environments, network environments, and between – enabling security teams to prioritize based on unique business risk and address gaps to prevent future attacks.  

Darktrace’s Self-Learning AI ensures continuous cloud resilience, helping teams move from reactive to proactive defense.

[related-resource]

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About the author
Pallavi Singh
Product Marketing Manager, OT Security & Compliance
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