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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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March 5, 2026

Inside Cloud Compromise: Investigating Attacker Activity with Darktrace / Forensic Acquisition & Investigation

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Investigating cloud attacks with Darktrace/ Forensic Acquisition & Investigation

Darktrace / Forensic Acquisition & Investigation™ is the industry’s first truly automated forensic solution purpose-built for the cloud. This blog will demonstrate how an investigation can be carried out against a compromised cloud server in minutes, rather than hours or days.

The compromised server investigated in this case originates from Darktrace’s Cloudypots system, a global honeypot network designed to observe adversary activity in real time across a wide range of cloud services. Whenever an attacker successfully compromises one of these honeypots, a forensic copy of the virtual server's disk is preserved for later analysis. Using Forensic Acquisition & Investigation, analysts can then investigate further and obtain detailed insights into the compromise including complete attacker timelines and root cause analysis.

Forensic Acquisition & Investigation supports importing artifacts from a variety of sources, including EC2 instances, ECS, S3 buckets, and more. The Cloudypots system produces a raw disk image whenever an attack is detected and stores it in an S3 bucket. This allows the image to be directly imported into Forensic Acquisition & Investigation using the S3 bucket import option.

As Forensic Acquisition & Investigation runs cloud-natively, no additional configuration is required to add a specific S3 bucket. Analysts can browse and acquire forensic assets from any bucket that the configured IAM role is permitted to access. Operators can also add additional IAM credentials, including those from other cloud providers, to extend access across multiple cloud accounts and environments.

Figure 1: Forensic Acquisition & Investigation import screen.

Forensic Acquisition & Investigation then retrieves a copy of the file and automatically begins running the analysis pipeline on the artifact. This pipeline performs a full forensic analysis of the disk and builds a timeline of the activity that took place on the compromised asset. By leveraging Forensic Acquisition & Investigation’s cloud-native analysis system, this process condenses hour of manual work into just minutes.

Successful import of a forensic artifact and initiation of the analysis pipeline.
Figure 2: Successful import of a forensic artifact and initiation of the analysis pipeline.

Once processing is complete, the preserved artifact is visible in the Evidence tab, along with a summary of key information obtained during analysis, such as the compromised asset’s hostname, operating system, cloud provider, and key event count.

The Evidence overview showing the acquired disk image.
Figure 3: The Evidence overview showing the acquired disk image.

Clicking on the “Key events” field in the listing opens the timeline view, automatically filtered to show system- generated alarms.

The timeline provides a chronological record of every event that occurred on the system, derived from multiple sources, including:

  • Parsed log files such as the systemd journal, audit logs, application specific logs, and others.
  • Parsed history files such as .bash_history, allowing executed commands to be shown on the timeline.
  • File-specific events, such as files being created, accessed, modified, or executables being run, etc.

This approach allows timestamped information and events from multiple sources to be aggregated and parsed into a single, concise view, greatly simplifying the data review process.

Alarms are created for specific timeline events that match either a built-in system rule, curated by Darktrace’s Threat Research team or an operator-defined rule  created at the project level. These alarms help quickly filter out noise and highlight on events of interest, such as the creation of a file containing known malware, access to sensitive files like Amazon Web Service (AWS) credentials, suspicious arguments or commands, and more.

 The timeline view filtered to alarm_severity: “1” OR alarm_severity: “3”, showing only events that matched an alarm rule.
Figure 4: The timeline view filtered to alarm_severity: “1” OR alarm_severity: “3”, showing only events that matched an alarm rule.

In this case, several alarms were generated for suspicious Base64 arguments being passed to Selenium. Examining the event data, it appears the attacker spawned a Selenium Grid session with the following payload:

"request.payload": "[Capabilities {browserName: chrome, goog:chromeOptions: {args: [-cimport base64;exec(base64...], binary: /usr/bin/python3, extensions: []}, pageLoadStrategy: normal}]"

This is a common attack vector for Selenium Grid. The chromeOptions object is intended to specify arguments for how Google Chrome should be launched; however, in this case the attacker has abused the binary field to execute the Python3 binary instead of Chrome. Combined with the option to specify command-line arguments, the attacker can use Python3’s -c option to execute arbitrary Python code, in this instance, decoding and executing a Base64 payload.

Selenium’s logs truncate the Arguments field automatically, so an alternate method is required to retrieve the full payload. To do this, the search bar can be used to find all events that occurred around the same time as this flagged event.

Pivoting off the previous event by filtering the timeline to events within the same window using timestamp: [“2026-02-18T09:09:00Z” TO “2026-02-18T09:12:00Z”].
Figure 5: Pivoting off the previous event by filtering the timeline to events within the same window using timestamp: [“2026-02-18T09:09:00Z” TO “2026-02-18T09:12:00Z”].

Scrolling through the search results, an entry from Java’s systemd journal can be identified. This log contains the full, unaltered payload. GCHQ’s CyberChef can then be used to decode the Base64 data into the attacker’s script, which will ultimately be executed.

Decoding the attacker’s payload in CyberChef.
Figure 6: Decoding the attacker’s payload in CyberChef.

In this instance, the malware was identified as a variant of a campaign that has been previously documented in depth by Darktrace.

Investigating Perfctl Malware

This campaign deploys a malware sample known as ‘perfctl to the compromised host. The script executed by the attacker downloads a Go binary named “promocioni.php” from 200[.]4.115.1. Its functionality is consistent with previously documented perfctl samples, with only minor changes such as updated filenames and a new command-and-control (C2) domain.

Perfctl is a stealthy malware that has several systems designed  to evade detection. The main binary is packed with UPX, with the header intentionally tampered with to prevent unpacking using regular tools. The binary also avoids executing any malicious code if it detects debugging or tracing activity, or if artifacts left by earlier stages are missing.

To further aid its evasive capabilities, perfctl features a usermode rootkit using an LD preload. This causes dynamically linked executables to load perfctl’s rootkit payload before other system modules, allowing it to override functions, such as intercepting calls to list files and hiding output from the returned list. Perfctl uses this to hide its own files, as well as other files like the ld.so.preload file, preventing users from identifying that a rootkit is present in the first place.

This also makes it difficult to dynamically analyze, as even analysts aware of the rootkit will struggle to get around it due to its aggressiveness in hiding its components. A useful trick is to use the busybox-static utilities, which are statically linked and therefore immune to LD preloading.

Perfctl will attempt to use sudo to escalate its permissions to root if the user it was executed as has the required privileges. Failing this, it will attempt to exploit the vulnerability CVE-2021-4034.

Ultimately, perfctl will attempt to establish a C2 link via Tor and spawn an XMRig miner to mine the Monero cryptocurrency. The traffic to the mining pool is encapsulated within Tor to limit network detection of the mining traffic.

Darktrace’s Cloudypots system has observed 1,959 infections of the perfctl campaign across its honeypot network in the past year, making it one of the most aggressive campaigns seen by Darktrace.

Key takeaways

This blog has shown how Darktrace / Forensic Acquisition & Investigation equips defenders in the face of a real-world attacker campaign. By using this solution, organizations can acquire forensic evidence and investigate intrusions across multiple cloud resources and providers, enabling defenders to see the full picture of an intrusion on day one. Forensic Acquisition & Investigation’s patented data-processing system takes advantage of the cloud’s scale to rapidly process large amounts of data, allowing triage to take minutes, not hours.

Darktrace / Forensic Acquisition & Investigation is available as Software-as-a-Service (SaaS) but can also be deployed on-premises as a virtual application or natively in the cloud, providing flexibility between convenience and data sovereignty to suit any use case.

Support for acquiring traditional compute instances like EC2, as well as more exotic and newly targeted platforms such as ECS and Lambda, ensures that attacks taking advantage of Living-off-the-Cloud (LOTC) strategies can be triaged quickly and easily as part of incident response. As attackers continue to develop new techniques, the ability to investigate how they use cloud services to persist and pivot throughout an environment is just as important to triage as a single compromised EC2 instance.

Credit to Nathaniel Bill (Malware Research Engineer)

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Nathaniel Bill
Malware Research Engineer

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February 19, 2026

CVE-2026-1731: How Darktrace Sees the BeyondTrust Exploitation Wave Unfolding

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Note: Darktrace's Threat Research team is publishing now to help defenders. We will continue updating this blog as our investigations unfold.

Background

On February 6, 2026, the Identity & Access Management solution BeyondTrust announced patches for a vulnerability, CVE-2026-1731, which enables unauthenticated remote code execution using specially crafted requests.  This vulnerability affects BeyondTrust Remote Support (RS) and particular older versions of Privileged Remote Access (PRA) [1].

A Proof of Concept (PoC) exploit for this vulnerability was released publicly on February 10, and open-source intelligence (OSINT) reported exploitation attempts within 24 hours [2].

Previous intrusions against Beyond Trust technology have been cited as being affiliated with nation-state attacks, including a 2024 breach targeting the U.S. Treasury Department. This incident led to subsequent emergency directives from  the Cybersecurity and Infrastructure Security Agency (CISA) and later showed attackers had chained previously unknown vulnerabilities to achieve their goals [3].

Additionally, there appears to be infrastructure overlap with React2Shell mass exploitation previously observed by Darktrace, with command-and-control (C2) domain  avg.domaininfo[.]top seen in potential post-exploitation activity for BeyondTrust, as well as in a React2Shell exploitation case involving possible EtherRAT deployment.

Darktrace Detections

Darktrace’s Threat Research team has identified highly anomalous activity across several customers that may relate to exploitation of BeyondTrust since February 10, 2026. Observed activities include:

Outbound connections and DNS requests for endpoints associated with Out-of-Band Application Security Testing; these services are commonly abused by threat actors for exploit validation.  Associated Darktrace models include:

  • Compromise / Possible Tunnelling to Bin Services

Suspicious executable file downloads. Associated Darktrace models include:

  • Anomalous File / EXE from Rare External Location

Outbound beaconing to rare domains. Associated Darktrace models include:

  • Compromise / Agent Beacon (Medium Period)
  • Compromise / Agent Beacon (Long Period)
  • Compromise / Sustained TCP Beaconing Activity To Rare Endpoint
  • Compromise / Beacon to Young Endpoint
  • Anomalous Server Activity / Rare External from Server
  • Compromise / SSL Beaconing to Rare Destination

Unusual cryptocurrency mining activity. Associated Darktrace models include:

  • Compromise / Monero Mining
  • Compromise / High Priority Crypto Currency Mining

And model alerts for:

  • Compromise / Rare Domain Pointing to Internal IP

IT Defenders: As part of best practices, we highly recommend employing an automated containment solution in your environment. For Darktrace customers, please ensure that Autonomous Response is configured correctly. More guidance regarding this activity and suggested actions can be found in the Darktrace Customer Portal.  

Appendices

Potential indicators of post-exploitation behavior:

·      217.76.57[.]78 – IP address - Likely C2 server

·      hXXp://217.76.57[.]78:8009/index.js - URL -  Likely payload

·      b6a15e1f2f3e1f651a5ad4a18ce39d411d385ac7  - SHA1 - Likely payload

·      195.154.119[.]194 – IP address – Likely C2 server

·      hXXp://195.154.119[.]194/index.js - URL – Likely payload

·      avg.domaininfo[.]top – Hostname – Likely C2 server

·      104.234.174[.]5 – IP address - Possible C2 server

·      35da45aeca4701764eb49185b11ef23432f7162a – SHA1 – Possible payload

·      hXXp://134.122.13[.]34:8979/c - URL – Possible payload

·      134.122.13[.]34 – IP address – Possible C2 server

·      28df16894a6732919c650cc5a3de94e434a81d80 - SHA1 - Possible payload

References:

1.        https://nvd.nist.gov/vuln/detail/CVE-2026-1731

2.        https://www.securityweek.com/beyondtrust-vulnerability-targeted-by-hackers-within-24-hours-of-poc-release/

3.        https://www.rapid7.com/blog/post/etr-cve-2026-1731-critical-unauthenticated-remote-code-execution-rce-beyondtrust-remote-support-rs-privileged-remote-access-pra/

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About the author
Emma Foulger
Global Threat Research Operations Lead
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