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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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August 8, 2025

Ivanti Under Siege: Investigating the Ivanti Endpoint Manager Mobile Vulnerabilities (CVE-2025-4427 & CVE-2025-4428)

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Ivanti & Edge infrastructure exploitation

Edge infrastructure exploitations continue to prevail in today’s cyber threat landscape; therefore, it was no surprise that recent Ivanti Endpoint Manager Mobile (EPMM) vulnerabilities CVE-2025-4427 and CVE-2025-4428 were exploited targeting organizations in critical sectors such as healthcare, telecommunications, and finance across the globe, including across the Darktrace customer base in May 2025.

Exploiting these types of vulnerabilities remains a popular choice for threat actors seeking to enter an organization’s network to perform malicious activity such as cyber espionage, data exfiltration and ransomware detonation.

Vulnerabilities in Ivanti EPMM

Ivanti EPMM allows organizations to manage and configure enterprise mobile devices. On May 13, 2025, Ivanti published a security advisory [1] for their Ivanti Endpoint Manager Mobile (EPMM) devices addressing a medium and high severity vulnerability:

  • CVE-2025-4427, CVSS: 5.6: An authentication bypass vulnerability
  • CVE-2025-4428, CVSS: 7.2: Remote code execution vulnerability

Successfully exploiting both vulnerabilities at the same time could lead to unauthenticated remote code execution from an unauthenticated threat actor, which could allow them to control, manipulate, and compromise managed devices on a network [2].

Shortly after the disclosure of these vulnerabilities, external researchers uncovered evidence that they were being actively exploited in the wild and identified multiple indicators of compromise (IoCs) related to post-exploitation activities for these vulnerabilities [2] [3]. Research drew particular attention to the infrastructure utilized in ongoing exploitation activity, such as leveraging the two vulnerabilities to eventually deliver malware contained within ELF files from Amazon Web Services (AWS) S3 bucket endpoints and to deliver KrustyLoader malware for persistence. KrustyLoader is a Rust based malware that was discovered being downloaded in compromised Ivanti Connect Secure systems back in January 2024 when the zero-day critical vulnerabilities; CVE-2024-21887 and CVE-2023-46805 [10].

This suggests the involvement of the threat actor UNC5221, a suspected China-nexus espionage actor [3].

In addition to exploring the post-exploit tactics, techniques, and procedures (TTPs) observed for these vulnerabilities across Darktrace’s customer base, this blog will also examine the subtle changes and similarities in the exploitation of earlier Ivanti vulnerabilities—specifically Ivanti Connect Secure (CS) and Policy Secure (PS) vulnerabilities CVE-2023-46805 and CVE-2024-21887 in early 2024, as well as CVE-2025-0282 and CVE-2025-0283, which affected CS, PS, and Zero Trust Access (ZTA) in January 2025.

Darktrace Coverage

In May 2025, shortly after Ivanti disclosed vulnerabilities in their EPMM product, Darktrace’s Threat Research team identified attack patterns potentially linked to the exploitation of these vulnerabilities across multiple customer environments. The most noteworthy attack chain activity observed included exploit validation, payload delivery via AWS S3 bucket endpoints, subsequent delivery of script-based payloads, and connections to dpaste[.]com, possibly for dynamic payload retrieval. In a limited number of cases, connections were also made to an IP address associated with infrastructure linked to SAP NetWeaver vulnerability CVE-2025-31324, which has been investigated by Darktrace in an earlier case.

Exploit Validation

Darktrace observed devices within multiple customer environments making connections related to Out-of-Band Application Security Testing (OAST). These included a range of DNS requests and connections, most of which featured a user agent associated with the command-line tool cURL, directed toward associated endpoints. The hostnames of these endpoints consisted of a string of randomly generated characters followed by an OAST domain, such as 'oast[.]live', 'oast[.]pro', 'oast[.]fun', 'oast[.]site', 'oast[.]online', or 'oast[.]me'. OAST endpoints can be leveraged by malicious actors to trigger callbacks from targeted systems, such as for exploit validation. This activity, likely representing the initial phase of the attack chain observed across multiple environments, was also seen in the early stages of previous investigations into the exploitation of Ivanti vulnerabilities [4]. Darktrace also observed similar exploit validation activity during investigations conducted in January 2024 into the Ivanti CS vulnerabilities CVE-2023-46805 and CVE-2024-21887.

Payload Delivery via AWS

Devices across multiple customer environments were subsequently observed downloading malicious ELF files—often with randomly generated filenames such as 'NVGAoZDmEe'—from AWS S3 bucket endpoints like 's3[.]amazonaws[.]com'. These downloads occurred over HTTP connections, typically using wget or cURL user agents. Some of the ELF files were later identified to be KrustyLoader payloads using open-source intelligence (OSINT). External researchers have reported that the KrustyLoader malware is executed in cases of Ivanti EPMM exploitation to gain and maintain a foothold in target networks [2].

In one customer environment, after connections were made to the endpoint fconnect[.]s3[.]amazonaws[.]com, Darktrace observed the target system downloading the ELF file mnQDqysNrlg via the user agent Wget/1.14 (linux-gnu). Further investigation of the file’s SHA1 hash (1dec9191606f8fc86e4ae4fdf07f09822f8a94f2) linked it to the KrustyLoader malware [5]. In another customer environment, connections were instead made to tnegadge[.]s3[.]amazonaws[.]com using the same user agent, from which the ELF file “/dfuJ8t1uhG” was downloaded. This file was also linked to KrustyLoader through its SHA1 hash (c47abdb1651f9f6d96d34313872e68fb132f39f5) [6].

The pattern of activity observed so far closely mirrors previous exploits associated with the Ivanti vulnerabilities CVE-2023-46805 and CVE-2024-21887 [4]. As in those cases, Darktrace observed exploit validation using OAST domains and services, along with the use of AWS endpoints to deliver ELF file payloads. However, in this instance, the delivered payload was identified as KrustyLoader malware.

Later-stage script file payload delivery

In addition to the ELF file downloads, Darktrace also detected other file downloads across several customer environments, potentially representing the delivery of later-stage payloads.

The downloaded files included script files with the .sh extension, featuring randomly generated alphanumeric filenames. One such example is “4l4md4r.sh”, which was retrieved during a connection to the IP address 15.188.246[.]198 using a cURL-associated user agent. This IP address was also linked to infrastructure associated with the SAP NetWeaver remote code execution vulnerability CVE-2025-31324, which enables remote code execution on NetWeaver Visual Composer. External reporting has attributed this infrastructure to a China-nexus state actor [7][8][9].

In addition to the script file downloads, devices on some customer networks were also observed making connections to pastebin[.]com and dpaste[.]com, two sites commonly used to host or share malicious payloads or exploitation instructions [2]. Exploits, including those targeting Ivanti EPMM vulnerabilities, can dynamically fetch malicious commands from sites like dpaste[.]com, enabling threat actors to update payloads. Unlike the previously detailed activity, this behavior was not identified in any prior Darktrace investigations into Ivanti-related vulnerabilities, suggesting a potential shift in the tactics used in post-exploitation stages of Ivanti attacks.

Conclusion

Edge infrastructure vulnerabilities, such as those found in Ivanti EPMM and investigated across customer environments with Darktrace / NETWORK, have become a key tool in the arsenal of attackers in today’s threat landscape. As highlighted in this investigation, while many of the tactics employed by threat actors following successful exploitation of vulnerabilities remain the same, subtle shifts in their methods can also be seen.

These subtle and often overlooked changes enable threat actors to remain undetected within networks, highlighting the critical need for organizations to maintain continuous extended visibility, leverage anomaly based behavioral analysis, and deploy machine speed intervention across their environments.

Credit to Nahisha Nobregas (Senior Cyber Analyst) and Anna Gilbertson (Senior Cyber Analyst)

Appendices

Mid-High Confidence IoCs

(IoC – Type - Description)

-       trkbucket.s3.amazonaws[.]com – Hostname – C2 endpoint

-       trkbucket.s3.amazonaws[.]com/NVGAoZDmEe – URL – Payload

-       tnegadge.s3.amazonaws[.]com – Hostname – C2 endpoint

-       tnegadge.s3.amazonaws[.]com/dfuJ8t1uhG – URL – Payload

-       c47abdb1651f9f6d96d34313872e68fb132f39f5 - SHA1 File Hash – Payload

-       4abfaeadcd5ab5f2c3acfac6454d1176 - MD5 File Hash - Payload

-       fconnect.s3.amazonaws[.]com – Hostname – C2 endpoint

-       fconnect.s3.amazonaws[.]com/mnQDqysNrlg – URL - Payload

-       15.188.246[.]198 – IP address – C2 endpoint

-       15.188.246[.]198/4l4md4r.sh?grep – URL – Payload

-       185.193.125[.]65 – IP address – C2 endpoint

-       185.193.125[.]65/c4qDsztEW6/TIGHT_UNIVERSITY – URL – C2 endpoint

-       d8d6fe1a268374088fb6a5dc7e5cbb54 – MD5 File Hash – Payload

-       64.52.80[.]21 – IP address – C2 endpoint

-       0d8da2d1.digimg[.]store – Hostname – C2 endpoint

-       134.209.107[.]209 – IP address – C2 endpoint

Darktrace Model Detections

-       Compromise / High Priority Tunnelling to Bin Services (Enhanced Monitoring Model)

-       Compromise / Possible Tunnelling to Bin Services

-       Anomalous Server Activity / New User Agent from Internet Facing System

-       Compliance / Pastebin

-       Device / Internet Facing Device with High Priority Alert

-       Anomalous Connection / Callback on Web Facing Device

-       Anomalous File / Script from Rare External Location

-       Anomalous File / Incoming ELF File

-       Device / Suspicious Domain

-       Device / New User Agent

-       Anomalous Connection / Multiple Connections to New External TCP Port

-       Anomalous Connection / New User Agent to IP Without Hostname

-       Anomalous File / EXE from Rare External Location

-       Anomalous File / Internet Facing System File Download

-       Anomalous File / Multiple EXE from Rare External Locations

-       Compromise / Suspicious HTTP and Anomalous Activity

-       Device / Attack and Recon Tools

-       Device / Initial Attack Chain Activity

-       Device / Large Number of Model Alerts

-       Device / Large Number of Model Alerts from Critical Network Device

References

1.     https://forums.ivanti.com/s/article/Security-Advisory-Ivanti-Endpoint-Manager-Mobile-EPMM?language=en_US

2.     https://blog.eclecticiq.com/china-nexus-threat-actor-actively-exploiting-ivanti-endpoint-manager-mobile-cve-2025-4428-vulnerability

3.     https://www.wiz.io/blog/ivanti-epmm-rce-vulnerability-chain-cve-2025-4427-cve-2025-4428

4.     https://www.darktrace.com/blog/the-unknown-unknowns-post-exploitation-activities-of-ivanti-cs-ps-appliances

5.     https://www.virustotal.com/gui/file/ac91c2c777c9e8638ec1628a199e396907fbb7dcf9c430ca712ec64a6f1fcbc9/community

6.     https://www.virustotal.com/gui/file/f3e0147d359f217e2aa0a3060d166f12e68314da84a4ecb5cb205bd711c71998/community

7.     https://www.virustotal.com/gui/ip-address/15.188.246.198

8.     https://blog.eclecticiq.com/china-nexus-nation-state-actors-exploit-sap-netweaver-cve-2025-31324-to-target-critical-infrastructures

9.     https://www.darktrace.com/blog/tracking-cve-2025-31324-darktraces-detection-of-sap-netweaver-exploitation-before-and-after-disclosure

10.  https://www.synacktiv.com/en/publications/krustyloader-rust-malware-linked-to-ivanti-connectsecure-compromises

The content provided in this blog is published by Darktrace for general informational purposes only and reflects our understanding of cybersecurity topics, trends, incidents, and developments at the time of publication. While we strive to ensure accuracy and relevance, the information is provided “as is” without any representations or warranties, express or implied. Darktrace makes no guarantees regarding the completeness, accuracy, reliability, or timeliness of any information presented and expressly disclaims all warranties.

Nothing in this blog constitutes legal, technical, or professional advice, and readers should consult qualified professionals before acting on any information contained herein.

Any references to third-party organizations, technologies, threat actors, or incidents are for informational purposes only and do not imply affiliation, endorsement, or recommendation.

Darktrace, its affiliates, employees, or agents shall not be held liable for any loss, damage, or harm arising from the use of or reliance on the information in this blog.

The cybersecurity landscape evolves rapidly, and blog content may become outdated or superseded. We reserve the right to update, modify, or remove any content without notice.

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About the author
Nahisha Nobregas
SOC Analyst

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August 7, 2025

How CDR & Automated Forensics Transform Cloud Incident Response

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Introduction: Cloud investigations

In cloud security, speed, automation and clarity are everything. However, for many SOC teams, responding to incidents in the cloud is often very difficult especially when attackers move fast, infrastructure is ephemeral, and forensic skills are scarce.

In this blog we will walk through an example that shows exactly how Darktrace Cloud Detection and Response (CDR) and automated cloud forensics together, solve these challenges, automating cloud detection, and deep forensic investigation in a way that’s fast, scalable, and deeply insightful.

The Problem: Cloud incidents are hard to investigate

Security teams often face three major hurdles when investigating cloud detections:

Lack of forensic expertise: Most SOCs and security teams aren’t natively staffed with forensics specialists.

Ephemeral infrastructure: Cloud assets spin up and down quickly, leaving little time to capture evidence.

Lack of existing automation: Gathering forensic-level data often requires manual effort and leaves teams scrambling around during incidents — accessing logs, snapshots, and system states before they disappear. This process is slow and often blocked by permissions, tooling gaps, or lack of visibility.

How Darktrace augments cloud investigations

1. Darktrace’s CDR finds anomalous activity in the cloud

An alert is generated for a large outbound data transfer from an externally facing EC2 instance to a rare external endpoint. It’s anomalous, unexpected, and potentially serious.

2. AI-led investigation stitches together the incident for a SOC analyst to look into

When a security incident unfolds, Darktrace’s Cyber AI Analyst TM is the first to surface it, automatically correlating behaviors, surfacing anomalies, and presenting a cohesive incident summary. It’s fast, detailed, and invaluable.

Once the incident is created, more questions are raised.

  • How were the impacted resources compromised?
  • How did the attack unfold over time – what tools and malware were used?
  • What data was accessed and exfiltrated?

What you’ll see as a SOC analyst: The incident begins in Darktrace’s Threat Visualizer, where a Cyber AI Analyst incident has been generated automatically highlighting large anomalous data transfer to a suspicious external IP. This isn’t just another alert, it’s a high-fidelity signal backed by Darktrace’s Self-Learning AI.

Cyber AI Analyst incident created for anomalous outbound data transfer
Figure 1: Cyber AI Analyst incident created for anomalous outbound data transfer

The analyst can then immediately pivot to Darktrace / CLOUD’s architecture view (see below), gaining context on the asset’s environment, ingress/egress points, connected systems, potential attack paths and whether there are any current misconfigurations detected on the asset.

Darktrace / CLOUD architecture view providing critical cloud context
Figure 2: Darktrace / CLOUD architecture view providing critical cloud context

3. Automated forensic capture — No expertise required

Then comes the game-changer, Darktrace’s recent acquisition of Cado enhances its cloud forensics capabilities. From the first alert triggered, Darktrace has already kicked in and automatically processed and analyzed a full volume capture of the EC2. Everything, past and present, is preserved. No need for manual snapshots, CLI commands, or specialist intervention.

Darktrace then provides a clear timeline highlighting the evidence and preserving it. In our example we identify:

  • A brute-force attempt on a file management app, followed by a successful login
  • A reverse shell used to gain unauthorized remote access to the EC2
  • A reverse TCP connection to the same suspicious IP flagged by Darktrace
  • Attacker commands showing how the data was split and prepared for exfiltration
  • A file (a.tar) created from two sensitive archives: product_plans.zip and research_data.zip

All of this is surfaced through the timeline view, ranked by significance using machine learning. The analyst can pivot through time, correlate events, and build a complete picture of the attack — without needing cloud forensics expertise.

Darktrace even gives the ability to:

  • Download and inspect gathered files in full detail, enabling teams to verify exactly what data was accessed or exfiltrated.
  • Interact with the file system as if it were live, allowing investigators to explore directories, uncover hidden artifacts, and understand attacker movement with precision.
Figure 3 Cado critical forensic investigation automated insights
Figure 3: Cado critical forensic investigation automated insights
Figure 4: Cado forensic file analysis of reverse shell and download option
Figure 5: a.tar created from two sensitive archives: product_plans.zip and research_data.zip
Figure 6: Traverse the full file system of the asset

Why this matters?

This workflow solves the hardest parts of cloud investigation:

  1. Capturing evidence before it disappears
  2. Understanding attacker behavior in detail - automatically
  3. Linking detections to impact with full incident visibility

This kind of insight is invaluable for organizations especially regulated industries, where knowing exactly what data was affected is critical for compliance and reporting. It’s also a powerful tool for detecting insider threats, not just external attackers.

Darktrace / CLOUD and Cado together acts as a force multiplier helping with:

  • Reducing investigation time from hours to minutes
  • Preserving ephemeral evidence automatically
  • Empowering analysts with forensic-level visibility

Cloud threats aren’t slowing down. Your response shouldn’t either. Darktrace / CLOUD + Cado gives your SOC the tools to detect, contain, and investigate cloud incidents — automatically, accurately, and at scale.

[related-resource]

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About the author
Adam Stevens
Director of Product, Cloud Security
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