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Analyze » Cookeville Regional Medical Center » SOUCRM1776271390

Incident Score: Analysis & Impact (SOUCRM1776271390)

The details regarding individual company incidents & reports gives you full view from every side.

Rankiteo Score Impact Analysis

Rankiteo Incident Impact-190
Company Score Before Incident768 / 1000
Company Score After Incident578 / 1000
INCIDENT NUMBERSOUCRM1776271390
Type of Cyber IncidentRansomware
ATTACK VECTORNA
DATA EXPOSED337,917 records
INCIDENT DATE10/07/2025
STATUSOngoing

Key Highlights From The Incident Analysis

  • Timeline of Cookeville Regional Medical Center's Ransomware and lateral movement inside company's environment.
  • Overview of affected data sets, including SSNs and PHI, and why they materially increase incident severity.
  • How Rankiteo’s incident engine converts technical details into a normalized incident score.
  • How this cyber incident impacts Cookeville Regional Medical Center Rankiteo cyber scoring and cyber rating.
  • Rankiteo’s MITRE ATT&CK correlation analysis for this incident, with associated confidence level.

Full Incident Analysis Transcript

In this Rankiteo incident briefing, we review the Cookeville Regional Medical Center breach identified under incident ID SOUCRM1776271390.

The analysis begins with a detailed overview of Cookeville Regional Medical Center's information like the linkedin page: https://www.linkedin.com/company/crmc, the number of followers: 5607, the industry type: Hospitals and Health Care and the number of employees: 2416 employees

After the initial compromise, the video explains how Rankiteo's incident engine converts technical details into a normalized incident score. The incident score before the incident was 768 and after the incident was 578 with a difference of -190 which is could be a good indicator of the severity and impact of the incident.

In the next step of the video, we will analyze in more details the incident and the impact it had on Cookeville Regional Medical Center and their customers.

On 02 August 2025, Cookeville Regional Medical Center (CRMC) disclosed Ransomware issues under the banner "Cookeville Regional Medical Center Hit by Rhysida Ransomware Attack".

Cookeville Regional Medical Center (CRMC), a 289-bed hospital in Tennessee, confirmed a July 2025 ransomware attack that compromised the personal and medical data of 337,917 individuals.

The disruption is felt across the environment, and exposing 337,917 records, with nearly 337,917 records at risk.

In response, and stakeholders are being briefed through Public disclosure, offering free identity theft protection.

The case underscores how Ongoing, with advisories going out to stakeholders covering Offering one year of free identity theft protection through Experian.

Finally, we try to match the incident with the MITRE ATT&CK framework to see if there is any correlation between the incident and the MITRE ATT&CK framework.

The MITRE ATT&CK framework is a knowledge base of techniques and sub-techniques that are used to describe the tactics and procedures of cyber adversaries. It is a powerful tool for understanding the threat landscape and for developing effective defense strategies.

MITRE ATT&CK® Correlation Analysis

Rankiteo's analysis has identified several MITRE ATT&CK tactics and techniques associated with this incident, each with varying levels of confidence based on available evidence. Under the Initial Access tactic, the analysis identified Exploit Public-Facing Application (T1190) with moderate confidence (50%), supported by evidence indicating unauthorized access occurred between July 11 and July 14, 2025 and Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating rhysida ransomware-as-a-service (RaaS) group claimed responsibility. Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with moderate to high confidence (70%), supported by evidence indicating systems disrupted by ransomware on July 15, 2025 and Command and Scripting Interpreter (T1059) with moderate confidence (60%), supported by evidence indicating rhysida ransomware strain involved in data encryption. Under the Persistence tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating unauthorized access occurred over multiple days (July 11-14, 2025). Under the Privilege Escalation tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating access to sensitive medical and personal data (e.g., SSNs, medical records). Under the Defense Evasion tactic, the analysis identified Obfuscated Files or Information (T1027) with moderate to high confidence (70%), supported by evidence indicating rhysida ransomware strain used for data encryption and Execution Guardrails (T1480) with moderate confidence (50%), supported by evidence indicating ransomware attack detected only after systems were disrupted. Under the Credential Access tactic, the analysis identified OS Credential Dumping (T1003) with moderate confidence (60%), supported by evidence indicating exposed Social Security numbers, financial account details and Unsecured Credentials: Credentials In Files (T1552.001) with moderate confidence (50%), supported by evidence indicating medical records and health insurance data compromised. Under the Discovery tactic, the analysis identified Account Discovery (T1087) with moderate confidence (60%), supported by evidence indicating 337,917 records exposed, including PII and medical data and File and Directory Discovery (T1083) with moderate to high confidence (70%), supported by evidence indicating data exfiltration and encryption of sensitive files. Under the Collection tactic, the analysis identified Data from Local System (T1005) with moderate to high confidence (80%), supported by evidence indicating names, SSNs, medical records, financial details compromised and Data from Network Shared Drive (T1039) with moderate to high confidence (70%), supported by evidence indicating large-scale breach of 337,917 patient records. Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with moderate to high confidence (80%), supported by evidence indicating rhysida demanded ransom for stolen data (10 bitcoins, ~$1.15M) and Exfiltration Over Web Service (T1567) with moderate confidence (60%), supported by evidence indicating raaS group likely used command-and-control infrastructure. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with high confidence (90%), supported by evidence indicating systems disrupted by ransomware on July 15, 2025, Defacement (T1491) with moderate confidence (50%), supported by evidence indicating public disclosure of breach and ransom demand, and Data Destruction (T1485) with lower confidence (40%), supported by evidence indicating potential disruption to hospital operations (appointments, records). These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.

Initial Access
Exploit Public-Facing Application (50%)
Valid Accounts (60%)
Execution
User Execution: Malicious File (70%)
Command and Scripting Interpreter (60%)
Persistence
Valid Accounts (60%)
Privilege Escalation
Valid Accounts (60%)
Defense Evasion
Obfuscated Files or Information (70%)
Execution Guardrails (50%)
Credential Access
OS Credential Dumping (60%)
Unsecured Credentials: Credentials In Files (50%)
Discovery
Account Discovery (60%)
File and Directory Discovery (70%)
Collection
Data from Local System (80%)
Data from Network Shared Drive (70%)
Exfiltration
Exfiltration Over C2 Channel (80%)
Exfiltration Over Web Service (60%)
Impact
Data Encrypted for Impact (90%)
Defacement (50%)
Data Destruction (40%)

Sources & References