Incident Score: Analysis & Impact (LIP1773397519)
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Rankiteo Score Impact Analysis
Key Highlights From The Incident Analysis
- Timeline of New York Plastic Surgical Group'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 New York Plastic Surgical Group 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 New York Plastic Surgical Group breach identified under incident ID LIP1773397519.
The analysis begins with a detailed overview of New York Plastic Surgical Group's information like the linkedin page: https://www.linkedin.com/company/lipsg, the number of followers: 2830, the industry type: Medical Practices and the number of employees: 188 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 756 and after the incident was 452 with a difference of -304 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 New York Plastic Surgical Group and their customers.
On 01 October 2024, Long Island Plastic Surgical Group (LIPG) disclosed Ransomware issues under the banner "Long Island Plastic Surgical Group BlackCat Ransomware Attack".
In January 2024, Long Island Plastic Surgical Group (LIPG) fell victim to a ransomware attack by the BlackCat (ALPHV) group.
The disruption is felt across the environment, and exposing Personal and medical information of over 161,000 patients, with nearly 161,000 records at risk, plus an estimated financial loss of $2,600,000.
In response, and stakeholders are being briefed through Notification by mail to affected individuals.
The case underscores how teams are taking away lessons such as The incident underscores the persistent threat of ransomware in healthcare, where attackers target sensitive patient data for financial gain. It also highlights the legal and financial repercussions of data breaches, as well as the importance of robust cybersecurity measures, workforce training, and compliance with HIPAA regulations to mitigate risks, with advisories going out to stakeholders covering Notification by mail to affected individuals in October 2024.
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 Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating hackers infiltrated LIPG’s network between January 4 and January 8 and Exploit Public-Facing Application (T1190) with moderate confidence (50%), supported by evidence indicating attack vector such as Unknown (implies possible external entry point). Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with moderate to high confidence (70%), supported by evidence indicating deployed ransomware to encrypt files (BlackCat strain). Under the Persistence tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating hackers maintained access for 4 days (Jan 4-8). Under the Privilege Escalation tactic, the analysis identified Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating accessed high-sensitivity data (SSNs, medical records). Under the Defense Evasion tactic, the analysis identified Data Encrypted for Impact (T1486) with high confidence (90%), supported by evidence indicating deployed ransomware to encrypt files (BlackCat strain) and Obfuscated Files or Information (T1027) with moderate to high confidence (70%), supported by evidence indicating blackCat ransomware known for obfuscation techniques. Under the Credential Access tactic, the analysis identified OS Credential Dumping (T1003) with moderate confidence (60%), supported by evidence indicating exfiltrated SSNs, driver’s license details, financial info. Under the Discovery tactic, the analysis identified File and Directory Discovery (T1083) with moderate to high confidence (70%), supported by evidence indicating accessed patient photographs, medical records, biometric data. Under the Collection tactic, the analysis identified Data from Local System (T1005) with high confidence (90%), supported by evidence indicating stolen data included 161K patients’ personal/medical info. Under the Command and Control tactic, the analysis identified Application Layer Protocol (T1071) with moderate to high confidence (70%), supported by evidence indicating blackCat known for C2 over HTTPS/Tor (implied by ransomware ops). Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with high confidence (90%), supported by evidence indicating exfiltrated sensitive data before encryption (161K records) and Exfiltration Over Web Service (T1567) with moderate to high confidence (70%), supported by evidence indicating threatened public release on dark web leak site. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with high confidence (90%), supported by evidence indicating deployed ransomware to encrypt files (BlackCat strain) and Defacement (T1491) with moderate confidence (50%), supported by evidence indicating threatened public release on dark web leak site. These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.
Sources & References
- New York Plastic Surgical Group Rankiteo Cyber Incident Details: https://www.rankiteo.com/company/lipsg/incident/LIP1773397519
- New York Plastic Surgical Group CyberSecurity Rating page: https://www.rankiteo.com/company/lipsg
- New York Plastic Surgical Group Rankiteo Cyber Incident Blog Article: https://blog.rankiteo.com/lip1773397519-long-island-plastic-surgical-group-ransomware-january-2024/
- New York Plastic Surgical Group CyberSecurity Score History: https://www.rankiteo.com/company/lipsg/history
- New York Plastic Surgical Group CyberSecurity Incident Source: https://www.hipaajournal.com/long-island-plastic-surgical-group-ransomware-attack-settlement/
- Rankiteo A.I CyberSecurity Rating methodology: https://www.rankiteo.com/Images/rankiteo_algo.pdf
- Rankiteo TPRM Scoring methodology: https://static.rankiteo.com/model/rankiteo_tprm_methodology.pdf