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Analyze » Sandhills Medical » SAN1778079098

Incident Score: Analysis & Impact (SAN1778079098)

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

Rankiteo Score Impact Analysis

Rankiteo Incident Impact-229
Company Score Before Incident596 / 1000
Company Score After Incident367 / 1000
Company LinkView Sandhills Medical Profile
INCIDENT NUMBERSAN1778079098
Type of Cyber IncidentRansomware
ATTACK VECTORNA
DATA EXPOSEDPersonal health information, names, birth...
INCIDENT DATE02/05/2026
STATUSOngoing

Key Highlights From The Incident Analysis

  • Timeline of Sandhills Medical'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 Sandhills Medical 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 Sandhills Medical breach identified under incident ID SAN1778079098.

The analysis begins with a detailed overview of Sandhills Medical's information like the linkedin page: https://www.linkedin.com/company/sandhills-medical, the number of followers: 261, the industry type: Medical Practices and the number of employees: 48 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 596 and after the incident was 367 with a difference of -229 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 Sandhills Medical and their customers.

On 01 January 2026, Sandhills Medical disclosed Ransomware issues under the banner "Sandhills Medical Ransomware Attack".

Sandhills Medical, a Federally Qualified Community Health Center based in McBee, South Carolina, suffered a ransomware attack that compromised the personal data of an estimated 169,017 individuals.

The disruption is felt across the environment, affecting Servers, and exposing Personal health information, names, birth dates, with nearly 169017 records at risk.

In response, and stakeholders are being briefed through Patient notifications in early 2026.

The case underscores how Ongoing, with advisories going out to stakeholders covering Patient notifications in early 2026.

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 to the organization’s servers occurred and Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating unauthorized third party accessed and exfiltrated sensitive data. Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with moderate to high confidence (70%), supported by evidence indicating ransomware attack that compromised personal data. Under the Credential Access tactic, the analysis identified OS Credential Dumping (T1003) with moderate confidence (60%), supported by evidence indicating unauthorized access to servers between November 27 and 29, 2025. Under the Collection tactic, the analysis identified Data from Local System (T1005) with moderate to high confidence (80%), supported by evidence indicating exposed data includes names, personal health information, birth dates. Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with high confidence (90%), supported by evidence indicating unauthorized third party accessed and exfiltrated sensitive patient information and Transfer Data to Cloud Account (T1537) with moderate confidence (50%), supported by evidence indicating data exfiltration confirmed by forensic analysts. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with moderate to high confidence (70%), supported by evidence indicating ransomware attack that compromised the personal data. Under the Defense Evasion tactic, the analysis identified Indicator Removal: Clear Windows Event Logs (T1070.001) with moderate confidence (50%), supported by evidence indicating unauthorized access occurred over multiple days before detection. 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%)
Credential Access
OS Credential Dumping (60%)
Collection
Data from Local System (80%)
Exfiltration
Exfiltration Over C2 Channel (90%)
Transfer Data to Cloud Account (50%)
Impact
Data Encrypted for Impact (70%)
Defense Evasion
Indicator Removal: Clear Windows Event Logs (50%)

Sources & References