Article
US Government Alerts of Imminent Attacks Against the Healthcare Sector by Trickbot Group
Arete Analysis

Executive Summary
Last week, the Cybersecurity and Infrastructure Security Agency (CISA) in collaboration with the Federal Bureau of Investigation (FBI), and the Department of Health and Human Services (HHS) released the following alert: AA20-302A – Ransomware Activity Targeting the Healthcare and Public Health Sector.
The alert informs that there is credible intelligence of an increased and imminent cybercrime threat to U.S. hospitals and healthcare providers associated with the Trickbot and BazarLoader trojans that often leads to ransomware like the Ryuk and Conti ransomware. The alert also mentions the Trickbot Anchor tool set and Anchor DNS tool developed by this group.
News of these attacks against the Healthcare sector are of special concern due to the recent increase of COVID-19 cases in the US and evidence that shows ransomware attacks against the healthcare sector have been associated with persons losing their lives due to services being routed to nearby hospitals and laboratory results not being quickly delivered electronically to the providers.
Arete statistics and Intel from Arete’s Fusion Center and Open-source intelligence (OSINT) shows that this new wave of attacks since October 2020 have a slight change in TTPs and the BazarLoader malware has now been observed in systems compromised with Ryuk.
The Arete incident response (IR) practice has responded to more than ninety (90) Ryuk engagements since 2019 with more than six breach responses engagements just in the month of October 2020.
Based on Intelligence gathered from our DFIR cases, Arete’s Fusion Center had developed countermeasures deployed in the SentinelOne EDR platform to detect these threats and our Managed Detection and Response (MDR) team has been handling detections at our client’s sites.
This article is meant to share with the community Arete’s statistics and our assessment based on breach response engagements.
Statistical Data from Arete’s Metrics
The information listed below is based on Ryuk cases investigated by Arete IR since January 2019. Our IR and Data Analytics practices work together to track key data points for every ransomware engagement. Our IR practice tracks data points on the ransomware variant and collects statis-tics based on handled engagements:
Since 2019, Arete has responded to Ryuk cases in some of the following sectors:
Healthcare: 19 | Professional Service: 28 | Public services: 21 | Manufacturing: 11 | Technology/Engineing/ Telecom: 6 | Critical Infrastructure: 1
Average duration of business downtime: 9.47 days
Average original ransom demand in bitcoin: 125.39 BTC
Average final ransom demand in bitcoin: 72.58 BTC
Average ransom demand paid in US dollars: $621,064.05
Minimum ransom demand paid in US dollars: $10,000.00
Maximum ransom demand paid in US dollars: $5,177,510.78
Remote access is the most common method of intrusion found 39.34% of the times
During the Ryuk dwell time this year, Arete responded to ten (10) Conti ransomware engagements
Ryuk Ransomware Overview
Since August 2018, a Russian-based cybercrime group has been operating a ransomware known as Ryuk (a customized version of Hermes commodity ransomware).
The industry saw a sudden drop of Ryuk, starting around the time that COVID-19 had its major impact in March 2020. This is also around the same time that a very similar, Conti ransomware, began to kick-off, leading many to believe that Conti was merely a rebrand of Ryuk. The data suggests though that it is possible that Conti was a failed rebrand since Arete IR has not been engaged with Conti infected clients since Ryuk attacks started again in October 2020.
Ryuk typically compromises networks through Trickbot, or Emotet then delivering Trickbot. Trickbot has recently been in the news in the cyber industry due to Microsoft’s approval via a court order to engage in disruption efforts of this botnet. With this active disruption campaign, it is possible that the sudden return and up-tick of Ryuk infections is due to the Russian cybercrime group acting in retaliation utilizing their more mature ransomware product, Ryuk, as opposed to the potentially rebranded, Conti, which could still have been in a testing phase. This is based on the sudden stop of Conti and up-rise of Ryuk in line with the disruption efforts from Microsoft.
According to Microsoft, they initially disabled sixty-two (62) of the initially identified sixty-nine (69) Trickbot servers. Almost immediately, fifty-nine (59) new servers were attempted to be added to the Trickbot infrastructure. As of October 20, 2020, fifty-eight (58) of the new servers have also been disabled leaving a total number of eight (8) known active Trickbot servers.
Ryuk Wave Crashing on US Healthcare
Of the more than ninety (90) total Ryuk ransomware engagements that Arete IR has led since May 2019, nineteen (19) of those engagements were for a client in the healthcare industry (23%). Out of the seven (7) engagements of Ryuk ransomware that Arete IR has led since it re-emerged in October 2020, the most recent case is the only client that is in the healthcare industry (14%). This evidence shows it is not typical for Ryuk attacks to be focused primarily on the healthcare industry. This could further backup the theory that the impending Ryuk wave of attacks on the healthcare
industry could be retaliation for Microsoft’s disruption campaign against the Trickbot infrastructure that Ryuk is known for utilizing for initial intrusion.

Recommendations
Install an Endpoint Detection and Response (EDR) solution with the capability to halt detected processes and isolate systems on the network, based on identified conditions
Block: Any known attacker C2s in the firewall; A high number of SMB connection attempts from one system to others in the network over a short period of time
Implement: A system enforced password policy to force users into changing passwords at least every 90 days; Multifactor authentication (MFA) on RDP and VPN access
If not needed, eliminate vulnerable RDP ports exposed to the internet
Perform: Dark web monitoring periodically to verify if data from the organization is available for sell in the black market; Penetration tests • Periodically patch systems and update tools
Monitor: Connections to the network from suspicious locations; Downloadsuploads of files to file sharing services over non-standard hours, not commonly used in the organization, etc; Uploads of files from Domain Controllers to the internet; Network scans from uncommon servers (e.g. RDP server)
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Article
FortiGate Exploits Enable Network Breaches and Credential Theft
A recent security report indicates that threat actors are actively exploiting FortiGate Next-Generation Firewall (NGFW) appliances as initial access vectors to compromise enterprise networks. The activity leverages recently disclosed vulnerabilities or weak credentials to gain unauthorized access and extract configuration files, which often contain sensitive information, including service account credentials and detailed network topology data.
Analysis of these incidents shows significant variation in attacker dwell time, ranging from immediate lateral movement to delays of up to two months post-compromise. Since these appliances often integrate with authentication systems such as Active Directory and Lightweight Directory Access Protocol (LDAP), their compromise can grant attackers extensive access, substantially increasing the risk of widespread network intrusion and data exposure.
What’s Notable and Unique
The activity involves the exploitation of recently disclosed security vulnerabilities, including CVE-2025-59718, CVE-2025-59719, and CVE-2026-24858, or weak credentials, allowing attackers to gain administrative access, extract configuration files, and obtain service account credentials and network topology information.
In one observed incident, attackers created a FortiGate admin account with unrestricted firewall rules and maintained access over time, consistent with initial access broker activity. After a couple of months, threat actors extracted and decrypted LDAP credentials to compromise Active Directory.
In another case, attackers moved from FortiGate access to deploying remote access tools, including Pulseway and MeshAgent, while also utilizing cloud infrastructure such as Google Cloud Storage and Amazon Web Services (AWS).
Analyst Comments
Arete has identified multiple instances of Fortinet device exploitation for initial access, involving various threat actors, with the Qilin ransomware group notably leveraging Fortinet device exploits. Given their integration with systems like Active Directory, NGFW appliances remain high-value targets for both state-aligned and financially motivated actors. In parallel, Arete has observed recent dark web activity involving leaked FortiGate VPN access, further highlighting the expanding risk landscape. This aligns with the recent reporting from Amazon Threat Intelligence, which identified large-scale compromises of FortiGate devices driven by exposed management ports and weak authentication, rather than vulnerability exploitation. Overall, these developments underscore the increasing focus on network edge devices as entry points, reinforcing the need for organizations to strengthen authentication, restrict external exposure, and address fundamental security gaps to mitigate the risk of widespread compromise.
Sources
FortiGate Edge Intrusions | Stolen Service Accounts Lead to Rogue Workstations and Deep AD Compromise
Article
Vulnerability Discovered in Anthropic’s Claude Code
Security researchers discovered two critical vulnerabilities in Anthropic's agentic AI coding tool, Claude Code. The vulnerabilities, tracked as CVE-2025-59536 and CVE-2026-21852, allowed attackers to achieve remote code execution and to compromise a victim's API credentials. The vulnerabilities exploit maliciously crafted repository configurations to circumvent control mechanisms. It should be noted that Anthropic worked closely with the security researchers throughout the process, and the bugs were patched before the research was published.
What’s Notable and Unique
The configuration files .claude/settings.json and .mcp.json were repurposed to execute malicious commands. Because the configurations could be applied immediately upon starting Claude Code, the commands ran before the user could deny permissions via a dialogue prompt, or they bypassed the authentication prompt altogether.
.claude/settings.json also defines the endpoint for all Claude Code API communications. By replacing the default localhost URL with a URL they own, an attacker could redirect traffic to infrastructure they control. Critically, the authentication traffic generated upon starting Claude Code included the user's full Anthropic API key in plain text and was sent before the user could interact with the trust dialogue.
Restrictive permissions on sensitive files could be bypassed by simply prompting Claude Code to create a copy of the file's contents, which did not inherit the original file's permissions. A threat actor using a stolen API key could gain complete read and write access to all files within a workspace.
Analyst Comments
The vulnerabilities and attack paths detailed in the research illustrate the double-edged nature of AI tools. The speed, scale, and convenience characteristics that make AI tools attractive to developer teams also benefit threat actors who use them for nefarious purposes. Defenders should expect adversaries to continue seeking ways to exploit configurations and orchestration logic to increase the impact of their attacks. Organizations planning to implement AI development tools should prioritize AI supply-chain hygiene and CI/CD hardening practices.
Sources
Caught in the Hook: RCE and API Token Exfiltration Through Claude Code Project Files | CVE-2025-59536 | CVE-2026-21852
Article
Ransomware Trends & Data Insights: February 2026
After a slight lull in January, Akira and Qilin returned to dominating ransomware activity in February, collectively accounting for almost half of all engagements that month. The rest of the threat landscape remained relatively diverse, with a mix of persistent threats like INC and PLAY, older groups like Cl0p and LockBit, and newer groups like BravoX and Payouts King. Given current trends, the first quarter of 2026 will likely remain relatively predictable, with the top groups from the second half of 2025 continuing to operate at fairly consistent levels month to month.

Figure 1. Activity from the top 5 threat groups in February 2026
Throughout the month of February, analysts at Arete identified several trends behind the threat actors perpetrating cybercrime activities:
In February, Arete observed Qilin actively targeting WatchGuard Firebox devices, especially those vulnerable to CVE-2025-14733, to gain initial access to victim environments. CVE-2025-14733 is a critical vulnerability in WatchGuard Fireware OS that allows a remote, unauthenticated threat actor to execute arbitrary code. In addition to upgrading WatchGuard devices to the latest Firebox OS version, which patches the bug, administrators are urged to rotate all shared secrets on affected devices that may have been compromised and may be used in future campaigns.
Reports from February suggest that threat actors are increasingly exploring AI-enabled tools and services to scale malicious activities, demonstrating how generative AI is being integrated into both espionage and financially motivated threat operations. The Google Threat Intelligence Group indicated that state-backed threat actors are leveraging Google’s Gemini AI as a force multiplier to support all stages of the cyberattack lifecycle, from reconnaissance to post-compromise operations. Separate reporting from Amazon Threat Intelligence identified a threat actor leveraging commercially available generative AI services to conduct a large-scale campaign against FortiGate firewalls, gaining access through weak or reused credentials protected only by single-factor authentication.
The Interlock ransomware group recently introduced a custom process-termination utility called “Hotta Killer,” designed to disable endpoint detection and response solutions during active intrusions. This tool exploits a zero-day vulnerability (CVE-2025-61155) in a gaming anti-cheat driver, marking a significant adaptation in the group’s operations against security tools like FortiEDR. Arete is actively monitoring this activity, which highlights the growing trend of Bring Your Own Vulnerable Driver (BYOVD) attacks, in which threat actors exploit legitimate, signed drivers to bypass and disable endpoint security controls.
Sources
Arete Internal



