Lindsay Municipal Hospital Targeted by BianLian Ransomware Group

The Lindsay Municipal Hospital has been attacked by the BianLian ransomware group. The group allegedly breached the security measures of the hospital’s system, adding another institution to its list of targets within the United States. Accompanying its hospital cyberattack claims were brief insights into the Lindsay Municipal Hospital’s profile and its history of service to the Lindsay community and its surrounding areas. The hospital has not commented.

Lindsay Municipal Hospital is a general hospital in Oklahoma. It has a 26-bed acute care facility, which also houses a Level IV emergency department, a full-service laboratory, and a radiology department offering essential services such as x-rays, ultrasounds, and CT scans.

BianLian: Not Your Typical RaaS

BianLian is not a traditional RaaS. They first emerged in June 2022 as a typical RaaS provider with Golang-based ransomware until a decrypter was released. In early 2023, they appeared to have abandoned the ransomware payload portion of attacks in favor of less complicated data exfiltration and extortion attacks. This shows how successful the double extortion strategy is for ransomware groups, and we will likely see more groups join the likes of BianLian (and Karakurt before them).

BianLian leverages open-source tooling and command-line scripts to engage in credential harvesting and data exfiltration. BianLian increased attack volumes as they moved away from deploying ransomware payloads in favor of pure data extortion attacks, making them one of the more prominent groups in Q1-2023, although they still lagging far behind leaders.

It is unclear how much BianLian typically requests for a ransom amount or if they are keen to negotiate the demand down. BianLian successfully attacked several high-profile organizations before a free decryption tool was released to help victims recover files encrypted by ransomware. The group abandoned the RaaS model in favor of pure data extortion attacks where data is exfiltrated and ransom demand issued, but no ransomware is deployed.

BianLian has been observed deploying a custom Go-based backdoor for remote access. BianLian uses PowerShell and Windows Command Shell to bypass and evade security solutions. BianLian primarily targets financial institutions, healthcare, manufacturing, education, entertainment, and energy sectors by leveraging compromised Remote Desktop Protocol (RDP) credentials. Almost exclusively a data extortion attack group now, rarely observed deploying ransomware payloads.