The situation
The group had bought three smaller practices over five years. Each came with its own websites, email setups and vendors. The IT team knew their main systems but suspected there was more out there.
What we did
We built an inventory of everything tied to the group on the internet: domains, subdomains, IP ranges, cloud services and third-party portals. We compared it with the IT team’s own list, rated each exposure and wrote a plain fix for each one.
After the initial review, we moved to monthly monitoring for new exposures and lookalike domains.
What we found
We found 23 systems the IT team didn’t have on their list. Most were harmless, but four were serious: an old practice-management server open to the internet, a file share left from an acquired clinic, and two remote-access services with known vulnerabilities.
Two weeks into monitoring, a domain one letter off from the patient portal was registered and set up to receive email.
What changed
The four high-risk exposures were fixed within the month. We documented the lookalike domain and helped file a takedown request two days after it appeared, before any patient emails went out. The IT team now has an up-to-date inventory, refreshed every month.