Summary & Purpose

The threat assessment presented below is to advise and assist primary care centers, trauma centers and first responders in preparing for an upcoming terrorist attack to be carried out by the Islamic State (ISIS) and the Islamic State Khorasan Province (ISKP), but orchestrated by al Qaeda, as a prelude to a secondary, much larger attack, by al Qaeda.

This assessment is an updated version of a previously issued threat assessment on the same topic on 11 April, 2025.

This assessment has been reviewed and discussed by numerous individuals, who are part of our intelligence advisory network, including, but not limited to, Orange Diamond Consulting Group, Trans-Atlantic Intelligence Consortium, Sarah Adams, Wesley Harden and others.

Bottom Line Up Front (BLUF)

Hospitals and trauma centers, specifically Tier 1, are being targeted for attack by the Islamic State (ISIS) and the Islamic State Khorasan Province (ISKP). The attack is being orchestrated by al Qaeda, Hamza bin Laden, and Sayf al-Adel, supported by Sirajuddin Haqqani, The Haqqani Network and the Afghan Taliban from terror cells and safe houses in Afghanistan.

The targeting is focused on mid-tier cities around the United States and Canada. The attacks will be multi-city and simultaneously carried out.

Intelligence Credibility

Credible – Highly Credible