--- title: "Managed IT for HIPAA-Regulated Medical Practices | MedFortress™" description: "All-inclusive IT, cybersecurity, and HIPAA-aligned controls for independent medical practices with 10-50 staff. Signed BAA included. Flat per-user pricing." source: https://vulpinemsp.com/medfortress/ organization: "Vulpine Solutions, LLC" retrieved: 2026-09-21 --- # MedFortress™ A medical practice has different IT requirements from a typical small business, especially around access, security, documentation, and patient information. MedFortress™ is built around those HIPAA requirements for practices with 10-50 staff. ## Symptoms of poor IT health Most practices live with some version of these problems for months because none of them seems serious enough on its own. At least until several of them happen on the same day. ### EHR access interruptions #### What you see today The EHR freezes or disconnects during patient care, leaving clinicians without the chart they need. Visits stall, notes pile up, and the schedule starts slipping. #### What good looks like Clinicians can open the EHR and access patient records when and where they need them without thinking about the technology behind it. ### Slow computers #### What you see today Staff lose time restarting sluggish workstations between appointments while patients and coworkers wait. #### What good looks like Workstations are ready when staff sit down, applications open quickly, and routine tasks stay routine. ### Vendor ping-pong #### What you see today Your EHR vendor, your ISP, your copier company, and your IT guy all pointing at each other. Meanwhile the schedule backs up and no one owns the problem end to end. #### What good looks like One IT partner owns the problem, coordinates with the other vendors, and stays on it until it is resolved. ### Audit readiness gap #### What you see today You’re not sure your policies, encryption, and audit logs would hold up under an OCR audit. #### What good looks like You know what protections are in place, what evidence exists, and where the remaining risks are. ### Reactive support #### What you see today IT only shows up after a failure has cost you a morning of appointments and a lot of apology calls. #### What good looks like Problems are monitored and addressed before most of them become interruptions your staff or patients ever notice. ### Claims delayed #### What you see today When the clearinghouse connection drops, claims stop moving. The problem may not surface until someone notices it in the aging report. #### What good looks like Critical connections stay monitored so interruptions are caught and addressed before they quietly turn into a billing problem. ## The cost of doing nothing > Small IT problems rarely stay isolated. When systems fail during patient care, the cost shows up in delayed appointments, staff time, lost revenue, and compliance exposure. | Risk | Typical cost per incident | How MedFortress™ reduces the risk | | --- | --- | --- | | HIPAA breach notification | $50,000-$250,000+ | Built-in compliance safeguards, enforced MFA, and encryption | | Ransomware or EHR downtime | $10,000-$200,000+ | Immutable cloud backups and documented rapid recovery | | Clinical productivity or EHR downtime | $4,000-$18,000+ | Proactive monitoring, workstation maintenance, network resilience, and documented downtime recovery | | Claims or billing interruption | $8,000-$18,000+ per day delayed | Connectivity monitoring, rapid vendor escalation, and documented billing-system recovery procedures | Cost ranges are industry estimates drawn from HHS OCR settlement data and IBM/Ponemon breach cost reporting. Actual exposure depends on patient volume and the number of records held. [Request an IT assessment](https://vulpinemsp.com/contact/) ## How we get from here to there You would not prescribe before you examine. Neither do we. ### Discovery call We learn about your practice, current provider, biggest problems, staff, devices, and goals, then confirm whether we are a good fit. ### Technical assessment We review endpoints, identity, backups, network, security, vendors, and compliance evidence to see what is actually happening. ### Findings and proposal You get prioritized findings, recommended scope, and exact pricing before deciding whether to move forward. ### Onboarding and ongoing care We transition responsibility, address the highest-priority findings, and begin ongoing management and support. Most clients are fully transitioned within two weeks. Longer timelines happen when an outgoing provider is running out a contract or an environment needs remediation first, and you’ll know that before you sign. It’s a one-time charge, the greater of one month of your service rate or $1500, billed at the start of the onboarding project. ## Everything, at one rate MedFortress™ has one standard. If a control is important enough for a medical practice to need, it stays in the package. ### Complete IT management Unlimited business-hours remote support, onsite when hands-on work is required, 24/7 monitoring, patching, and automated remediation. ### Advanced cybersecurity EDR/AV, identity threat detection and response, SIEM telemetry, network-level DNS filtering at the firewall, and security awareness training with phishing simulations. ### Microsoft 365 Business Premium Included at a $26 per-user value. Encrypted email, Teams, SharePoint, OneDrive, enforced MFA, and 1TB of cloud storage per user. ### Data protection and recovery Axcient x360 Cloud backup for servers and Microsoft 365, point-in-time restores, quarterly documented restore testing, and an annual disaster-recovery test with written documentation. ### HIPAA-aligned controls A signed Business Associate Agreement, access controls, audit logging, an annual documented Security Risk Analysis, and a maintained business associate inventory with vendor review. ### Strategic partnership Quarterly vCIO strategy sessions, technology roadmaps, and vendor coordination handled on your behalf. Published response targets - Documented security baseline - Quarterly restore testing ## One package. One price. ### MedFortress™ Flat monthly pricing per supported user, subject to the monthly minimum below. Includes 1 managed computer per user; additional computers $ 100 per month. Servers and managed mobile devices are priced separately. $215 per user / month ($1500 / site / month minimum) IT & Security Review included annually at no charge for MedFortress clients. - Unlimited remote and on-site support, business hours - 24/7 monitoring, patching, and automated remediation - Managed EDR - Managed SIEM - Identity threat detection (ITDR) - Security awareness training and phishing simulations - Network-level (site) DNS filtering - Microsoft 365 Business Premium licensing included - Cloud mailbox and file backup, unlimited retention - Server backup, direct-to-cloud imaging - Signed HIPAA Business Associate Agreement - Annual documented Security Risk Analysis - HIPAA policy set, maintained and reviewed annually - Workforce training with attestation tracking - Business associate inventory and vendor review - Quarterly documented backup restore testing - Annual disaster-recovery test with written documentation - Vendor coordination for named covered vendors (EHR, ISP, phone) - Monthly reporting - Quarterly vCIO strategy sessions and technology roadmaps #### Environment-specific coverage Every package includes the full managed IT and security baseline. During onboarding we determine whether your devices and work patterns require additional controls: password management, roaming DNS filtering for laptops that leave the office, or mobile device management for business phones and tablets. These are not upsells. - Managed 1Password Business - $10 per user / month - Roaming DNS filtering (laptops off-network) - $10 per device / month - iPads and mobile device management - $10 per device / month - Microsoft 365 Copilot - $32 per user / month - Monitored spare / unassigned device - $55 per device / month - Server maintenance, physical or virtual - $275 per server / month - Local backup appliance (in addition to cloud backup) - $200 per server / month - 24x7 response for P1 incidents [(critical outage)](https://vulpinemsp.com/trust/service-level/) - $35 per user / month $350 per site / month minimum Every package includes network-level DNS filtering at your firewall. The endpoint agent extends that protection to laptops that leave the office. See the [full pricing and à la carte menu](https://vulpinemsp.com/pricing/) for project work like tenant migrations, EHR/LOB application migrations, and security hardening. [Request an IT assessment](https://vulpinemsp.com/contact/) ## Why this costs more than SMB Complete SMB Complete and MedFortress™ run the identical platform. Same monitoring, same security stack, same backup target, same response targets. The difference is the compliance work: a signed Business Associate Agreement, healthcare-specific access controls, audit logging retained and reviewable, documented policies that survive contact with an auditor, and quarterly vCIO reviews framed around compliance rather than budget alone. If you do not handle ePHI, SMB Complete is probably the better fit. If you do, MedFortress adds the documentation and compliance work needed to show that those controls are actually in place. ## Is this the right fit? ### A good fit if --- - You run an independent practice with 10-50 staff - You handle ePHI and need real controls, not a checkbox - You are tired of reactive IT emergencies - You want a partner who understands clinical workflow, not just servers ### Not a fit if --- - You have a full in-house IT department - You are shopping for the cheapest break-fix hourly rate - You want unmonitored personal devices on the network - You run Google Workspace. MedFortress™ standardizes on Microsoft 365, and Vulpine does not support Workspace for practices handling ePHI We would rather tell you no than take you on and disappoint you. ## Request an IT assessment We complete an in-depth assessment of your IT systems. Your computers, network, email, backups, and security posture. You get a written report with a prioritized list of what to fix first. You get the findings whether you hire us or not. It’s a flat $1,950, credited in full toward onboarding if you sign within 30 days. - [(727) 312-9686](tel:+17273129686) - [contact@vulpinemsp.com](mailto:contact@vulpinemsp.com) [Request an IT assessment](https://vulpinemsp.com/contact/) We respond within one business day to schedule the 30-minute discovery call. --- **Vulpine Solutions, LLC** - Veteran-owned managed IT and cybersecurity provider based in Riverview, Florida, serving medical practices and professional services firms across the greater Tampa Bay area, with remote support nationwide. Phone: (727) 312-9686 · Email: contact@vulpinemsp.com · Web: https://vulpinemsp.com/ Canonical HTML version of this page: https://vulpinemsp.com/medfortress/