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
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 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.
// Prognosis
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.
You would not prescribe before you examine. Neither do we.
Consultation
Discovery call
We learn about your practice, current provider, biggest problems, staff, devices, and goals, then confirm whether we are a good fit.
Diagnosis
Technical assessment
We review endpoints, identity, backups, network, security, vendors, and compliance evidence to see what is actually happening.
Prescription
Findings and proposal
You get prioritized findings, recommended scope, and exact pricing before deciding whether to move forward.
Treatment
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.
// What’s included
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 automated monitoring, and proactive patching.
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 targetsDocumented security baselineQuarterly restore testing
// MedFortress™ package
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.
$215per 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.
Server maintenance, physical or virtual$275 per server / month
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
Monitored spare / unassigned device$55 per device / month
Local backup appliance (in addition to cloud backup)$200 per server / month
Microsoft 365 Copilot$32 per user / month
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 for project work like tenant migrations, EHR/LOB application migrations, and security hardening.
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.
// Fit check
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.
Next step
Request an IT assessment
We complete an in-depth assessment of your IT systems.
We review 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.