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Cybersecurity monitoring for healthcare and veterinary practices — Cosmistack Fortify

Enterprise-Grade Cybersecurity for Your Practice — Without an IT Department

Cosmistack Fortify is a co-managed cybersecurity bundle for medical and veterinary practices with 10–50 employees — endpoint protection, password security, and 24/7 threat monitoring, with no IT department required.

Cosmistack Fortify

Your practice doesn't need a full IT department to have real cybersecurity.

Fortify is a co-managed cybersecurity layer built for practices that handle sensitive data and can't afford to be down, but might not be ready for a full managed IT engagement. It's not a starter kit or a discounted product. It's a focused, right-sized cybersecurity bundle — real protection for the highest-risk areas in your practice, without the scope or cost of full managed IT.

Medical & Dental Practices

Medical and dental practices handle electronic protected health information, process payments, and depend on their EHR platform to operate. Fortify addresses two of the most commonly cited gaps in HIPAA Security Rule audits: endpoint security and credential management. Regardless of your speciality or EHR, Fortify protects your practice, your patients, and your peace of mind.

  • Supports HIPAA technical safeguard requirements
  • Protects login credentials for critical systems and patient data access points
  • Ransomware protection for practices that can't afford downtime

Veterinary Practices

Veterinary practices collect client and patient data, process payments, and depend on their practice management software to keep operations running. A ransomware attack on a vet practice is just as disruptive as one on a medical office. Fortify provides peace of mind for practices by protecting the most common attack vectors: devices and credentials.

  • Protects client data and financial records
  • Keeps critical software and systems protected from ransomware and breaches
  • Provides enterprise-grade cybersecurity without the need for in-house IT expertise

Two Tiers. One Decision.

Essential vs. Advanced is a security maturity choice, not a budget compromise. Essential is complete protection for most small practices. Advanced adds meaningful layers for practices with more complex environments or higher compliance requirements.

Fortify

Essential

Complete protection for most practices with 10–50 employees. Covers the two highest-risk entry points: devices and passwords.

  • 24/7 Endpoint Detection & Response — Co-managed device monitoring and threat response
  • Enterprise Password Management — Secure credential vaults for every staff member
Most Complete

Fortify

Advanced

Everything in Essential, plus three additional layers for practices with more complex environments or higher compliance pressure.

  • 24/7 Endpoint Detection & Response — Co-managed device monitoring and threat response
  • Security Event Monitoring — Cross-environment threat correlation
  • Identity Threat Detection — Compromised logins and account takeover alerts
  • Security Awareness Training — Automated phishing and security training for staff
  • Enterprise Password Management — Secure credential vaults for every staff member

One Price Per User — Simple and Transparent

Fortify is billed per user per month. Each user seat includes up to two devices — so most practices pay one clean monthly total. Practices with more than two devices per user are billed a small additional per-device rate for the overage. No setup fees, no surprise line items.

Fortify Essential — Example Quote

10 users

Up to 20 devices included · $15/user/mo

$150/mo

Additional devices

Beyond 2 per user · $3.50/device/mo

If needed

Monthly Total

$150/mo

Example based on 10 users / up to 20 devices included. Actual pricing depends on your practice size. Contact us for a custom quote.

Fortify Advanced — Example Quote

10 users

Up to 20 devices included · $20/user/mo

$200/mo

Additional devices

Beyond 2 per user · $5/device/mo

If needed

Monthly Total

$200/mo

Example based on 10 users / up to 20 devices included. Actual pricing depends on your practice size. Contact us for a custom quote.

What Fortify Essential Covers

Two layers. The ones that matter most for a practice your size.

24/7 Endpoint Detection & Response

Every device in your practice — desktops, laptops, servers — is monitored around the clock. When suspicious behavior is detected, a dedicated SOC team investigates and Cosmistack contacts you directly so threats are handled before they become incidents.

Enterprise Password Management

Every staff member gets a secure password vault. Weak, reused, and shared passwords are eliminated across your practice — including practice management software logins, email, and vendor portals. No one has to memorize anything new. Eliminate friction with autofill, mobile access, and secure password sharing for shared accounts.

What Fortify Advanced Adds

Three additional layers for practices with more complex environments, higher compliance requirements, or a history of security incidents.

Security Event Monitoring

Logs and security events from across your entire environment — not just individual devices — are correlated and analyzed. This catches patterns that device-level monitoring alone would miss, such as lateral movement or coordinated attacks.

Identity Threat Detection

Monitors for compromised credentials, suspicious logins, and account takeover attempts in real time. Especially important for practices using cloud-based email or EHR platforms where credential theft is the most common attack vector.

Security Awareness Training

Staff receive short, regular training modules on phishing, social engineering, and security hygiene — automatically delivered and tracked. Keeps your team current without requiring boring, lengthy sessions.

HIPAA Compliance Starts with the Right Technical Safeguards

For medical and dental practices, HIPAA's Security Rule requires documented technical safeguards for electronic protected health information (ePHI). Endpoint security and access control — two areas Fortify directly covers — are among the most commonly cited gaps in HIPAA audits and breach investigations.

Fortify is not a complete HIPAA compliance program. But it addresses foundational requirements that must be in place before other compliance work can be meaningful.

Did You Know?

74% of healthcare data breaches involve a human element — phishing, stolen credentials, or misuse. Fortify's password security and training layers directly address this. Source: Verizon Data Breach Investigations Report

Managed Security for Your Practice — Around the Clock

Fortify is not a software subscription you configure yourself. A dedicated Security Operations Center monitors your environment continuously and works alongside Cosmistack — when a threat is confirmed, our team contacts your practice directly to coordinate next steps. You're never left deciphering a security alert alone, and you remain in control of your practice throughout.

How It Works After You Sign On

1

Consultation & Sizing

We assess your environment — number of devices, staff, and any existing tools — and recommend the right Fortify tier for your practice.

2

Quote & Agreement

You receive a clear quote showing your monthly total based on your user count and device count. No surprises, no hidden fees.

3

Guided Onboarding

Cosmistack handles deployment and configuration. Tools are set up on your devices, staff receive password vault invitations, and policies are configured for your environment.

4

Ongoing Co-Management

After onboarding, monitoring runs continuously. When the SOC confirms a threat, Cosmistack contacts your designated point of contact directly — no deciphering alerts on your own. You stay informed and in the driver's seat; your staff focuses on patient care.

What You're Protected Against

Ransomware
Attacks that encrypt your files and demand payment to restore access. These have shut down practices for days or weeks.
Credential Theft
Stolen or guessed passwords used to access EHR systems, email, or financial accounts. The most common breach entry point.
Phishing & Social Engineering
Emails and messages designed to trick staff into revealing credentials or installing malware. Training reduces this risk directly.
Account Takeovers
Attackers gaining persistent access to staff accounts — especially email and cloud services — without detection.
Insider Threats
Accidental or intentional misuse of access by staff. Monitoring and identity controls reduce both exposure and impact.
Undetected Intrusions
Attackers who gain access and dwell quietly before acting. Security event monitoring catches patterns that device-level tools miss.

Frequently Asked Questions

What is co-managed cybersecurity?

Co-managed cybersecurity means that your practice isn't handling security monitoring alone — and you're not handing it off to a black-box vendor either. With Cosmistack Fortify, a dedicated Security Operations Center (SOC) monitors your devices and accounts around the clock and escalates real threats to our team, who then work directly with your practice. You get enterprise-grade protection without needing a full-time IT staff member.

What cybersecurity does a small medical or veterinary practice actually need?

For most practices with 10–50 employees and no dedicated IT staff, the two highest-risk areas are devices and credentials. Endpoint detection and response (EDR) protects every computer and server from ransomware and malicious software. A managed password vault eliminates weak, shared, and reused credentials — the most common entry point for breaches. Together, these two layers address the majority of real-world attacks on small practices. Fortify Essential covers both. Fortify Advanced adds security event monitoring, identity threat detection, and staff security training for practices with more complex environments or higher compliance requirements.

How can a practice without an IT department stay secure?

The answer is co-managed security — a model where a dedicated Security Operations Center monitors your environment around the clock, and a partner like Cosmistack handles configuration, alerts, and ongoing management. Your staff doesn't need to understand cybersecurity or monitor dashboards. Fortify is built specifically for this: enterprise-grade tools managed on your behalf, without requiring any in-house IT expertise. Most practices are fully onboarded within a few days, and ongoing management is handled entirely by Cosmistack and the SOC.

Does a small medical or veterinary practice really need cybersecurity?

Yes — and small practices are increasingly the target. Healthcare practices of all sizes store sensitive patient data, process payments, and depend on practice management software to operate. Ransomware attacks on small medical and veterinary practices have increased significantly in recent years precisely because smaller organizations are seen as easier targets. The cost of a breach — downtime, recovery, notification, and reputational damage — far exceeds the cost of preventive protection.

What is the difference between Fortify Essential and Fortify Advanced?

Fortify Essential covers the two most critical layers: endpoint detection and response (24/7 device monitoring) and managed password security for all staff. This is complete protection for most small practices. Fortify Advanced adds three more layers on top: security event monitoring across your entire environment, identity threat detection to catch compromised logins and account takeovers, and ongoing security awareness training for staff. Advanced is the right choice for practices with more complex environments, higher compliance requirements, or a history of security incidents.

Does Fortify help with HIPAA compliance?

Yes. Endpoint protection and credential management are two of the most commonly cited gaps in HIPAA Security Rule audits. Fortify directly addresses both: endpoint detection and response covers the device security requirements, and the managed password vault addresses access control and credential management requirements. Fortify Advanced adds identity threat detection and security event monitoring, which are increasingly expected in HIPAA risk analyses. While Fortify is not a complete HIPAA compliance program on its own, it addresses foundational technical safeguard requirements.

Does a veterinary practice need to worry about data security?

Yes, even though veterinary practices are not subject to HIPAA in the same way as human healthcare providers. Veterinary practices collect client personal and financial data, depend on practice management software (such as Cornerstone, Avimark, or eVetPractice), and can be disrupted by ransomware just as severely as any medical office. Data sensitivity and operational risk apply equally regardless of regulatory mandate.

How does endpoint detection and response differ from antivirus?

Traditional antivirus looks for known malware signatures and blocks them. Endpoint detection and response (EDR) goes further: it monitors behavior across your devices in real time, looking for suspicious patterns that may indicate an attack even when no known malware signature exists. This matters because most modern attacks — ransomware, credential theft, remote access tools — are designed specifically to evade antivirus detection. Fortify's EDR layer includes a 24/7 SOC team that investigates flagged activity and responds to threats.

Why does password security matter for a small practice?

Compromised credentials — weak, reused, or shared passwords — are the single most common entry point for cyberattacks. In a practice setting, staff regularly share logins to practice management software, email accounts, and vendor portals. This creates significant risk. Fortify's managed password vault eliminates weak and shared credentials across your entire staff without requiring anyone to memorize new complex passwords. Each person gets secure, unique credentials and a simple experience.

What does onboarding look like?

Onboarding for Fortify is handled by Cosmistack and is designed to minimize disruption to your practice. Our team walks through deployment with your staff, configures the tools to your environment, and ensures everything is working before handing off. Most practices are fully onboarded within a few days. Ongoing management — monitoring, alerts, policy updates — is handled by our team and the SOC, not by your staff.

Does Fortify replace the need for full Managed IT Services?

Fortify is a focused cybersecurity layer — it is not a full Managed IT Services engagement. It does not cover helpdesk support, device procurement, network management, or general IT operations. When a threat is confirmed, Cosmistack contacts your designated point of contact to coordinate next steps — but active device remediation, recovery work, and general IT decisions remain with your team or a full managed IT partner. For practices that are not yet ready for full managed IT, Fortify is a meaningful, right-sized starting point. Many Fortify clients eventually expand into a broader Cosmistack managed services relationship as their confidence and needs grow.

How is Fortify priced?

Fortify is priced per user per month. Each user seat includes up to two devices — so a practice with 10 staff members and up to 20 devices pays one simple monthly total. If your practice has more than two devices per user, additional devices are billed separately at a per-device rate. There are no setup fees and no hidden costs. Contact us for a quote based on your practice's specific size.

Practice Owner or Physician?

Talk to someone who understands the risk landscape for practices your size — not a sales call, not a product demo. A 15-minute conversation about what you have, what you don't, and whether Fortify is the right fit.

Office or Practice Manager?

Get a custom quote for your specific practice size — device count, user count, tier. Clear pricing with a single monthly total. No commitment required or pushy sales follow-up, just the information you need to make the right decision for your practice.