Most IT companies can protect your practice. Very few can prove it.
Managed IT, 24/7 threat detection, and a documented HIPAA program for healthcare organizations across Tennessee and the Southeast. One partner. One evidence file. One monthly price you can see before you call us.
- 35 healthcare organizations
- 96 locations
- 1,180 clinicians and staff
Client name redactedOrthopaedics · 4 locations
- Risk analysis §164.308(a)(1)(ii)(A) 14 May 2026
- Risk management plan §164.308(a)(1)(ii)(B) 14 May 2026
- Asset and ePHI-flow inventory §164.310(d)(2)(iii) 01 Jul 2026
- Encryption status attestation §164.312(a)(2)(iv) 30 Jun 2026
- MFA coverage report §164.312(d) 19 Jul 2026
- Workforce training records §164.308(a)(5) 30 Jun 2026
- Business associate register §164.308(b)(1) 02 Apr 2026
- Access review and terminations §164.308(a)(3)(ii)(C) 01 Jul 2026
The most common finding in HIPAA enforcement isn’t a missing firewall. It’s a missing risk analysis.
Which means the thing healthcare practices get penalized for is a documentation failure, not a technology failure. And documentation is exactly what a generalist IT company does not produce, because it was never part of the managed services product they sold you.
Chartline’s product is the security program and the paper trail that proves it existed.
How the compliance program worksFigures current as of July 1, 2026. Retention is trailing 24 months. Four OCR data requests and investigations supported since 2021; zero penalties assessed against a Chartline client.
Three things, and we can show you all three.
Every provider in this category claims specialization, responsiveness, and compliance. These are the versions of those claims that come with a document attached.
Healthcare only
We do not take a law firm, a construction company, or a car dealership. Every engineer here has worked in an operatory, a clinical closet, and a billing office.
- Dental PM
- Dentrix · Eaglesoft · Open Dental
- Ambulatory EHR
- eCW · athenahealth · NextGen
- Imaging
- Orthanc · DICOM · PACS
- Behavioral health
- Kipu · Netsmart · Qualifacts
Evidence, not assurances
Every client gets a living evidence file, reviewed quarterly and delivered in a format built for an OCR data request.
- Risk analysis
- §164.308(a)(1)(ii)(A)
- Risk management plan
- §164.308(a)(1)(ii)(B)
- BAA register
- §164.308(b)(1)
- Recognized Security Practices
- HITECH §13412
Commitments with teeth
Our response targets are published, tiered by clinical severity, and backed by a service credit when we miss. Nobody else in this market publishes a remedy.
- P1 first response
- 15 minutes, 24/7
- Containment initiated
- 15 min of detection
- Credit per missed P1 or P2
- 5% of the invoice
- Credits issued last quarter
- $1,840
Six kinds of practice. One standard.
Each of these has a regulatory reality a generalist has never had to learn. The behavioral health provider and the ambulatory surgery center are not running the same risk, and they should not get the same program.
Physician groups and specialty practices
Ortho, GI, ophthalmology, women’s health, and primary care. An Epic Community Connect affiliation inherits the host system’s security and audit obligations, and MIPS attestation is a hard annual deadline.
Dental practices and DSOs
On-premise Dentrix, Eaglesoft, and Open Dental, imaging servers, and operatory workstations. The highest ransomware exposure per dollar of revenue in our book.
Behavioral health and SUD providers
42 CFR Part 2 civil enforcement went live February 16, 2026. Consent management, redisclosure controls, and disclosure accounting sit on top of HIPAA.
Ambulatory surgery centers
Anesthesia machines, monitoring equipment, and imaging on the same network as scheduling. IoMT segmentation is the whole job.
Medical billing and RCM companies
Direct liability as a business associate, large remote workforces, and a client base that will start asking for your SOC 2. The Consociate settlement is the cautionary tale.
Home health and hospice
A fully mobile workforce, personal devices, cellular connectivity, and high staff turnover. Device management and offboarding discipline are the controls that matter.
Multi-location groups and acquisitions
Diligence, post-close integration, and one standard across an estate assembled from other people’s decisions. We have integrated 27 practice acquisitions.
Published targets. Published remedy.
Across every comparable provider we examined, exactly one published a response-time number, and it was an average rather than a commitment. None published targets tiered by clinical severity, and none offered a remedy when they miss. This is our whole table.
EHR or practice management unavailable, a site offline, suspected ransomware, imaging down.
A clinician or front-desk user cannot see patients.
Functional but impaired.
New user, hardware, access change.
Security response. Containment initiated within 15 minutes of confirmed detection, 24/7/365. With contractual authority to isolate hosts, terminate processes, and disable accounts. We do not wait for a callback at 2am to stop an encryption event.
Remedy. If we miss a P1 or P2 first-response target, you are credited 5% of that month’s managed services invoice per miss, up to 25% in any month. Credits are applied automatically. You do not have to ask for one, and you do not have to notice.
Our rates are on the website.
We would rather lose a deal on price than spend three meetings avoiding the question. Rates below are per user per month at 15–49 users. The volume schedule and every add-on price are published too.
Chartline Core
Managed IT with a security baseline.
$135/ user / month
15-user minimum · 36-month term
Help desk, patching, EDR, Microsoft 365, enforced MFA, immutable backup, and the asset inventory. Everything a practice needs to be running and defensible.
- Unlimited remote help desk
- 24/7 monitoring and patching
- Managed EDR
- Microsoft 365 management
- Enforced MFA on every path into ePHI
- Email security
Chartline Secure
Everything in Core, plus 24/7 detection and response.
$189/ user / month
15-user minimum · 36-month term
For practices whose carrier, payer, or health-system affiliate has started asking questions. Containment authority, log retention, segmentation, and the exposure monitoring that finds what a scanner does not.
- 24/7/365 managed detection and response
- Identity threat detection and response
- Managed SIEM and log retention
- Continuous vulnerability management
- Network segmentation
- Legacy medical device program
Chartline Compliant
Everything in Secure, plus the HIPAA program and the evidence file.
$255/ user / month
25-user minimum · 36-month term
The security program and the paper trail that proves it existed. A named security officer, a real risk analysis, a dated remediation plan, and an evidence file built for an OCR data request.
- Annual HIPAA Security Risk Analysis
- Risk management plan
- vCISO engagement
- The Evidence File
- Policy library
- Annual incident response tabletop
Three engagements, with the numbers.
Everyone in this category has testimonials. Almost nobody publishes a case study with a before and an after in it.
An 11-location dental group, encrypted on a Thursday night.
- 31 hrs
- To first chair back in service
- 0
- Ransom paid
- 4 days
- To full operation across all 11 sites
Twelve acquired practices, three PM systems, one standard.
- 14 mo
- To a single standard across 12 sites
- −41%
- Tickets per location per month
- −28%
- IT cost per location
An OCR data request answered in nine business days.
- 9 days
- To a complete response, against a 30-day clock
- 0
- Penalties assessed
- 0
- Artifacts created after the request arrived
Attributed by role, specialty, and city.
We publish the role and the practice profile rather than a headshot and a first name, because that is the detail another practice administrator can actually evaluate.
Clients consent to publication by role and market. Named references, including direct introductions to a comparable practice in your specialty, are provided on request during evaluation.
“Our carrier came back at renewal and asked for MFA coverage by system, not a yes or no. Chartline sent the report the same afternoon. Our previous provider would have needed a month and would have guessed at half of it.”
“The part I did not expect was the credit showing up on the invoice without me raising it. They missed a P1 by four minutes in February and told me before I noticed.”
“I am the HIPAA Security Officer on top of being the practice manager. Before Chartline that title meant a binder I was afraid to open. Now it means a monthly meeting and a document I can hand to anybody who asks.”
“We were three weeks from closing on two practices and the diligence report told us one of them had an unreported incident from 2024. That finding changed the price.”
Including our own.
The first question a health-system security reviewer asks is not about your practice. It is “how do we know you are secure?” We answer it with an audit report.