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Stop losing deals to hospital security reviews.

Every hospital system reviews vendors independently — own template, own privacy officer, own BAA redlines. Your staff engineer spent the last six weeks answering the same HIPAA, HITRUST, and subprocessor questions in a different spreadsheet. The Targhee agent turns that into a two-day cycle, every answer cited from your HITRUST cert, BAA, and past hospital responses, with your team approving before it goes out.

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RX
Hospital Vendor Security Review
218 questions · HIPAA + HITRUST + custom
AI Complete
198 / 218 auto-completed Avg confidence 93%
Describe your HITRUST certification status & scope.
HITRUST r2 certified (CSF v11.7). Scope covers production infrastructure + PHI processing. Current report attached.
HITRUST Report 2025 · §1.2 · Coalfire
97%
List all subprocessors with access to PHI.
AWS (HIPAA-eligible services, BAA in place), Datadog (metadata only, BAA), Twilio (PHI-scoped BAA). Full chain attached.
Subprocessor List · §3 · BAA folder
95%
Breach notification SLA for PHI incidents?
60-day to covered entity per HIPAA 45 CFR 164.410. State variations (CA, TX, NY) need review against latest policy draft.
Breach Policy v2.4 · §5 · 2025 draft
63%
2–3d
Avg turnaround
per hospital review
95%+
First-pass
AI accuracy
12+
Healthcare frameworks
out of the box
75%
Never arrive
with Trust Center
§ 01 — The problem

Every hospital reviews you like you've never been reviewed before.

Close one hospital, and the next system's privacy officer starts the whole review from scratch. Different template, different framework emphasis, different BAA redlines. Security review is almost always the critical path — and it doesn't get shorter the more hospitals you sign.

What hospitals are asking

HIPAA. HITRUST. BAA terms. PHI subprocessor flows.

Hospital vendor assessments layer HIPAA Security Rule, HITRUST CSF controls, SOC 2 Type II, HITECH breach rules, and hospital-specific PHI-handling questions — plus BAA redlines your legal team negotiates clause by clause.

Payers add MARS-E and CMS interoperability. Clinical-trial and device platforms add 21 CFR Part 11. One answer, six overlapping frameworks.

HIPAA Security Rule HITRUST CSF v11.7 SOC 2 Type II BAA redlines Subprocessor PHI flows HITECH breach rule
Why it blocks deals

Security review adds 6–10 weeks on the critical path.

The clinical sponsor is ready. Procurement is ready. IT security sends back 60 clarification questions. The privacy officer wants proof of every PHI subprocessor's BAA chain. The deal sits for six weeks.

Miss the budget window and the deal rolls two quarters. Meanwhile your staff engineer is copying last quarter's answers into this quarter's spreadsheet instead of shipping product.

6–10 wk reviews ~45 hrs/review 200+ Q per hospital Privacy-officer SMEs BAA handoffs
§ 02 — The approach

Two strategies for hospital deals. One platform.

Answering hospital questionnaires in 2–3 days matters. Letting hospital IT security and privacy officers self-serve the answers before they send a questionnaire matters more. Targhee does both — and they share one healthcare-aware knowledge base.

Strategy 01

Deflect: publish the hospital answers before they ask.

A Trust Center with your HITRUST certification, SOC 2 report, BAA template, subprocessor list, and HIPAA risk assessment — NDA-gated. Most hospital questionnaires are IT security confirming these artifacts exist. Show them first and the 200-question workbook often never gets sent.

  • HITRUST, SOC 2, BAA template, HIPAA risk assessment — one NDA-gated page
  • Privacy-officer FAQ answers the top 40 hospital questions
  • Access logs surface which hospital is reviewing — before the deal call
−75%
Fewer hospital questionnaires · 90 days
Explore Trust Center →
Strategy 02

Automate: answer the rest with citations.

When a hospital questionnaire does arrive, Targhee's AI drafts every answer from your HITRUST report, SOC 2, BAA, and past hospital responses — each line cited and confidence-scored. Your privacy officer reviews PHI-adjacent flagged answers, your security lead approves the rest, exports in the hospital's format.

  • Citations back to your HITRUST cert, BAA clauses & past responses
  • PHI-adjacent questions flagged stricter for privacy-officer review
  • Exports in the hospital's format — Excel, OneTrust, Archer, PDF
2–3d
Avg review · per hospital questionnaire
Explore Questionnaire Automation →
§ 03 — Under the hood

Built for the parts of hospital review that actually trip you up.

The privacy officer's BAA redlines. The framework stack every hospital layers on top. The PHI subprocessor questions that get re-asked at every renewal. Here's how Targhee handles the two hardest parts of healthtech security review.

Template handling

Every hospital's template, parsed and preserved.

Hospitals send questionnaires in five formats: their own Excel workbook, OneTrust portal, RSA Archer assessment, ProcessUnity review, or a PDF with embedded BAA clauses. Targhee parses each one, answers in context, and exports in the same format IT security sent.

  • Proprietary Excel — tabs, merged cells, BAA clause columns all preserved
  • OneTrust, RSA Archer, ProcessUnity, Whistic, Vendict portal assessments
  • PDF + BAA attachments — OCR'd and structured into answerable items
  • Export matches the hospital's format — no manual reformat step
Active Hospital Reviews
5 systems · 4 formats · 2–3d avg
On track
AM
Academic Medical Center
OneTrust portal · 218 Qs
93% drafted NE
ID
Multi-state IDN
Proprietary Excel · 287 Qs
In review MW
RH
Regional Health System
RSA Archer · 165 Qs
Drafted SE
PY
National Payer
ProcessUnity · 240 Qs
MARS-E US
CT
Clinical Trial Sponsor
Custom PDF + BAA · 142 Qs
21 CFR 11 US
Framework coverage

Every healthcare framework on the hospital questionnaire.

Hospital questionnaires draw from federal regulations (HIPAA, HITECH), voluntary certifications (HITRUST, SOC 2), state-level privacy laws (CMIA, SHIELD), and hospital-specific PHI handling addenda. Targhee's knowledge base stays current on every one your hospital buyer references.

  • HIPAA Security + Privacy + HITECH breach rule — full control mapping
  • HITRUST CSF v11.7 — healthcare-specific control set with citation IDs
  • ONC EHR, 42 CFR Part 2, FDA 21 CFR Part 11 — clinical & device layers
  • CMS MARS-E + state-level (CMIA, SHIELD) for payer workflows
Healthcare framework coverage
12 frameworks · auto-updated
HIPAA Security45 CFR 164.300
HIPAA Privacy45 CFR 164.500
HITRUST CSF v11.7Healthcare ctrls
SOC 2 Type IITrust services
HITECH breachNotification SLAs
ONC Health ITEHR criteria
42 CFR Part 2SUD records
FDA 21 CFR 11Clinical records
CMS MARS-EExchange sec
CMIA / SHIELDState health priv
GDPR / UK DPASpecial-category
ISO 27001 / 27799ISMS + health
§ 04 — Who it helps

Every team dragged into hospital security review.

Hospital reviews cross sales, security, and privacy/legal. The privacy officer especially gets pulled into every PHI-adjacent answer. Targhee compresses the workflow for all three — without changing the review or approval authority any of them need.

§ 05 — Questions

What healthtech security leaders ask us first.

Common healthtech questions.

Specific to your HITRUST scope, your BAA template, or a hospital review currently stuck in your pipeline? Bring it to the demo — we'll walk through it live on your actual documents.

Book a demo →
No — and that's deliberate. Targhee processes security questionnaire answers and supporting documents (SOC 2, HITRUST reports, BAAs, policies, subprocessor lists) — not clinical records. You don't upload PHI to Targhee. That said, your uploaded content lives in an isolated tenant, with no cross-customer data mixing and no model training on your documents. We're happy to walk through architecture on the call.
Yes — that's the most common format in healthcare. Targhee parses arbitrary Excel structure (nested tabs, merged cells, BAA-clause columns) and preserves it on export. Same for PDF assessments and portal-based reviews (OneTrust, RSA Archer, ProcessUnity, Whistic, Vendict). Hospital IT security gets their exact template back, filled in.
It makes Targhee faster. HITRUST controls map directly to many questions in hospital vendor assessments. Upload your HITRUST r2 report once, and Targhee cites specific control IDs in its answers — which is exactly what hospital privacy officers want to see. Same for HIPAA Security Rule and HITECH mappings.
Upload your BAA template and Targhee indexes the clauses — subprocessor flow-down, breach notification timelines, termination rights, audit rights, secure destruction. Questionnaire answers about BAA terms get cited back to your actual BAA clause, not generic boilerplate. If a hospital counsel pushes back on a specific clause, you see the exact source the response came from.
Every answer includes a source citation back to your actual documentation — HITRUST cert, BAA, breach notification policy, HIPAA risk assessment — plus a confidence score. Low-confidence answers surface first in the review queue. Nothing goes out without human approval. For PHI-adjacent questions specifically, the confidence threshold is stricter and privacy-officer review is recommended before export.
At 20 reviews averaging 45 hours each at fully-loaded senior engineering rates, you're looking at ~$85K/yr in hidden labor — not counting privacy officer time or deals that slip past clinical budget windows. Targhee starts at $12K/yr flat. The math isn't close.
Yes. Payer security reviews are arguably more intense than provider reviews — MARS-E, CMS interoperability rules, state DOI requirements, and payer-specific vendor management programs. Same workflow: upload your SOC 2, HITRUST, privacy policies, and past payer responses, and Targhee drafts against them. We also see strong traction with clinical trial & device platforms (21 CFR Part 11, GxP validation questions) and payer/provider analytics platforms where payers want detailed data flow diagrams in the questionnaire response itself.

Bring a hospital questionnaire to the demo.

Send us whatever hospital review is currently stuck in your pipeline. We'll run it through Targhee live on your actual documents — HITRUST report, BAA template, SOC 2, past responses — so you can compare the output to what your team would draft manually.

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