Services
Cybersecurity, compliance & managed IT for clinical practices.
Two ways we deliver: a fully managed relationship across the Ohio Valley and five states, plus remote and project-based security and compliance work anywhere in the US.
At a glance
Two ways to work, side by side.
A fully managed regional relationship across the Ohio Valley, or remote and project work anywhere in the US. Cybersecurity and monitoring, remote IT support, and security awareness training are ongoing and nationwide — only hands-on, onsite work is tied to our region.
| What's included | Regional — Fully Managed Ohio Valley · ongoing, flat-rate | National — Remote & Project Anywhere in the US |
|---|---|---|
| Coverage area | Ohio Valley — KY, IN, OH, WV & TN | Anywhere in the US |
| Onsite, hands-on support | ✓ Included | By project — we travel for defined-scope onsite work |
| Day-to-day managed IT & help desk | ✓ Onsite + remote | ✓ Remote help desk |
| Cybersecurity & 24/7 monitoring (EDR/MDR) | ✓ | ✓ Ongoing |
| Microsoft 365 & email security | ✓ | ✓ |
| Security awareness training | ✓ | ✓ Ongoing |
| Backup & disaster recovery | ✓ | By project / program |
| HIPAA & security risk assessments | ✓ | ✓ |
| Compliance program build-out & management | ✓ | ✓ |
| Virtual / fractional CISO | ✓ | ✓ |
| Remediation & special projects | ✓ | ✓ |
| How it's delivered | Ongoing, flat-rate monthly | Ongoing or one-time project |
Fully Managed · Regional
Fully managed IT, security & compliance.
Our core, ongoing relationship for practices across the Ohio Valley and five states — onsite and remote. Six tightly scoped services that fit together into one calm, predictable program. Flat-rate. Documented. Accountable.
Managed IT
Full IT for clinic-style practices.
Your practice runs on technology, but you didn't open a clinic to manage it. REAL Cyber provides the day-to-day support, monitoring, and maintenance that keep your systems running — without the per-ticket invoices.
Our flat-rate managed IT covers your workstations, servers, network equipment, and the practice-management software you depend on. A real help desk picks up the phone when something breaks. Our engineers handle patching, vendor coordination, hardware lifecycle planning, and the unglamorous work that prevents most outages before they happen.
You get one predictable monthly invoice, one team that knows your environment, and one number to call when you need help.
Also available: business phone & VoIP → — hosted cloud phone for clinics and agencies, run by the same team.
Cybersecurity monitoring
Threats caught early. Impact limited.
Most cyber incidents don't start with a dramatic Hollywood breach — they start with a single phishing email, a reused password, or an unpatched workstation. REAL provides continuous monitoring designed to catch threats early, contain them quickly, and limit the impact on your practice.
We deploy endpoint detection and response (EDR) across your devices, monitor your Microsoft 365 identities for credential abuse, and watch your email environment for phishing and business email compromise. Alerts are triaged by our team — not dumped on yours.
When something does need attention, we follow a clear, practiced response process and keep you informed every step of the way.
HIPAA compliance readiness
A defensible HIPAA posture you can stand behind.
A HIPAA Security Rule audit doesn't ask if you feel compliant — it asks for documentation. REAL builds the documented, defensible posture your practice can stand behind: a current risk analysis, written policies, technical safeguards, and the evidence to back it all up.
We work through the administrative, physical, and technical safeguards required by the Security Rule, identify the gaps that matter most, and remediate them in priority order. The result is a HIPAA program your practice owns — not a binder gathering dust.
Compliance is ongoing, not a one-time project. We keep your documentation current as your practice and the threat landscape change.
Backup & disaster recovery
A bad day shouldn't become a closed practice.
REAL designs and maintains backup and recovery plans that protect your clinical, financial, and operational data — and prove they work when you need them.
Backups are encrypted, off-site, and tested on a regular schedule. We define recovery time and recovery point objectives that match the realities of your practice and document the exact steps to bring you back online after an outage, ransomware event, or hardware failure.
Most backup failures are silent until they're catastrophic. We catch them before they matter.
Microsoft 365 security
The front door, hardened.
Microsoft 365 is the front door to most modern practices — and the front door most attackers try first. Most breaches we see in clinic environments start with a compromised M365 account.
REAL hardens your Microsoft 365 tenant with the controls that actually block the attacks practices face: phishing-resistant multifactor authentication, conditional access policies tuned to your workflows, advanced anti-phishing and anti-malware filtering, and ongoing identity monitoring.
We configure it once, document it, and maintain it as Microsoft and the threat landscape evolve.
Security awareness training
Turn your team into a layer of defense.
The most expensive security incident in most clinics starts with a single click. Security awareness training turns your team from your largest attack surface into a layer of defense — but only if the training actually sticks.
REAL provides short, regular training built for busy clinic schedules: bite-sized lessons, role-relevant phishing simulations, and clear reporting so you can see where your team stands.
We don't grade staff or shame mistakes. We meet your team where they are and build the muscle memory that prevents the next click.
Project & Remote · Nationwide
Project & remote services, anywhere in the US.
Need a one-time assessment, a compliance framework stood up, a virtual CISO, or a defined-scope onsite project? We deliver security and compliance work nationwide — beyond our regional managed service.
FAQ
Questions about our services.
What's included in managed IT?
Our flat-rate managed IT covers your workstations, servers, network equipment, and the practice-management software you depend on — backed by a real help desk (phone, email, chat), 24/7 monitoring and alerting, patching and update management, endpoint management and asset inventory, vendor coordination, hardware procurement and lifecycle planning, and onboarding/offboarding workflows. One predictable monthly invoice, one team that knows your environment.
Do you require a long-term contract, or is it month-to-month?
Terms vary by engagement, and we spell them out clearly up front. After a free Cyber Risk Consult and assessment, we scope a flat-rate monthly quote to your practice — one predictable invoice, no surprise per-ticket charges. We'd rather earn your business every month than rely on a contract to keep it.
What's the difference between fully managed and remote/project services?
Fully managed is our core, ongoing relationship for practices across the Ohio Valley — Kentucky, Indiana, Ohio, West Virginia, and Tennessee — combining onsite and remote day-to-day IT, security, and compliance under one flat rate. Remote and project services are delivered to clients anywhere in the US: ongoing cybersecurity and monitoring, remote IT support, and security awareness training, plus defined-scope work like risk assessments, compliance programs, virtual CISO, and remediation. Only hands-on, onsite work is tied to our Ohio Valley region.
How fast do you respond when something breaks?
During business hours you reach a real member of our team — not a ticket queue or a bot — and someone who already knows your systems gets to work. Every engagement is backed by measurable SLAs that we define and document up front, and we triage by business impact, so an outage that stops patient care comes first.
REAL People. REAL Experience. REAL Solutions.
Book a 20-minute Cyber Risk Consult.
No pressure, no obligation — just a clear picture of where you stand.