SENTRY NINE for St. Aldric Health
3:12 a.m.Someone tries the door
SENTRY NINE × St. Aldric Health

Somebody tries the door at St. Aldric tonight. Your nurses never find out.

A three-year proposal for 24/7 managed detection and response, an incident response retainer and staff training across all six St. Aldric hospitals. It's organized around one night, start to finish.

ForMarcus, Renee, Daniel, Grace and Priya
FromThe Sentry Nine operations center
SentOctober 30, 2026
Good untilNovember 21, 2026

3:13What you told us in September.

Five people sign this. Each of them gave us one sentence in the discovery calls, and the rest of this page is built to answer them.

“If a nurse has to log in one more time, I'm out.”
Grace, Chief Nursing Officer
“Show me what happens at three in the morning. Not the slide.”
Renee, Chief Information Security Officer
“I need one number I can defend to the board.”
Daniel, Chief Financial Officer

3:14Fifty-four minutes at St. Aldric Westbrook.

Drag the timeline or press play. Four lanes, minute by minute. What the attacker tries, what our analysts see, who gets a call, and what happens on the ward.

Simulated exercise. Built from the containment playbook we'd agree with your team in onboarding. People named are your signers and our shift. Systems and times are illustrative.

03:12a.m.
A password from last week
Watching
SENTRY NINE SOC DATA CENTER ID LOCK BACKUPS OK Riverside North Hill Harbor Westbrook Valley Children's BILLING-0417
WatchedBlocked attemptChecked clearIsolated

The attacker

Sentry Nine sees

Who gets called

On the ward

Bed 12 · HR 72 · steady
One laptoptaken off the network, in an empty billing office.
Zero clinical systemstouched, paused or restarted. The EHR never blinks.
Three inboxestold what happened before 6 a.m., in plain English.

4:10What St. Aldric gets for three years.

Three services, one contract, one phone number. The replay you just watched is all three working together.

The room that's awake

Managed detection and response, 24 hours a day, every day of the year. Analysts watch every laptop, server, account and inbox across six hospitals and act on the playbook you approve.

What's inside
  • Endpoint agent on every covered device, watch-only until you say enforce
  • Identity, email and firewall telemetry
  • EHR access logs for odd behavior, like a billing account reading charts
  • Named shift leads who learn your network
  • Monthly threat review with Renee's team
Base of every option

The call you make once

An incident response retainer. If something gets past the playbook, our responders are on your bridge within the hour, with forensics, recovery and counsel support already contracted.

What's inside
  • Pre-paid hours you choose in the builder below
  • Unused hours convert to a tabletop exercise or a threat hunt
  • Evidence handled for counsel from the first minute
  • A written report your insurer will accept
Hours set by you

Staff who spot it first

Phishing practice and short training for 11,000 staff, scheduled around shifts. Nobody gets tested during a declared code, and results stay private to St. Aldric.

What's inside
  • Quarterly phishing practice, written for hospital life
  • Ten-minute lessons that run on any shift
  • A separate track for billing and HR, the usual first target
  • Unit-level results for managers, never names
Optional line

4:30Five people sign this. Each gets a straight answer.

Jump to your chapter. Every one is written so you can sign off without booking a call.

5:00Nothing goes down. Here's how.

M
MarcusChief Information Officer

We plug into what you already run. Nothing gets replaced in year one, and nothing on a clinical workstation reboots during a shift.

Every hospital starts in watch-only mode. We only switch a site to enforce after two full shifts with no change in login times or EHR response, measured by your own team.

If anything looks off, rollback is one command per site and takes under ten minutes.

Your systemHow we connectDowntime
Identity and single sign-onConnectRead-only API first, containment rights after sign-offDowntimeNone
EHR access logsConnectLog stream from the existing audit feed. We never touch the EHR itselfDowntimeNone
EmailConnectAPI connection to pull bad messages after deliveryDowntimeNone
Firewalls at six sitesConnectLog forwarding plus one passive sensor per comms roomDowntimeNone
Current endpoint toolConnectRuns alongside until your contract ends in June, then you chooseDowntimeNone
Medical devicesConnectPassive network listening only. No agent on any pump, monitor or scannerDowntimeNone

5:20Every device, every hour, with a clock on us.

R
ReneeChief Information Security Officer

These response times are in the contract with service credits behind them. Miss either one twice in a quarter and you can leave with 90 days' notice and no penalty.

You'll have named shift leads who know Westbrook from Harbor, and a direct line to the analyst holding your case. No ticket queue at 3 a.m.

10 minA person acknowledges any critical alert, any hour
30 minContainment on pre-approved actions, like isolating a laptop
4 hrsWritten summary to your inbox, in plain English
Laptops, workstations and serversAll covered
Accounts and sign-insAll covered
Email across all six hospitalsAll covered
Network traffic at each hospitalPer hospital chosen
EHR access patternsAll covered
Pumps, monitors, imagingWith device add-on

5:40Put your own numbers in.

D
DanielChief Financial Officer

We won't quote you industry breach costs. You know your own revenue better than any survey, and you watched what diversion did to a neighbor.

Slide in your figures. We've put placeholders in so it isn't empty. Your finance team should replace them before this goes to the board.

Placeholder. Replace with your figure.
Diversion, paper charting, delayed billing. Your estimate.
At your numbers, a bad week puts $32.2M of revenue at risk.
A full year of Sentry Nine costs what 0.7 days of that disruption would.

Uses the annual total from the coverage builder below, which updates as you change it. Recovery costs, fines and legal fees are left out on purpose.

6:00Your nurses see the same screen tomorrow.

G
GraceChief Nursing Officer

No new logins, no new pop-ups and no new passwords. Badge tap stays badge tap. Our agent has no window, no tray icon and no alerts that a clinician can see.

Alerts go to IT and to us. They never go to a nurse's station.

St. AldricTAPTap your badge to sign in4 WEST · WS-1206:58
This Tuesday
St. AldricTAPTap your badge to sign in4 WEST · WS-1206:58
With Sentry Nine
  • Installs on nursing units only in windows your unit managers pick
  • No phishing practice sent to a unit during a declared code or surge
  • Training is ten minutes a quarter and counts toward existing compliance hours
  • NICU and PICU workstations go last, after every other site is stable
  • A nurse-facing one-page explainer, written with your educators, before day one

6:20You hold the clock. We keep it honest.

P
PriyaGeneral Counsel

Under HIPAA, a breach of patient information starts a notification window of no more than 60 days from discovery. We never decide whether something is a breach. You do, with the facts we hand you on a schedule.

We sign your business associate agreement before onboarding starts, keep a chain of custody on every piece of evidence, and can run an investigation under your direction so privilege is protected.

Day 0 Day 10 Day 30 Day 60
DiscoveryLatest notice date
  • Hour 1Evidence preserved and logged. You get a call if patient data could be involved.
  • Hour 24Preliminary facts in writing. What we know, what we don't, what we're checking.
  • Day 10Draft forensic report, written for counsel and your insurer.
  • Day 30Final report, with the affected records counted if any were reached.
  • Your callWhether, who and when to notify. We support the paperwork either way.

6:30The first 90 days, hospital by hospital.

Valley goes first because it's smallest. Children's goes last because its units can least afford surprises. Tick things off as you read, and see how each site gets from watch-only to fully covered.

0/0

6:45One number for the board.

Build the coverage you want. The base stays the same in every version, and every other line can come off on its own. When you turn one off, it says exactly what you'd lose.

24/7 operations center and platform

$640,000

Analysts, named shift leads, the response commitments in Renee's chapter, monthly reviews. The same in every version of this deal.

Endpoints covered

$1,680,000

14,000 laptops, workstations and servers at $120 each a year. Your inventory counted about 14,000.

8,00018,000

Hospitals with network sensors

$510,000

$85,000 per hospital a year. A passive sensor in the comms room, on-site onboarding and a named site lead.

Medical device monitoring

$240,000

Passive watch over pumps, monitors and imaging, up to 9,000 devices.

Devices drop out of view. We'd still see anything they talk to on the network, but not the devices themselves.

Phishing practice and staff training

$96,000

All 11,000 staff, quarterly, scheduled around shifts.

No practice emails or lessons. Billing and HR, the usual first target, get no extra training.

Incident response retainer

$62,000

Pre-paid responder hours at $310 an hour, for anything beyond the playbook. Unused hours convert to exercises.

hours a year

Our pick is everything as shown. Keep all six hospitals and the device monitoring. That's where the gaps are in health systems your size. If the number has to come down, take the retainer to 100 hours first. The base already covers responding to anything we catch.

6:55Three years, from signature to renewal.

Sign by November 21 and Valley starts the first week of December, ahead of the January surge.

Sign and start

Dec 2026

BAA signed, kickoff with all five signers, Valley in watch-only.

Six hospitals online

Days 1 to 90

Site by site, watch-only to enforce. Checklist above.

The 3:12 tabletop

Month 4

Your leadership runs the replay live, with real phones.

Review with Renee

Every quarter

What we saw, what we stopped, what we'd change.

Attack simulation

Year 2

We try to get in, the way someone else would. You get the report.

Renewal talk

Year 3, month 30

Six months' notice. No auto-renew, no surprise increase.

6:58The terms, and what we don't know yet.

Terms in plain language

How you pay

Quarterly in advance, net 30. The annual total holds for all three years. No setup fee. Onboarding is inside the base.

How you can leave

If we miss a response commitment twice in one quarter, you can end the contract with 90 days' notice and no penalty. Otherwise the term is three years.

Your data

It stays in US data centers, it's yours, and it's deleted within 30 days of the contract ending, with a certificate. We sign your business associate agreement before anything connects.

What we're liable for

We carry $25M in cyber and professional liability insurance and name St. Aldric as an additional insured. Certificates go to Priya before signature.

Changing the coverage

Add endpoints or a hospital at the same rate at any time. Removing coverage takes effect at the next quarter.

Open questions

  • How many medical devices are on your network?The device price assumes up to 9,000. If the inventory finds more or fewer, we'll re-quote in either direction before day 60.
  • Keep or replace your endpoint tool in June?Both work. Replacing it saves you its license. We'd want Marcus's call by March.
  • Who's the night escalation at Children's?Every other site routes through on-call IT. Children's may want its own contact.
  • Does your insurer need a named responder?Some policies specify one. If yours does, we'll check we're approved before signing.

7:00Day shift arrives. Nobody heard a thing.

That's the whole job. Here's how we start.

Today

Reply with any changes, or accept as built. We'll send the agreement and BAA the same day.

By November 21

Signatures from the five of you. Priya gets our insurance certificates first.

First week of December

Kickoff on site at Valley, then the 90-day plan begins.

SENTRY NINEA Closewell Studio example. Companies and figures are fictional.