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Rural & underserved healthcare cybersecurity

Affordable Cybersecurity for Rural & Critical Access Hospitals

Most security platforms assume a dedicated team, an enterprise budget, and analysts who read alerts all day. Rural hospitals don't work that way. FoundationDx watches your Microsoft 365 accounts for takeover and email compromise, and emails your IT person a plain-language to-do list every morning.

  • No-cost proof of value
  • Set up in days
  • No PHI accessed
  • Grant-eligible cybersecurity spend

What It Is, in 30 Seconds

FoundationDx is a security service that does the analyst's job for hospitals that can't hire one.

🔌

You connect Microsoft 365

Grant standard Microsoft 365 API permissions. No hardware, no software, no agents on your computers.

🧠

We learn every user's normal

Over 60 days we learn how each person signs in and sends email, then flag the accounts that stop acting like their owner.

📬

You get one email a day

A Daily Action Plan in plain language: what matters most, why, and exactly what to do about it.

One Person. Every Hat. No Security Team.

At a typical rural hospital, the IT director is also the network admin, the help desk, and sometimes the facilities coordinator. There is no security analyst. There is no SOC.

Compliance requires investment in security tools, but the firewalls, antivirus, and Microsoft Defender these organizations buy generate alerts that assume a trained specialist is reading them. For most rural hospitals, that person does not exist.

Meanwhile, the threats are the same ones hitting large health systems:

Business email compromise Credential theft Account takeover Password spray
A large system has a team watching for it. A rural hospital doesn't. That is the gap FoundationDx fills.

Typical rural hospital IT staffing

IT Director1 person
Network Administratorsame person
Help Desksame person
Facilities Coordinatorsometimes
Security Analystnone
Security Operations Centernone

If You're Reading This, One of These Is Probably True

What we hear most often from rural and critical access hospital IT leaders.

  • "I'm the entire IT department. I don't have time to read security alerts, let alone investigate them."
  • "Our cyber insurance renewal is asking how we detect compromised accounts, and I don't have a good answer."
  • "We pay for Microsoft Defender, but I can't tell which of its alerts actually matter."
  • "Enterprise security tools are priced for 5,000-user health systems, not a 150-person hospital."
  • "A staff mailbox got taken over and sent phishing to our vendors. We found out when they called us."
  • "There's grant money for cybersecurity, but I don't know what to buy or how to write it up."
FoundationDx was designed for exactly this. It does the watching and the analysis, and gives the one person who handles IT a short, plain-language list of what to do.

Connected in Days. Readable by Anyone.

FoundationDx connects to Microsoft 365 through standard API permissions. There's nothing to install and nothing to maintain on your side.

01
🔌

Connect

Grant standard Microsoft 365 API permissions. That's the entire setup.

02
📈

Baseline

Over 60 days, every user gets a behavioral baseline: how, when, and where they sign in, which devices they use, who they email, and how.

03
🧬

Detect & Fuse

Drift from baseline is flagged. When sign-in and email behavior shift on the same user within 48 hours, both signals fuse into one high-confidence finding.

04
📬

Daily Action Plan

A prioritized plan arrives by email every day in plain language: what matters most, why, and what to do about it.

  • No hardware
  • No software to install
  • No endpoint agents
  • No customer-side infrastructure
  • No portal login
  • No security background needed

If your organization has Microsoft 365, FoundationDx can be deployed in days.

Why It Works for Small and Rural Hospitals

Designed around the staff, budgets, and timelines rural hospitals actually have.

Works on Its Own

A first layer of security with no additional tools required. If you also run endpoint detection or MDR, it complements them by covering the behavioral signals they don't.

No Expertise Required

No custom rules. No complex configuration. No tuning. If you can read an email, you can use the platform.

Affordable & Predictable

A flat monthly subscription based on user count. Built for organizations with 50 to 500 users, not 5,000.

Lightweight

API permissions and email delivery. No IT project. No deployment timeline. No change management.

Privacy-First

No PHI accessed, stored, or transmitted. Authentication and behavioral metadata only: no email body content, no patient data, no clinical data.

Grant-Ready

We write the cybersecurity section of your funding application with you: scope, plan, costs, and measurable outcomes.

Built for Small Healthcare Organizations on Microsoft 365

If your organization runs Microsoft 365, has somewhere between 50 and 500 users, and has no one whose full-time job is security, FoundationDx was built for you.

  • Rural hospitals
  • Critical access hospitals
  • Rural health systems with several small facilities
  • Underserved and 501(c) healthcare organizations
  • IT teams of one to a few people

Running Daily on Real Rural Healthcare Data

FoundationDx is deployed at a multi-hospital healthcare system with four rural-based facilities, running every day on production data alongside the organization's existing security tools.

4
Rural-based facilities
3.5M
Events processed
~10K
Users monitored
Daily
On live production data
  • 9 Accounts flagged where sign-in behavior and email patterns shifted on the same user within 48 hours, fused into single prioritized findings. Live data, not simulated.
  • Coordinated behavioral shifts across multiple users identified as a campaign, invisible to tools that analyze users one at a time.
  • 5 / 260+ Only 5 of more than 260 flagged accounts appeared in any of the organization's other security tools. The platform finds what existing tools miss.

Fund Rural Hospital Cybersecurity With a Grant, Not Your Operating Budget

The Rural Health Transformation Program, a five-year federal initiative, lists cybersecurity enhancements as an explicitly eligible use of funds.

$50B
Five-year federal initiative
~$200M
Average first-year award per state
Eligible
Cybersecurity enhancements explicitly listed
2031
Rolling competitive applications through

FoundationDx is exactly the kind of affordable, lightweight cybersecurity these funds are designed to pay for. A rural hospital can include FoundationDx in a grant application for cybersecurity enhancement rather than funding it from its operating budget.

Funds are distributed through state programs. Check your state's requirements; we're happy to help you work through them.

We Can Help With the Application

We provide everything needed for the cybersecurity section of your funding application:

  • Technical scope
  • Implementation plan
  • Cost breakdown
  • Measurable outcomes
Your hospitalHandles the broader application.
FoundationDxHandles the part we know best.
Get Help With Your Grant Application

Questions Rural Hospitals Ask Us

If yours isn't here, email JR directly.

Can a rural hospital with no security staff use FoundationDx?
Yes. That is who it was built for. There are no rules to write, nothing to tune, and no portal to log in to. A prioritized Daily Action Plan arrives by email in plain language. If you can read an email, you can use it.
How much does it cost?
A predictable, flat monthly subscription based on user count, built for organizations with 50 to 500 users. You can start with a no-cost proof of value before committing to anything.
Can we use Rural Health Transformation Program funds?
The Rural Health Transformation Program lists cybersecurity enhancements as an eligible use of funds. Programs are run by each state, so check your state's requirements. We provide the technical scope, implementation plan, cost breakdown, and measurable outcomes for the cybersecurity section of your application.
Does FoundationDx access patient data or PHI?
No. No PHI is accessed, stored, or transmitted. FoundationDx uses authentication and behavioral metadata only: no email body content, no patient data, and no clinical data.
How long does setup take?
If your organization uses Microsoft 365, FoundationDx can be deployed in days. Setup is granting standard Microsoft 365 API permissions. There is no hardware, software installation, or endpoint agent.
Do we need other security tools for it to work?
No. FoundationDx works on its own as a first layer of security. If you also run endpoint detection or MDR, it complements them by covering behavioral signals they don't.

Start With a No-Cost Proof of Value

See what the platform finds in your own data before making any commitment.

1

You Provide API Permissions

Standard Microsoft 365 permissions. No installs, no hardware.

2

We Connect & Build Baselines

Behavioral baselines are built for every user in your environment.

3

You See the Findings

Prioritized, plain-language findings from your own data.

No contract. No risk. Just your data, interpreted.

JR DeFeo
Co-Founder, FoundationDx

Microsoft 365 and Microsoft Defender are trademarks or registered trademarks of Microsoft Corporation in the United States and/or other countries. FoundationDx is not affiliated with, endorsed by, or sponsored by Microsoft Corporation. All other trademarks, product names, and company names mentioned herein are the property of their respective owners.