ZERO-DOWNTIME CONTINUITY
EHR-AGNOSTIC
Externally Hosted
Healthcare
Never Stops
Spare Tire® is the zero-downtime continuity layer built for healthcare. Continuity during failure, not recovery after failure.
The accreditation benchmark moved to 30 days. The federal direction matches it: the proposed HIPAA Security Rule update and the Health Care Cybersecurity and Resiliency Act (S.3315) both push hospitals toward resilience, not faster recovery.
The benchmark moved
30 days is the new planning standard.
The goal is to help organizations maintain “safe, quality patient care and clinical operations at all times.”
Jonathan Perlin, MD, President & CEO, The Joint Commission
A cyberattack that delays patient care is “more than a data crime; it is a threat to life crime.”
John Riggi, National Advisor for Cybersecurity and Risk, AHA
01
Maintaining safe patient care during cyber disruptions.
02
Coordinating clinical, operational, and leadership response during downtime.
03
Preparing staff to function effectively during a significant cyber incident.
04
Identifying and mitigating risks that threaten clinical continuity.
CRR Alignment Brief
The 30-day benchmark and the four CRR dimensions, mapped to what Spare Tire does. One page.
Spare Tire One-Pager
The zero-downtime continuity overview for healthcare. Stats, sources, and how it works.
Both free to download, no form. The in-depth white paper further down this page is the only piece that asks for your email.
The threat
The next one is already moving.
Ransomware against hospitals nearly doubled since 2021. The benchmark below is what the AHA and Joint Commission now expect every hospital to plan for.
30 days
The new cyber-outage planning benchmark.
AHA / Joint Commission, 2026.
67%
of US healthcare organizations hit by ransomware in 2024, up from 34% in 2021.
Sophos State of Ransomware in Healthcare, 2024.
$1M–$8M
in lost revenue per day of downtime, before remediation and patient harm.
Hospital financial disclosures.
48 hours
of avoided downtime recovers a multi-year Spare Tire contract.
Derived from disclosed per-day cost.
Care interrupted
When the record goes dark, care waits.
Recent hospital ransomware events ran four-plus weeks of downtime. CommonSpirit lost 38 days, ambulances diverted. Care waits while IT works to restore.
The gap · why backup and DR alone fail
The data is not safe.
Backups sit on the same network, behind the same credentials as production. Attackers know it, so they reach the backups first.
95%
of healthcare ransomware attacks target backups.
Sophos, 2024.
66%
of those backup-compromise attempts succeed.
Sophos, 2024.
$11M
average healthcare data breach cost per incident.
IBM Cost of a Data Breach, 2024.
Source: Sophos State of Ransomware in Healthcare, 2024 and 2025.
The math · from the public filings
What 30 days has cost in the field.
Each organization below had a security program, backups, a disaster recovery plan, and cyber insurance. None had a continuity layer that kept clinicians working through the outage.
| Organization | Date | Downtime | Disclosed Cost | Per-Day Burn |
|---|---|---|---|---|
| Universal Health Services | Sept 2020 | 3 weeks | $67M loss | ~$3.5M/day |
| Scripps Health | May 2021 | 4 weeks | $112.7M loss | ~$3.3M/day |
| CommonSpirit Health | Oct 2022 | 38 days | $160M cost | ~$4.2M/day |
| Ardent Health Services | Nov 2023 | 14 days | $74M cost | ~$5.3M/day |
| Change Healthcare | Feb 2024 | Weeks | $2.9B+ disclosed | 94% of US hospitals |
| Ascension Health | May 2024 | ~6 weeks | $1.8B FY24 loss | ~$48M/day |
What the CRR asks · what Spare Tire does
The four dimensions, answered.
01 · The CRR Asks
Maintain safe patient care during cyber disruptions.
Spare Tire Does
Full read-write clinical workflow on web and mobile, ready in under a minute. Clinicians document, place orders, verify medications, and manage beds without interruption.
02 · The CRR Asks
Coordinate clinical, operational, and leadership response during downtime.
Spare Tire Does
Runs in parallel with the primary EHR on a separate vendor’s cloud with separate credentials. Already live when downtime starts, so lateral movement from a compromised EHR has nowhere to go.
03 · The CRR Asks
Prepare staff to function effectively during a significant cyber incident.
Spare Tire Does
No clinician change of behavior required. Familiar workflows, same data, web and mobile access on IT-cleared devices. Minimal training. Staff log in and keep working.
04 · The CRR Asks
Identify and mitigate risks that threaten clinical continuity.
Spare Tire Does
CyberVault validates incoming records against ransomware signatures before sync-back to the primary EHR. It closes the contaminated-restore failure mode structurally.
How it works · the lifecycle
Always synced. Auto-reconciled.
Spare Tire is not waiting in cold storage. It runs live, in production, on an external cloud, ready before the event begins.
01 · Day to Day
Ongoing records sync
Spare Tire runs in parallel with the primary EHR. Patient records sync in real time through a bi-directional HL7 interface on ShelterZoom’s external cloud. No clinician change of behavior required.
Operational continuity
Cyberattack, vendor failure, power outage, or planned upgrade. Clinicians keep documenting, ordering, and treating from web or mobile, even on limited networks. Care does not stop.
Validated sync-back
Records created during downtime flow back to the primary EHR automatically. CyberVault validates them before sync-back. Audit trail and timestamps preserved. No manual re-entry.
A complete clinical workspace · ten modules, ready the moment downtime hits
Encounter
Vitals
Clinical Notes
Patient Snapshot
Chart Review
Medication
Orders
Results
ADT & Bed Status
Back to paper
The cost of going back to paper.
Paper is not a continuity plan. The downtime kit was built for 72 hours; the outages now run weeks. A single healthcare breach averages $11M (IBM, 2024).
Proof · three EHRs went dark
84 combined days on paper.
Three US health systems lost the electronic record to ransomware and ran on pen and paper for weeks. Different EHRs, different attackers, the same failure mode.
9 Days
9 days to Epic restoration. All 35 clinics statewide closed. Chemotherapy, ambulatory surgery, and imaging cancelled. The core database was never breached.
UMMC
Univ. of Mississippi Medical Center · Feb 2026 · Medusa
37 Days
37 days to network-wide restoration. $1.8B FY24 operating loss. 5.6M records involved. Six weeks of pen-and-paper operations. Existing downtime plans had been built for one to three days.
Ascension Health
140 hospitals, 19 states · May 2024 · Black Basta
38 Days
38 days to majority restoration. $160M confirmed cost. Ambulances diverted across states. A patient’s cancerous tongue-tumor removal pushed several days. The core EMR was never breached.
CommonSpirit Health
2nd-largest US nonprofit system · Oct 2022
Your backup vendor is the tow truck. Spare Tire is the spare tire in the trunk. You need both. Only one of them means clinicians never stop treating patients.
Sources: company financial filings, HHS OCR breach portal, Ascension FY2024 results, CommonSpirit filings, HIPAA Journal, BleepingComputer, Mississippi Today. Frontline patient-harm accounts are reported as such.
Built for every EHR, every care setting
EHR-Agnostic
Standard HL7 integration
Externally Hosted
ISO 27001:2022
80+ patents & trademarks
20+ countries
The benchmark moved. The remediation is available now.
Three steps resolve the decision. The diagnostic is the CRR’s job. The remediation is yours.
Take the free CRR self-assessment. 35 to 45 minutes, on the Joint Commission website. Bring the CIO, CISO, CMIO, and a nursing leader.
Book a 30-minute working session. We map your EHR, your last downtime event, and the cost of preventing the next one.
Get the 30-Day Brief
Thirty Days on the Balance Sheet. The finance-leadership white paper. Full math, all public sources.
By requesting the brief you agree to be contacted by ShelterZoom about Spare Tire. We do not sell your information.