Three real line items. None of them require a hypothetical breach to justify the spend.
Healthcare security ROI math tends to fall apart when it relies on probability-weighted breach avoidance — the number gets too big and the probability too disputable. The CybrIQ math holds without that line item. Three things happen during normal operations that are easy to count: avoided OCR-penalty exposure on the recurring §164.308 finding pattern, reduced M&A integration labor if you acquire on a cycle, and a measurable reduction in audit-prep effort.
Line item 1 — avoided OCR penalty exposure.
The Risk Analysis Initiative resolution agreements published since 2024 have produced settlements from $80,000 to $4.75 million, with most landing between $200,000 and $1.2M, plus multi-year corrective action plans whose implementation cost typically exceeds the settlement itself. We do not eliminate enforcement risk. What we do is close the specific inventory-accuracy finding that has been the cited deficiency in nearly every published agreement.
Line item 2 — M&A integration labor.
For health systems with active acquisition pipelines and MSOs absorbing practice groups, the recurring cost of network discovery and device enumeration for each new site runs into tens of thousands of dollars per integration in FTE time. The same pattern with CybrIQ in place — preposition an ESE instance, enable read-only switch access at close, receive inventory in hours — collapses that cost. The math compounds for repeat acquirers.
Line item 3 — audit-prep cycles.
The annual reconstruction of a defensible inventory for the §164.308 risk analysis tends to run six to ten weeks of cross-functional time, pulling from InfoSec, IT, Clinical Engineering, and external assessors. A continuous inventory does not eliminate the analysis itself; it eliminates the annual reconstruction. The reclaimed time is the line item.
What the math does not assume.
No probability-weighted breach avoidance. No promised reduction in incident rate. No guaranteed cyber-insurance premium movement. The numbers above are line items that materialize during normal operations, not after a hypothetical incident.