Download the US Hospital Cyber Resilience 2026: Identity, Insurance, and Incident Readiness Report

The sister report to the upstream-focused cyber readiness volume. Where Volume 1 shows how to cut off compromised vendors and AI platforms in minutes, Volume 2 shows how to build the governance, identity, contracts, and insurance backbone that makes that speed and discipline actually possible.

Why this report, why now

Hospitals are being judged on more than whether they have “a cyber program.” Regulators, payers, underwriters, and boards now expect upstream-ready resilience that:

• Recognizes vendors and AI platforms as critical infrastructure
• Treats non-human identities as first-class risk
• Aligns contracts and coverage with how real attacks and outages unfold
• Produces evidence that stands up under post-incident scrutiny

This report is designed to bridge that gap. It turns survey input from executives, CISOs, and cyber leaders into clear patterns of what’s actually working in the field — and where hospitals are still exposed.

What you’ll get (at a glance)

• Four connected lenses on resilience: Frameworks & governance, identity and non-human access, workforce & culture, and infrastructure/devices/third-party & AI ecosystem — presented as a single operating picture instead of separate, competing workstreams.
• Identity and non-human access made practical: How peer hospitals are inventorying service accounts, app registrations, VPNs, tunnels, API keys, model/API tokens, and AI connectors; who owns them; and how they’re wired into kill-switch playbooks, not just CMDBs and spreadsheets.
• How frameworks and regulations are used in real hospitals: NIST CSF 2.0, HPH Cybersecurity Performance Goals, HIPAA Security Rule expectations, and emerging AI guidance are translated into concrete upstream questions: what boards are actually being shown; what CISOs are reporting; and which gaps hurt most in vendor and AI events.
• Workforce and operating models behind the charts: How responsibilities split across cyber, IT, networking, clinical informatics, HTM/biomed, risk, and supply chain; where managed services fit; and what “good” looks like for upstream-focused tabletop exercises that involve clinicians, executives, and finance — not just the SOC.
• Contracts, insurance, and financial resilience decoded: A plain-English view of notification windows, isolation rights, evidence-sharing expectations, carve-outs, exclusions, and sub-limits — with specific examples of how these terms help or hinder hospitals when vendors or AI platforms are at the center of an incident.
• Board-ready metrics, dashboards, and evidence packs: Time-to-revoke and kill-switch coverage; non-human identity coverage for Tier-1 vendors and AI; tabletop cadence and participation; contract and coverage adequacy; and the minimum documentation hospitals should be able to produce within 48 hours of a major upstream event.

What makes this report different

• Built from both executive and CISO perspectives not just a security-department view.
• Explicitly upstream and AI-aware focused on vendors, clouds, and model/API providers embedded in clinical and revenue workflows.
• Focused on structures and evidence, not product lists boards can see who owns what, what’s measured, and what would be shown after an incident.
• Immediately usable includes scorecards, blueprints, question sets, and talking points you can drop into existing meetings and plans.
• Vendor-neutral and independent. no product rankings, pay-to-play, or endorsements.

Who it’s for

Boards of Directors, CEOs/Administrators, CFOs, CIOs/CTOs, CISOs, CMIOs/CQOs, CNIOs, Chief Compliance & Privacy Officers, risk and supply-chain leaders, and clinical and revenue executives who need a defendable, evidence-backed way to show how their organization is managing upstream vendor and AI cyber risk in 2026.

Black Book Market Research

Make cyber resilience measurable and governable. From non-human identities to upstream contracts and insurance, this report gives you the structures, metrics, and playbooks to handle vendor and AI-origin events — while keeping care safe and revenue flowing.
Contact: research@blackbookmarketresearch.com for more information.