Spare Tire - Healthcare Never Stops. Real-time EHR downtime resilience that keeps clinicians documenting, ordering, and treating through outages, cyberattacks, and planned downtime. Continuity during failure, not recovery after it. Externally hosted, EHR-agnostic, and live when your primary system goes dark.
Spare Tire - Healthcare Never Stops. Spare Tire is a Zero-Downtime Continuity platform that keeps Electronic Health Record (EHR) operations running through ransomware attacks, cyber incidents, vendor and third-party software failures, infrastructure outages, natural disasters, and planned maintenance.
Traditional disaster recovery is reactive. It restores systems after they fail, often after days or weeks of downtime while care stops and IT works to bring things back. Spare Tire works differently. It runs continuously alongside your primary EHR on an external cloud, on separate hardware in a separate network with its own credentials, holding a live synchronized slice of the patient data clinicians need to keep treating: active medications, allergies, diagnoses, recent vitals, care team assignments, and bed status. When downtime hits, clinicians access Spare Tire through any web browser or mobile device cleared for the incident and continue caring for patients without interruption, even on limited networks. The familiar workflow means no retraining.
When the primary EHR is restored, every record created during downtime flows back automatically with timestamps and audit trail preserved. That eliminates manual re-entry and the lengthy reconciliation projects that follow most outages.
Because Spare Tire is architecturally separated from the systems it protects, it stays available even when the primary environment is compromised or offline. This is the gap that sinks legacy backups, which sit inside the same network an attack just owned and go down along with it. Spare Tire integrates with the primary EHR through standard HL7 and is built for hospitals, health systems, community and regional networks, ambulatory and specialty clinics, rural and resource-limited sites, and the vendors and business associates that serve them.
Spare Tire is complementary to disaster recovery, not a replacement. DR restores your systems; Spare Tire keeps care running while it does. Healthcare never stops, and neither should your hospital.
Highlights
Real-Time EHR Continuity. Maintains full clinical workflows during outages with live, just-in-time operational backup and automatic synchronization back to the primary EHR.
Cyber & Downtime Resilience. Supports healthcare operations during ransomware attacks, planned downtime, infrastructure failures, and system outages.
Built for Healthcare Operations. Easy-to-use web and mobile access designed for hospitals and clinics, enabling uninterrupted patient care, regulatory compliance, and operational continuity.
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
Pricing is based on the duration and terms of your contract with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
You buy Spare Tire through a single subscription dimension billed as a contract. Pricing scales by the number of subscription units you commit to, so you set quantity to match your organization's needs. There are no separate tiers or add-on dimensions on Marketplace — you purchase one subscription line. This subscription covers the zero-downtime EHR continuity solution, giving clinicians access to keep clinical workflows running during outages, with data syncing back once systems recover.
Top-of-mind questions for buyers
What counts as one subscription unit for billing purposes?
The subscription bills per unit you commit to on Marketplace. The listing does not specify whether a unit maps to a user, facility, or site. Confirm the exact unit definition with the vendor before purchase to match your organization's size and staffing.
How does cost change if I add more subscription units later?
Cost scales with the number of subscription units you commit to. Adding units raises the contract quantity accordingly. There are no separate tiers on Marketplace, so the same per-unit rate applies as you increase quantity to cover more of your organization.
What does the subscription cover during an EHR outage?
The subscription provides zero-downtime EHR continuity. Clinicians can write, update, and retrieve records even with limited network connectivity. It works on desktop, laptop, tablet, and mobile. Data captured during downtime syncs back to the primary EHR once systems are restored.
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