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Private clinics

NIS2 important entity · from 50 employees / €10 million revenue

Cybersecurity for private clinics

Private specialist clinics have been subject to regulation since the NIS2UmsuCG — without their own 24/7 security teams or a CISO position. We provide pragmatic awareness, phishing simulation, vulnerability management, and a managed SOC — exactly at the level of depth required by NIS2 and § 391 SGB V, without enterprise overhead.

THE REALITY

Regulated like a hospital — equipped like a mid-sized company.

Private specialist clinics face the same regulatory pressure as large hospitals — with only a fraction of the staff and budget. IT often consists of a small internal department plus external service providers. A dedicated SOC, a CISO, or an awareness program with an annual cycle is not feasible for 80–300 employees.

50 MA

or €10 million in annual revenue is enough for NIS2 to apply — in practice, almost all private specialist clinics in Germany.

€7 million

Maximum fine for important entities under Section 65 of the BSIG — plus personal liability of management under Section 38 of the BSIG.

24h / 72h

Mandatory NIS2 reporting deadlines under Section 32 of the BSIG — initial report within 24 hours, follow-up report within 72 hours, final report within 30 days. Same for private and public entities — no size-based exemptions.

Sources: NIS2UmsuCG of 6 Dec 2025 · Sections 28, 38, and 65 of the BSIG · BSI Registration Portal.

THE REALITY

Regulated like a hospital — equipped like a mid-sized company.

Private specialist clinics face the same regulatory pressure as large hospitals — with only a fraction of the staff and budget. IT often consists of a small internal department plus external service providers. A dedicated SOC, a CISO, or an awareness program with an annual cycle is not feasible for 80–300 employees.

50 MA

or €10 million in annual revenue is enough for NIS2 to apply — in practice, almost all private specialist clinics in Germany.

€7 million

Maximum fine for important entities under Section 65 of the BSIG — plus personal liability of management under Section 38 of the BSIG.

24h / 72h

Mandatory NIS2 reporting deadlines under Section 32 of the BSIG — initial report within 24 hours, follow-up report within 72 hours, final report within 30 days. Same for private and public entities — no size-based exemptions.

Sources: NIS2UmsuCG of 6 Dec 2025 · Sections 28, 38, and 65 of the BSIG · BSI Registration Portal.

Regulatory context

NIS2 affects private clinics as an important institution — with a little less pressure, but the same substance.

Private specialist clinics generally fall under the category of an important facility (§ 28 BSIG) — not a particularly important facility. This reduces supervisory intensity and fines, but not the substantive obligations: the ten risk management measures from § 30 BSIG and the reporting requirements under § 32 BSIG apply equally to both categories.

NIS2 · Section 30 BSIG

Risk management measures

Risk analysis, incident response, business continuity, supply chain security, security in development and maintenance including vulnerability management, effectiveness testing, cyber hygiene and training, cryptography, access control and asset management, multi-factor authentication — ten measures that NIS2 requires of every affected organization, regardless of size. When implementing them, proportionality applies: they may be scaled down, but not omitted.

Section 391 of SGB V

IT security in hospital operations

For facilities with hospital authorization under Section 108 of the German Social Code Book V (SGB V), Section 391 SGB V applies in parallel with NIS2—regardless of case volume, or whether they are an affiliated hospital or a rehabilitation clinic. The obligation: appropriate organizational and technical safeguards in line with the state of the art; the DKG’s B3S Hospitals serves as the reference. For purely outpatient practices or rehabilitation clinics without Section 108 authorization, however, Section 391 does not apply.

Legal sources: NIS2UmsuCG of 6 Dec 2025 · Sections 28, 30, 32, 38, 65 BSIG · Sections 391, 108 SGB V · B3S Hospitals (DKG) · GDPR Articles 9, 32, 33, 34, 83.

TYPICAL ATTACK SCENARIOS

The attacks that hit private clinics particularly hard.

Attackers calculate that private clinics have patients with a high ability to pay, often high-profile treatment cases, and frequently less security maturity than public hospitals. The attack patterns are correspondingly opportunistic — and the consequences can quickly become existentially threatening.

OUR SOLUTIONS

NIS2-ready without enterprise overhead.

You don’t need your own CISO or security department to meet the requirements of NIS2 and Section 391 of the German Social Code V (SGB V). Our four services form a lean but complete security program — each component produces evidence that can be used directly.

Continuous training

Phishing Simulation as a Service

Monthly, realistic campaigns — job applications, lab results, supplier invoices. Click rate and report rate are measured by department. Direct NIS2 evidence of compliance under Article 21(2)(g).

Employee Resilience

Security Awareness Training

Annual core course ~20 minutes, quarterly spotlights 1–2 minutes. Equally suitable for nursing, physicians, administration, and reception — without an enterprise LMS, distributable by email, with progress automatically documented.

Know the attack surface

Vulnerability Management

Continuous asset discovery, clinically prioritized remediation, passive detection of medical devices (no active scanning on IoMT). Active scans run exclusively on IT infrastructure. Focus on the truly critical vulnerabilities — no 300-page reports to sort through yourself.

24/7 Managed SOC

Incident Detection & Response

24/7 monitoring of your endpoints, firewalls, email, and Active Directory — without having to build your own SOC team. Clear escalation paths into your IT, with prepared reporting documents in accordance with Section 32 of the BSIG.

WHY ENTROPY CS

The right partner for medium-sized healthcare facilities.

Large security consultancies aren't interested in 100-person companies. Generic IT service providers are overwhelmed by healthcare regulations. We are built precisely for the gap in between.

Appropriately sized

NIS2 requires appropriate measures — not maximum ones. We size the scope, frequency, and depth of our services to your actual risk situation, not to the highest level in the industry.

One point of contact, not three tools

Awareness, phishing, VM, and SOC from a single source — with a shared report structure. No parallel contract negotiations with three vendors, no integration hassles between dashboards.

Audit-ready evidence from day 1

Every one of our services produces structured documentation—not just at the next audit, but continuously. When the BSI, auditors, or the executive board ask, the evidence package is one export click away.

Answers specifically for private clinics.

Answers specifically for private clinics.

The questions we regularly hear from owners, management, and IT managers of private specialty clinics.

Are we, as a private clinic, really affected by NIS2?

Are we, as a private clinic, really affected by NIS2?

What is the difference between a particularly important and an important facility?

What is the difference between a particularly important and an important facility?

Our IT is outsourced — does that still affect us?

Our IT is outsourced — does that still affect us?

How much effort does this require from our IT department?

How much effort does this require from our IT department?

Can we book individual services separately, or do we have to take everything?

Can we book individual services separately, or do we have to take everything?

What happens if we ignore the NIS2 obligations?

What happens if we ignore the NIS2 obligations?

How much does the complete package cost for a private clinic?

How much does the complete package cost for a private clinic?

FREE RISK ASSESSMENT

30 minutes. An honest picture of your security posture.

Every conversation begins with a free risk assessment — 30 minutes, no obligation. You will then receive a written report with your cybersecurity maturity level, risk areas, and immediate measures.

FREE RISK ASSESSMENT

30 minutes. An honest picture of your security posture.

Every conversation begins with a free risk assessment — 30 minutes, no obligation. You will then receive a written report with your cybersecurity maturity level, risk areas, and immediate measures.