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Source code, SaaS & technology escrowTechnical verificationIP services

Healthcare software escrow

Clinical software you can't lose.

When clinical, claims, or device software fails and the vendor can't fix it, patient care and operations stop. Escrow keeps it recoverable, and documents the control your HIPAA and FDA auditors expect.

The problem

When software runs patient care.

A hospital or payer doesn't run on spreadsheets. It runs on clinical software one vendor builds, and that vendor can be acquired, fail, or sunset the product.

The clinical stack
What runs care
EHR & clinical
Claims & eligibility
Device software
depends on→
One vendor
Builds and supports it
Acquired, insolvent, or sunsets the product, and can no longer fix it.
can't support→
The control
Escrow release
A verified deposit, released on the agreed condition.
so→
The outcome
Care stays running
A new team can rebuild and run the system without the vendor.
Audit evidence ✓Agreement ✓Verified deposit ✓Documented custody

Change Healthcare and Steward Health were vendor-dependency failures, not escrow releases. Escrow is the documented fallback for exactly that risk, verified before you need it.

Regulatory frameworks

Documented for HIPAA and FDA.

Your vendor-risk and contingency obligations don't disappear because the software is a vendor's. We document the control in the language these frameworks expect.

  • The evidence auditors read first. The agreement, a verified deposit, and a documented chain of custody, assembled as a continuity control an FDA or HIPAA reviewer can read on first pass.
  • Held for the retention period. Kept for the long, regulated retention windows clinical, device, and trial records require, set in the agreement rather than a standard term.
  • Verification matched to risk. EscrowTech does not compile or run every deposit by default; the deepest verification is never standard or automatic. You choose the level.
  • US-based storage. Where US data residency is part of your requirement, US-based vaults and US-law agreements are a genuine edge, not a universal claim.
HIPAA Security RuleContingency plan
HITECHBreach & enforcement
FDA 21 CFR Part 11Electronic records
FDA 21 CFR Part 820Device quality system
FDA SaMDSoftware as a device

Escrow documents a control you can map to these frameworks. It is evidence toward your obligations, not a determination that you are compliant. See verification →  ·  See compliance →

Service fit

What fits clinical software.

Escrow usually fails not from a missing deposit but an incomplete one. A clinical deposit holds what a new team would need to rebuild and run the system under review.

  • Source code
  • Build scripts & toolchain
  • Configuration
  • Data schema, where it applies
  • Validation & test records
  • Documentation & runbooks
Healthcare software escrow clinical deposit
Storage & proof

Two vaults. One in a granite mountain.

Deposits are held in two physical, US-based vaults, one inside a granite mountain, monitored around the clock. The provider has to satisfy the people who approve the deal, and EscrowTech is the one their legal teams already recognize.

In operationSince 1992
Buyer recognition80% of the Fortune 500
StorageTwo US sites
In-houseCounsel + developers
CustodyDocumented chain
FAQ

Healthcare escrow, answered.

The questions health systems, payers, and their compliance teams ask most often.

What is healthcare software escrow?

Healthcare software escrow is an arrangement where a neutral third party holds the source code and materials needed to rebuild a clinical, claims, or device system, and releases them to the healthcare organization only if a condition in the agreement is met, such as the vendor failing or sunsetting the product.

Why do hospitals and health systems need escrow?

Hospitals, payers, and device makers run on software one vendor builds, and that vendor can be acquired, go bankrupt, or discontinue support. When the software runs patient care or reimbursement, escrow is the documented fallback that keeps the system recoverable if the vendor can no longer maintain it.

Does escrow help with HIPAA and FDA requirements?

It can support them. The HIPAA Security Rule expects a contingency plan for systems handling ePHI, and FDA oversight raises the bar for medical device software. Escrow documents a continuity control and a chain of custody your auditors can read, but it is evidence toward those obligations, not a determination that you are compliant.

What does a clinical software deposit include?

Typically the source code, build scripts and toolchain, configuration, the data schema where it applies, and the documentation and runbooks a new team would need to stand the system back up. The exact scope is written into the agreement around the system you depend on.

How long is a clinical deposit retained?

For the retention period your records rules require, which in healthcare often runs for many years rather than a standard term. The retention window is set in the agreement, not fixed by default, so it matches how long the system and its records have to remain recoverable.

Is the deposit verified?

Verification is a menu of options matched to your risk, from confirming the deposit is complete up to a full build and run. EscrowTech does not compile or run every deposit by default; the deepest verification is never standard or automatic. You choose the level while a gap is still fixable.

Where is the data stored?

In two physical, US-based vaults, one inside a granite mountain, monitored around the clock. Where US data residency is part of your requirement, US-based storage and US-law agreements are a genuine edge, not a universal claim.

Who holds it and stays neutral?

EscrowTech holds the deposit as a neutral third party and stays neutral between the vendor and the healthcare organization. It drafts and administers the escrow agreement only, not the underlying commercial contract, and does not decide the underlying dispute.

Make it safe to depend on.

Tell us which clinical or regulated systems you depend on. We'll structure the escrow, retention, and verification around them.

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