Welcome To MERIDIANAI - AI Security & Governance for Healthcare

Deploy AI Safely in Healthcare: In Weeks, Not Months

We help hospitals, children’s hospitals, and medical device companies implement FDA-ready, HIPAA-compliant AI governance at 40-70% lower cost than Big Four consultancies.

The Problem

Healthcare organizations face an impossible choice when deploying AI

01

Big Four

6-12 months, $200K-$500K, generic frameworks, junior staff

02

Boutique Specialists

Limited framework coverage, unproven methodologies, can't scale

03

Go It Alone

Regulatory complexity, high risk of mistakes, no validated frameworks

We built MeridianAI to Solve this.

Security-First, Governance-Ready

Our Approach

Security-first AI governance, delivered by senior practitioners, at a fraction of traditional consulting costs.

1. Assume Risk is Real

We verify, test, and prove control. No vendor claims without validation.

2. Design for Failure

AI drifts, models fail, vendors get compromised. We build governance that handles failure gracefully.

3. Prove Control

Audit-ready documentation, immutable logs, traceability. Governance that survives FDA inspection.

4. Enable Innovation

Clear approval paths, risk-based controls, fast-track processes. Governance accelerates deployment.

Our Services

1. Quick Start AI Risk Assessment

Investment: $9,500 | Timeline: 1 week
When You Need This:
You're deploying AI but lack visibility into what systems exist, where PHI flows, and which AI tools pose regulatory or security risk.

What You Get:
Complete AI system inventory across your organization
Risk scoring matrix (clinical impact × PHI exposure × regulatory concern)
Priority ranking of which systems need immediate governance
3 critical next steps with timeline and cost estimates

Deliverable:
15-page Risk Assessment Report with executive summary

2. FDA Medical Device Determination

Investment: $12,500 | Timeline: 1 week

When You Need This:
Your clinical AI makes predictions, recommendations, or treatment decisions—and you need a definitive answer: "Is this FDA-regulated?"

What You Get:
Detailed analysis against FDA's medical device definition (21 CFR 201(h))
Clinical intended use evaluation
Risk classification if device determination applies
Regulatory pathway recommendation (510(k), De Novo, PMA, or exempt)
Written determination memo defensible in FDA communication

Deliverable:
FDA Medical Device Determination Report (20-25 pages)

3. AI Security & Governance Blueprint

Investment: $65,000 – $140,000 | Timeline: 4-6 week

When You Need This:
AI is already in your clinical workflows, but you lack a clear inventory, risk visibility, PHI-aware controls, or governance framework for procurement, deployment, and monitoring.

What You Get:
Complete AI inventory and risk assessment
AI Governance Charter with decision authorities and approval workflows
Risk management framework aligned to NIST AI RMF
PHI flow mapping for all AI systems
Vendor assessment criteria and due diligence templates
Model monitoring requirements and drift detection protocols
Incident response procedures for AI-specific failures
Training curriculum for clinical staff and IT teams

Deliverable:
AI Governance Program Charter (40 pages)
Risk Assessment Database (system-by-system)
Implementation Roadmap (12-month phased rollout)

Pricing Drivers:
$65K: Single department or <10 AI systems
$95K: Multi-department or 10-25 AI systems
$140K: Enterprise-wide or >25 AI systems

4. Complete Turnkey AI Governance Implementation

Investment: $75,000 | Timeline: 8 weeks

When You Need This:
You need everything—assessment, framework design, policy creation, and hands-on implementation support to go from zero to a fully operational AI governance program.

What You Get:
Everything in the AI Security & Governance Blueprint PLUS:
Hands-on policy implementation and system configuration
Staff training delivery (clinical, IT, compliance teams)
First 90 days of governance operations support
Quarterly governance committee facilitation
Vendor contract review and BAA negotiation support
Mock audit preparation and documentation review

Deliverable:
Complete governance program (policies, procedures, templates)
Configured systems (inventory tracking, risk register, monitoring dashboards)
Trained governance team ready to operate independently
90-day post-implementation support

Best For:
Organizations with limited internal governance expertise who need full implementation, not just documentation.

5. AI Security Architecture & Hardening

Investment: $90,000 – $250,000 | Timeline: 6-10 weeksInvestment: $75,000 | Timeline: 8 weeks

When You Need This:
Your AI systems lack healthcare-grade security controls—PHI leaks through logs and prompts, models run without proper access controls, and your SOC has no visibility into AI-specific threats.

What You Get:
Secure AI architecture design (data flow, access controls, segmentation)
PHI sanitization for training data, prompts, logs, and outputs
Adversarial attack defense (prompt injection, model extraction, data poisoning)
SIEM/SOC integration with AI-specific threat detection
Audit trail and immutability requirements for model decisions
Encryption standards for models, data, and inference pipelines
Penetration testing scope for AI attack surfaces
Zero-trust architecture for AI system access

Deliverables:
Secure AI Architecture Design Document (60-80 pages)
Implementation Guide with technical specifications
Security testing protocols and acceptance criteria
SIEM integration playbook

Pricing Drivers:
$90K: Single AI system hardening
$150K: 3-5 AI systems or custom LLM deployment
$250K: Enterprise-wide hardening across multiple systems

6. FDA SaMD Governance Foundation (Partnership Model)

Investment: $85,000 – $180,000 | Timeline: 16-20 weeks

The Challenge
Your AI system is a medical device requiring FDA submission. You need design controls, quality systems, risk management files, and validation documentation FDA expects.

What You Get (Meridian AI Delivers):
AI/ML-specific design controls framework
Risk management file (ISO 14971) for AI systems
Software validation protocols and testing documentation
Quality system documentation (design history file)
Post-market surveillance plan for model monitoring
Clinical evaluation framework for AI performance

What Our Partner Delivers (FDA Submission Specialist):
510(k), De Novo, or PMA submission writing and filing
FDA pre-submission meetings and strategy
Clinical trial design, if required
Regulatory correspondence and deficiency responses

Our Model:
Meridian AI handles governance and quality systems (our expertise). We coordinate with specialized FDA regulatory consultants for actual submission execution (their expertise). This honest partnership ensures you get deep capability in both areas without either firm overreaching.

Deliverables (Meridian AI):
Design Controls Documentation (80-120 pages)
Risk Management File
Software Validation Package
Quality System Procedures

Pricing Drivers:
$85K: Class I or II device with predicate pathway
$130K: Class II De Novo or complex predicate
$180K: Class III or novel AI/ML technology

Important:
FDA submission filing costs are separate and handled by our regulatory partner (typically $40K-$150K depending on pathway).

7. AI Supply Chain Security Assessment

Investment: $40,000 – $150,000 | Timeline: 4-8 weeks

When You Need This
Your AI systems depend on pre-trained models, vendor APIs, open-source libraries, and cloud services—but you have zero visibility into model provenance, training data sources, or dependency vulnerabilities.

What You Get:
Complete AI supply chain mapping (models, data, libraries, vendors)
Model provenance verification and training data source evaluation
Dependency vulnerability assessment (CVE tracking, SBOM generation)
Vendor security evaluation (SOC 2, HIPAA BAA, data handling)
Adversarial attack surface analysis
Supply chain risk scoring and mitigation recommendations
Continuous monitoring framework for supply chain changes

Deliverables:
AI Supply Chain Inventory and Risk Assessment (50-70 pages)
Software Bill of Materials (SBOM) for all AI components
Vendor Security Scorecard
Monitoring and alerting protocols

Pricing Drivers:
$40K: Single AI system with limited dependencies
$80K: Multiple systems or complex vendor ecosystem
$150K: Enterprise-wide supply chain assessment

Critical For:
Medical device companies needing supply chain documentation for FDA submissions.

8. HIPAA-Aligned AI Data Governance

Investment: $50,000 – $120,000 | Timeline: 6-10 weeks

When You Need This:
AI workflows process PHI in ways traditional HIPAA compliance doesn't address—training data, prompts, outputs, logs, and model parameters all potentially contain PHI without clear boundaries or controls.

What You Get:
PHI flow mapping for all AI workflows (input, processing, storage, output)
Data minimization standards for AI training and inference
Retention and destruction policies for AI-generated data
Access controls and audit logging for PHI in AI systems
De-identification standards for AI training data
Breach notification protocols for AI-specific PHI exposure
Business Associate Agreement (BAA) requirements for AI vendors
Employee training on PHI handling in AI contexts

Deliverables:
HIPAA-AI Data Governance Framework (60-90 pages)
PHI Flow Diagrams for each AI system
Policy and procedure library (12-15 documents)
Vendor BAA evaluation checklist

Pricing Drivers:
$50K: Single department or limited AI deployment
$80K: Multi-department with complex PHI flows
$120K: Enterprise-wide with LLM deployment or extensive AI usage

9. Pediatric AI Safety Program

Investment: $45,000 – $110,000 | Timeline: 6-10 weeks

When You Need This:
You're a children's hospital deploying AI for pediatric care. Generic AI governance frameworks don't address guardian consent, age-specific clinical risk, developmental considerations, or extremely low tolerance for AI-driven harm.

What You Get:
Pediatric-specific risk assessment framework
Guardian and child consent protocols for AI-assisted care
Age-stratified clinical risk models (neonate, infant, child, adolescent)
Developmental consideration standards for AI recommendations
Bias detection focused on pediatric populations
Family notification requirements for AI involvement in care
Emergency override protocols for AI-generated alerts
Specialized training for pediatric clinicians on AI limitations

Deliverables:
Pediatric AI Safety Framework (50-70 pages)
Age-Stratified Risk Assessment Matrix
Family communication templates and consent forms
Clinical decision support protocols

Pricing Drivers:
$45K: Limited AI deployment (2-3 clinical systems)
$75K: Multiple departments or system-wide implementation
$110K: Enterprise-wide with research and clinical trial AI

10. Virtual Chief AI Governance Officer (vCAIGO)

Investment: $8,000 – $25,000/month | Commitment: 12-month minimum

When You Need This:
Governance isn't one-time—AI systems evolve, new deployments happen, vendors change, regulations update, and models drift. You need ongoing strategic oversight without the $200K-$400K/year cost of a full-time Chief AI Governance Officer.

What You Get:
Monthly governance program health assessment
Quarterly board-ready AI risk reporting
New AI system evaluation and approval support
Regulatory change monitoring and impact analysis
Vendor relationship management and BAA review
Incident investigation and root cause analysis for AI failures
Annual program audit and improvement recommendations
On-call support for urgent AI governance questions

Service Levels:
$8K/month: Quarterly reporting, annual program review, email support
$15K/month: Monthly reporting, semi-annual reviews, vendor management, 2-hour response SLA
$25K/month: Bi-weekly check-ins, continuous monitoring, incident response, same-day response SLA

Best For:
Organizations with established governance programs needing expert oversight without full-time headcount.

MERIDIANAI - Navigate AI Governance with Confidence

Our Background

Cybersecurity & Risk Management

AI & Technology

Regulatory Compliance

Every engagement led by senior principals - you get the expertise you're paying for, not junior staff ramping up on
your time.

MERIDIANAI - Navigate AI Governance with Confidence

Who We Serve

01

Hospitals & Health Systems

Clinical AI, documentation, imaging, operations, and decision support—all under one security-hardened governance model. FDA medical device determination included.

02

Children's Hospitals

Pediatric PHI, guardian consent, age-specific risk models, and high-stakes care require dedicated AI guardrails. We built a specialized Pediatric AI Safety Program for this.

03

Medical Device & SaMD Companies

AI-enabled devices, FDA submission readiness, model supply chains, and edge inference with security baked in. From design controls through post-market surveillance.

04

Healthtech Vendors

Become enterprise-ready with AI security and governance your customers can trust. HIPAA BAA-ready, audit-ready documentation, and customer-facing security architecture.

05

Payers & Care Management

PHI-heavy analytics and LLM workflows governed, monitored, and defensible. Clinical decision support that satisfies regulatory and contractual obligations.

ROI CALCULATOR

About MeridianAI

Why We Exist

We founded MeridianAI after seeing the same pattern repeatedly: healthcare organizations deploying AI without the security and governance infrastructure it requires.

Hospitals had clinical AI running in production—sepsis prediction, imaging analysis, documentation—but no clear inventory of what AI existed, no PHI-aware controls, and no one who could definitively answer: “Is this FDA-regulated?”

Medical device companies were building AI-powered devices with brilliant clinical teams but lacked the governance and quality systems FDA expects. They’d discover this 18 months into development—too late to retrofit without massive delays.

The options available were all bad:
– Big Four consultancies charging $200K-$800K for 6-12 month generic AI governance programs
– Boutique firms with unproven methodologies and limited healthcare depth
– Go it alone and risk FDA enforcement, HIPAA violations, or worse—AI-driven patient harm

We built MeridianAI to change this.

Our Approach: Security-First, Healthcare-Only

We bring 20+ years of cybersecurity discipline specifically to healthcare AI governance. Not generic AI governance adapted for healthcare. Not compliance theater. Security-hardened, audit-ready, defensible governance.

We made a deliberate choice: healthcare only. Not financial services. Not manufacturing. Healthcare.

Why? Because healthcare AI governance requires depth:
– FDA medical device regulations (SaMD, MDDS, CDS)
– HIPAA privacy and security rules (PHI in training data, prompts, logs)
– Clinical safety standards (ISO 14971, IEC 62304)
– NIST AI RMF adapted for healthcare contexts

You can’t be an expert in healthcare AI governance and also do retail, finance, and manufacturing. We chose depth over breadth.

Our Commitment

We work exclusively with healthcare organizations deploying AI. We deliver in weeks, not months. We charge 40-70% less than Big Four consultancies while maintaining senior-led, enterprise-grade quality.

If you’re a hospital, children’s hospital, medical device company, payer, or healthtech vendor deploying AI—and you need governance that’s secure, compliant, and defensible—we should talk.

Who We Are

MeridianAI is led by senior cybersecurity and compliance practitioners with:
– 20+ years implementing security programs in regulated industries
– CISSP and CISM certifications
– Deep healthcare regulatory expertise (FDA, HIPAA, NIST)
– Enterprise-scale program development experience

Every engagement is led by senior principals—you get the expertise you’re paying for, not junior staff learning on your project.

What We Believe

Security and governance should enable AI deployment, not smother it.

We don’t believe in compliance theater—creating policies that no one reads and controls that no one enforces. We build governance that’s:
– Technically defensible (not just policy documents)
– Audit-ready (survives FDA inspection and OCR investigation)
– Operationally practical (integrates with clinical workflows)
– Security-hardened (designed for failure, not perfection)

We assume risk is real. We don’t trust vendor claims, marketing materials, or default configurations. We verify, test, and prove control—the same discipline we bring to security architecture.

We design for failure. AI will drift. Models will fail. Vendors will be compromised. We build governance that expects and handles failure gracefully.

About MeridianAI

We founded MeridianAI after seeing healthcare organizations deploy AI without proper security and governance infrastructure. Hospitals ran clinical AI with no inventory or PHI controls. Medical device companies discovered FDA requirements too late to retrofit.We built MeridianAI to solve this: security-first AI governance, delivered by senior practitioners (20+ years, CISSP | CISM), exclusively for healthcare.

Why Healthcare-Only?

AI governance here requires depth:

  • FDA medical device regulations (SaMD, 510(k), De Novo)
  • HIPAA privacy rules (PHI in training, prompts, logs)
  • Clinical safety standards (ISO 14971, IEC 62304)
  • NIST AI RMF for healthcare contexts

You can’t master healthcare AI governance while serving finance, retail, and manufacturing. We chose depth over breadth.

We deliver in 4-10 weeks at 40-70% lower cost than Big Four consultancies. Every engagement led by senior principals—you get expertise, not junior staff.

Why Healthcare Organizations Choose MeridianAI

FactorMeridianAIBig FourBoutique
Timeline4-10 weeks6-12 months8-16 weeks
Investment$9.5K-$250K$200K-$500K+$40K-$150K
StaffingSenior principals60-80% juniorSmall team
FocusHealthcare-onlyMulti-industryLimited
PricingTransparent, fixedOpaque, T&MVaries

 

What Sets Us Apart:

  • Healthcare Depth: 20+ years in regulated industries, exclusively healthcare AI governance
  • Comprehensive Coverage: FDA + HIPAA + NIST AI RMF + ISO 42001 integrated
  • Speed: 4-10 weeks maintaining senior-led, enterprise-grade quality
  • Transparent Pricing: Fixed prices. No time-and-materials surprises.
  • Senior Delivery: The principal you meet does the work

 

Why Choose Us

Why Healthcare Organizations Choose MeridianAI.

We help you deploy AI safely and securely—without slowing innovation.

MERIDIANAI - Navigate AI Governance with Confidence

Ready to Build AI Security & Governance?

Schedule Free Consultation

30 minutes to discuss your needs and timeline

Contact Us

Email: info@meridianai.ai
Website: http://www.meridianai.ai

Meridian - Navigate AI Governance with Confidence