For multi-site healthcare operators

Operational quality, every site,
every day.

Binder retires the paper logs, faxed checklists, and SharePoint binders that your sites are still running on. One platform for refrigerator temps, AED checks, oxygen tanks, infection control, and controlled substances. The shelf binders come along too: your OSHA binder, your SDS / MSDS library, and guided emergency drills, all live in the same place. Plus gap-to-goal readiness for national quality programs (CLIA, AAAHC, NCQA PCMH, Rural Health), with enterprise visibility from day one.

Essentials. Sign up yourself in minutes, month-to-month or 12-month.
Pro. Same flow, add your sites as you go. Start 90 days month-to-month.
Enterprise. Let's scope it with you. Compare paths ↓

Gap to Goal
quality-readiness engine
4
readiness modules: CLIA · AAAHC · NCQA PCMH · Rural Health
3
shelf binders replaced: OSHA · SDS / MSDS · emergency drills
9
site-scoped roles (frontline → enterprise admin)
Isolated
your data stays your data, every query, every page
SOC 2
ready architecture
The problem we keep hearing

Paper logs don't scale
past one clinic.

Some of the largest healthcare networks in the country operate hundreds of sites, and a lot of that daily quality work still runs on binders. It's not a one-company problem; it's an industry pattern. Every multi-site operator we talk to has the same gap: site-level execution works, enterprise visibility doesn't.

01

Operationally invisible

Your VP of Quality has no way to see which sites missed yesterday's refrigerator log, today's eye-wash test, or this month's emergency drill. Until a surveyor finds it.

02

Hard to validate and defend

Paper signatures are difficult to validate, hard to trend, and painful to defend when a surveyor asks for proof.

03

Hard to escalate

A missed critical log at Site #47 has no path to your regional director. By the time someone notices, the gap is two weeks old and the surveyor is in the building.

04

No standardization

Every site builds their own checklist. Want to compare quality across the enterprise? You'd need a full-time analyst building spreadsheets. Nobody has the headcount.

How Binder works

Four layers.
One operating model.

01 · Frontline

Sites complete logs on tablets in seconds.

Daily refrigerator temps, AED ready-light checks, eye-wash flushes, oxygen pressure, cleaning rounds, drill completions. Pass/fail items take 5 seconds. Numeric items auto-flag out-of-range readings the moment they're entered. Signatures and timestamps are captured with a tamper-evident history.

  • Tablet-first web app, installable on iPad and Android, no app store
  • Offline-tolerant submission queue (Q3 roadmap)
  • Templates for every common quality workflow
Refrigerator Temperature Check
Daily · Med Fridge A · Clinic 01 · Austin TX
38.4 ✓ in range
Pass Fail
Door seal looks good. Coils clear, no condensation.
Signed by Jordan T. · 7:34 AM
02 · Engine

Alerts your team will actually read.

Critical issues email the practice manager right away and re-remind twice a day until a human acknowledges them. Everything else lands in one tidy 7 AM digest per site, and leadership gets a weekly rollup instead of a flooded inbox. Alert fatigue is how paper-era systems die; Binder is built so every notification still means something.

  • Severity-tiered escalation policies, evaluated continuously and recorded for the audit trail
  • Quiet on the days your practice is closed. No Sunday alarms unless you run weekends.
  • Email today, SMS + webhooks on the near-term roadmap
  • Audit trail of every notification: who, when, why
Today · 7:42 AM
Site Leader · Carolyn M.
⚠️ Refrigerator temp 62°F, out of range
+ 5 min
Email sent
Alert delivered to site_leader
1:30 PM
Site Leader
Re-reminded until acknowledged
Mon 8:00 AM
Leadership rollup
Event included in weekly summary
03 · Visibility

Leadership sees the entire network.

The Enterprise Quality Dashboard rolls completion up by site, market, and region. Open alerts. Trends across weeks. The weekly Monday-8am summary email lands in your VP's inbox before they finish their first coffee. Per-region rollup to each regional ops lead, enterprise rollup to leadership.

  • Role-scoped data: practice managers see their sites only
  • CSV export of any view for leadership and surveyor decks
Southwest
98%
3 sites · 0 open alerts
Midwest
87%
3 sites · 1 alert
Southeast
100%
3 sites · 0 open alerts
Pacific
73%
2 sites · 4 alerts
04 · Audit-ready

Survey-ready evidence on demand.

Every log is timestamped, signed, exportable, and kept in a tamper-evident history. Give surveyors, auditors, and internal leaders a clean record of what happened, when it happened, and who completed it: a spreadsheet or PDF instead of a stack of binders.

  • Append-only audit trail with daily hash chaining
  • One-click export (spreadsheet or PDF) for any survey window
  • 7-year retention by default, configurable per tenant
2026-05-13 07:34:12log_entry.createstaff@acme
2026-05-13 07:34:18alert.generatesystem
2026-05-13 07:39:01alert.escalationsystem
2026-05-13 08:12:55alert.acknowledgesite@acme
2026-05-13 14:01:22aaahc.updateadmin@acme
Append-only · hash-chained · 7-year retention
The Virtual Binder

The binders on your shelf,
rebuilt as living software.

The day a binder gets printed is the last day it is fully true. A surveyor flips to a policy or an SDS and finds the 2023 version. That's a finding. Binder rebuilds the binders your sites still keep on paper as modules that stay current at every site, with a record of every change. A surveyor gets a login instead of a shelf.

OSHA Workspace

Your OSHA binder, minus the binder.

Answer a few plain-English questions about each practice and Binder builds the site's OSHA workspace: only the coverage areas that actually apply, each with its regulatory citation, a versioned policy, and a status you can defend.

  • Training ledger by role and exposure, with attestations
  • Injury and illness records with privacy-case handling
  • Finalize the annual review into a locked snapshot
  • Export the whole audit binder in one click
SDS / MSDS Library

Every chemical. Every sheet. Current.

The chemical inventory cover page, always up to date. Pick products from a built-in healthcare catalog or add your own, attach the SDS, and Binder flags anything missing, outdated, or pointing at a dead link.

  • Emergency quick-view: hazard, required PPE, and the sheet, two taps from anywhere
  • Automatic broken-link checks on manufacturer URLs
  • Annual inventory review, finalized and locked
  • High-hazard products flagged front and center
Preparedness Drills

Run the drill. Keep the proof.

Guided emergency drills your team runs on a tablet during a staff meeting. Fire, power loss, anaphylaxis, severe weather, chemical spill, and more. Binder walks the steps, captures who was there, and locks the record when you sign off.

  • Participants attest with a signature, on the spot
  • Findings become corrective actions with owners and due dates
  • Build your own drill, or adapt one of ours to fit your organization
  • Every completed drill files itself as OSHA and accreditation evidence
Coming soonPolicy Binder Builder

Build any binder you still keep on paper.

The infection control plan. The front-desk procedures. The employee handbook. Whatever lives in a three-ring binder at your practice today, you'll soon build it in Binder: name the tabs, load the policies, set owners and review dates, and every site gets the same always-current copy. When a policy changes, it changes everywhere. Nothing gets reprinted, and nothing drifts out of date on a shelf.

Get Access Now
Do the work once. It counts everywhere. Every module writes to one shared evidence layer. Complete a drill, finalize your SDS inventory review, or close out the OSHA annual review, and Binder files it as supporting evidence toward your quality-readiness programs automatically. Nobody re-uploads anything before survey week.
See where the evidence lands ↓
Gap-to-goal quality readiness

From wherever you are
to audit-ready, across every program.

National quality programs are how multi-site operators show they stand out. Binder turns the operational evidence your sites already create into a guided gap-to-goal path against the programs that matter. Each is a premium-tier module:

  • CLIA Waived. One-click, surveyor-ready audit packet for your waived-testing sites
  • AAAHC accreditation. Per-chapter readiness %, evidence library, named review cycles (pre-survey, mock, focused sweep)
  • NCQA Patient-Centered Medical Home. Gap-to-goal readiness
  • Rural Health Clinic. Pre-accreditation readiness scoring and an evidence packet built for RHC program requirements
  • Every gap mapped to the logs & evidence your team already produces. Export the open-gap list before any survey.
  • Fed by the Virtual Binder: completed drills, SDS reviews, and OSHA annual reviews file themselves in as supporting evidence
Readiness rollup · Clinic 01 · Austin TX 76%
IPC Infection Prevention & Control 82%
EMG Emergency Preparedness 94%
MHM Medication & Health Management 67%
SAF Safety / Risk Management 88%
QUA Quality Management & Improvement 75%
CRD Credentialing 90%
Per-domain readiness rollup · gap → goal
Built for outpatient operators, from one practice to a national network

Six segments.
One operating layer.

🩹

Urgent care

High volume, variable staffing, multiple sites. Standard work decays fast and every location quietly drifts into its own checklist. Staff float between clinics constantly, and paper can't follow them.

Outcome: one template library, every site consistent from day one; missed checks surface before they're a survey finding.

💉

Infusion centers

Temperature-sensitive medication storage, biohazard rounds, daily safety walk-throughs. Failure modes that show up in patient outcomes.

Outcome: chain-of-custody for every vial; out-of-range fridges page the on-call RN immediately.

⚕️

Ambulatory surgery centers

AAAHC accreditation pressure, anesthesia/surgical equipment logs, infection control rounds. High-stakes, low-tolerance.

Outcome: accreditation readiness rollup live (AAAHC), evidence library survey-ready year-round.

🏥

Employer health & onsite clinics

Multi-site networks where corporate quality teams need visibility across 50+ clinics, without flying out a regional director every time.

Outcome: compliance rolls up live; missed logs page the right person before survey week.

Med spa platforms

Multi-state compliance, treatment-room safety, inventory adherence, training records.

Outcome: every site on the same playbook, with treatment safety, inventory, and training tracked from one place.

Enterprise trust

Architected for the
buyers who actually ask.

🔒

Database-enforced tenant isolation

Every tenant-scoped table enforces row-level security at the database engine, not in application code, so a query that omits a tenant filter is still constrained to its own tenant. That makes tenant isolation easier to explain during a security review.

🛡️

SOC 2-ready by design

13 published security policies, an append-only audit trail, least-privilege role-based access, encrypted secrets via a managed key vault, automated daily backups, and monitored deployments.

🔑

Single sign-on (SSO)

Okta, Microsoft Entra ID, Google Workspace, and other SAML or OpenID Connect (OIDC) identity providers, configured per tenant and scoped with you during onboarding.

📋

Designed to operate without PHI

Operational quality logs don't require Protected Health Information (PHI) to do their job, so Binder is designed to operate without it. That means fewer compliance surfaces for your team to defend. Binder should not be used to document patient-specific clinical information.

🌐

Azure-native

Microsoft Azure infrastructure (managed database, a Web Application Firewall (WAF), a managed key vault, and monitoring) defined as code and reproducible per environment.

⚙️

Disciplined release pipeline

Continuous integration, branch protection, gated production deploys, and a complete change history on every release, so buyer due-diligence questions have clear answers.

See it work

Binder in about 90 seconds.

Site sign-up, a frontline log, an out-of-range catch, and the enterprise view, start to finish.

Get started

Choose your path.

Transparent pricing, per active site. No per-user fees, no surprise overages. A single practice signs up and is running in minutes. Multi-site teams self-serve too, or hand us a spreadsheet and we'll build it. Enterprise, we'll scope it together.

Essentials

$30/site / mo

Everything you need for daily operational quality logging, done right. $30/site a month on a 12-month plan, or $39 month-to-month with no commitment. Cancel the monthly plan anytime. You set it up yourself in about 3 minutes.

  • All core operational logs: temps, AED, oxygen, eyewash, cleaning, controlled-substance counts
  • Out-of-range readings flagged at the point of entry
  • Standard reports plus CSV / PDF export
  • Month-to-month or 12-month, your call
  • Self-serve setup, no IT project. Email support.
Sign up. Live in 3 minutes.

Live in minutes, no call required.

Enterprise

Custom

Multi-site at scale, single sign-on (SSO), and security review, scoped with you.

  • Everything in Pro
  • Single sign-on (SSO): Okta, Entra ID, Google, and other SAML / OIDC providers
  • Site-density terms scoped to your rollout
  • Dedicated onboarding support plus a rollout plan scoped with you
  • Security-review & procurement support, fast turnaround, no ticket queue

We'll reply from hello@binderlogs.com within one business day.

We earn the commitment before we ask for it. No annual contract on day one. Multi-site rollouts start 90 days month-to-month: real sites, real logs, real proof. When Binder has shown its worth, it settles into a simple 12-month rhythm. You commit because it works, not because you signed on faith.
Start your 90 days →
Who's building this

Built by an operator,
not a vendor.

Binder is built by people who have actually run multi-site healthcare operations. We've stood in a clinic at 7 AM watching a frontline RN flip through a binder looking for last week's refrigerator log. We started with the workflow, not the software. Every feature exists because a site leader or VP of Quality told us, in plain words, what they wished the binder did.

We're early, and that's the point. Early customers get product-direction influence that mature SaaS vendors can't offer. We close the loop in days, not quarters. If your shop has been waiting for a tool built by people who understand the work, this is the moment to talk.

Talk to us

Running a single
practice? Just
sign up.

Most teams don't need a call. Sign up and you're running in minutes. Multi-site or enterprise, or just want to talk it through first? Send a note and we'll reply from hello@binderlogs.com with a tailored walkthrough, not a generic deck.