HIPAA compliance, architected in — not bolted on.
We design PHI handling, access control, encryption and audit trails into your platform from day one — so security reviews and audits become a formality, not a fire drill.
What the HIPAA Security Rule actually requires
Three categories of safeguards. Most breaches and failed audits trace back to a gap in one of them — so we design for all three, not just the technical layer that's easy to point at.
Administrative
The governance that proves you manage PHI deliberately — policy, risk analysis and oversight.
- Risk analysis & management
- Workforce access policies
- BAAs & vendor governance
- Incident response plan
Physical
Control over the facilities, workstations and devices that store or touch protected data.
- Facility access controls
- Device & media controls
- Workstation security
- Secure disposal & re-use
Technical
The engineering — access control, encryption, audit and integrity — built into the system itself.
- Access control & unique IDs
- Encryption in transit & at rest
- Audit controls & logging
- Integrity & transmission security
Compliance built by engineers, not just auditors
We don't hand you a checklist and leave. We design the controls into the architecture, build them with your team, and stay through the audit.
Compliance is native to how we build — not a separate practice we bolt on.
HIPAA, SOC 2, HITRUST and NIST 800-53 — from one control architecture.
Every environment and subprocessor that touches PHI sits under a BAA.
Administrative, physical and technical — we design for all three, not just the easy one.
How a HIPAA engagement works
From a gap assessment to a fully evidenced, audit-ready architecture — we own the technical hard parts and close the gaps with your team.
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01HIPAA gap assessment
A clear-eyed read of where your PHI handling, access model and infrastructure stand against the Security Rule — with the gaps ranked by real risk.
- Security Rule gap analysis
- PHI data-flow mapping
- Risk register & ranking
- Prioritized remediation plan
02Compliance architecture design
We design the access control, encryption, logging and segmentation into your platform's architecture — so compliance is a property of the system, not a document.
- IAM & least-privilege model
- Encryption & key management
- Audit logging & retention
- Network & data segmentation
03Remediation & implementation
We don't just recommend — we build and wire the controls in with your team, in code and configuration, and close the gaps for real.
- Control implementation
- Secure infrastructure-as-code
- BAA & vendor controls
- Policy & procedure support
04Evidence & audit support
We produce the evidence and sit beside you through SOC 2, HITRUST and customer security reviews — so the audit is an export, not a scramble.
- Evidence collection & mapping
- Auditor & customer liaison
- Continuous-compliance setup
- Remediation of findings
The controls behind a compliant platform
Access control & IAM
Least-privilege identity and role-based access to every PHI surface.
- Unique user IDs
- Role-based access
- MFA & SSO
- Emergency & session access
Encryption & keys
PHI encrypted in transit and at rest, with managed key rotation.
- TLS everywhere
- At-rest encryption
- KMS & key rotation
- Field-level where needed
Audit logging
Tamper-evident records of who touched what, retained to policy.
- Access & change logs
- Tamper-evident storage
- Retention policy
- Review & alerting
Risk analysis
Ongoing risk assessment, ranked and tracked to closure.
- Asset & data inventory
- Threat & risk scoring
- Risk register
- Remediation tracking
BAA & vendor governance
Every subcontractor that touches PHI under a BAA and assessed.
- BAA management
- Vendor risk reviews
- Subprocessor inventory
- Data-sharing controls
Breach & incident response
A tested plan for detection, containment and notification.
- Detection & triage
- Containment runbooks
- Breach notification
- Tabletop exercises
Compliance pressure comes from different places
Whether it's a looming audit, an enterprise customer's security review, or a regulator at the door — we tune the work to whatever is actually driving the deadline.
Startups selling into health systems
Your biggest deal is blocked on a security questionnaire or a SOC 2 report. We get you to a credible, evidenced posture fast — without over-building for a stage you're not at yet.
- Security questionnaire support
- SOC 2 / HITRUST readiness
- Evidence & policy pack
- Architecture that scales with you
Providers & health systems
You hold PHI at scale and answer to OCR, internal audit and your board. We harden the architecture and produce the documentation that proves the controls actually work.
- Security Rule alignment
- OCR-ready documentation
- Internal audit support
- Standing risk program
Software & platform vendors
Your customers inherit your compliance posture. We make it a selling point — multi-tenant isolation, customer-facing trust artifacts and governance you can stand behind.
- Multi-tenant PHI isolation
- Customer-facing trust docs
- Subprocessor governance
- Continuous compliance
One architecture, many frameworks
HIPAA is the floor. The same controls we put in place map straight to the frameworks your customers and regulators ask about next.
HIPAA Security & Privacy
CoreThe baseline for any platform that creates, receives or stores US protected health information.
SOC 2 (Type I & II)
Readiness → auditThe report enterprise buyers ask for first. We get you ready and support the audit end to end.
HITRUST CSF
Mapping → certThe certification health systems increasingly require of their vendors. Control mapping and remediation.
NIST 800-53 / CSF
MappingThe control catalog underneath most of the above. We map your controls and close the gaps.
HIPAA Privacy Rule
Process + techUse, disclosure and patient-rights handling — backed by real process and system controls.
State & international
ScopedGDPR, DHA/NABIDH and state privacy laws when you operate beyond US borders — scoped per market.
From gap to audit-ready
Systems, data flows and which frameworks are actually in play.
Gap analysis against the Security Rule and your target frameworks.
The control architecture and a ranked remediation plan.
Implement the controls with your team — in code and configuration.
Collect, map and package the proof against each control.
Support the audit, then keep compliance continuous.
Compliance principles we build by
The convictions behind every control we put in — the difference between a platform that passes an audit and one that's actually safe.
Least privilege by default
No standing access to PHI that isn't justified, logged and time-boxed.
Encrypt everything
PHI is encrypted in transit and at rest, end to end — no exceptions, no quiet gaps.
Evidence by default
If a control isn't producing evidence, it isn't done. Audits become an export, not a scramble.
Compliance as code
Controls live in infrastructure-as-code and policy — version-controlled and repeatable.
Continuous, not point-in-time
Posture is monitored continuously, not reconstructed the month before an audit.
Defense in depth
No single control is load-bearing. Safeguards overlap by design, so one gap isn't a breach.
HIPAA architecture FAQ
Do you make us HIPAA 'certified'?
There is no official HIPAA certification — anyone claiming to sell one is overselling. What we deliver is a defensible, evidenced architecture aligned to the Security and Privacy Rules, plus readiness for the certifications that do exist (SOC 2, HITRUST) which buyers actually ask for.
We're pre-revenue — is this premature?
If you're handling PHI or selling into healthcare, no. The cheapest time to build the controls in is before the architecture sets. We scope to your stage so you get a credible posture without over-engineering for scale you don't have yet.
How is this different from buying a compliance tool?
Tools track and automate evidence — they don't design your access model, encryption or segmentation. We do the architecture and implementation, and we'll wire a tool in where it earns its place. The two are complementary.
Can you support our SOC 2 or HITRUST audit?
Yes. The same controls we put in for HIPAA map directly to SOC 2 and HITRUST. We handle readiness, evidence and act as the technical liaison with your auditor through the engagement.
Do you only assess, or do you implement?
Both — and implementation is the point. We can deliver an assessment alone, but most clients want the gaps actually closed, so we build and wire in the controls with your team rather than handing over a report.
Need your platform to pass its next security review?
Tell us what's driving the deadline — an audit, an enterprise deal, or a regulator. We'll come back with a clear path to a defensible posture.
Talk to our team