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Security & Compliance

Protecting PHI is non-negotiable — and stated honestly.

HIPAA-compliant with BAAs available today. SOC 2 Type II audit in progress. HITRUST on the roadmap. We show you exactly where every certification stands, because in healthcare, overclaiming your security posture is itself a risk.

  • HIPAA + BAAs today on AWS HIPAA-eligible infrastructure
  • Encryption in transit (TLS 1.2+) and at rest (AES-256)
  • SMART on FHIR / OAuth2 / OIDC, RBAC, consent & immutable audit
  • Deploy in cloud, single-tenant VPC or on-prem — you keep the data

In short

Health1st is HIPAA-compliant with Business Associate Agreements available today. The platform runs on AWS HIPAA-eligible infrastructure with encryption in transit (TLS 1.2+) and at rest (AES-256), SMART on FHIR / OAuth2 / OIDC authorization, role-based access control, consent management and an immutable audit trail. A SOC 2 Type II audit is in progress, and HITRUST CSF is on the roadmap. We deliberately do not display “certified” seals for audits we haven't completed — you get the real status, not a marketing claim.

Security & Compliance

Enterprise-grade trust, stated honestly

Protecting PHI is non-negotiable. Here's exactly where our certifications stand — no overclaiming.

HIPAAActive

Compliant · BAAs available

SOC 2 Type IIIn Progress

Audit in progress

HITRUST CSFOn Roadmap

On roadmap

HL7 · FHIRCore

Native, by design

AWS HIPAA-eligible infrastructure · Business Associate Agreements (BAAs) · Encryption in transit & at rest · See our security details →

Where we stand

Certification status, without the spin

The single most important thing on this page: what is real today versus in progress versus planned. We never present an unfinished audit as a finished certification.

ItemStatusDetail
HIPAA complianceActive todayWe operate as a HIPAA Business Associate and sign BAAs. Administrative, physical and technical safeguards are in place for the PHI we process.
Business Associate Agreements (BAAs)Active todayAvailable to every customer before any PHI is exchanged. We in turn hold BAAs with our infrastructure subprocessors.
AWS HIPAA-eligible infrastructureActive todayHosted on AWS HIPAA-eligible services under an AWS Business Associate Addendum, with encryption, isolation and least-privilege access.
SOC 2 Type IIIn progressAn independent SOC 2 Type II audit is underway. We do not claim a completed SOC 2 certification and will publish the report to customers under NDA once the observation period concludes.
HITRUST CSFOn roadmapHITRUST certification is planned to unlock payer and large-provider procurement. It is a roadmap item today — not a certification we hold.
Penetration testing & vuln managementActive todayThird-party penetration testing and ongoing vulnerability management, with tracked remediation.

SOC 2 Type II and HITRUST are the bar to sell into payers and health systems. We treat them as a gating investment, not an afterthought — and we'll tell you exactly where we are in the process during security review.

Controls

The controls that protect your data

Defense in depth across encryption, identity, access, consent, audit, infrastructure and monitoring — several of them owned by the Compliance agent.

Encryption everywhere

TLS 1.2+ for data in transit and AES-256 for data at rest, with managed keys and rotation. PHI is never written or transmitted in the clear.

SMART on FHIR, OAuth2 & OIDC

Standards-based authorization for FHIR access — SMART App Launch 1.0.0, OAuth2 scopes and OpenID Connect Core 1.0 — the exact identity stack CMS-0057-F requires.

Role-based access control

Least-privilege RBAC scopes every user, service and API key to only the data and actions it needs, enforced by the Compliance agent's PHI-handling guardrails.

Consent management

FHIR Consent and Provenance are first-class. The Compliance agent reasons about consent scope so data is only shared where a patient or policy permits.

Immutable audit trail

Every message, mapping decision and data access is recorded in a tamper-evident, append-only log — the evidence auditors, procurement and incident response need.

AWS HIPAA-eligible infrastructure

The platform runs on AWS HIPAA-eligible services under an AWS Business Associate Addendum, with network isolation, security groups and hardened baselines.

Data residency & VPC / on-prem

Deploy in a single-tenant VPC or on-premises to keep PHI inside your boundary and meet residency requirements — a control API-network models can't offer.

Anomaly & abnormal-access detection

The Compliance agent watches for policy violations and abnormal access patterns, and the Observability agent flags anomalies in message volume and behavior.

Penetration testing

Independent third-party penetration testing and ongoing vulnerability management, with remediation tracked as part of the security program.

Security as an agent, not an afterthought

The Compliance agent in the fleet enforces security, consent and provenance across every transformation: it manages consent scope, writes an immutable audit record, applies SMART / OAuth2 / OIDC and RBAC policy, guards PHI handling, and flags abnormal access and policy violations. Because it sits in the data path rather than beside it, compliance is applied to every message the platform touches — not just sampled after the fact. And because every AI-drafted mapping is human-reviewed, versioned and auditable, you always have the evidence trail a healthcare data error demands.

Data handling

Where your data goes — and doesn't

Clarity on infrastructure, subprocessors and deployment, so security review is a short conversation, not an investigation.

Infrastructure

AWS HIPAA-eligible services under an AWS Business Associate Addendum, with network isolation, hardened baselines and least-privilege service roles.

Subprocessors

A short, disclosed list of subprocessors, each under a BAA where PHI is involved. A current list is available as part of security review.

Your boundary

Choose multi-tenant cloud, single-tenant VPC or on-prem. In VPC/on-prem, PHI never leaves your environment — the control API networks can't match.

Frequently asked questions

Run us through your security review.

We'll walk your team through our HIPAA posture, the SOC 2 Type II audit status, our subprocessors and deployment options — and answer the hard questions honestly.

Explore the platform