Cloud Operations for Healthcare
We help healthcare teams build and operate cloud infrastructure that handles PHI correctly, survives audits, and keeps clinical systems running - without the toil of managing compliance controls manually.
Senior engineers. Compliance guardrails enforced in code. Durable controls left behind.
Where healthcare teams get stuck
Common problems we resolve for AWS and Azure healthcare environments:
PHI exposure from misconfigured storage or access controls
→HIPAA audit prep with no documented evidence trail
→Clinical system downtime with no runbooks or recovery plan
→Cloud costs growing from EHR, imaging, and data workloads
→Manual infrastructure prone to drift and compliance gaps
We fix root causes and leave behind controls your team can maintain and audit against.
Security misconfigurations are the most common source of PHI exposure. We find them, fix them, and put controls in place so they don't come back — enforced at the infrastructure level, not just documented in a policy.
Typical finding
PHI is accessible via overpermissioned IAM roles, unencrypted storage, or S3 buckets with public ACLs — often inherited from early-stage infrastructure that was never hardened.
How we approach it
We run a structured security audit scoped to PHI data paths, triage by risk, remediate critical exposures first, then implement preventive controls in your IaC pipeline.
What we leave behind
A remediated environment, security guardrails in code, access logging in place, and a written security baseline your team can maintain and present to auditors.
HIPAA compliance & audit readiness
HIPAA compliance lives in your controls, not your documentation. We implement the technical safeguards in your infrastructure and make sure you have the evidence trail auditors expect.
Typical finding
Most healthcare organizations have audit logs partially configured, BAA coverage gaps for managed services, and no automated way to detect when controls drift.
How we approach it
We start with a gap assessment against the HIPAA Security Rule technical safeguards, remediate the gaps, then encode the controls in your IaC so they stay in place.
What we leave behind
Documented technical controls, an evidence trail your compliance team can use, and IaC-enforced guardrails that alert when something drifts out of compliance.
Clinical systems have zero tolerance for unexpected downtime. We design for failure, reduce blast radius, and make sure your team has clear runbooks before the next incident — not after it.
Typical finding
Healthcare teams often discover their recovery process during an incident — untested backups, undocumented failover paths, and no runbooks for on-call engineers.
How we approach it
We review your architecture for failure modes, validate backup and recovery procedures, build runbooks, and work with your team until they're confident in the process.
What we leave behind
Tested recovery procedures, documented failure modes, incident runbooks, and architecture changes that reduce the likelihood and impact of future outages.
Cloud cost governance
Healthcare cloud environments accumulate cost fast — large imaging data sets, long-lived dev environments, and storage that never gets cleaned up. We find the waste and implement controls that keep costs predictable as you scale.
Typical finding
Healthcare teams commonly find significant spend tied to unmanaged storage growth, dev environments left running, and data transfer costs from unoptimized architecture.
How we approach it
We start with a spend audit, prioritize the highest-impact reductions, then implement lifecycle policies and governance so costs stay controlled as data volumes grow.
What we leave behind
Storage lifecycle rules, spend alerts, tagging standards, and a cost allocation structure that maps to your clinical and administrative teams.
Manual infrastructure is fragile and hard to audit. We build IaC and deployment pipelines with compliance controls enforced at every change — so your environment stays consistent and every modification is reviewable.
Typical finding
Healthcare infrastructure is often a mix of IaC and manual changes, with no compliance gates in the deployment pipeline and no reliable way to detect when regulated configurations drift.
How we approach it
We baseline the current state, move manual resources into Terraform, add compliance policy checks to the pipeline, and implement drift detection across regulated workloads.
What we leave behind
Clean, modular IaC with compliance defaults, a CI/CD pipeline with enforced guardrails, and an evidence trail showing every infrastructure change was reviewed and approved.
How we engage
Most healthcare engagements start with a free cloud audit — a scorecard across cost, security, HIPAA alignment, and reliability with prioritized quick wins. From there we can work on a specific problem, embed on your team, or take on ongoing operations.
Free Cloud Audit
A scored report across cost, PHI security, HIPAA control gaps, and reliability — with prioritized quick wins. No access required to start.
Project Engagement
Fix a specific problem end-to-end — HIPAA remediation, security hardening, reliability improvements, or IaC buildout. We scope, execute, and hand off.
Embedded Experts
Add senior cloud engineers to your team on an ongoing basis for builds, migrations, or operational support — without the compliance risk of a large vendor.
Yes. If your engagement requires us to access systems that process or store PHI, we sign a Business Associate Agreement before any work begins.
We map HIPAA Security Rule technical safeguards to specific AWS and Azure controls, implement them in your infrastructure via IaC, and put audit logging in place so you have an evidence trail. We don't just document — we enforce controls at the infrastructure level.
Yes. We work across both platforms and the broader tooling stack — Terraform, GitLab CI, GitHub Actions, Ansible, and more. We meet you where your environment already is.
Yes. We assess your current technical controls against the HIPAA Security Rule, remediate gaps, and help you assemble the documentation and evidence auditors expect.
The free cloud audit is the fastest path — we assess your environment across cost, PHI security, compliance controls, and reliability, then deliver a prioritized report within 48–72 hours. No commitment required.