Managed compliant infrastructure and fractional security leadership for regulated startups

Focus on product, not infrastructure. We provide fully managed, compliance-native cloud infrastructure bundled with a fractional CISO and security program — everything you need to go to production with confidence, for less than the cost of one hire.

HIPAA PCI-DSS v4.0 SOC 2 FedRAMP NIST 800-53 HITRUST

The problem every regulated startup faces

Months before your first line of product code

Standing up HIPAA-compliant infrastructure takes 3-6 months and hundreds of thousands of dollars. Your competitors are shipping product while you're configuring VPCs.

Most still get it wrong

A signed AWS BAA does not make your infrastructure compliant. Multi-account isolation, encryption, drift detection, audit logging, policy enforcement — most startups are missing at least half of these.

💰

You can't afford what you need

A platform engineering team costs $500K+/year. A CISO costs $250K+. Seed-stage startups can't hire for these roles, but their customers demand enterprise-grade security.

Two things you need, one service

Most companies sell you infrastructure or security leadership. We bundle both — because one without the other leaves gaps your auditors and customers will find.

Managed Compliant Infrastructure

Production-ready AWS infrastructure deployed in weeks, not months. Multi-account, encrypted, continuously compliant, drift-detected.

  • 8-account AWS Organization with isolation boundaries
  • HIPAA, PCI-DSS, SOC 2, FedRAMP compliance from day one
  • 160+ compliance rules enforced on every deployment
  • Automated drift detection and remediation
  • Zero-trust service mesh (Istio Ambient mTLS)
  • Immutable audit trail with 6-year retention
  • CI/CD pipeline with security scanning on every commit

Fractional CISO / Privacy Officer

A security and privacy leader your customers can trust — without the $250K+ salary. The face of security for your enterprise sales.

  • Your customers talk to a real security leader
  • Full security and privacy program (policies, procedures, risk assessments)
  • SOC 2 Type I/II preparation and audit management
  • HITRUST assessment coordination
  • Incident response planning and management
  • Vendor security review responses
  • Health system security questionnaires handled

Built for regulated industries

Enterprise-grade security and compliance automation, designed for healthcare, fintech, and insurance startups.

Compliance as Code

  • 160+ validated rules per framework
  • Policy enforcement on every deployment
  • Automated evidence collection
  • Continuous compliance scoring
  • 6 AWS Config conformance packs

Threat Detection and Response

  • GuardDuty organization-wide monitoring
  • Security Hub with 200+ controls
  • Real-time alerting for critical findings
  • Automated remediation workflows
  • Security Lake unified analytics

Data Protection

  • KMS encryption at rest (customer-managed keys)
  • TLS-only policies across all services
  • 5-tier data classification (PHI/PCI/confidential/internal/public)
  • Automatic key rotation
  • Immutable logs with Object Lock

Production Infrastructure

  • EKS with hardened Bottlerocket OS
  • Karpenter auto-scaling (30-40% cost savings)
  • Aurora PostgreSQL serverless
  • Multi-AZ with disaster recovery
  • Transit Gateway hub-and-spoke networking

Identity and Access

  • SSO via Okta SAML/SCIM (FedRAMP-authorized)
  • AWS IAM Identity Center integration
  • Service Control Policies across all accounts
  • Least-privilege access enforcement
  • Cross-account role governance

Automation and CI/CD

  • Every change through code — no console clicks
  • PR-based deployments with approval gates
  • Secret scanning on every commit
  • Automated drift detection (daily)
  • Vulnerability remediation pipelines

Container Security

  • Zero-CVE Chainguard base images
  • Cryptographic image signing (Sigstore)
  • Kyverno admission control
  • Registry allowlisting enforcement
  • Istio Ambient zero-trust mesh (mTLS everywhere)

AI-Native Operations

  • MCP (Model Context Protocol) integration
  • 11+ specialized AWS MCP tools
  • Agent-driven diagnostics and troubleshooting
  • AI governance and compliance controls
  • Building toward autonomous infrastructure operations

Cost Optimization

  • Right-sized from day one (Karpenter bin-packing)
  • Serverless options for databases and cache
  • Automated storage lifecycle tiering
  • Feature toggles for non-production cost savings
  • Transparent cost allocation by team and application

How it works

1

We deploy your infrastructure

Production-ready, multi-account AWS infrastructure configured for your compliance requirements. Weeks, not months.

2

We run your security program

Fractional CISO, privacy policies, risk assessments, SOC 2 prep, incident response — the full security program your customers expect.

3

You build product

Your engineers focus entirely on what makes your company valuable. We handle the infrastructure and compliance continuously.

Open source foundation

Our core infrastructure code is being prepared for open source release under the Apache 2.0 license. Audit every line. Verify every control. No black boxes.

Transparent by design

Your security team and auditors can review the infrastructure code that protects your data. Trust through transparency.

Community-hardened

Open source means more eyes on the code, faster bug discovery, and continuous improvement from the healthcare technology community.

No vendor lock-in

Use the open source version yourself, or let us manage it for you. The choice is always yours.

Built for regulated industries

The compliance frameworks change. The need for hardened, auditable infrastructure doesn't.

Healthcare

HIPAA, HITRUST, SOC 2

Protecting PHI, passing health system security reviews, enabling provider data ingestion with confidence.

Fintech

PCI-DSS, SOX, SOC 2

Securing payment data, meeting financial regulatory requirements, and scaling with confidence.

Insurance

HIPAA, PCI-DSS, SOC 2, State regulations

Managing member data, claims processing, and multi-state compliance from a unified platform.

How mature is your infrastructure?

Take our free Healthcare Infrastructure Maturity Assessment. Score your current setup across 6 dimensions — account isolation, compliance automation, data protection, observability, identity management, and AI readiness — and see where the gaps are.

Request the Assessment

Built by someone who has done this before

Healthcare IaC is founded by Chad Small — 25+ years in healthcare technology, 10+ years in AWS and cloud infrastructure, with experience spanning every technical role from developer to architect to DevSecOps lead.

Most recently, Chad led the DevSecOps, security, cloud, and data operations teams at Bind/Surest (acquired by UnitedHealth Group), building and scaling the infrastructure that supported millions of health plan members across a 9-year journey from startup to enterprise.

Before Bind, Chad built infrastructure at Definity Health (acquired by UnitedHealth Group for $300M) and multiple other healthcare startups. He has seen firsthand what it takes to build compliant infrastructure that earns the trust of health systems, providers, and enterprise customers.

Let's talk

Whether you're exploring, building, or scaling — we'd like to hear what you're working on.

Book a call

30 minutes to discuss your infrastructure and compliance needs.

Schedule a Call

Join the waitlist

Be first to know when we launch new capabilities and the open source release.

Get the assessment

Free Healthcare Infrastructure Maturity Assessment across 6 dimensions.

Request Assessment