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Enterprise Healthcare Customers Don't Take Your Word on Security. They Want the Report.

SOC 2 Type II and HITRUST r2 are the independent validations that answer enterprise security reviews — and the difference between a deal that closes and one that stalls at procurement. We build toward certification from readiness assessment through the audit period.

BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart

Book a Certification Readiness Consultation

Talk to our team about your current control environment and certification goals. We reply within 24 hours.

  • We respond within 24 hours, fully NDA-protected.
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart

Trusted by startups and global leaders

BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart

What SOC 2 Type II & HITRUST Certification Covers

Enterprise healthcare customers don't take vendors' word on security. SOC 2 Type II and HITRUST are the two independent validation frameworks that answer the question — and a current report is what removes the friction from enterprise sales.

SOC 2 Type II Audit

An independent CPA-firm audit evaluating whether security and related controls were suitably designed and operated effectively over a defined period — typically 6–12 months. Enterprise healthcare customers require Type II, not Type I, because it proves sustained operational effectiveness rather than a point-in-time design review.

HITRUST CSF Certification

A comprehensive healthcare-specific certification consolidating HIPAA, NIST, ISO 27001, and PCI DSS requirements into one control set. HITRUST r2 certification — the most rigorous level — is explicitly required by some large health systems and payers as their standard for business associate due diligence.

Trust Services Criteria

SOC 2 evaluates controls across five criteria: Security, Availability, Processing Integrity, Confidentiality, and Privacy. Most healthcare-focused audits begin with Security — covering logical and physical access, change management, risk assessment, and incident response — and add criteria based on customer requirements.

Readiness Assessment & Gap Remediation

A readiness assessment identifies gaps between current practices and the controls required for certification before the audit period begins. Addressing gaps and establishing consistent control operation takes 3–6 months for organizations starting from scratch — beginning proactively prevents year-long delays when enterprise customers ask for a report.

Penetration Testing & Evidence Collection

Both SOC 2 and HITRUST require penetration test results as part of the control evidence package. Enterprise healthcare customers review these alongside audit reports during vendor security reviews — and request them independently in procurement questionnaires.

Ongoing Maintenance & Renewal

SOC 2 Type II reports must be renewed annually to remain current. HITRUST r2 certification is valid for two years with an interim assessment at year one. The certification is evidence that controls exist — the controls themselves must be maintained continuously between audit cycles.

Independent Security Validation Is How Enterprise Healthcare Sales Close

Hover to explore what SOC 2 Type II and HITRUST mean, who requires them, and what is at stake without them.

How We Build Toward SOC 2 Type II & HITRUST Certification

A five-step program from readiness assessment to audit-ready control evidence — designed so that the first time an enterprise customer asks for a SOC 2 report, the answer is ready.

STEP 1 — Readiness Assessment

Evaluate the current control environment against the selected SOC 2 Trust Services Criteria or HITRUST CSF control set. The readiness assessment identifies gaps between current practices and audit-ready controls — access management, change control, incident response, vendor management, and risk assessment — before the audit period begins.

STEP 2 — Control Implementation & Remediation

Address gaps identified in the readiness assessment by implementing required controls and establishing consistent operational procedures. This phase typically takes 3–6 months for organizations starting from scratch and produces the policies, processes, and technical configurations that the audit will test.

STEP 3 — Policy Documentation

Produce the written security policies, procedures, and standards that auditors and HITRUST assessors review. SOC 2 auditors test whether documented controls match operational practice. HITRUST assessors evaluate policies against specific CSF requirements. Undocumented controls that exist in practice do not satisfy audit requirements.

Why Independent Validation Removes the Friction From Enterprise Sales

Enterprise healthcare security reviews stall deals at procurement when vendors rely on self-attestation. A current SOC 2 Type II report or HITRUST certification replaces months of back-and-forth with a document customers' security teams can review directly.

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Deals Close
Enterprise health systems and payers conduct security reviews before signing vendor agreements for products handling PHI. A current SOC 2 Type II report significantly streamlines this process — providing independently validated evidence that security teams can review without requiring an on-site assessment.
Type II
Enterprise customers require Type II, not Type I. Type I evaluates whether controls are suitably designed at a point in time. Type II evaluates whether they operated effectively throughout a 6–12 month audit period. Only Type II answers the question enterprise security teams are actually asking.
HITRUST r2
Some large health systems and pharmacy benefit managers explicitly require HITRUST r2 certification from vendors handling significant PHI volumes. These are non-negotiable requirements — without r2, the vendor is disqualified from consideration regardless of its security practices.
Start Early
A startup that begins SOC 2 preparation after an enterprise customer requests the report faces a delay of a year or more. Beginning the process proactively — before the first enterprise customer asks — means the report is available when it is needed, not twelve months after.
Canada Too
SOC 2 Type II is recognized and accepted by Canadian healthcare organizations as evidence of security maturity. HITRUST is less commonly required by Canadian-only buyers but valued by Canadian companies with U.S. operations. SOC 2 typically satisfies Canadian enterprise healthcare security reviews.
Not HIPAA
SOC 2 Type II is not a HIPAA compliance assessment. The Trust Services Criteria and HIPAA Security Rule overlap significantly but are not identical. Many customers use Type II to streamline BA due diligence — but it does not replace a proper HIPAA risk analysis or the implementation of all required Security Rule safeguards.

SOC 2 vs HITRUST — Choosing the Right Certification Path

The right certification depends on your target customer segment, deal size, and stage. Most digital health companies start with SOC 2 Type II and layer in HITRUST when large health system or payer deals require it.

SOC 2 Scope

SOC 2 Trust Services Criteria

The five domains that SOC 2 auditors evaluate — most healthcare audits begin with Security and add criteria based on customer requirements.

  • Security (required baseline)
  • Availability
  • Processing Integrity
  • Confidentiality
  • Privacy
HITRUST Levels

HITRUST Certification Tiers

Three certification levels with increasing rigor — r2 is the level enterprise healthcare customers recognize.

  • e1 — Foundational self-assessment
  • i1 — Independently validated (broader)
  • r2 — Full independent testing (most rigorous)
  • r2 valid 2 years + interim at year 1
  • HITRUST-authorized assessor required
Who Requires What

Market Requirements by Segment

Customer segment drives certification strategy — understand what your buyers require before choosing.

  • Most enterprise SaaS: SOC 2 Type II
  • Large health systems: SOC 2 or HITRUST r2
  • Payers and PBMs: often HITRUST r2
  • Canadian healthcare: SOC 2 Type II
  • U.S.-focused vendors: evaluate HITRUST by segment
Effort & Timeline

Certification Effort Comparison

HITRUST r2 is significantly more resource-intensive than SOC 2 — plan accordingly.

  • SOC 2 prep: 3–6 months from scratch
  • SOC 2 audit period: 6–12 months
  • HITRUST r2: substantially longer and costlier
  • Both require annual or biennial renewal
  • Begin before enterprise customers ask
What Auditors Review

Evidence Auditors Examine

Both frameworks require the same underlying control evidence — the audit just evaluates it differently.

  • Access control logs and configurations
  • Change management records
  • Incident response test results
  • Penetration test reports
  • Vendor management documentation
After Certification

Maintaining Certification

Certification is not a one-time event — controls must operate consistently between audit cycles.

  • SOC 2: annual renewal
  • HITRUST r2: 2-year cycle + interim
  • Continuous control monitoring
  • Regular internal control reviews
  • Updated policies as environment changes

The Certification Readiness Stack We Build On

Compliance tooling, audit evidence platforms, and security infrastructure — selected to support SOC 2 Type II and HITRUST r2 audit cycles and provide the continuous control evidence enterprise customers expect.

Vanta V Vanta
Drata D Drata
Secureframe S Secureframe
Tugboat Logic T Tugboat Logic
HITRUST MyCSF H HITRUST MyCSF
The Report Enterprise Healthcare Customers Ask For Is Ready When They Do.

We build toward SOC 2 Type II and HITRUST r2 from the readiness assessment through the audit period — so the first time an enterprise customer requests a security report, the answer is a current, independently validated one.

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Frequently Asked Questions

[ 1 ]

When should a digital health startup pursue SOC 2 Type II?

Most digital health compliance advisors recommend beginning SOC 2 preparation before or shortly after a company starts handling real patient data in production. A readiness assessment identifies gaps between current practices and audit-ready controls. Addressing those gaps and establishing consistent control operation typically takes 3–6 months. The audit period then runs for 6–12 months before the report is issued. A startup that begins this process after an enterprise customer requests a SOC 2 report faces a delay of a year or more. Beginning proactively means the report is available when enterprise customers ask for it.

[ 2 ]

Is SOC 2 Type II the same as being HIPAA compliant?

No. SOC 2 Type II evaluates controls against the AICPA's Trust Services Criteria, which overlap significantly with HIPAA security requirements but are not identical to them. A SOC 2 Type II report does not constitute a HIPAA compliance assessment or a guarantee that the organization meets all HIPAA requirements. Many healthcare customers accept a SOC 2 Type II report as evidence of a mature security program and use it to streamline their HIPAA business associate due diligence, but it does not replace a proper HIPAA risk analysis or the implementation of all required HIPAA Security Rule safeguards.

[ 3 ]

Do Canadian healthcare organizations recognize SOC 2 and HITRUST?

SOC 2 Type II is recognized and accepted by most Canadian healthcare organizations as evidence of security maturity — it is a well-known international standard. HITRUST certification is primarily a U.S.-focused framework and while recognized by Canadian organizations with U.S. operations or partnerships, it is less commonly required by Canadian-only healthcare buyers. Digital health companies serving primarily Canadian customers typically find that SOC 2 Type II satisfies security validation requirements, while those serving U.S. markets should evaluate HITRUST based on their specific customer segment.

[ 4 ]

What is the difference between HITRUST e1, i1, and r2?

HITRUST offers three certification levels with increasing rigor. e1 is a foundational level covering a limited control set, assessed through a validated self-assessment. i1 is an independently validated certification covering a broader control set, suitable for organizations that need external validation but are not yet ready for the full r2 process. r2 — formerly called HITRUST CSF Certification — is the most comprehensive level, involving detailed independent testing and validation of the full CSF control set and HITRUST's own review and certification process. r2 is the level that enterprise health systems and payers recognize when they specify HITRUST as a vendor requirement.

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