Accelerate your path to

HIPAA/HITRUST ready infrastructure

Gruntwork helps teams build secure, auditable, and production-ready infrastructure on AWS using Terragrunt and OpenTofu/Terraform. Get a major head start on the infrastructure layer for HIPAA and HITRUST with our OpenTofu/Terraform modules, infra patterns, and IaC components.

Compliant infrastructure shouldn’t be so hard

Building and maintaining HIPAA/HITRUST-compliant infrastructure is normally a massive undertaking, especially for teams handling protected health information (PHI).

For HIPAA, you need encryption, access controls, and audit logging for electronic PHI (ePHI). For HITRUST CSF, you need over 2,000 controls from frameworks like NIST 800-53, ISO 27001/27002, and COBIT.

Typical challenges of HIPAA and HITRUST

  • Manual setups and drift
    • ClickOps or unversioned scripts create inconsistencies across dev, staging, and prod, leading to failed tests, security gaps, and audit nightmares.
  • Security implementation hurdles
    • Enforcing perimeter security, encryption, and least-privilege access usually leads to bloated configurations (e.g. 100+ security group rules per instance).
  • Resource intensity
    • DIY approaches and hiring consultants (e.g. AWS ProServ) can delay projects by months and cost 5-10x more, diverting focus from core business.
  • Legacy and growth pains
    • Teams often outgrow PaaS like Aptible or Heroku due to cost, limited control, or single-cloud constraints. Moving to self-managed AWS and staying compliant is a lot of work.
  • Difficult to self-host
    • Many teams want full control over their infrastructure but find it hard to self-host HIPAA-aligned systems without falling behind on patching, upgrades, or configuration drift.

Accelerate Gruntwork accelerates your compliance journey

Open source is core to who we are. Our team is the creators of, and maintainers for some of the most used infrastructure open source tools in DevOps.

Key capabilities:

  • Actually-easy audits

    • Gruntwork Pipelines provide a complete, inspectable trail for every change. See what changed, who approved it, when it was tested, and when it hit prod, all on the same PR.

  • Drift detection and automatic remediation

    • Make sure whatever’s running matches what’s declared. Run drift detection as often as you like and get pull requests to automatically report and resolve drift.

  • Modular, production-ready OpenTofu/Terraform

    • Enforce consistency and reduce custom development with pre-built modules for VPCs, IAM, security, and more.

  • Perimeter-based network security

    • Use VPCs, NACLs, and private subnets to minimize exposed endpoints, simplifying HITRUST audits no matter how or where you’re hosted.

  • IAM policies, audit logging (CloudTrail), and role-based access controls (RBAC)

    • Meet technical safeguards with least-privilege controls and centralized monitoring.

Our infra patterns deliver roughly 80% of HIPAA/HITRUST requirements upfront. Operationally: Pipelines automate compliant builds, Drift Detection catches config changes early, and Account Factory ensures every account is created the same, auditable way.

Case Study: Healthtech company's journey to HITRUST

A leader in healthcare training, certification, and SaaS tools for medical coding, was HIPAA-compliant but struggling with legacy infra as they eyed HITRUST for B2B expansion.

Before Gruntwork

  • No IaC or Terraform
  • Manual ClickOpS
  • Inconsistent envs
  • Legacy DNS complications
  • Heavy reliance on security groups (100+ inbound rules per server)
  • Config drift
  • Poor visibility
  • Slow migrations

With Gruntwork

  • Adopted modules for VPCs, ECS clusters, and security patterns
  • Migrated workloads to containerized deployments
  • Enabled GitHub-based change history
  • Provided developer self-service via PRs

Outcomes

  • Achieve environment consistency
  • Faster dev cycles and UAT parity
  • Reduced audit complexity
  • Gained confidence in timelines
  • Saved the equivalent of a mid-level DevOps hire
  • Moving toward HITRUST with fewer headaches

"Gruntwork gives you that head start. It accelerates time to market really fast and now we’re moving faster with fewer mistakes.” - Senior Director of Platform Engineering and DevOps

What sets Gruntwork apart

  • Faster than DIY

    • Avoid weeks building and testing your own OpenTofu/Terraform modules. Deploy secure foundations in hours, not weeks.

  • More control than PaaS

    • Unlike Aptible or Heroku, you own the infrastructure. Have full control to configure what you want.

  • Cheaper than consulting

    • No $250K+ AWS ProServ projects that vanish post-delivery. Ongoing updates included.

  • Built for real DevOps teams

    • Technical documentation, expert support, and flexibility for engineers — not buzzwords for sales and marketing.

Who Gruntwork is for

  • DevOps engineers managing PHI workloads in AWS
  • Teams outgrowing PaaS platforms due to cost or control needs
  • Companies modernizing legacy infrastructure (e.g. ClickOps => IaC)
  • Organizations targeting HITRUST to unlock B2B opportunities and build customer trust.

Ready to accelerate your path to HIPAA / HITRUST? Let's talk. We’ll walk through your current infrastructure and show how Gruntwork fits your compliance goals.