Secure, Audit-Ready Cloud Infrastructure for HIPAA and HITRUST Workloads

Founded in 2013 to make it easier for engineers to build in healthcare, Aptible operates a cloud infrastructure platform for teams whose software carries regulatory weight. Its customers concentrate in digital health and fintech - Canvas Medical, Healthie, Greenspace, and Hims & Hers among them - alongside founders and engineering groups that need production infrastructure without a dedicated platform team. The company has been remote-first since 2014 and keeps a deliberately small staff of engineers and security practitioners.

Applications reach production through git push, Docker images, or Terraform, and land on dedicated AWS stacks that provide full network isolation without hand-built VPCs, load balancers, IAM policies, or security groups. Managed databases, zero-downtime deploys, and autoscaling sit on top of that layer. Encryption at rest and in transit is on by default, access is role-based and tied to named identities rather than shared credentials, secrets stay out of code and CI, and every deploy, configuration change, and app access event is logged and attributable.

The pitch is more than a BAA: controls are enforced at the platform layer instead of left to customers, with HITRUST R2 certification, BAAs signed with every customer, and a compliance dashboard that exports evidence on demand. Two newer gateways extend the same model to AI - an LLM Gateway routing model traffic with per-scope access policies, budget caps that hard-stop requests, and automatic prompt logging, and an MCP Gateway that gives agents scoped robot identities and tool-level permissions.