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Multi-tenant healthcare SaaS for 500+ sites

A fully isolated healthcare platform with per-tenant configuration, scaling and compliance controls.

Architecture

Every tenant is separated with its own data boundaries, configuration and scalable compute resources. Terraform provisions repeatable infrastructure, while centralized observability gives the platform team a shared operational view without mixing protected health information.

Key decisions

• Database-per-tenant isolation reduces the risk of cross-tenant PHI exposure.
• Independent ECS task scaling ensures one tenant’s traffic spike does not consume another tenant’s capacity.
• Encryption, TLS, RBAC and tenant audit logging are built into the provisioning path.

Answer: how is HIPAA enforced at scale?

Every tenant receives infrastructure-controlled encryption at rest, TLS in transit, audit logging and role-based access controls. Those controls are applied automatically through repeatable infrastructure modules rather than manual configuration.