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Top 5 HIPAA-compliant hosting providers in 2023 were Atlantic.Net, Amazon Web Services (AWS), Liquid Web, Rackspace, and Paubox, according to a June 13, 2023 Tech Times article. The list is a historical shortlist, not an official ranking: HIPAA does not certify or endorse hosting providers, and Paubox is primarily a secure-email vendor rather than a general-purpose host.
The original article is useful as a record of five names that healthcare buyers encountered in 2023, but the category needs correction. AWS, Liquid Web, Rackspace, and Atlantic.Net represent different forms of infrastructure or managed hosting, while Paubox primarily addresses healthcare email and communications.
The right buying question is not “Which company is HIPAA certified?” No cloud or hosting company can make a customer’s entire environment compliant by itself. The right questions are whether the exact service can support ePHI, whether the provider will sign a suitable Business Associate Agreement (BAA), which safeguards the provider operates, and which controls remain your responsibility.
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Key takeaways
- The five companies named in the June 13, 2023 Tech Times article were Atlantic.Net, AWS, Liquid Web, Rackspace, and Paubox.
- HHS does not certify, endorse, or recommend specific cloud products or hosting providers, so “HIPAA-compliant host” is not an official certification.
- AWS is the strongest fit for custom, scalable cloud architecture; Liquid Web is better suited to managed dedicated infrastructure; and Rackspace targets managed healthcare cloud and enterprise services.
- Paubox belongs in the list only as a healthcare-communications provider because its current products focus on secure email, forms, archiving, data-loss prevention, and email APIs.
- A BAA is necessary when a provider handles ePHI for a covered entity or business associate, but a BAA does not make an application, configuration, workforce, or operational process compliant automatically.
What are the top 5 HIPAA-compliant hosting providers in 2023?
The five companies were Atlantic.Net, Amazon Web Services (AWS), Liquid Web, Rackspace, and Paubox. Those names come from the source article, “Top 5 HIPAA-compliant Hosting Providers in 2023,” published by Tech Times on June 13, 2023.
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Tech Times did not publish a reproducible scoring system, consistent workload assumptions, transparent price comparison, or test methodology that would establish an objective ranking. This article therefore reviews the five companies selected by the 2023 source rather than presenting them as the five universally best providers today.
| Provider | Category | Best-fit use case | Hosting model or product focus | Public commercial signal | Main limitation |
|---|---|---|---|---|---|
| Atlantic.Net | Hosting and infrastructure | Organizations seeking packaged hosting and support | Managed, cloud, private virtualization, colocation, and dedicated hosting were described in the 2023 article | No reliable current HIPAA-specific price verified in the reviewed material | Current HIPAA service scope and BAA terms require direct confirmation |
| AWS | Hyperscale public cloud | Healthcare SaaS, custom applications, analytics, APIs, containers, and elastic architectures | Customer-selected HIPAA-eligible services under shared responsibility | Usage-based pricing, with a pricing calculator and service-specific costs | High configuration, governance, and cost-management burden |
| Liquid Web | Managed and dedicated hosting | Healthcare websites, portals, applications, and smaller health-tech workloads | Managed dedicated or packaged HIPAA-ready infrastructure | Vendor-listed dedicated solutions from $229/month for Linux and $271/month for Windows in the reviewed material | Less suitable for highly elastic, cloud-native, multi-region designs |
| Rackspace | Managed healthcare cloud | Hospitals, health systems, EHR environments, and enterprises needing operational expertise | Public, private, and hybrid cloud; EHR/Epic services; professional services; resilience | Sales-led; no public price was displayed on the reviewed healthcare page | Potentially excessive for a simple website or small project |
| Paubox | Secure healthcare communications | Organizations using Google Workspace or Microsoft 365 that need secure email | Email encryption, email security, archiving, DLP, forms, marketing email, and API services | Standard, Plus, and Premium tiers; 14-day trial advertised, but reliable numeric prices were not verified | Not a conventional server, database, EHR, website, or application host |
What does HIPAA-compliant hosting actually mean?
HIPAA-compliant hosting means an infrastructure arrangement designed to support a customer’s HIPAA obligations while the customer and provider each perform their assigned responsibilities. Hosting is only one part of a compliance program.
A provider may supply physical data-center controls, network segmentation, firewalls, encryption capabilities, identity controls, audit logging, backups, disaster recovery, monitoring, incident-response processes, and compliance documentation. The customer still controls application security, user permissions, configuration, data flows, policies, workforce training, risk analysis, and many incident procedures.
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Does HIPAA certify hosting providers?
No. HIPAA does not certify, endorse, or recommend specific hosting providers or cloud products. The U.S. Department of Health and Human Services Office for Civil Rights says it does not endorse, certify, or recommend particular cloud products or vendors. AWS likewise states that there is no HIPAA certification for a cloud service provider.
“HIPAA certified” is therefore a misleading shorthand when it suggests that a government body has approved an entire vendor. More precise descriptions include “offers a BAA,” “provides HIPAA-ready infrastructure,” or “supports customer-configured workloads using HIPAA-eligible services.” A vendor may also hold other attestations or certifications, but SOC 2, SOC 3, HITRUST, and similar credentials are not interchangeable with HIPAA compliance.
Does signing a BAA make a hosting provider HIPAA compliant?
No. A BAA is a necessary contractual component in the relevant relationship, but it is not proof that every product, region, feature, integration, or customer configuration meets HIPAA requirements.
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1Fix the driver behind crashes, sound loss and screen glitches2Repair Windows errors before they cause bigger problems3Scan for outdated or missing drivers - takes under a minuteA BAA establishes permitted uses and disclosures of PHI and requires the business associate to implement appropriate safeguards. A suitable agreement should address breach reporting, subcontractors, access to PHI, permitted disclosures, return or destruction of information, and obligations when the relationship ends. HHS sample BAA provisions provide a useful checklist for those contractual topics.
A cloud provider generally becomes a business associate when it creates, receives, maintains, or transmits ePHI for a covered entity or another business associate. HHS says that a cloud provider can still be a business associate when it stores only encrypted ePHI and lacks the decryption key. Encryption is valuable, but encryption alone does not remove the contractual and operational analysis.
How do infrastructure hosting, managed hosting, public cloud, and secure email differ?
The four categories solve different problems. Infrastructure hosting supplies computing, storage, networking, or servers. Managed hosting adds operational administration. Public cloud provides a large, programmable service catalog that the customer configures. Secure email protects healthcare communications but normally does not host the application or database behind a patient portal.
| Model | Strengths | Trade-offs | Typical buyer |
|---|---|---|---|
| Public cloud | Elasticity, automation, broad services, containers, databases, APIs, analytics, and multi-region design | Usage-based billing, configuration complexity, and substantial customer security responsibility | Engineering-led health-tech company or enterprise platform team |
| Dedicated or private hosting | More predictable infrastructure, clearer tenancy boundaries, managed hardware, and a potentially simpler support model | Higher baseline cost, less elasticity, fewer native platform services, and vendor dependence | Practice, application owner, or smaller health-tech team wanting a packaged environment |
| Managed healthcare cloud | Migration support, professional services, EHR expertise, managed security, and recovery operations | Custom pricing, sales involvement, more complex contracts, and possible overkill for small workloads | Hospital, health system, or enterprise healthcare organization |
| Secure healthcare email | Outbound encryption, secure delivery, email controls, forms, archiving, DLP, and integrations with common email platforms | Does not replace hosting for a website, database, portal, EHR integration, or application API | Practice or healthcare team needing protected communications |
Which provider is best for each healthcare workload?
1. AWS: best for custom cloud architecture
AWS is the strongest candidate among the five for a healthcare SaaS product, custom application, analytics platform, API, containerized workload, or architecture that needs elasticity. AWS provides a broad hyperscale infrastructure and platform cloud rather than a single preconfigured HIPAA hosting plan.
Rank #2
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AWS states that customers can obtain its Business Associate Addendum through AWS Artifact. AWS also states that customers should process PHI only in HIPAA-eligible services under the applicable agreement and remain responsible for configuring those services appropriately. The AWS HIPAA compliance page explains that shared-responsibility boundary.
AWS is a poor fit for a small practice that lacks cloud-security expertise, governance, monitoring, and budget controls. AWS’s flexibility creates more ways to build a resilient system, but also more ways to expose data, select an unsuitable service, or lose control of usage-based costs.
Do not copy a static AWS service inventory into a long-lived compliance checklist. AWS’s HIPAA-eligible services reference is a changing catalog; the reviewed page displayed a last-updated date of July 22, 2026. Confirm the current eligible service, region, agreement, and configuration before processing PHI.
Editorial verdict: Choose AWS when the workload needs cloud-native flexibility and the organization can operate a disciplined security and governance program.
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2. Liquid Web: best for managed dedicated infrastructure
Liquid Web is a practical fit for buyers who want managed, dedicated, or more packaged infrastructure instead of assembling a cloud architecture service by service. Its current HIPAA hosting page lists managed migrations, data encryption, backups, hardware firewalls, VPNs, intrusion detection, and managed Windows or Linux servers as possible components of its HIPAA-ready offerings.
Liquid Web states that it provides signed BAAs for HIPAA-ready hosting environments and explicitly warns that hosting does not complete the customer’s HIPAA obligations. That distinction matters: the provider can manage servers and selected safeguards while the customer remains responsible for application controls, permissions, policies, data flows, and operational governance.
The vendor-listed dedicated HIPAA solutions in the reviewed material started at $229 per month for Linux and $271 per month for Windows, with prices observed on August 18, 2026. Liquid Web’s HIPAA hosting page should be checked before purchase because prices, inclusions, and eligibility can change.
The listed starting price is not a total compliance budget. Buyers still need to price application development, secure configuration, identity management, logging, testing, policies, staff training, backups, recovery exercises, and any required integrations.
Editorial verdict: Choose Liquid Web when predictable managed or dedicated infrastructure is more valuable than hyperscale platform breadth.
3. Rackspace: best for enterprise healthcare operations and EHR environments
Rackspace is the most enterprise-oriented option in this group for healthcare organizations seeking managed cloud operations, EHR or Epic expertise, professional services, and cyber-resilience support. Rackspace currently positions its healthcare offering across public, private, and hybrid cloud environments and includes EHR/Epic services, professional services, and resilience offerings.
Rackspace’s healthcare page advertises HITRUST CSF certification and HIPAA readiness and says the company serves 2,500 healthcare organizations. Those are vendor-reported claims, not independent findings made by this article. Buyers should ask which legal entity, service, environment, and controls are within the claimed scope.
Rank #3
- Server-Class Home Server Built for 24/7 Workloads - Designed as a purpose-built home server rather than general-purpose SBCs, Mini PCs, entry NAS systems, or routing-only devices. As a compact, pocket-sized single board server platform, ZimaBoard 2 832 combines x86 architecture, quad-core performance up to 3.6GHz, 8GB DDR5 memory, and 32GB eMMC storage for reliable always-on home servers, homelabs, and self-hosted workloads.
- PCIe 3.0 x4 Expansion for Real Server Builds - Built as a server-class platform with native PCIe expansion, ZimaBoard 2 features a full PCIe 3.0 x4 slot for high-speed, low-latency upgrades beyond USB-based limitations. Supports 10GbE NICs, NVMe adapters, GPUs, and AI accelerators to build scalable home servers, homelabs, and advanced self-hosted systems—offering greater expansion flexibility than typical SBCs, Mini PCs, and entry-level NAS devices.
- Native Dual SATA & Dual 2.5GbE Networking - Built with server-class storage and networking I/O, ZimaBoard 2 integrates dual SATA ports for direct HDD/SSD connectivity and dual 2.5GbE Ethernet for high-throughput, low-latency networking. This architecture enables reliable DIY NAS, fast storage, routing, and multi-service home server deployments—while avoiding USB-based performance constraints common in ARM SBCs, Raspberry Pi–based setups, Mini PCs, and entry-level NAS devices.
- ZimaOS Preinstalled + Wide OS Compatibility - Comes preinstalled with ZimaOS for a clean, ad-free private cloud experience—centralized file dashboard, automatic backups, P2P downloads, private photo/video sharing, 500+ plug-ins, and secure on-device AI that keeps your data at home. Also supports TrueNAS, Proxmox, Debian, Ubuntu Server, pfSense, OpenWrt, and Linux containers, making it perfect for Plex media servers, Pi-hole, firewalls, backups, Docker labs, home-cloud services, and multi-service deployments.
- All-in-One NAS, Router, Docker & Homelab Server - Replace multiple devices with one low-power, fanless system. ZimaBoard 2 can serve as a NAS, router, Docker host, firewall, media server, or homelab node—delivering a flexible, open alternative to ARM SBCs, Mini PCs, and entry-level NAS systems.
Rackspace also emphasizes replicated offline backups, immutable storage, and air-gapped scanning in its recovery offering. Those features can improve resilience against destructive events, but they do not prove that every customer workload is compliant by default. Recovery objectives, restoration testing, retention, access controls, and contract language still need review.
No public price was displayed on the reviewed Rackspace healthcare page; the primary buying path is a sales consultation. That approach may suit a hospital or health system with a complex environment, but it can be disproportionate for a brochure site or small application.
Editorial verdict: Choose Rackspace when managed healthcare expertise and enterprise resilience justify a custom, sales-led engagement.
4. Atlantic.Net: best for a more packaged hosting conversation
Atlantic.Net may suit small and mid-sized healthcare organizations that prefer a hosting-oriented, guided experience over building an infrastructure stack from raw cloud services. The 2023 Tech Times article described Atlantic.Net as offering managed hosting, cloud hosting, private virtualization, colocation, and dedicated hosting.
Those details are attributed to the 2023 source article rather than treated as a current, independently verified product inventory. The reviewed research did not establish a reliable current HIPAA-specific price or fully document the present BAA scope. Confirm the exact service, support level, data location, backup design, and contractual terms directly before placing ePHI in the environment.
Atlantic.Net’s likely appeal is a more conventional infrastructure discussion: server sizing, management, network controls, backups, and support. The trade-off is that buyers needing extensive native cloud services, advanced analytics, or a large managed-services ecosystem may find a hyperscale or enterprise cloud provider more suitable.
Editorial verdict: Consider Atlantic.Net for packaged hosting and support, but treat its inclusion as historical until current HIPAA-specific scope and BAA details are verified. The company’s current press and coverage archive is a starting point for that conversation, not a substitute for contract review.
5. Paubox: best for secure healthcare email, not general hosting
Paubox is a category mismatch in a strict hosting comparison because its current product focus is secure healthcare communications rather than general-purpose server hosting. Paubox’s Email Suite centers on email encryption, email security, archiving, data-loss prevention, forms, marketing email, and email APIs.
Paubox says its Email Suite works with Google Workspace and Microsoft Outlook, automatically encrypts outbound email, delivers messages directly to recipients’ inboxes, and includes a 14-day free trial. The Paubox pricing page presents Standard, Plus, and Premium tiers and a sender-count selector, but the reviewed page exposed $0 placeholders rather than reliable numeric plan prices. Do not treat those placeholders as actual plan prices.
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Editorial verdict: Choose Paubox when the requirement is secure healthcare email or related communications controls, not when the requirement is a server or application environment.
Rank #4
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What should buyers verify before placing ePHI with a provider?
Use the following checklist in a vendor review, security assessment, and contract negotiation. A “yes” answer should refer to the exact service and environment, not merely the provider’s corporate website.
- BAA: Will the provider sign a suitable BAA for the exact product being purchased?
- Scope: Which services, account types, regions, support systems, backups, logs, and integrations are covered?
- Data flows: Where will ePHI travel, including monitoring, ticketing, support, analytics, email, snapshots, and subprocessors?
- Shared responsibility: Which controls does the provider operate, and which controls must the customer configure and maintain?
- Encryption: Is data encrypted in transit and at rest, who manages the keys, and which application-level encryption remains the customer’s responsibility?
- Identity: Are multifactor authentication, least privilege, role-based access, privileged-user controls, and access reviews available?
- Logging: Are administrative, authentication, network, application, and data-access logs available with appropriate retention and export options?
- Backups: What are the retention period, encryption method, geographic separation, immutability controls, and restoration-test results?
- Recovery: What are the contractual recovery-time objective (RTO) and recovery-point objective (RPO), and how often is failover tested?
- Incident response: How does the provider report a suspected breach, what contractual timeframe applies, and who investigates?
- Subcontractors: Which subcontractors or subprocessors can access or maintain ePHI, and do equivalent restrictions flow down to them?
- Vulnerability management: Who patches the operating system, applications, firmware, containers, plugins, and dependencies?
- Data location: Where is data stored and processed, and are cross-border transfers or residency restrictions relevant?
- Exit plan: Can the customer export data in a usable format, and how are copies returned, retained, or destroyed at termination?
- Evidence: What audit reports, penetration-test summaries, control mappings, policies, and other security evidence can the provider share under NDA?
HHS guidance notes that service-level agreements can address availability, backup and recovery, data return, security responsibility, retention, and disclosure limitations. Put those operational expectations in the agreement instead of relying on a sales presentation.
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Choose the model that matches the workload and the customer’s ability to operate it, not the model with the strongest compliance label.
| If the workload needs… | Most suitable starting point | Why | Primary risk to investigate |
|---|---|---|---|
| Custom APIs, containers, databases, analytics, or elastic scaling | AWS or another appropriately evaluated public cloud | Broad programmable services and automation | Misconfiguration, service eligibility, identity, logging, and uncontrolled usage |
| A managed dedicated server or healthcare application host | Liquid Web | Packaged infrastructure with managed options and public starting-price guidance | Whether the exact backups, firewall, support, and application controls meet the workload’s needs |
| EHR, Epic, hybrid infrastructure, professional services, or enterprise recovery | Rackspace | Managed healthcare and enterprise-services orientation | Scope, pricing, contract terms, recovery objectives, and claimed certifications |
| Conventional managed or dedicated hosting with guided support | Atlantic.Net, after current verification | Potentially simpler hosting-oriented engagement | Current HIPAA-specific service scope, BAA availability, and evidence |
| Protected outbound email, forms, archiving, or DLP | Paubox | Purpose-built healthcare communications features | Understanding that secure email does not host the application or database |
| A public brochure website that does not collect, transmit, or store ePHI | Usually ordinary web hosting, after a data-flow review | A premium HIPAA package may add unnecessary cost and process | Accidentally adding contact forms, analytics, support tools, or integrations that handle ePHI |
When is HIPAA hosting unnecessary?
HIPAA-specific hosting may be unnecessary when a website does not collect, transmit, or store ePHI and no provider handles ePHI on behalf of the covered entity or business associate. A public brochure site with no patient information is different from a site with a patient intake form, appointment details, portal login, clinical integration, or protected support workflow.
Perform a data-flow review before buying a premium package. The review should include forms, analytics, cookies, email notifications, chat widgets, logs, backups, customer-support systems, and third-party plugins. A “HIPAA” label on a hosting plan is not a reason to send ePHI through unrelated services.
Final verdict on the 2023 list
The original five-provider list remains useful as a historical starting point, but it should not be read as a current, objective ranking. AWS is the strongest fit for custom cloud architecture, Liquid Web for managed dedicated hosting, Rackspace for enterprise healthcare operations and EHR-related services, Atlantic.Net for a potentially more packaged hosting experience subject to current verification, and Paubox for secure healthcare email.
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The decisive compliance work happens at the boundary between provider and customer. Verify the BAA, covered services, regions, subprocessors, technical controls, recovery commitments, evidence, and exit terms. Then configure, monitor, document, and govern the workload. No provider in this list can make an organization HIPAA-compliant by itself.
Frequently Asked Questions
Is there such a thing as a HIPAA-certified hosting provider?
No. HHS does not certify, endorse, or recommend specific cloud products or hosting providers, and AWS states that there is no HIPAA certification for a cloud service provider. Buyers should evaluate the exact service, BAA, safeguards, and customer responsibilities instead.
Can AWS host ePHI?
Yes, AWS can support ePHI workloads when the customer enters the applicable BAA, uses HIPAA-eligible services, and configures and operates those services appropriately. AWS does not assume responsibility for the customer’s entire application or HIPAA compliance program.
Is Paubox a web-hosting provider?
Not primarily. Paubox’s current products focus on secure email, email security, archiving, data-loss prevention, forms, marketing email, and email APIs. Paubox can complement infrastructure hosting but does not replace hosting for a website, database, patient portal, EHR integration, or application backend.
How much does HIPAA hosting cost?
Pricing depends on the hosting model and workload. The reviewed Liquid Web page listed dedicated HIPAA solutions starting at $229 per month for Linux and $271 per month for Windows, while AWS uses usage-based pricing and Rackspace’s healthcare offering is sales-led with no public price shown on the reviewed page. Prices and inclusions can change.
What should a BAA cover with a hosting provider?
A suitable BAA should address permitted uses and disclosures, safeguards, breach reporting, subcontractors, access to PHI, return or destruction of data, and termination obligations. The BAA should also be checked against the exact products, regions, support systems, backups, and integrations that will handle ePHI.
The Bottom Line
Bottom line: The five names from the 2023 article are useful only when matched to the right workload. Treat AWS, Liquid Web, Rackspace, and Atlantic.Net as different infrastructure or managed-hosting choices, and treat Paubox as secure healthcare email. A BAA and a vendor’s “HIPAA-ready” language are starting points—not proof that your configured environment, application, staff, and processes satisfy HIPAA.
Quick Recap
Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Amazon at the time of purchase will apply.
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