HITRUST

HITRUST r2 is the most rigorous certification in compliance — up to 2,000+ requirements scored across five maturity levels. Agency's U.S.-based forward-deployed engineers + AI build that maturity and operate your program end-to-end, without adding headcount.

Maturity is demonstrated over time, not generated.

Agency Comply · HITRUST

Overview

HITRUST CSF (Common Security Framework) is a certifiable, risk-based compliance framework that harmonizes requirements from over 40 authoritative sources — including HIPAA, NIST, ISO 27001, PCI DSS, SOC 2, and GDPR — into a single, comprehensive control framework.

HITRUST certification (r2 Validated Assessment) is widely recognized in healthcare, financial services, and other regulated industries as the most rigorous and prescriptive compliance certification available.

A HITRUST r2 assessment evaluates control maturity across five levels and requires evidence of policy, procedure, implementation, measurement, and management — making it significantly more demanding than SOC 2 or ISO 27001 alone.

Maturity isn't something automation can generate — it's policy, procedure, and management judgment demonstrated over time. Agency's forward-deployed engineers build and operate that maturity for you, on top of your existing GRC stack.

Who Needs HITRUST

Organizations handling sensitive data in highly regulated industries — particularly healthcare — pursue HITRUST to demonstrate the highest level of compliance maturity and satisfy the most demanding buyer and regulatory requirements.

Health & Life SciencesHITRUST is the premier compliance certification in healthcare. Hospitals, health plans, EHR vendors, healthtech companies, and clinical research organizations increasingly require HITRUST certification from their technology partners and business associates.

Financial ServicesBanks, insurers, and financial technology companies handling sensitive financial and personal data use HITRUST to demonstrate comprehensive compliance that satisfies multiple regulatory requirements simultaneously.

Technology & SoftwareSaaS companies selling into healthcare and financial services pursue HITRUST to differentiate themselves in competitive evaluations where HITRUST certification is preferred or required.

Retail & EcommerceHealth and wellness ecommerce platforms, pharmacy delivery services, and companies handling both health and payment data.

Critical InfrastructureOrganizations providing technology services to healthcare systems, financial networks, or other critical infrastructure where HITRUST certification satisfies supply chain security requirements.

Key Challenges

Eight places HITRUST programs stall

Audited Compliance HITRUST r2 assessments evaluate 19 control domains with up to 2,000+ requirement statements depending on scope. Each control must demonstrate maturity across five levels: policy, procedure, implementation, measurement, and management. Manual documentation and evidence management at this scale is extraordinarily resource-intensive.

Cross-Framework Complexity HITRUST's strength is that it harmonizes 40+ frameworks, but organizations already pursuing SOC 2, ISO 27001, or HIPAA independently must map existing controls into HITRUST's maturity model — or risk duplicating years of compliance work.

Fragmented Governance HITRUST spans security, privacy, risk management, personnel, physical security, business continuity, and third-party management. Coordinating maturity across all domains requires centralized governance that most organizations lack.

Vendor Risk HITRUST requires rigorous third-party risk management, including assessment of vendor security maturity, documented risk acceptance, and ongoing monitoring of business associate and vendor compliance.

Policy & Access HITRUST auditors evaluate not just whether policies exist, but whether they are implemented, measured, and managed. Policy lifecycle management, access governance, and workforce training must demonstrate maturity across all five assessment levels.

Questionnaire Fatigue HITRUST certification can reduce buyer questionnaire volume significantly, as many enterprise healthcare buyers accept HITRUST as a comprehensive security attestation.

Trust & Transparency HITRUST r2 certification is the strongest trust signal available in healthcare and financial services. Organizations with HITRUST certification close deals faster and face fewer security objections.

How Agency Delivers

Agency operates your HITRUST compliance program from scoping and readiness through r2 validated assessment and ongoing certification maintenance — managing the most demanding certification in the market.

Maturity-Based Control Implementation — Agency implements and enforces HITRUST controls at the maturity level required for r2 certification. Every control is documented across all five maturity levels: policy, procedure, implementation, measurement, and management. Agency doesn't just check boxes — it builds the operational maturity that HITRUST assessors evaluate.

Comprehensive Evidence Management — With up to 2,000+ requirement statements, HITRUST evidence management is a monumental task. Agency collects, organizes, and maintains evidence for every requirement automatically — mapped to the correct control domain, maturity level, and assessment criteria.

Risk-Based Scoping — Agency conducts risk-based scoping to determine your HITRUST assessment boundary, control selection, and maturity requirements. Risk assessments are maintained continuously and inform control prioritization throughout the certification lifecycle.

Cross-Framework Leverage — Agency AI maps HITRUST controls to SOC 2, ISO 27001, HIPAA, NIST, PCI DSS, and GDPR. Organizations with existing certifications leverage their current controls and evidence — Agency identifies what carries forward and what requires net-new implementation.

Assessment Readiness — Agency prepares your organization for the HITRUST r2 validated assessment with complete evidence packages, validated control maturity documentation, and real-time assessment tracking through Agency AI. Auditsuisse AI validates every artifact before assessor review.

Ongoing Certification Maintenance — HITRUST requires interim assessments and continuous compliance. Agency maintains your control maturity and evidence continuously, so interim assessments confirm ongoing conformity rather than triggering remediation cycles.

Managed outcome

Maturity isn't something automation can generate.

Maturity isn't something automation can generate — it's policy, procedure, and management judgment demonstrated over time. Agency's forward-deployed engineers build and operate that maturity for you, on top of your existing GRC stack.

Agency operates your HITRUST compliance program from scoping and readiness through r2 validated assessment and ongoing certification maintenance — managing the most demanding certification in the market.

Platform Products

Agency AIEnd-to-end cybersecurity and compliance, across the stack you already use.

GRC IntegrationsEngineer-operated GRC platform integration

Auditsuisse AIAI-powered evidence collection and analysis for IT audits.

Agency Comply

Your security and compliance team, without the headcount.

U.S.-based forward-deployed engineers, supercharged by proprietary AI, operate your program end-to-end — on top of the tools you already trust. Automation ends where judgment begins.

Start Your Audit

Common GRC Questions

GRC Platform & Virtual CISO FAQ

Answers to common HITRUST questions — r2 vs. other assessment types, scoping, the five maturity levels, and what a virtual CISO actually does for your program.

Read the FAQ

Compliance Resources

Free SOC 2 & ISO 27001 startup resources

Plain-English buyer's guides and step-by-step readiness checklists, from the team that runs compliance end-to-end for 1,000+ companies.

Explore the Startup Compliance Series

Build a Security & Compliance Team Led by Your Own Virtual CISO

Forward-Deployed Engineers + AI that lower costs, increase velocity, and raise the bar — from policy to audit to remediation. U.S.-based forward-deployed engineers, supercharged by proprietary AI, operate your program end-to-end — on top of the tools you already trust.

Start Your AuditAutomation ends where judgment begins.