Enterprise Multi-Tenancy

Complete Tenant IsolationBuilt for Federal Scale

True multi-tenant architecture with complete data isolation, granular permissions, and audit trails. Support thousands of organizations with confidence.

100%
Data Isolation
Organizations
RBAC/ABAC
Permissions
Full
Audit Trail

True Multi-Tenant Architecture

Purpose-built from the ground up for complete tenant isolation and security in federal healthcare environments

Complete Data Isolation

Row-Level Security

Every database query automatically filtered by tenant context. No data leakage possible.

Separate Encryption Keys

Each tenant gets unique encryption keys managed through AWS KMS.

Isolated Storage

File storage partitioned by tenant with strict access controls.

Network Segmentation

Optional dedicated VPCs and network isolation for high-security tenants.

# Tenant Isolation Example
// Every query automatically filtered const patients = await db.query( "SELECT * FROM patients WHERE tenant_id = $1", [context.tenantId] ); // Row-level security policies CREATE POLICY tenant_isolation ON patients FOR ALL USING (tenant_id = current_tenant()); // Separate encryption per tenant const encrypted = await kms.encrypt({ KeyId: `alias/tenant-${tenantId}`, Plaintext: sensitiveData });

Granular Permission System

RBAC and ABAC combined for the most flexible and secure access control

Role-Based Access (RBAC)

Define roles with specific permissions. Assign users to roles for easy management.

  • Predefined system roles
  • Custom role creation
  • Role hierarchies
  • Bulk assignment

Attribute-Based (ABAC)

Fine-grained control based on attributes like department, location, or data sensitivity.

  • Context-aware permissions
  • Dynamic authorization
  • Time-based access
  • Resource tagging

Delegation & Inheritance

Create organizational hierarchies with permission delegation and inheritance.

  • Multi-level organizations
  • Permission inheritance
  • Delegation limits
  • Override capabilities

Built for Complex Healthcare Organizations

Support any organizational structure with complete flexibility

Federal Agencies

Support multiple departments, regions, and programs with complete isolation

  • VA medical centers across regions
  • CMS program management
  • DoD healthcare facilities
  • State Medicaid programs

Healthcare Networks

Manage complex provider networks with varying access levels

  • Hospital systems with multiple facilities
  • ACO networks with independent practices
  • Health plan provider networks
  • Clinical research consortiums

Payer Organizations

Separate lines of business while maintaining enterprise oversight

  • Medicare Advantage plans
  • Commercial insurance lines
  • Medicaid managed care
  • Employer group management

Research Institutions

Isolate research projects while enabling collaboration

  • Multi-site clinical trials
  • Research data repositories
  • Academic medical centers
  • Pharmaceutical partnerships

Complete Audit Trail & Compliance

Every action tracked, every change logged, every access recorded

Comprehensive Logging

User Activity Tracking

Every login, access, and action logged with timestamp and context

Data Access Logs

Track who accessed what data, when, and why

Configuration Changes

All system and tenant configuration changes tracked

Security Events

Failed logins, permission denials, suspicious activity

Compliance Features

HIPAA Compliance

  • • Access controls per §164.312(a)(1)
  • • Audit logs per §164.312(b)
  • • Encryption per §164.312(a)(2)(iv)

Export & Reporting

  • • Export audit logs in multiple formats
  • • Automated compliance reports
  • • Real-time alerting for violations

Retention & Archive

  • • Configurable retention policies
  • • Automated archival to cold storage
  • • Immutable audit trail preservation

Enterprise-Ready Architecture

Built on proven technologies for reliability and scale

Core Technologies

Database Layer

PostgreSQL with row-level security policies

Authentication

AWS Cognito with custom Lambda triggers

Authorization

Custom RBAC/ABAC engine with caching

API Gateway

AWS API Gateway with request/response validation

Performance & Scale

Max TenantsUnlimited
Users per Tenant100,000+
Auth Latency<50ms
Data Isolation100%

Ready to Scale Your Healthcare Platform?

Join federal agencies and healthcare organizations already using our enterprise multi-tenancy