When developing applications that involve US healthcare or patient information, adhering to HIPAA regulations is crucial. One requirement is that all vendors, including web hosting providers, must sign a Business Associate Agreement (BAA). I'm looking for VPS providers that are willing to sign this agreement. I've already reached out to Hetzner, and they declined. I'm not interested in expensive managed services that can cost around $2,000 a month. I just need an affordable VPS that will sign the BAA.
5 Answers
You might want to check out Scalla Hosting; they offer both managed and unmanaged options. Plus, they have a page that details their compliance efforts.
When it comes to compliance, remember that price isn't everything. Lightnode has excellent global reach with diverse data center locations which can really benefit your project if you need that.
Vultr has a number of data centers that are SOC 2+ compliant, so they can sign a BAA as long as you clearly define responsibilities. Also, services like AWS and Azure can work with you on a BAA if the conditions are right. I actually dealt with this years ago when I hosted a multi-pharmacy portal on-site to steer clear of complications.
Having experience in healthcare tech, I've seen that cheap options are rare. Compliance costs can be significant, which is why many health-related apps seem to be backed by substantial funding before they launch.
Finding a budget VPS that can sign a BAA might be tough. Many providers want a solid commitment from customers, often wanting you to pay for a higher-tier plan just to even look at the details of a BAA. I ran into this with WPEngine—they only wanted to consider it if we upgraded to a much bigger plan.

Thanks for the tip! I'll look into Lightnode's services.