This product has charges associated with it for security hardening. Madarson IT HIPAA-hardened RHEL 9 AMI pre-configured with ePHI access controls, audit logging, and transmission security for healthcare workloads on AWS.
This is a repackaged software product wherein additional charges apply for HIPAA security hardening.
Madarson IT RHEL 9 AMI - Hardened for HIPAA Compliance
This Red Hat Enterprise Linux 9 AMI is purpose-built for organizations handling electronic protected health information (ePHI) on AWS. Pre-configured with HIPAA Security Rule technical safeguards, this image eliminates weeks of manual hardening effort and delivers a security-ready foundation for covered entities, business associates, and healthcare SaaS providers.
What This AMI Delivers
The following HIPAA-aligned technical controls are pre-applied to the image:
Access Controls - Role-based access enforcement, restricted root login, password complexity policies, account lockout thresholds, and session timeout configurations to limit unauthorized access to ePHI
Audit Controls - Comprehensive auditd configuration capturing authentication events, privilege escalation, file access modifications, and system changes to support HIPAA audit trail requirements
Transmission Security - TLS enforcement for data in transit, disabled legacy protocols (SSLv2, SSLv3, TLSv1.0, TLSv1.1), and hardened SSH configurations to protect ePHI during electronic transmission
Integrity Controls - File integrity monitoring readiness, secure boot configurations, and filesystem permission hardening to detect unauthorized modifications to ePHI or system components
Attack Surface Reduction - Unnecessary services disabled, unused network ports closed, kernel parameter hardening, and removal of non-essential packages to minimize exploitable vectors
Authentication Hardening - PAM module configuration, multi-factor authentication readiness, and credential storage protections aligned with HIPAA Security Rule requirements
AWS Service Integration
This hardened AMI is designed to work with HIPAA-eligible AWS services:
AWS CloudTrail - API-level audit logging for compliance evidence and incident investigation
Amazon CloudWatch - Centralized log aggregation and monitoring of security events from the hardened instance
AWS Systems Manager - Patch management and configuration compliance scanning without opening inbound ports
AWS Config - Continuous assessment of instance configuration against compliance rules
Amazon S3 - Secure storage for audit logs and compliance artifacts with server-side encryption
AWS KMS - Encryption key management for data-at-rest protection of ePHI volumes
Key Benefits
Accelerated HIPAA Readiness - Launch with HIPAA Security Rule technical safeguards pre-applied rather than spending weeks configuring a stock RHEL 9 image manually.
Reduced Audit Burden - Pre-configured audit logging and access controls provide documented evidence of technical safeguard implementation for HIPAA compliance assessments.
Healthcare-Focused Configuration - Every hardening decision is made with ePHI protection in mind, not generic security benchmarks. Controls map directly to HIPAA Security Rule technical safeguard requirements.
Continuous Maintenance - Madarson IT maintains and updates the hardened image to address emerging vulnerabilities while preserving HIPAA-aligned configurations.
Getting Started
Subscribe to the product through AWS Marketplace
Launch the AMI in your desired AWS region using a supported instance type
Connect via SSH using your configured key pair
Validate the hardened configuration against your organization's HIPAA compliance checklist
Deploy your healthcare application on the pre-hardened foundation
Integrate with AWS CloudTrail, CloudWatch, and Systems Manager for ongoing monitoring
Requirements and Limitations
A Business Associate Agreement (BAA) with AWS is required for HIPAA-covered workloads. This AMI does not replace the need for a BAA.
This image addresses OS-level technical safeguards only. Application-layer security, network architecture, and organizational policies remain the customer's responsibility under the AWS Shared Responsibility Model.
HIPAA compliance requires a holistic program. This hardened image is one component and does not constitute HIPAA certification on its own.
Complementary frameworks such as NIST CSF and ISO 27001 may be used alongside this image for broader security governance.
About Madarson IT
Madarson IT specializes in delivering security-hardened operating system images optimized for regulated workloads on AWS. Our certified images are always up to date, follow industry standards, and are built to work right out of the box for healthcare organizations and other regulated industries.
Disclaimer
This product helps organizations implement technical safeguards aligned with HIPAA Security Rule requirements. It does not guarantee HIPAA compliance.
Highlights
HIPAA Security Rule technical safeguards are pre-applied at the OS level including role-based access controls, comprehensive auditd logging of authentication and privilege events, TLS enforcement with legacy protocol removal, PAM authentication hardening, session timeout policies, and filesystem integrity protections. These controls address access control, audit control, transmission security, and integrity requirements for systems handling ePHI.
Accelerates HIPAA audit readiness for covered entities, business associates, and healthcare SaaS providers. Instead of weeks of manual hardening and configuration, launch with documented technical safeguards already in place. Pre-configured audit trails and access controls provide evidence artifacts for HIPAA compliance assessments, reducing preparation time and remediation effort for health IT teams.
Integrates with HIPAA-eligible AWS services including CloudTrail for API audit logging, CloudWatch for centralized security monitoring, Systems Manager for patch management, and AWS Config for continuous compliance assessment. Madarson IT maintains and updates the hardened image to address emerging vulnerabilities while preserving HIPAA-aligned configurations for ongoing protection of ePHI workloads.
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
Pricing is based on actual usage, with charges varying according to how much you consume. Subscriptions have no end date and may be canceled any time.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
If you are an AWS Free Tier customer with a free plan, you are eligible to subscribe to this offer. You can use free credits to cover the cost of eligible AWS infrastructure. See AWS Free Tier for more details. If you created an AWS account before July 15th, 2025, and qualify for the Legacy AWS Free Tier, Amazon EC2 charges for Micro instances are free for up to 750 hours per month. See Legacy AWS Free Tier for more details.
You pay by the hour for this hardened RHEL 9 image, billed per running instance. Each dimension maps to a specific EC2 instance type, so your rate depends only on the instance size you choose. Options span general-purpose (t2, t3, m-series), compute-optimized (c-series), memory-optimized (r-series), storage-optimized (d and i-series), and GPU/accelerated (g and p-series) families. Larger instances within a family carry higher hourly rates because they offer more compute, memory, or storage. There are no tiers or add-ons; you select one instance type and pay its hourly software rate plus AWS infrastructure costs.
Top-of-mind questions for buyers
What does one hourly unit cover for this hardened RHEL 9 image?
One unit is one running EC2 instance of the type you select, billed per hour. The rate covers the hardened RHEL 9 software license for that single instance. Running two instances means two hourly software charges. Each instance meters separately, regardless of the physical host it shares.
Am I charged the software rate when my instance is stopped or paused?
The hourly software charge applies only while an instance runs. Stopped or powered-off instances accrue no software charge for that period. You may still pay AWS for attached storage on a stopped instance, but the hardened image license meters running hours only.
Why does my rate change when I pick a different instance type in the same family?
Each instance type has its own hourly software rate. Within a family, larger sizes carry higher rates because they provide more compute, memory, or storage. There are no bundled tiers. You pick one instance type and pay its listed hourly rate plus separate AWS infrastructure costs.
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Upon subscribing to this product, you must acknowledge and agree to the terms and conditions outlined in the vendor's End User License Agreement (EULA).
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An AMI is a virtual image that provides the information required to launch an instance. Amazon EC2 (Elastic Compute Cloud) instances are virtual servers on which you can run your applications and workloads, offering varying combinations of CPU, memory, storage, and networking resources. You can launch as many instances from as many different AMIs as you need.
Version release notes
Hardened Red Hat Enterprise Linux 9 image with HIPAA Benchmarks.
Additional details
Usage instructions
Allow inbound SSH access in your security group (TCP port 22)
To connect to your instance using the Amazon EC2 console:
Open the Amazon EC2 console at https://console.aws.amazon.com/ec2/.
In the navigation pane, choose Instances.
Select the instance and choose Connect.
Choose the EC2 Instance Connect tab.
For Connection type, choose Connect using EC2 Instance Connect.
Access the ec2 with the default username: "ec2-user"
For questions about this HIPAA-hardened RHEL 9 AMI, including deployment assistance, configuration guidance, compliance inquiries, and private offers, contact Madarson IT at info@madarsonit.com.
Support Scope:
Deployment and launch assistance for the hardened AMI
Questions about pre-applied HIPAA Security Rule technical controls
Guidance on integrating with AWS HIPAA-eligible services
Private offer requests and volume licensing
Audit and compliance consultation inquiries
How to Get Help:
Email info@madarsonit.com with a description of your issue or request. Please include your AWS account ID and instance details for faster resolution.
Important Notes:
This product covers OS-level hardening only. Application-layer support is not included.
For AWS infrastructure issues (EC2, networking, IAM), contact AWS Support directly.
For Red Hat Enterprise Linux subscription or kernel-level issues outside of hardening scope, contact Red Hat Support.
AWS infrastructure support
AWS Support is a one-on-one, fast-response support channel that is staffed 24x7x365 with experienced and technical support engineers. The service helps customers of all sizes and technical abilities to successfully utilize the products and features provided by Amazon Web Services.
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