This product has charges associated with it for security hardening. Madarson IT HIPAA-hardened RHEL 10 AMI pre-configured with ePHI access controls, audit logging, and transmission security for healthcare workloads on AWS.
This is a repackaged software product from Madarson IT, with additional charges applied for HIPAA-focused security hardening.
Red Hat Enterprise Linux 10 - Hardened for HIPAA Compliance
This AWS EC2 AMI delivers Red Hat Enterprise Linux 10 pre-hardened with controls aligned to the HIPAA Security Rule. Built for covered entities, business associates, and healthcare SaaS providers, this image reduces the time and effort required to deploy HIPAA-aligned infrastructure for workloads handling electronic protected health information (ePHI).
What This AMI Delivers
Access Controls: Role-based access enforcement, restricted root login, password complexity policies, and session timeout configurations to limit unauthorized access to ePHI
Audit Controls: Pre-configured auditd rules for tracking system events, login attempts, privilege escalation, and file access relevant to PHI data stores
Transmission Security: TLS enforcement for network services, disabled insecure protocols, and hardened SSH configurations to protect ePHI in transit
Integrity Controls: File integrity monitoring readiness, SELinux set to enforcing mode, and restricted package installation to prevent unauthorized system modifications
Attack Surface Reduction: Unnecessary services disabled, unused network ports closed, and minimal package footprint to reduce exposure to vulnerabilities
Authentication Hardening: Account lockout policies, secure password storage, and multi-factor authentication readiness aligned with HIPAA Security Rule requirements
AWS Service Integration
This hardened image is designed to work with AWS services that support HIPAA-eligible workloads:
AWS CloudTrail - API activity logging for compliance auditing and incident investigation
Amazon CloudWatch - System and application monitoring with alerting for security events
AWS Systems Manager - Patch management and configuration compliance tracking
Amazon S3 - Encrypted storage for backups and audit logs with versioning and access controls
AWS Config - Continuous configuration assessment against compliance rules
Amazon Macie - Detection of sensitive health data in storage resources
Key Benefits
Accelerated HIPAA Readiness: Deploy infrastructure pre-aligned with HIPAA Security Rule technical safeguards rather than spending weeks manually hardening a base image.
Reduced Audit Burden: Pre-applied controls map to HIPAA technical safeguard requirements, helping your compliance team demonstrate due diligence during audits.
Healthcare-Focused Configuration: Every hardening decision targets ePHI protection scenarios - not generic security benchmarks - ensuring relevance for healthcare workloads.
Continuous Maintenance: Regular image updates address emerging vulnerabilities so your foundation stays current with evolving threat landscapes.
Getting Started
Subscribe to this product on AWS Marketplace and accept the terms
Launch an EC2 instance using the AMI in your desired region
Connect via SSH using your key pair to verify the hardened configuration
Validate HIPAA-aligned controls are active (SELinux enforcing, auditd running, firewall rules applied)
Configure application-layer controls specific to your ePHI workload
Integrate with AWS CloudTrail, CloudWatch, and Config for ongoing monitoring
Requirements and Limitations
A Business Associate Agreement (BAA) with AWS is still required for HIPAA-eligible workloads
This image addresses operating system-level technical safeguards only; application-layer encryption, backup procedures, and administrative safeguards remain the customer's responsibility
Organizations must implement their own policies for workforce training, risk assessments, and incident response procedures
The image does not guarantee HIPAA compliance on its own; it provides a hardened foundation that supports compliance efforts
Red Hat subscription and commercial support are not included
About Madarson IT
Madarson IT provides security-hardened cloud images optimized for regulated environments. Our images are regularly updated and designed for reliable deployment in sensitive healthcare and compliance-driven workloads.
Disclaimer
Red Hat, Inc. owns the trademarks for Red Hat Enterprise Linux (RHEL) and its associated branding. Madarson IT does not provide commercial licenses for Red Hat products. HIPAA compliance requires a comprehensive program beyond technical controls; this image supports but does not replace organizational compliance obligations.
Highlights
HIPAA Security Rule Controls Pre-Applied: This image ships with access controls including restricted root login, password complexity enforcement, and session timeouts; audit controls via pre-configured auditd rules tracking login attempts, privilege escalation, and file access; transmission security through TLS enforcement and hardened SSH; and integrity controls with SELinux in enforcing mode.
Accelerated Path to HIPAA Audit Readiness: Deploy a hardened RHEL 10 foundation in minutes rather than spending weeks manually configuring security controls. Pre-applied configurations map to HIPAA Security Rule technical safeguards, helping covered entities and business associates demonstrate due diligence during compliance audits.
AWS Integration and Continuous Maintenance: Designed to work with HIPAA-eligible AWS services including CloudTrail for API audit logging, CloudWatch for security event monitoring, Systems Manager for patch management, and AWS Config for configuration compliance tracking. The image receives regular updates to address emerging vulnerabilities, ensuring your hardened foundation stays current.
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 Red Hat Enterprise Linux 10 image, billed per running instance. Pricing is not tiered. Instead, each rate maps to a specific EC2 instance type you choose to run. Options span general-purpose (t2, t3, m3, m4, m5), compute-optimized (c3, c5, c5a), memory-optimized (r3, r5), storage-optimized (d2, d3, i2, i3), and GPU families (g2, g3, g5, p2, p3). Larger instance sizes carry higher hourly rates. You add the software cost to your underlying AWS infrastructure charges, paying only while instances run.
Top-of-mind questions for buyers
Am I charged for the software when an instance is stopped or powered off?
The software rate meters running instance-hours only. A stopped or powered-off instance does not accrue software charges. You may still pay underlying AWS storage fees for the attached volumes. Charges resume when you start the instance again.
How is the hourly rate determined for this image?
The rate is set by the EC2 instance type you launch, not by users or data volume. Each instance type carries its own hourly software rate. This rate is added to your AWS infrastructure charge for that instance. Larger instance sizes carry higher hourly software rates.
What compliance frameworks does this hardened Red Hat Enterprise Linux 10 image align with?
The image is security-hardened and aligned with HIPAA controls, as named in the listing. The vendor also aligns hardened images with DISA STIG, PCI-DSS, and NIST frameworks. Images receive regular security patches and compliance updates rather than a one-time snapshot.
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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
Red Hat Enterprise Linux 10 Image -- Hardened for HIPAA Compliance
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 technical support, compliance inquiries, audit questions, and private offer requests, contact Madarson IT at info@madarsonit.com.
Support Scope
Madarson IT provides support for issues related to the HIPAA hardening configurations applied to this image, including questions about pre-applied security controls, audit logging configuration, and access control settings. Support covers guidance on validating the hardened state of the image and understanding which HIPAA Security Rule technical safeguards are addressed at the OS level.
Getting Started After Launch
Launch the AMI from the AWS Marketplace listing in your target region
Connect via SSH using your EC2 key pair
Verify hardened controls are active - confirm SELinux is enforcing, auditd is running, and firewall rules are applied
Configure your application-layer controls for your specific ePHI workload
Integrate with AWS CloudTrail and CloudWatch for ongoing compliance monitoring
Important Notes
This image addresses OS-level technical safeguards; application security, backup, and administrative safeguards remain customer responsibilities
A Business Associate Agreement (BAA) with AWS is required for HIPAA-eligible workloads
Red Hat commercial support is not included with this image
For private offers, bulk licensing, or compliance consultation, reach out to info@madarsonit.com.
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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