Best for healthcare startups
Thoropass pairs compliance software with an in-house CPA audit and supports SOC 2, HIPAA, and HITRUST from about $12,000 in two to six weeks, fitting healthcare startups that want one bundled path.
22 attestation-capable firms in this directory match this combined SOC 2 scope. Use this page to find one assessor for overlapping control work instead of running separate engagements with separate evidence requests.
Last updated / Combined scope
Healthcare SaaS companies almost always need SOC 2 and HIPAA together, and the way the two fit is widely misunderstood. The most important thing to know before you hire anyone: HIPAA has no certificate. There is no “HIPAA certified” audit you can hand a customer the way you hand them a SOC 2 report. What a qualified auditor actually does is map your SOC 2 controls to HIPAA's Security Rule, document the gaps, and — when your customers want third-party proof of HIPAA-grade controls — layer in HITRUST, which is the certifiable framework built on top of HIPAA. The firms on this page handle that whole picture for healthcare companies, rather than treating HIPAA as a checkbox.
That is a different job from a generic SOC 2. A healthcare-aware auditor scopes your audit around protected health information: where PHI lives, how it flows between you and your covered-entity customers, what your business associate agreements commit you to, and how breach-notification obligations map onto your incident-response controls. Done well, your SOC 2 report does double duty — it demonstrates the security controls that also satisfy much of the HIPAA Security Rule — and HITRUST gives you the certifiable artifact when a hospital or payer's procurement team insists on one. Done poorly, you get a SOC 2 that ignores PHI entirely and a HIPAA “assessment” that no customer recognizes.
Across the firms here, first-year Type 2 fees typically start around $15,000 and run to roughly $30,000 for healthcare scope, with HITRUST certification priced as an additional, larger engagement on top. The set spans startup-friendly specialists through national firms with deep HITRUST practices. The right choice depends on whether you need HIPAA mapping now and HITRUST later, or both at once because an enterprise health-system deal is already on the table. A practical tell that you have the wrong auditor: if the engagement letter never mentions PHI, business associate agreements, or the HIPAA Security Rule, you are buying a generic SOC 2 that will not survive a hospital's vendor-security review, no matter how clean the report looks. The firms below scope for that scrutiny from the start.
This page answers “which firm”; for how the frameworks relate, read our SOC 2 vs HITRUST explainer and the HIPAA framework page, and see our healthcare auditor directory for the broader vertical. Every listing is ranked by our published methodology, with any paid Featured placement labeled as such. Use the quote button to be matched to firms that handle SOC 2 plus HIPAA and HITRUST at your stage.
Three picks from the 22 matching firms, each tied to a specific buying scenario rather than a generic best-list rank.
Thoropass pairs compliance software with an in-house CPA audit and supports SOC 2, HIPAA, and HITRUST from about $12,000 in two to six weeks, fitting healthcare startups that want one bundled path.
KirkpatrickPrice handles SOC 2, HIPAA, and HITRUST with transparent bundled pricing from about $12,000 in three to eight weeks, suited to budget-conscious healthcare teams.
A-LIGN runs SOC 2 alongside HIPAA mapping and full HITRUST certification from about $15,000, with the scale for enterprise health-system and payer requirements.
Featured firms are paid placements and appear with a left rule. Remaining firms are sorted by verification status and Type 2 entry price. Every row shows the SOC 2 fee range, timeline, and framework credentials relevant to this combined scope.
Best for · First-time SOC 2 / ISO 27001 / HIPAA / PCI / HITRUST seekers (under 200 employees) who want one vendor handling both the GRC platform and the audit, eliminating the handoff between Vanta/Drata-style automation and a separate CPA firm. Companies pursuing multiple frameworks who want shared evidence across SOC 2 + ISO 27001 + HITRUST + PCI in a single audit cycle. Mid-market SaaS, fintech, and healthtech seeking 25-50% savings vs. traditional audit firms with fixed pricing.
Differentiator · Bundles a proprietary GRC platform with an in-house CPA firm, PCI QSAC and ASV, and HITRUST Authorized External Assessor under one roof. Same auditor from Day 1 through report issuance, no handoff between readiness vendor and audit firm. First Pass and Smart Sort AI pre-screen evidence before audit, cutting manual overhead up to 80% and completing audits up to 62% faster. 30+ frameworks on a single shared evidence set, plus a standalone audit module that works alongside Vanta, Drata, Secureframe, Hyperproof, Archer, and OneTrust. Active healthcare practice (Array Behavioral Care, Alaffia Health, HealthSnap) covering HITRUST + SOC 2 coordinated audits in PHI-sensitive environments.
Best for · B2B SaaS startups (Series A through growth stage) using Drata, Vanta, or Secureframe and prioritizing speed without sacrificing thoroughness. AI/ML and LLM companies needing SOC 2 + ISO 42001 together — Prescient audits leading AI and large language model providers. Fintech, healthtech, and security vendors at scale. CSPs pursuing FedRAMP authorization. DoD contractors needing a full C3PAO (newly authorized March 2026). Teams already using Slack who want same-day audit communication.
Differentiator · One of the largest SOC 2 auditors globally for SaaS (fintech, healthtech, security) and AI companies — including major LLM providers — running 5,000+ audits a year across all standards. Cybersecurity-first DNA: founded by CREST-certified penetration testers, not traditional accountants. Run from a Nashville HQ with a distributed team of 200+ across the US, EMEA, and APAC and a same-day Slack/Teams response guarantee. SOC 2 engagements start at $10K with report delivery in 4-6 weeks once fieldwork begins. Authorized CMMC C3PAO as of March 2026 (joining FedRAMP 3PAO, PCI QSA, HITRUST, and ANAB ISO accreditation for 27001/27701/42001). The Cacilian PTaaS platform and CAIT (Continuous AI Tester) bring AI-driven offensive security into the audit workflow. A Top 20 CREST and CSA STAR organization globally, operating under Prescient Security Management LLC as an AICPA alternative practice structure.
Best for · Small-to-mid-sized organizations ($5M-$100M revenue) without enterprise budgets. First-time SOC seekers wanting bundled pricing transparency ($30K Year 1 package: Gap + Type I + Type II, then $25K annual renewals). MSPs and IT service providers. Healthcare organizations needing HITRUST + HIPAA. Budget-conscious buyers valuing long-term partnership over transactional audits
Differentiator · Pricing transparency: documented $25K-$30K bundled packages with clear annual renewal pricing. Strong MSP community reputation with 4+ year client relationships. PCAOB-registered quality standards at accessible mid-market pricing. Boutique personalization at scale (130 employees serving 2,000+ clients = ~15 clients per employee). 18+ years experience (founded 2005) with $42M revenue demonstrates financial stability without PE pressure
Best for · Mid-market to enterprise companies that need multiple compliance frameworks (SOC 2 + ISO 27001 + HITRUST + FedRAMP + PCI) under one roof. CSPs pursuing FedRAMP authorization. Companies that want a top-three FedRAMP 3PAO and #1 SOC 2 issuer on the cover of the report.
Differentiator · #1 issuer of SOC 2 reports in the world with 5,700+ clients and 31,000+ audits completed. Top-three FedRAMP 3PAO; CMMC C3PAO authorized. A-SCEND platform was the first audit-management platform from a top-3 3PAO to achieve FedRAMP 20x Low authorization (Sept 2025), now augmented with EvidenceIQ AI evidence scoring and Cross-Service framework reuse. Acquired by Hg in July 2025 at a $1B+ valuation, accelerating European expansion and AI investment. CEO Scott Price (founder, 2009); Steve Simmons elevated to President in January 2026.
Best for · Mid-market tech companies ($10M-$500M revenue) prioritizing speed and technology integration. Private equity-backed companies needing bundled audit, tax, and compliance services. Bay Area & West Coast startups wanting local presence and tech industry fluency. Companies expanding internationally requiring both SOC 2 and ISO 27001/27701. Organizations valuing efficiency over brand prestige alone
Differentiator · Top 20 U.S. accounting firm with 2,000+ employees and 50+ years experience (founded 1969). Audit Ally AI-powered platform (launched Jan 2024) - purpose-built by accountants for auditors with centralized dashboard, AI-powered automation, embedded communication, and AI summarization of audit notes. ANAB-accredited ISO certification body (can issue ISO certificates, not just attest - extremely rare among CPA firms). Integrated audit + tax + consulting + ISO certification under one roof eliminates vendor management overhead. Strong Bay Area presence with deep Silicon Valley expertise and VC relationships
Best for · Companies that want a long-term audit relationship over a transactional, checkbox engagement — and need a firm that can start immediately and cover SOC 2 alongside ISO 27001, ISO 42001, NIST, or HITRUST without bringing in a second vendor.
Differentiator · Independent, employee-owned CPA firm headquartered in Cincinnati (founded 1965, 225 staff) with roughly 20 people working exclusively on SOC reports. Readiness, audit, and issuance are handled entirely in-house with no outsourcing, by a team distributed across six time zones that serves two-person startups through large multinationals. SOC engagements are priced as a fixed fee rather than billed hourly, so the number is known before fieldwork begins, and the firm holds strong AICPA Peer Review standing. Multi-framework coverage (SOC 2, ISO 27001, ISO 42001, NIST, HITRUST, AI systems compliance) consolidates parallel attestations into one report, with a quality-and-relationship orientation rather than checkbox auditing. Notably fast: able to start engagements immediately, where most peers have multi-month lead times.
Best for · Healthcare and PE-backed mid-market organizations needing SOC reports plus parallel HITRUST, ISO 27001, PCI DSS, NIST, or CMMC assessments under one roof
Differentiator · Top-50 US accounting firm with an integrated cybersecurity practice covering SOC 1/2/3, HITRUST (one of the nation's leading HITRUST assessors), ISO 27001, NIST 800-171/53, PCI DSS, CMMC, and HIPAA — supported by 1,000+ professionals across 7 US offices plus a Chennai delivery team
Best for · Defense contractors needing CMMC + FedRAMP, federal agencies requiring top-tier FedRAMP 3PAO, classified systems operators (ONLY auditor with DoD Facility Security Clearance), healthcare organizations needing HITRUST + SOC 2 bundles, companies wanting Top 50 CPA brand with multi-framework expertise
Differentiator · #1 FedRAMP 3PAO globally with unmatched government/defense expertise. ONLY audit firm with DoD Facility Security Clearance for classified assessments (unassailable competitive moat). Top 50 CPA firm issuing 1,000+ SOC reports annually. 'The Power of One' cross-compliance: SOC + ISO + FedRAMP + HITRUST + PCI + CMMC under single roof. Founded 2002, 20+ years compliance focus
Best for · Cloud-native SaaS, IaaS, and PaaS companies (high-growth startups through Fortune 1000 enterprises) needing multi-framework attestation (SOC 2 + ISO 27001 + HITRUST + PCI DSS) in a single coordinated engagement. Healthcare technology pursuing HITRUST. Y Combinator-style SaaS startups already running Vanta who want a Vanta MSP partner that can attest. Companies that want boutique-feel partner attention with global-consulting-firm methodology.
Differentiator · One of a handful of US firms eligible to audit against the four highest-regarded frameworks under one roof: ISO 27001, SOC 2, HITRUST, and PCI DSS. Branded 'Coordinated Audit' approach maps evidence once across multiple frameworks. 'No surprises' promise published on the readiness-assessment page: clear scoping, no last-minute findings. Cloud-native methodology built specifically for AWS/Azure/GCP. Big 4 alumni team operating remote-first since founding (2014). Vanta Managed Service Provider; uses taskBARR audit-management platform plus Audora partnership for 30% efficiency gains. Cameron Kline elevated to VP, Attest Practice Leader (January 2026). Multiple Best Companies to Work For awards (Ingram's 2024; KCBJ Fastest-Growing Tech 2025).
Best for · Middle-market companies needing consolidated compliance across multiple frameworks — SOC 2 + PCI + HIPAA + HITRUST, or CMMC + FedRAMP + ISO — under a single engagement team. Companies handling sensitive data facing multi-standard audit burdens who want one firm to streamline and de-duplicate evidence collection. Government contractors requiring CMMC/FedRAMP readiness alongside SOC 2. Healthcare and higher-education organizations pursuing HITRUST certification (FD's HITRUST practice leader has managed 300+ assessments). Companies with international operations needing dual AICPA/ISAE reporting. Growth companies that value a firm investing aggressively in scale, talent and technology.
Differentiator · FD's SOC Practice is led by competent Peer Reviewers along with a co-author of the AICPA's official SOC for Service Organizations curriculum — making FD one of the only firms where the person who literally wrote the AICPA's SOC playbook leads client engagements. FD sits on multiple HITRUST councils, giving FD arguably the deepest HITRUST bench in the country. Backed by General Atlantic (2025), FD's signature approach consolidates SOC 2, PCI, HIPAA, and HITRUST into a single evidence-collection cycle — eliminating duplicate audit burden.
Best for · Enterprise IT Outsourcing Services, Managed Security, Customer Support, Healthcare Claims Management & Processing, and FinTech Services
Differentiator · Integrated compliance approach with strategic guidance; SOC 2+ hybrid assessments combining multiple frameworks (HIPAA, HITRUST, CSA STAR); established relationships with client continuity
Best for · Enterprises needing compliance across 60+ frameworks through a single consolidated audit; organizations managing multiple annual compliance programs
Differentiator · Compliance as a Service (CaaS) pioneer; One Audit™ satisfies PCI DSS, ISO 27001, GDPR, HIPAA, SOC 2, and NIST 800-53 simultaneously; continuous compliance monitoring year-round; supports 60+ frameworks globally; proprietary ComplianceHub self-assessment platform
Best for · Mid-market to enterprise companies, organizations requiring multiple locations/subsidiaries, companies needing Big Four quality without Big Four pricing
Differentiator · 7th-largest US accounting firm created from CBIZ acquisition of Marcum (Nov 2024) with combined $2.8B revenue and 10,000+ employees across 160+ locations. Risk Advisory practice with staff holding CISA/CISSP/QSA/GPEN/GWAPT certifications, extensive SOC 1/2/3 experience, CSA STAR certified auditor. CBIZ provides finance, advisory, insurance services; attest work handled by Mayer Hoffman McCann (MHM CPAs)
Best for · Mid-market through enterprise companies needing multi-framework coverage (SOC 2 + FedRAMP, SOC 2 + PCI, SOC 2 + HITRUST). Cloud service providers pursuing FedRAMP authorization (Coalfire is a top-three 3PAO with 121+ FedRAMP assessments). Payment processors needing PCI DSS at Level 1 scale. Healthcare SaaS pursuing HITRUST + HIPAA. DoD contractors needing CMMC Level 2 via Coalfire Federal (operationally independent C3PAO entity).
Differentiator · One of the world's largest specialist compliance assessors, with 1,000+ team members, 1M+ assessment hours, and 600+ framework experts. Top-three FedRAMP 3PAO. 75% of SOC engagements serve cloud service providers (Google, Amazon, IBM, Microsoft trust Coalfire). 500+ SOC reports issued annually. Owned by Apax Partners since 2020. Coalfire Federal runs as an independent C3PAO entity (DIBCAC CMMC Level 2 re-certified with perfect score, July 2025). Brad Little became CEO January 2026 (ex-Google Cloud, ex-Capgemini), replacing 20-year CEO Tom McAndrew. Compliance Essentials platform launched MCP-compatible Audit AI in 2025-2026.
Best for · Mid-market to enterprise organizations across regulated industries seeking comprehensive SOC 2, ISO 27001, HITRUST, and CMMC compliance
Differentiator · Founded in 2005 by Big 4 alumni; acquired by Axiom GRC in November 2025 and merged with AssurancePoint in 2026, expanding SOC and ISO audit capacity; integrated compliance, cybersecurity, and risk-advisory services with strong client and employee retention
Best for · Small and mid-sized domestic and international companies needing SOC 1/2/3, ISO 27001, PCI DSS, HITRUST, and HIPAA compliance
Differentiator · PCAOB registered firm headquartered in Atlanta with global presence across North America, Europe, and Asia; NMSDC certified; complete 360° circle of assurance, advisory, risk, and compliance services; serves clients across all 5 main continents
Best for · Growing mid-market companies needing integrated audit, tax, and advisory services with IT assurance capability.
Differentiator · IPA Top 200 firm with 80+ years of experience and dedicated IT security expertise including penetration testing.
Best for · Companies needing SOC 1/2/3 and HITRUST mapping from a full-service CPA firm offering integrated tax, advisory, and compliance services
Differentiator · 55+ year legacy as a 'firm for life'; single-location focus enabling deep client relationships; SOC 2 + HITRUST combined assessments; 120+ professionals offering concierge-level service; integrated tax, employee benefit plan audits, and M&A advisory alongside SOC work
Best for · Organizations prioritizing hands-on remediation support and rapid compliance certification across multiple frameworks.
Differentiator · AICPA-licensed specialist offering hands-on remediation alongside auditing, with 100% documented client retention.
Best for · Fast-growing SaaS and fintech companies seeking specialist SOC 2 and cybersecurity audit expertise.
Differentiator · PCAOB-registered CPA firm founded by Grant Thornton partner, combining audit rigor with specialized SOC 2 and cybersecurity expertise, performing 400+ audits annually.
Best for · Tech startups and established companies seeking fixed-fee SOC 2 and compliance audits with GRC automation support.
Differentiator · Fixed-fee SOC 1/2/3 audits with 1,000+ compliance reports issued and deep integrations across six major GRC platforms.
Best for · Mid-market to enterprise clients across healthcare, technology, and financial services seeking audit and advisory from a large, employee-owned national firm.
Differentiator · Employee-owned firm ranked 42nd largest in the US with 800+ CPAs and specialists across IT controls, healthcare consulting, and SOC reporting.
What buyers ask before shortlisting.
These are the questions that usually decide whether a firm belongs on your shortlist.
No. HIPAA has no certificate or attestation report. Auditors map your SOC 2 controls to HIPAA’s Security Rule and document compliance; when customers want certifiable proof of HIPAA-grade controls, you add HITRUST, the framework built on top of HIPAA.
Yes. The firms on this page audit SOC 2 and assess HIPAA together, scoping the engagement around protected health information so your SOC 2 report also demonstrates much of what the HIPAA Security Rule requires.
Only if your customers demand it. HITRUST is the certifiable, customer-recognized proof of HIPAA-aligned controls. Many healthcare SaaS firms start with a HIPAA-mapped SOC 2 and add HITRUST once an enterprise health-system or payer deal requires it.
First-year Type 2 fees among these firms typically start around $15,000 and reach about $30,000 for healthcare scope. HITRUST certification, when needed, is a separate and larger engagement layered on top.
It is scoped around PHI: where protected health information lives, how it flows to covered-entity customers, what your business associate agreements require, and how breach-notification duties map to incident response — details a generic SOC 2 auditor may overlook.
Use these to pressure-test scope, independence, and cost with any firm you contact from the list.
A well-scoped SOC 2 demonstrates many of the security controls HIPAA’s Security Rule requires, but it is not itself proof of HIPAA compliance. Auditors map the overlap and identify HIPAA-specific gaps.
HITRUST CSF is a certifiable framework that incorporates HIPAA and other requirements. Enterprise healthcare buyers often request it because, unlike HIPAA itself, it produces a recognized certificate.
Usually yes — a single healthcare-aware firm scopes both around PHI and reuses evidence, which is more efficient and avoids contradictory control interpretations.
Use these when you need the broader auditor list, the software angle, or the framework explainer before you choose a firm.
SOC 2 reports require CPA attestation. Preparation software and readiness consultants can collect evidence and reduce audit work, but the opinion has to come from an independent, licensed CPA firm.
Confirm scope in writing. Before signing, ask the firm which report or certificate it can issue directly, which work is handled by an affiliate, and what evidence carries over between frameworks or platforms.
Disclaimer · pricing estimates and timelines are based on directory data and public information. Actual quotes vary by company size, systems, control maturity, and audit scope.
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