Microsoft 365, Azure & AWS — Secured & Managed
Cloud platforms are only as secure as their configuration. We manage your entire cloud environment — licensing, hardening, migration, and ongoing optimization — so your team works securely from anywhere.
Four Cloud Mistakes That Create Regulatory Exposure
Most practices aren't hacked — they're misconfigured. These are the cloud setup mistakes we find most often during assessments.
Set up M365 with default settings and called it done.
Default tenant leaves MFA disabled, guest access open, and Teams recording unlogged — OCR and the state bar consider these documented failures.
Enabled Copilot without a permissions audit.
Copilot surfaces data based on access, not intent. Staff can accidentally query PHI or privileged communications they shouldn't see.
Using VPN for remote access to on-premise servers.
VPN gives attackers a direct path from compromised credentials to your entire internal network — the #1 ransomware entry point in 2024.
Not reviewing Azure or AWS bills monthly.
Cloud costs drift 30–50% above budget within 12 months without active right-sizing and Reserved Instance management.
Five Platforms. One Security Standard.
We manage all major cloud platforms for healthcare and legal practices — with the same Zero Trust security baseline applied to each.
Microsoft 365
Primary RecommendationThe primary platform for healthcare and legal practices — managed beyond just email.
Why this matters
Microsoft 365 is the most widely deployed cloud platform in healthcare and legal — and the most misconfigured. Default tenant settings leave CIS Benchmark controls disabled, guest access unrestricted, and Teams channels ungovern. We harden the full stack.
Best for: Healthcare practices and law firms on Microsoft 365 — especially those who set up their tenant years ago and have never had a security review.
Migration: Migrating from Google Workspace or on-premise Exchange? We handle the full migration: mail, calendars, contacts, SharePoint structure, and security configuration — typically at $150/user.
What we manage
Microsoft Copilot for M365
AI-ReadyAI built into Word, Outlook, Teams, and Excel — deployed so PHI and client data stay protected.
Why this matters
Copilot is not plug-and-play in regulated environments. If a physician asks Copilot to 'summarize all emails from last week about patient lab results,' and permissions are misconfigured, Copilot will happily surface PHI it shouldn't touch. A data hygiene and permissions audit before rollout is not optional.
Best for: Practices planning to deploy Microsoft Copilot — and practices that have already deployed it without a governance review.
What we manage
Azure
SupportedSecure remote access, infrastructure management, CSPM, and cloud-native DR.
Why this matters
Legacy VPN is the attack surface ransomware groups exploit most. Azure Virtual Desktop replaces it with a Zero Trust remote access model — every session authenticated, every device checked, no lateral movement path to your EMR or case management system.
Best for: Practices still using on-premise servers or legacy VPN, and practices already on Azure that haven't had a cost or security review.
Migration: Moving from on-premise infrastructure to Azure? We design the architecture, handle the migration, and configure security posture management before you cut over.
What we manage
Amazon Web Services (AWS)
SupportedCloud infrastructure, secure desktops, backup, and security services for scalable practice operations.
Why this matters
AWS gives practices the flexibility of enterprise-grade infrastructure without the capital cost. But misconfigured S3 buckets, over-permissioned IAM roles, and ungoverned EC2 instances are among the most common causes of cloud data exposure in healthcare. We configure it right the first time.
Best for: Practices with AWS workloads lacking security governance, and practices evaluating AWS WorkSpaces as a VPN replacement.
Migration: New to AWS? We handle environment design, account structure, security baseline, and workload migration from on-premise or another cloud provider.
What we manage
Google Workspace
Migration AvailableSecurity hardening, administration, and compliance for practices running on Google.
Why this matters
Google Workspace's default configuration is optimized for collaboration, not compliance. External sharing is on by default, Drive auditing is minimal, and BeyondCorp (Google's Zero Trust access) requires manual configuration that most admins skip. We apply the equivalent of a CIS Benchmark for Google.
Best for: Healthcare practices and law firms on Google Workspace that haven't had a security review, and those migrating from Google to Microsoft 365.
Migration: Migrating from Google Workspace to Microsoft 365? We migrate mail, Drive → SharePoint, calendars, contacts, and configure the full M365 security baseline. Typically at $130/user.
What we manage
Switching Platforms? We've Done It Hundreds of Times.
Google Workspace → Microsoft 365. On-premise Exchange → Exchange Online. On-premise servers → Azure or AWS. We plan it, test it, and execute it — typically over a weekend with no lost data and minimal disruption to your practice.
- Mail, calendar, and contacts migrated intact
- File storage moved and restructured for the new platform
- Security baseline configured before you cut over
- Staff training scheduled before go-live
What Practices Say After We Fix Their Cloud
"We deployed Copilot without really thinking about what it could access. BITS came in, audited our permissions, found some serious oversharing issues in SharePoint, fixed them, and then helped us roll Copilot out properly. It's now one of our most-used tools."
"Moving from our on-premise server to Azure Virtual Desktop was something we'd been putting off for years. BITS did it in a weekend. The VPN is gone and our remote staff are actually more productive."
"Our AWS bill was out of control. BITS audited our environment, found three idle EC2 instances nobody remembered spinning up, moved us to Reserved Instances, and cut our monthly bill by 28% in the first 60 days."
Cloud Management Questions We Answer Every Week
We already have M365 set up. Why would we need your help?
Most M365 tenants were configured during a rushed setup and never hardened afterward. We regularly find: MFA not enforced on all accounts, guest access left open from a past project, Teams channels with no retention policy, SharePoint with anonymous sharing enabled, and Defender for M365 Plan 2 licensed but not configured. A CIS Benchmark audit typically uncovers 40–80 misconfigured controls in a tenant that's been running for years.
Is Microsoft Copilot safe to use with patient records or client data?
Copilot is safe when deployed correctly — and potentially a compliance liability when it isn't. The risk isn't Copilot sending data to Microsoft; the risk is Copilot surfacing PHI or privileged content to staff who have access they shouldn't. Before deployment, we audit permissions, fix oversharing, configure sensitivity labels, and implement LLM DLP rules that prevent protected data from being processed by Copilot. After that, it's genuinely useful.
What's the difference between Azure Virtual Desktop and VPN?
VPN extends your network to remote devices — meaning a compromised device is now inside your network. Azure Virtual Desktop (AVD) does the opposite: applications run in Azure, and only screen pixels go to the remote device. Even if a staff member's laptop is compromised, the attacker can see their screen but can't reach your EMR, file server, or practice management software. AVD also enforces device compliance before granting access, which VPN typically cannot.
We're thinking about migrating from Google Workspace to Microsoft 365. How disruptive is it?
A well-planned migration is minimally disruptive. We handle the full process: mail and calendar migration, Drive to SharePoint/OneDrive conversion, contact sync, and M365 security configuration — all before you cut DNS. Most practices migrate 10–50 users over a weekend with no lost mail and a single cutover morning. We schedule training for staff in the two weeks before go-live so they're not learning on the fly.
How do you handle AWS or Azure cost optimization?
Cloud costs spike for predictable reasons: oversized VMs, idle resources that nobody turned off, on-demand pricing for workloads that should be Reserved Instances, and storage that accumulates without lifecycle policies. We start with a cost audit, make immediate right-sizing recommendations, implement tagging and budget alerts, and move eligible workloads to Reserved Instances or Savings Plans. Most practices see 20–35% reduction in cloud spend within 90 days.
Do we need to be on Microsoft to work with you?
No — we support Google Workspace and AWS environments with the same security-first approach. That said, Microsoft 365 with Entra ID is our primary recommendation for healthcare and legal practices because the compliance tooling (Purview, Defender, Sentinel) is the most integrated for HIPAA and ABA requirements. If you're on Google or AWS and that's working, we'll secure and optimize it. If you're on aging on-premise infrastructure, we'll help you evaluate the right cloud platform for your needs.
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